Community/ public Health Nursing Exam 1|| 60 Questions || Correct Solutions
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Jennifer is a community health nurse in a large metropolitan area. According to the American Nurses Association's Code of Ethics (2015), community health nurses must align themselves with public health programs that promote and preserve the health of populations by influencing - ANSWER A. socioecon...
jennifer is a community health nurse in a large me
mary is a nursing student doing her senior pr
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Community/ public Health Nursing Exam
1|| 60 Questions || Correct Solutions
Jennifer is a community health nurse in a large metropolitan area. According to the
American Nurses Association's Code of Ethics (2015), community health nurses must
align themselves with public health programs that promote and preserve the health of
populations by influencing - ANSWER A. socioeconomic issues.
B. psychosocial issues.
C. sociocultural issues. Correct
The Code of Ethics of the American Nurses Association (2015) promotes social reform
by focusing on health policy and legislation to positively affect accessibility, quality, and
cost of health care. Community health nurses must align themselves with public health
programs that promote and preserve the health of populations by influencing
sociocultural issues, such as human rights, homelessness, violence, and stigma of
illness. Directing care toward socioeconomic issues, psychosocial issues, or
developmental issues focuses on individuals, families, or groups, which in turn
contributes to the health of the total population.DIF: Cognitive level: Knowledge
D. developmental issues.
Mary is a nursing student doing her senior project in community health. Part of her
assignment is to conduct an activity that illustrates "social health" within a group in her
community. The most appropriate activity for Mary to organize would be a - ANSWER
A. neighborhood block party.
B. food bank in a local church. Correct
Social health is a positive interaction among groups with an emphasis on health
promotion and illness prevention. The correct choice is a food bank in a local church
because a food program alleviates problems with hunger and nutrition that affect health.
The other options do not relate to health.DIF: Cognitive level: Application
C. community yard sale.
D. school fundraiser for the school band.
Awarded 1.0 points out of 1.0 possible points.
It has been estimated that individual behaviors and environmental factors are
responsible for what percentage of all premature deaths in the United States? -
ANSWER A. 20%
B. 40%
C. 50% Correct
According to Cassidy, Trujillo, and Orleans (2015), 50% of all premature deaths in the
United States are a result of individual behaviors and environmental factors. According
to Mokdad, Marks, Stroup, and Gerberding (2004), tobacco use leads the list of "actual
causes of death" at almost 20% of annual deaths in the United States.DIF: Cognitive
level: Knowledge
D. 70%
, .Early public health nurse Lillian Wald and her associates were successful in addressing
health and disease in the immigrant community by - ANSWER A. supporting political
activities to improve social and environmental conditions of immigrant families. Correct
These early public health nurses saw that neither administering bedside clinical nursing,
including obtaining and administering medication, nor teaching family members to
deliver care in the home adequately addressed the true determinants of health and
disease. They resolved that collective political activity should focus on advancing the
health of aggregates and improving social and environmental conditions by addressing
the social and environmental determinants of health. Wald and colleagues (1971)
impacted the health of the community by organizing the community, establishing school
nursing, and taking impoverished mothers to testify in Washington, DC.DIF: Cognitive
level: Knowledge
B. administering bedside nursing care to immigrants and their families.
C. teaching the immigrant family members to provide health care in the home.
D. obtaining and administering medications to the immigrants and their family members.
Disease prevention activities protect people from disease and the effects of disease. An
example of primary disease prevention is - ANSWER A. administering vaccines to
children before kindergarten. Correct
Primary prevention activities prevent a problem before it occurs; an immunization is
given to prevent a disease before it occurs. Secondary prevention refers to early
detection and prompt intervention during the period of early disease pathogenesis, such
as checking the skin for signs of skin cancer or identifying and treating individuals who
have been exposed to contagious diseases. Aims of tertiary prevention are to keep
health problems from getting worse, reduce the effects of disease and injury, and
restore individuals to their optimal level of functioning. Examples of tertiary prevention
include teaching prevention of complications from disease or referring a patient with a
stroke for rehabilitation.DIF: Cognitive level: Application
Every 10 years, the U.S. Department of Health and Human Services publishes a
national prevention initiative titled Healthy People. One of the new objectives for Healthy
People 2020 is to - ANSWER improve the nation's ability to prevent, prepare for,
respond to, and recover from a major health incident. Correct
One of the new objectives for Healthy People 2020 focuses on preparedness for major
health incidents. Achieving access to preventive services of all Americans and reducing
health disparities among Americans were goals of Healthy People 2000, and increasing
the independence of older Americans was a goal of the original 1979 Healthy People
version.
Which is an example of "community health nursing" rather than "community-based
nursing"? - ANSWER A. An RN reviewing school clinic records to determine which
children are not up to date on their immunizations Correct
"Community health nursing" focuses on groups of people, with the primary responsibility
being the population as a whole (as with a school). Care typically focuses on health
promotion and illness prevention, such as the nurse who reviews school clinic records
to determine which children are not up to date on their immunizations. "Community-
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