Question 1

A nurse is considering applying for a public health nurse position at a local health department. Which of the following minimum levels of educational preparation should the nurse have obtained?

Accepted Answer

A)  Associate degree in nursing
B)  Baccalaureate degree in nursing
C)  Master of science degree in nursing
D)  Training as a licensed practical nurseE) A) and B)
F) B) and C)

Question 2

A nurse is employed at the state department of public health. Which of the following is a fundamental principle guiding his practice?

Accepted Answer

A)  Decisions are made at the federal level, disseminated at the state level, and carried out at the community level.
B)  Health of populations is only as good as the health of individuals that live and work in the community.
C)  Oversight of community health departments is the most important function.
D)  The interaction of the local-state-federal partnership is critical to success.E) B) and D)
F) B) and C)

Question 3

A nurse is implementing a primary prevention activity to decrease the incidence of communicable disease. Which of the following actions is the nurse most likely taking?

Accepted Answer

A)  Identifying and treating clients in a sexually transmitted disease clinic
B)  Partnering with schoolteachers to teach and observe hand washing techniques in elementary school children
C)  Providing case management services that link clients with communicable diseases to health care and community support services
D)  Performing directly observed therapy (DOT)  for clients with active tuberculosisE) A) and D)
F) B) and D)

Question 4

Which of the following factors is causing nursing to change so quickly?

Accepted Answer

A)  Economic issues
B)  Increases in medical and nursing knowledge
C)  Legislative issues
D)  Technology changesE) None of the above
F) All of the above A

Question 5

A nurse is working at a local health department. Which of the following would most likely be completed by this agency?

Accepted Answer

A)  Enforcement of laws and regulations related to public health nationwide
B)  Filing of a certificate for any birth or death in a community
C)  Providing experts in various specialties to answer questions and respond as needed
D)  Surveying the state's public health needsE) All of the above
F) A) and B)

Question 6

A community health nurse is trying to decrease the incidence of emerging infections caused by drug-resistant organisms. Which of the following actions would be most appropriate for the nurse to implement?

Accepted Answer

A)  Lobby for increased use of antibiotics in the treatment and prevention of communicable diseases.
B)  Notify the Centers for Disease Control regarding any unusual signs and symptoms related to a communicable illness.
C)  Reinforce the importance of receiving vaccinations according to recommended schedules.
D)  Teach parents that antibiotics should not be used for treatment of viral infections or for prevention of bacterial infections.E) A) and C)
F) All of the above

Question 7

A nurse is employed by a state public health department. Which of the following functions would most likely be completed by this agency? (Select all that apply.)

Accepted Answer

A)  Delegating power to engage in certain activities such as quarantine
B)  Enforcing laws and regulations that protect public health
C)  Filing birth and death certificates whenever these occur within the state
D)  Monitoring health status of citizens within its geographic boundariesE) A) and D)
F) None of the above

Question 8

Which of the following best describes the primary reason life spans have notably lengthened over the past 100 years?

Accepted Answer

A)  Advances in hospital care and procedures
B)  Advances in medicine and medical research
C)  Advances in nursing practice
D)  Advances in public healthE) A) and D)
F) B) and D)

Question 9

A community mental health nurse is implementing a tertiary prevention activity. Which of the following interventions is most likely being completed?

Accepted Answer

A)  Disseminating information about mental health to community organizations
B)  Partnering with school health nurses for early identification of children who have evidence of mental health problems
C)  Providing case management services that link clients with serious mental illnesses to mental health and community support services
D)  Screening high-risk clients for the presence of mental disordersE) A) and B)
F) A) and C)

Question 10

Which of the following agencies are responsible for implementing and enforcing local, state, and federal public health codes and ordinances and providing essential public health programs to a community?

Accepted Answer

A)  Community health clinics
B)  Federal health agencies
C)  Local health agencies
D)  State health agenciesE) A) and B)
F) B) and C) C

Question 11

Which of the following activities are addressed by most public health departments on the federal, state, and local levels? (Select all that apply.)

Accepted Answer

A)  Collecting and analyzing various health statistics
B)  Fining or terminating business at any facility that engages in unsafe commercial practices
C)  Identifying and planning for high-risk populations
D)  Planning for and responding to emergenciesE) All of the above
F) A) and B)

Question 12

Which of the following federal agencies is most influential in public health activities?

Accepted Answer

A)  The Agency for Healthcare, Research, and Quality
B)  Centers for Disease Control and Prevention
C)  Department of Health and Human Services
D)  Food and Drug AdministrationE) A) and B)
F) A) and C)

Question 13

What did events after September 11, 2001, clearly demonstrate? (Select all that apply.)

Accepted Answer

A)  A strong public health structure ready to respond effectively to a crisis
B)  Public health's need for additional funding and resources
C)  The unrecognized importance of nurses in lowering health care costs
D)  Lack of adequate vaccines to meet community's needsE) C) and D)
F) All of the above

Question 14

Which of the following best describes how public health nurses (PHNs)  differed from other health care professions in the early twentieth century?

Accepted Answer

A)  PHNs contributed without receiving any salary for doing so.
B)  PHNs created new settings where health care could be given.
C)  PHNs gave care to powerless groups.
D)  PHNs worked outside any organized health care system.E) C) and D)
F) A) and B)

Question 15

Which of the following is a core competency required of public health nurses?

Accepted Answer

A)  Knowledge in the use of high-technology diagnostics
B)  Knowledge of the implementation of electronic medical records
C)  Skill in the physical assessment of complex clients
D)  Skill in developing policy and planning programsE) C) and D)
F) A) and D)

Question 16

Which of the following best describes the role of nursing in community health?

Accepted Answer

A)  Application of nursing and public health theory in promoting, preserving, and maintaining health of individuals, families, or communities
B)  Health care provision offered in primary and secondary institutions or in the client's home
C)  Provision of health care services in institutions located in the community but outside the hospital
D)  Use of the nursing process and evidence-based practice to meet Healthy People 2020 objectives for community health improvementE) A) and B)
F) A) and C)

Question 17

A public health nurse has reviewed the objectives of Healthy People 2020. Which of the following should be the focus for programming in the community related to communicable diseases?

Accepted Answer

A)  Encouraging community members to engage in healthy behaviors
B)  Identifying high-risk sexual behaviors among community members
C)  Monitoring the sexual activity of adolescents
D)  Providing information about the hazards of multiple sexual partnersE) C) and D)
F) A) and D) D

Question 18

Which of the following is the underlying science or area of study on which public health is based?

Accepted Answer

A)  Biostatistics
B)  Epidemiology
C)  Medicine
D)  Social sciencesE) All of the above
F) B) and C)

Question 19

A public health nurse traces sexual contacts of clients with sexually transmitted diseases for screening and treatment. Which of the following levels of prevention is being implemented?

Accepted Answer

A)  Primary prevention
B)  Secondary prevention
C)  Tertiary prevention
D)  Secondary and tertiary preventionE) B) and D)
F) None of the above

Question 20

A nurse at a migrant clinic assists clients with completing the application process to receive supplemental food assistance. Which of the following roles of the nurse is being used?

Accepted Answer

A)  Advocate
B)  Case manager
C)  Outreach worker
D)  Primary caregiverE) C) and D)
F) B) and D)

Exam 28: Nursing Practice at the Local, State, and National Levels in Public Health

A nurse is considering applying for a public health nurse position at a local health department. Which of the following minimum levels of educational preparation should the nurse have obtained?

Correct AnswerverifiedShow Answer

A nurse is employed at the state department of public health. Which of the following is a fundamental principle guiding his practice?

Correct AnswerverifiedShow Answer

A nurse is implementing a primary prevention activity to decrease the incidence of communicable disease. Which of the following actions is the nurse most likely taking?

Correct AnswerverifiedShow Answer

Which of the following factors is causing nursing to change so quickly?

Correct AnswerverifiedA

A nurse is working at a local health department. Which of the following would most likely be completed by this agency?

Correct AnswerverifiedShow Answer

A community health nurse is trying to decrease the incidence of emerging infections caused by drug-resistant organisms. Which of the following actions would be most appropriate for the nurse to implement?

Correct AnswerverifiedShow Answer

A nurse is employed by a state public health department. Which of the following functions would most likely be completed by this agency? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following best describes the primary reason life spans have notably lengthened over the past 100 years?

Correct AnswerverifiedShow Answer

A community mental health nurse is implementing a tertiary prevention activity. Which of the following interventions is most likely being completed?

Correct AnswerverifiedShow Answer

Which of the following agencies are responsible for implementing and enforcing local, state, and federal public health codes and ordinances and providing essential public health programs to a community?

Correct AnswerverifiedC

Which of the following activities are addressed by most public health departments on the federal, state, and local levels? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following federal agencies is most influential in public health activities?

Correct AnswerverifiedShow Answer

What did events after September 11, 2001, clearly demonstrate? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following best describes how public health nurses (PHNs) differed from other health care professions in the early twentieth century?

Correct AnswerverifiedShow Answer

Which of the following is a core competency required of public health nurses?

Correct AnswerverifiedShow Answer

Which of the following best describes the role of nursing in community health?

Correct AnswerverifiedShow Answer

A public health nurse has reviewed the objectives of Healthy People 2020. Which of the following should be the focus for programming in the community related to communicable diseases?

Correct AnswerverifiedD

Which of the following is the underlying science or area of study on which public health is based?

Correct AnswerverifiedShow Answer

A public health nurse traces sexual contacts of clients with sexually transmitted diseases for screening and treatment. Which of the following levels of prevention is being implemented?

Correct AnswerverifiedShow Answer

A nurse at a migrant clinic assists clients with completing the application process to receive supplemental food assistance. Which of the following roles of the nurse is being used?

Correct AnswerverifiedShow Answer

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C

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D

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