PHN Public Health Nursing Final Exam- practice
questions |ANSWERS 100% RATED CORRECT-
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The impact of the baby boomer generation on the future of health care can best be
described as: - ✔✔increase in demand because of increased life expectancy.
A shift in general approach from a more reactionary, acute care orientation toward a
proactive, primary prevention orientation is necessary to achieve not only a more cost-
effective but also a more equitable health care system in the United States. From a
public health perspective, this strategy is necessary to avoid the need for other less
desirable approaches that may compromise access and quality such as: -
✔✔rationing of health care
There is strong evidence to suggest that poverty can be directly related to poor health
outcomes. Poorer health outcomes lead to reduced educational outcomes for children;
poor nutrition; low productivity in the adult workforce; and unstable economic growth
in the population, community, and nation. These concepts reflect the human capital
approach of the branch of economics known as: - ✔✔macroeconomics.
The factors that are frequently cited as having caused the increases in total and per
capita health care spending in the United States are well exemplified by which of the
following health care events? (Select all that apply.)
A. Mandated two-day maternity hospital stays
B. Increased incidence of ischemic heart disease
,C. Development of the drug sildenafil (Viagra)
D. Increase in hip and knee replacement surgeries
E. Medicare Part D prescription drug plan. - ✔✔A. Mandated two-day maternity
hospital stays
B. Increased incidence of ischemic heart disease
C. Development of the drug sildenafil (Viagra)
D. Increase in hip and knee replacement surgeries
E. Medicare Part D prescription drug plan
Public health nursing practice is guided by the community's priorities as identified by
community:
a. assessment.
b. diagnosis.
c. interventions.
d. planning. - ✔✔a. Assessment
A nursing diagnosis of Increased risk for delayed development, injury, and disease
because of inadequate parenting by a primary parent experiencing depression would
most likely indicate that the nursing process is being applied at the _______ level of
practice and the _______ level of prevention. - ✔✔Individual/family + secondary.
,What is the primary cause of vulnerability to health problems?
a. Breakdown of family structures
b. Poverty
c. Prejudice
d. Social isolation - ✔✔B. Poverty
Aggregates at high risk for having poor health outcomes because of
limited resources are called: - ✔✔d. Vulnerable populations
What factor predisposes many migrant farmworkers to disenfranchisement?
a. Being a minority group member
b. Inability to attend religious services due to work requirements
c. Previous experiences of physical abuse
d. Short length of time in the community - ✔✔d. Short length of time in the
community
Nursing students have been assigned to set up a health fair for the homeless population
in a large urban setting. Without any funds to pay for space, where should the health
fair be located, assuming that all of the following sites are available at no cost?
a. At the city's homeless shelter, which is, by policy, vacant during the day
b. At a large medical center, where the students could get permission to use an empty
clinic in the evening
c. At the largest inner-city police station, where there was a large empty space available
d. At the local community college, where there are plenty of tables and chairs - ✔✔a.
At the city's homeless shelter, which is, by policy,
vacant during the day
, What is the most helpful intervention a nurse in community health can initiate to
increase lasting resilience among new immigrants?
a. Direct clients to English-as-second-language courses.
b. Give immigrant clients money to help them get settled.
c. Identify areas in the city where housing is less expensive.
d. Solicit donations for food, clothing, and other needs. - ✔✔a. Direct clients to
English-as-second-language courses.
A staff member is orienting a new nurse to a health clinic that serves
primarily vulnerable populations. Which statement indicates a need for additional staff
education?
a. "If a client who does not speak English comes in, you must obtain an interpreter right
away."
b. "We try to take care of as many problems as possible in one visit, so when you
interview the client ask about additional concerns."
c. "You will like working with Hispanic immigrants because they have close-knit family
structures."
d. "You will need to assist the client by scheduling any referral or follow-up
appointments around their work schedules." - ✔✔c. "You will like working with
Hispanic immigrants because they have close-knit family structures."
Which level of prevention is represented by a nurse who offers homeless clients yearly
tuberculosis (TB) screening and free treatment for those who test positive for TB?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Secondary and tertiary prevention - ✔✔b. Secondary prevention
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