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Regis NU 340, Community Health NursingSpring 2021 Cassie Medeiros NU-340 Exam 1 Regis College Young School of Nursing NU 340, Community Health Nursing Spring 2021 Take-Home Exam One __________________________________________________________________________________ Directions:  Gather...

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Cassie Medeiros NU-340 Exam 1


Regis College
Young School of Nursing
NU 340, Community Health Nursing
Spring 2021
Take-Home Exam One

__________________________________________________________________________________
Directions:
 Gather your textbook, PowerPoint slides, and other anticipated resources.
 Organize your individual testing resources. You are free to utilize your textbook, PowerPoint
slides, online sites, and other materials to complete the exam.
 Please avail yourself of all course Moodle site learning materials as well.
 Your submission, despite the availability of open resources, is expected to be uniquely yours.
 Clearly indicate your responses to all questions (e.g., highlight in yellow the correct answer or
delete all the incorrect responses). Do make your answers absolutely explicit.
 Do submit your answers as a Microsoft Word or PDF document (i.e., not Pages, Notes, etc.).
Submission formats other than Microsoft Word or PDF may not be accepted.
 You do not need to provide reference(s) for your responses.
 While written responses do not require references, appropriate spelling and grammar are
expected. Absence of proper spelling and/or grammar may result in lost points.
 Submit your answers to the Moodle submission box within the specified timeframe.
 Be sure to include your name on the uploaded submission.
 No late submissions will be accepted without prior written instructor approval.
 Good luck!

_____________________________________________________________________________________
Part A: QUESTIONS BY TEXTBOOK CHAPTER and ASSORTED CONTENT
Number of Questions in This Section: 24
Point Value: 2.5 Points/Question
Total Points Possible in Part A: 60
Chapter One:
1. A marker of Affordable Care Act enactment success is?
a. A greater percentage of the population is covered by insurance
b. The prevalence of hypertension remains unchanged
c. Public health departments offer more nursing positions
d. Americans pay closer attention to their health status


2. List and briefly define the three (3) core functions of public health.
Answer: Assessment, policy development and assurance are the three core functions of public health.
Assessment involves systemic data collection on the population, monitoring the populations health status
and additionally making information accessible about the health of the community.
Policy development is efforts to evolve policies that assist the health of the population including
utilization of a scientific knowledge base to make policy decisions. Assurance is making sure that
necessary community-oriented health services are obtainable. This encompasses providing essential
personal health services for individuals, as well as a component PH workforce.

3. One of the core public health functions is assessment of the health status of a community. Which of the
following questions would be asked in the assessment phase?
a. What programs are available to reduce the risk of cardiac disease in the population?
b. What educational materials are needed to inform the community about environmental risk

NU 340, Spring 2021, Take-Home Exam ONE Page 1 of 17

, Cassie Medeiros NU-340 Exam 1


factors?
c. What is the prevalence rate of hypertension about various age, race, and gender groups in
the community?
d. What types of public transportation are needed in the community to ensure access to
services?

4. Increase in life span of the human population can be principally attributed to which change(s) ?
a. Increased focus on and funding for public health
b. Reform of the medical insurance system
c. Improvements in sanitation, safety, nutrition, and housing
d. Improvements in medical knowledge and treatment approaches

5. A public health nurse establishes a cardiac rehabilitation program for cardiac patients living in the
community. Which of the following best describes establishment of this program?
a. Health education
b. Policy making
c. Primary prevention
d. Tertiary prevention

6. Joseph, a community-based registered nurse, would be most likely responsible for completing which of the
following?
a. Assessing the health needs of a community
b. Providing care to individuals in a community
c. Promoting the health of an entire community
d. Investigating occupational health hazards in a community

_____________________________________________________________________________________
Chapter Two:

7. The local public health department provides community health nursing services in a county population of
25,000 residents. The goal is to provide health promotion, surveillance, and disease prevention services to
the residents of the county. The primary nurse at the public health department is preparing to offer an
influenza vaccination clinic, which is being held at the mall. She has arranged to have several volunteer
nurses assist with the effort and is expecting to treat approximately 1,000 individuals.
Public health nursing emphasizes prevention of disease. What are the challenges associated with such a
goal? SELECT ALL THAT APPLY.
a. Increased costs and decreased funding
b. Independence of problem-solving and decision-making
c. It is easier to measure the effects of prevention.
d. It is more difficult to measure the effects of prevention that the effects of treatment.
e. Emerging communicable diseases continue to be a health threat.

8. A public health nurse is determining which type of programming should be developed for the community.
Which of the following is the most crucial factor that will influence program development?
a. Comprehensive assessment and planning done in the community
b. Documented needs of the local community
c. Federal funding for priority diseases or groups
d. Nursing staff’s expertise and skills




NU 340, Spring 2021, Take-Home Exam ONE Page 2 of 17

, Cassie Medeiros NU-340 Exam 1


9. A public health nurse is reviewing the screening guidelines for early detection of lead poisoning in
pediatric patients ages 1 to 5. Which document would most likely provide useful information about this
topic?
a. The Future of Public Health
b. Healthy People 2020
c. Patient Protection and Affordable Care Act
d. Scope and Standards of Public Health Nursing Practice

10. The Elizabethan Poor Law of 1601, enacted in England and Wales and later adopted by early American
settlers, provided the policy framework for which of the following medical care programs?
a. Food stamps
b. Welfare
c. Medicaid
d. Medicare

11. A graduate of the New York Training Hospital for Nurses, progressive r eformer and nurse Lillian Wald
is credited with which major public health contribution of 1893?
a. Establishment of the Henry Street Settlement
b. Creation of the Public Health Service
c. Founding of the American Nurses Association
d. Founding of the National Organization for Public Health Nursing

12. Between 1900 and 1955, which major health trend occurred in the United States?
a. Chronic diseases became the leading causes of death.
b. Deaths linked to communicable diseases increased.
c. The mortality rate of Americans remained unchanged.
d. The mortality rate of Americans increased.

____________________________________________________________________________________
Chapter Twenty-One:

13. A community health center offers free COVID-19 screening tests to area residents. Which level of
prevention is being employed?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Quaternary prevention

14. An 80 y/o female comes to the local comprehensive primary care clinic with a large bag of medications.
She tells the nurse that she can no longer afford these medications, because her only income is Social
Security. Which statement is the best response by the nurse?
a. “Let’s go through these medications and see which ones we can delete.”
b. “You can get these medicines at this clinic for free.”
c. “Let’s see if we can get some help from Medicare to help you pay for these medications.”
d. “These medications are important. Do your best to pay for them.”

15. On which overarching concept was Healthy People 2020 established?
a. Advance the agenda of the World Health Organization (WHO)
b. Establish nursing centers for health promotion purposes
c. Create partnerships among individuals, communities, and systems
d. Eradicate disease in developing countries

NU 340, Spring 2021, Take-Home Exam ONE Page 3 of 17

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