Exam (elaborations)
Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank
Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank
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Origin: Chapter 1- Public Health Nursing, 1Page 1
,Origin: Chapter 1- Public Health Nursing, 1
Page 2
, Origin: Chapter 1- Public Health Nursing, 1
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then
reviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical
techniques, which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the
hospital
Ans: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
families, and lifestyles. Clients become active participants in their own care, and
monitoring health becomes the client's responsibility. To help clients and their
healthcare providers make better decisions, the Agency for Healthcare Research and
Quality (AHRQ) has developed a series of tools that empower clients and assist
providers in achieving desired outcomes, including client-reported functional status
indicators. Computer-assisted robotic surgical techniques, electronic health records, and
continuous glucose monitoring in the hospital are all technological advances in
healthcare, but they do not help the client become a more active participant in his or her
care, and thus are not good examples of patient-centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health?
(Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Ans: A, B, D, E
Feedback:
The social conditions in which people live, their income, social status, education,
literacy, home and work environment, support networks, gender, culture, and
availability of health services are the social determinants of health. These conditions
have an impact on the extent to which a person or community possesses the physical,
social, and personal resources necessary to attain and maintain health. A medical error
on the part of the client's primary care provider or nurse would not constitute a social
determinant of the client's health.
Page 3
, Origin: Chapter 1- Public Health Nursing, 3
3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
using a digital scale and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
Ans: C
Feedback:
Personal responsibility for health involves active participation in one's own health
through education and lifestyle changes. In this case, the client makes a positive change
in lifestyle by monitoring body weight weekly. Telehealth is the use of electronic
information and telecommunications technologies to support long-distance clinical
healthcare, client and professional health-related education, public health, and health
administration. Health information technology (HIT) is defined as the comprehensive
management of health information and its exchange between consumers, providers,
government, and insurers in a secure manner. Evidence-based nursing is the integration
of the best evidence available with clinical expertise and the values of the client to
increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily
practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the
year
Ans: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
people can be healthy. A community-wide smoking cessation program is a great
example of a public health intervention, in that it involves the collective effort of society
to improve the health of its members. Reading and applying the latest nursing research
is an example of evidence-based nursing. Instructing a client on how to best care for a
suture site at home is an example of personal responsibility for health, but it is not
focused on the health of the greater community. Participating in a videoconference call
with a client who lives in a remote area is an example of patient-centered care and of an
effective implementation of technology, but it is not particularly related to public health.
Page 4
, Origin: Chapter 1- Public Health Nursing, 5
5. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
Ans: A
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public
health nursing interventions but are not domains of public health nursing practice.
Origin: Chapter 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills
Ans: C
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Page 3
, Origin: Chapter 1- Public Health Nursing, 7
7. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which are domains of public health nursing practice? (Select all that apply.)
A) Intuitive assessment skills
B) Community organization skills
C) Communication skills
D) Cultural competency skills
E) Product marketing skills
Ans: C, D
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Origin: Chapter 1- Public Health Nursing, 8
8. Which was a duty performed by district nurses in Liverpool, England, in 1865?
A) Use epidemiologic knowledge and methods
B) Encourage community organization
C) Report facts to and ask questions of physicians
D) Assist physicians with surgery in the newly constructed hospitals
Ans: C
Feedback:
Duties of district nurses in Liverpool, England, in 1865 included the following:
Investigate new referrals as soon as possible; report to the superintendent situations in
which additional food or relief would improve recovery; report neglect of clients by
family or friends to the superintendent; assist physicians with surgery in the home;
maintain a clean, uncluttered home environment and tend fires for heat; teach the client
and family about cleanliness, ventilation, giving of food and medications, and obedience
to the physician's orders; set an example for “neatness, order, sobriety, and obedience”;
hold family matters in confidence; avoid interference with the religious opinions and
beliefs of clients and others; report facts to and ask questions of physicians; and refer
the acutely ill to hospitals and the chronically ill, poor without family to infirmaries.
Using epidemiologic knowledge and methods and encouraging community organization
are principles of public health today, not duties of district nurses in England in 1865.
Nurses at that time assisted physicians with surgery in the home, not in newly
constructed hospitals.
Page 4
, Origin: Chapter 1- Public Health Nursing, 9
9. Which is a Healthy People 2020 goal?
A) Decrease the incidence of preventable disease, disability, injury, and premature
death
B) Reduce health inequity, decrease disparities, and improve the health of certain
groups
C) Create social and physical environments that promote good health for all
D) Promote healthy development and healthy behaviors for the geriatric stage of life
Ans: C
Feedback:
The Healthy People 2020 goals are as follows: attain high-quality, longer lives free of
preventable disease, disability, injury, and premature death (not just to decrease the
incidence of these); achieve health equity, eliminate disparities, and improve the health
of all groups; create social and physical environments that promote good health for all;
and promote healthy development and healthy behaviors across every stage of life, not
just older adults.
Origin: Chapter 1- Public Health Nursing, 10
10. A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural
community that currently lacks access to them. This is an example of which public
health intervention?
A) Surveillance
B) Outreach
C) Screening
D) Case management
Ans: D
Feedback:
In the intervention of case management, the nurse coordinates a plan or process to bring
health services and the self-care capabilities of the client together as a common whole in
a cost-effective way. In the intervention of surveillance, the nurse monitors health
events through ongoing, systematic collection, analysis, and interpretation of health data
for planning, implementing, and evaluating public health interventions. In the
intervention of outreach, the nurse locates populations at risk, provides information,
identifies possible actions, and identifies access to services. In the intervention of
screening, the nurse identifies individuals with unrecognized risk factors or
asymptomatic conditions.
Page 5
, Origin: Chapter 1- Public Health Nursing, 11
11. The nurse is locating populations in her region who are exposed to lead-based paint and
providing them with information regarding the dangers of lead poisoning. This is an
example of which public health intervention?
A) Surveillance
B) Outreach
C) Screening
D) Case management
Ans: B
Feedback:
In the intervention of outreach, the nurse locates populations at risk, provides
information, identifies possible actions, and identifies access to services, which is what
the nurse is doing in this situation. In the intervention of surveillance, the nurse monitors
health events through ongoing, systematic collection, analysis, and interpretation of
health data for planning, implementing, and evaluating public health interventions. In
the intervention of screening, the nurse identifies individuals with unrecognized risk
factors or asymptomatic conditions. In the intervention of case management, the nurse
coordinates a plan or process to bring health services and the self-care capabilities of the
client together as a common whole in a cost-effective way.
Origin: Chapter 1- Public Health Nursing, 12
12. Select the great public health achievements in the United States in the 20th century.
(Select all that apply.)
A) Elimination of common infectious diseases
B) Recognition of tobacco as a health hazard
C) Fluoridation of drinking water
D) Healthier mothers and babies
E) Decline in the percentage of obese and overweight people
Ans: B, C, D
Feedback:
Great public health achievements in the United States in the 20th century include the
following: control (not elimination) of common infectious diseases; recognition of
tobacco as a health hazard; fluoridation of drinking water; and healthier mothers and
babies. The percentage of overweight and obese people increased over the course of the
20th century and continues to increase today.
Page 6
, Origin: Chapter 1- Public Health Nursing, 13
13. Demographic characteristics indicate that people in developed countries are living
longer, healthier lives, yet tremendous health and social disparities exist. Which
describes social determinants of health?
A) What society does collectively to ensure the conditions exist in which people can
be healthy
B) Social conditions in which people live and work
C) Context of preventing disease and disability and promoting and protecting the
health of the entire community
D) Comprehensive management of health information and its secure exchange
between consumers, providers, government and quality entities, and insurers
Ans: B
Feedback:
Social determinants of health are the social conditions in which people live and work.
Health information technology is the comprehensive management of health information
and its secure exchange between consumers, providers, government and quality entities,
and insurers. Public health is what society does collectively to ensure the conditions
exist in which people can be healthy. Public health nursing is a population-based
practice, defined as a synthesis of nursing and public health within the context of
preventing disease and disability and promoting and protecting the health of the entire
community.
Origin: Chapter 1- Public Health Nursing, 14
14. Why is there an increasing use of home monitoring devices? (Select all that apply.)
A) Rising number of people with acute conditions
B) Increased need to deliver healthcare to medically underserved populations
C) Advances in technology to assess clients' conditions in their home
D) Performing assessments in real time using Internet video systems
E) Decline in the number of older adults
Ans: B, C, D
Feedback:
Home monitoring devices are becoming necessities, due in part to the aging population,
the rising number of people with chronic (not acute) conditions, and the need to increase
healthcare delivery to medically underserved populations. Advances in technology,
specifically medical devices, sensors, and high-speed telecommunication networks,
have made it possible to assess clients' conditions remotely in their homes, either by
storing information for later access or by performing assessments in real time using
Internet video systems. The number of older adults in the United States is increasing,
not declining.
Page 7
, Origin: Chapter 1- Public Health Nursing, 15
15. Personal responsibility for health involves active participation in one's own health
through education and lifestyle changes. Which exemplify personal responsibility?
(Select all that apply.)
A) Reviewing one's own medical records
B) Monitoring the positive and negative effects of prescription and over-the-counter
medications
C) Avoiding tobacco and recreational drug use
D) Showing up for scheduled tests and procedures
E) Eating the types of foods one most enjoys
Ans: A, B, C, D
Feedback:
Personal responsibility for health involves active participation in one's own health
through education and lifestyle changes. It includes responsibility for reviewing one's
own medical records and monitoring both the positive and negative effects of
prescription and over-the-counter medications. It means showing up for scheduled tests
and procedures and avoiding tobacco and recreational drug use. Eating the types of
foods one most enjoys is not necessarily responsible, if one most enjoys foods that do
not meet dietary recommendations.
Origin: Chapter 1- Public Health Nursing, 16
16. Why has there been an increase in the number of acute and chronically ill people
residing in the community who need professional nursing care?
A) Shorter length of stay in long-term care facilities
B) Increase in ambulatory surgery
C) Decrease in the use of outpatient clinics
D) Increase in length of stay in emergency departments
Ans: B
Feedback:
The shorter length of stay in acute care (not long-term care) facilities, as well as the
increase in ambulatory surgery and outpatient clinics, has resulted in more acute and
chronically ill people residing in the community who need professional nursing care.
Page 8
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