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Test Bank for Public Health Science and Nursing Practice Caring For Populations by Savage

Chapter 1: Public Health and Nursing Practice Test Bank

MULTIPLE CHOICE

1. The public health nurse (PHN) knows that he must approach a public health problem with an understanding of the related underlying risk factors in order to develop effective nursing interventions. He must also consider that these risk factors can be either ____ based or ____ based.

A. Disease; individual

B. Intervention; Government

C. Epidemic; population

D. Individual; population

ANS: D

Objective: 6. Identify the key roles and responsibilities of public health nurses (PHNs). pp. 1-2

Heading: Introduction to Public Health

Integrated Processes: Nursing Process

Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Comprehension [Understanding]

ANS: D

Objective: 3. Discuss current issues related to health promotion and health protection.

pp. 10-11

Heading: Health Promotion, Risk Reduction, and Health Protection

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nutrition; Sleep, Rest, and Activity; Promoting Health; Health-Care System

Difficulty: Moderate

	Feedback
A	Financial benefits or savings would promote behavioral change.
B	Health club memberships would facilitate the employees’ ability for change.
C	Encouraging a good diet through incentives would promote healthy behavior.
D	All of the options listed above promote good health and reduce the risk for illness.

PTS: 1

CON: Nutrition | Sleep, Rest, and Activity | Promoting Health | Health-Care System

16. According to Issel, when planning a health intervention in a diverse community concerning improving diet, the factor that must be evaluated (which includes shared geographic origin, language and dialect, religious faith, folklore, and food preferences) is termed ____.

A. Race B. Culture

C. Ethnicity

D. Custom

ANS: C

Objective: 2. Compare and contrast the terms commonly used within the context of public health. pp. 11-13

Heading: Health Promotion, Risk Reduction, and Health Protection > The Context of Health

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Diversity; Promoting Health

Difficulty: Moderate

	Feedback
A	Race refers to the physical appearance of a group and has to do more with genetics.
B	Culture refers to beliefs, values, and norms shared across a group of people.
C	Ethnicity includes shared geographic origin, language and dialect, religious faith, folklore, and food preferences.
D	Customs are common rituals attributed to a group of people.

PTS: 1 CON: Diversity | Promoting Health

MULTIPLE RESPONSE

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17. Globalization, which is a new challenge for public health, includes which of the following problems? Select all that apply.

A. Greater disparities between rich and poor

B. Environmental degradation

C. Greater need for newer technology

D. Greater distribution of tobacco and alcohol

E. Emergence or re-emergence of communicable diseases

ANS: A, B, D, E

Objective: 1. Describe public health in terms of current frameworks and organization from a local to a

global perspective.

pp. 3-4

Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends Integrated Processes: N/A

Client Need: Health Promotion and Maintenance

Cognitive Level: Comprehension [Understanding]

Concept: Addiction; Promoting Health; Economics; Safety

Difficulty: Easy

	Feedback
1.	The problem is that for the growing number of poor people, there is less access to adequate health care, clean drinking water, and nutritious food. This creates even greater health disparities between rich and poor.
2.	With increased urbanization and pollution, the human body ingests an increased amount of toxic chemicals.
3.	In public health, better strategies for managing health care and current resources are needed more than newer technology.
4.	The widespread availability of tobacco and alcohol increases the abuse of these substances and the problems that accompany it.
5.	Some of the diseases that have emerged or re-emerged as a result of globalization are HIV, AIDS, severe acute respiratory syndrome, hepatitis, malaria, diphtheria, cholera, and Ebola. There is a need for planning for these possible pandemics using limited resources.

PTS: 1 CON: Addiction | Promoting Health | Economics | Safety

18. Several nurses who work in the emergency room of an urban hospital notice that a sizable number of children in a certain ethnic population have come in with an illness, all presenting with similar symptoms. The nurses, who are not public health specialists, can intervene in the health of a community through their work with individuals by doing which of the following?

Select all that apply.

A. Increasing antibiotic therapy availability

B. Identifying characteristics of the disease

C. Grouping patients by diagnosis

D. Giving classes on how to avoid infections

E. Assessing the environment of the patients

ANS: B, C, D, E

Objective: 4. Investigate the role of environment and culture in the health of populations. p. 14

Heading: Health Promotion, Risk Reduction, and Health Protection > Population-Focused Care Across Settings and Nursing Specialties

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Infection; Assessment; Promoting Health

Difficulty: Moderate

	Feedback
1.	Antibiotics may not be a necessary route of treatment for the diagnosis.
2.	It would be important to note and compare symptoms, onset, and other information to ascertain whether this is the same illness.
3.	Grouping the patients according to diagnosis will allow the health-care team to give better care and help create a care map.
4.	Once the problem has been diagnosed, a class on avoiding infections would be a proper intervention.
5.	Evaluating the environment of the patients may create an understanding of why the illness occurred and prevent a re-occurrence of the illness.

PTS: 1 CON: Infection | Assessment | Promoting Health

19. The regulatory activities of public health nursing include which of the following?

Select all that apply.

A. Interpreting public health laws, regulations, and policies

B. Monitoring regulated entities such as nursing homes

C. Writing new regulations for health care and legislating them

D. Taking part in health policy debates

E. Educating the public

ANS: A, B, D, E

Objective: 6. Identify the key roles and responsibilities of public health nurses (PHNs).

pp. 19-22

Heading: Public Health Nursing as a Specialty > Public Health Nursing Scope and Standards of Practice

Integrated Processes: N/A

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Comprehension [Understanding]

Concept: Regulations; Legal

Difficulty: Easy

	Feedback
1.	This is one of the regulatory activities of public health nursing and also includes identifying and implementing public health laws, regulations, and policies.
2.	This is one of the regulatory activities of public health nursing and also includes inspecting these entities.
3.	PHNs can help develop laws but not enact them.
4.	PHNs can participate in discussions about health care and bring valuable input.
5.	An important part of regulation is making sure the public understands the laws.

PTS: 1 CON: Regulations | Legal

20. If a PHN had the capabilities required in the domains of the PHN Core Competencies, he or she would be able to do which of the following?

Select all that apply.

A. Develop policy for handling a local quarantine.

B. Understand the dietary restrictions of new immigrants.

C. Create a financial plan for a clinic and manage the budget.

D. Function as a medical doctor at a clinic if there is none.

E. Work with corporations to create an emergency response program to bioterrorism.

ANS: A, B, C, E

Objective: 6. Identify the key roles and responsibilities of public health nurses (PHNs). pp. 19-22

Heading: Public Health Nursing as a Specialty > Public Health Nursing Scope and Standards of Practice

Integrated Processes: N/A

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Infection; Nutrition; Diversity; Violence; Nursing Roles Difficulty: Easy

	Feedback
1.	Policy development/program planning is an essential skill for a PHN.
2.	In order to reach a population that might not receive adequate health care, cultural competency and communication skills are needed to overcome any barriers.
3.	Financial and management skills are needed to maintain the sustainability of programs.
4.	PHNs have basic public health science to assist in the welfare of the public but are limited by
	their professional constraints.
5.	One of the new challenges PHNs face is preparing the public for sudden, catastrophic health events, such as bioterrorism.

PTS: 1 CON: Infection | Nutrition | Diversity | Violence | Nursing Roles

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