Question 1

The cornerstones of public health nursing practice (select all that apply):

Accepted Answer

A)  Focus on the health of the entire population 
B)  Reflect community priorities and needs 
C)  Promote health through strategies driven by epidemiological evidence 
D)  Are grounded in an ethic of collaboration 
A)  Focus on the health of the entire population 
B)  Reflect community priorities and needs 
C)  Promote health through strategies driven by epidemiological evidence 
D)  Are grounded in an ethic of collaboration A,B,C

Question 2

What is the purpose of the color-coded wedges on the Intervention Wheel?

Accepted Answer

A)  The interventions are grouped together in related wedges. 
B)  The wedges consist of referral information for each wedge. 
C)  The element of health teaching is the predominant feature of each wedge. 
D)  Coalition building must be implemented with each wedge. 
A)  The interventions are grouped together in related wedges. 
B)  The wedges consist of referral information for each wedge. 
C)  The element of health teaching is the predominant feature of each wedge. 
D)  Coalition building must be implemented with each wedge. A

Question 3

Public health nurses utilize registries to identify children with delayed or missing immunizations.They subsequently follow up with families by phone calls or home visits.This is an example of ____-level of practice.

Accepted Answer

A)  Systems 
B)  Community 
C)  Policy 
D)  Individual/family 
A)  Systems 
B)  Community 
C)  Policy 
D)  Individual/family D

Question 4

A public health nurse utilizes the nursing process at all levels of practice by:

Accepted Answer

A)  Including specific goals for community health nurses 
B)  Developing an accurate nursing diagnosis 
C)  Analyzing the needs of the community, system, and individuals and families 
D)  Utilizing primary, secondary, and tertiary prevention 
A)  Including specific goals for community health nurses 
B)  Developing an accurate nursing diagnosis 
C)  Analyzing the needs of the community, system, and individuals and families 
D)  Utilizing primary, secondary, and tertiary prevention

Question 5

Public health interventions are implemented with:

Accepted Answer

A)  Legislators, policy makers, and community leaders 
B)  Individuals and families, communities, and systems 
C)  Children, adolescents, and adults 
D)  Health departments, public health agencies, and visiting nurses associations 
A)  Legislators, policy makers, and community leaders 
B)  Individuals and families, communities, and systems 
C)  Children, adolescents, and adults 
D)  Health departments, public health agencies, and visiting nurses associations

Question 6

An example of a measurable outcome health status indicator at the individual-level of practice that would be used by a public health nurse is:

Accepted Answer

A)  A 50-year-old woman receives annual mammograms 
B)  School absences in a community decline 
C)  Teachers have increased awareness of health problems 
D)  Those in poverty utilize the free mammogram program 
A)  A 50-year-old woman receives annual mammograms 
B)  School absences in a community decline 
C)  Teachers have increased awareness of health problems 
D)  Those in poverty utilize the free mammogram program

Question 7

Since the Intervention Wheel was first published in 1998,it has:

Accepted Answer

A)  Guided national policy 
B)  Been used as a tool in deciding licensure issues for State Boards of Nursing 
C)  Been incorporated into the public health curricula of many nursing programs 
D)  Gained wide acceptance internationally 
A)  Guided national policy 
B)  Been used as a tool in deciding licensure issues for State Boards of Nursing 
C)  Been incorporated into the public health curricula of many nursing programs 
D)  Gained wide acceptance internationally

Question 8

A public health nurse uses collaboration,coalition building,and community organizing when:

Accepted Answer

A)  Providing case management, referral, and follow-up services with individuals 
B)  Carrying out collective action at the systems or community levels of practice 
C)  Conducting a community assessment 
D)  Implementing primary and secondary prevention strategies 
A)  Providing case management, referral, and follow-up services with individuals 
B)  Carrying out collective action at the systems or community levels of practice 
C)  Conducting a community assessment 
D)  Implementing primary and secondary prevention strategies

Question 9

A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community.This intervention is occurring the _____-level of practice.

Accepted Answer

A)  Individual/family 
B)  Systems 
C)  Community 
D)  Government 
A)  Individual/family 
B)  Systems 
C)  Community 
D)  Government

Question 10

Which nursing diagnosis would a public health nurse use when addressing the problem of obesity at the community-level of practice?

Accepted Answer

A)  Alteration in nutrition: More than body requirements 
B)  Need for increased knowledge of proper nutrition 
C)  Families at risk for obesity because of inactivity 
D)  Overweight child related to poor dietary habits 
A)  Alteration in nutrition: More than body requirements 
B)  Need for increased knowledge of proper nutrition 
C)  Families at risk for obesity because of inactivity 
D)  Overweight child related to poor dietary habits

Question 11

When public health nurses conduct an assessment of a community's health,they

Accepted Answer

A)  Define one problem that will be the focus for a year. 
B)  Assess a social network of interacting individuals usually in a defined territory. 
C)  Minimize the effects of health risks and hazards. 
D)  Intervene at the population-level by changing laws and regulations. 
A)  Define one problem that will be the focus for a year. 
B)  Assess a social network of interacting individuals usually in a defined territory. 
C)  Minimize the effects of health risks and hazards. 
D)  Intervene at the population-level by changing laws and regulations.

Question 12

Which statement about the Intervention Wheel is true?

Accepted Answer

A)  It provides a graphic illustration of population-based public health practice. 
B)  It describes in detail the components of public health nursing. 
C)  It demonstrates the practice of community health nurses for policy and lawmakers. 
D)  It is a framework used by all health departments in the United States. 
A)  It provides a graphic illustration of population-based public health practice. 
B)  It describes in detail the components of public health nursing. 
C)  It demonstrates the practice of community health nurses for policy and lawmakers. 
D)  It is a framework used by all health departments in the United States.

Question 13

Which is an example of a public health nurse conducting a community assessment?

Accepted Answer

A)  Visiting an elderly person at home to assess and evaluate safety and fall risk 
B)  Developing diagnoses to identify nursing interventions at a health clinic 
C)  Evaluating services at an immunization clinic where a translator provides services 
D)  Compiling recent data from the county health department on child abuse cases 
A)  Visiting an elderly person at home to assess and evaluate safety and fall risk 
B)  Developing diagnoses to identify nursing interventions at a health clinic 
C)  Evaluating services at an immunization clinic where a translator provides services 
D)  Compiling recent data from the county health department on child abuse cases

Question 14

When implementing interventions at the systems-level of practice,the public health nurse would:

Accepted Answer

A)  Involve the entire community in solving the health problem. 
B)  Identify health problems in the community. 
C)  Change laws, policies, and practices that influence population-based issues. 
D)  Provide outreach services to populations at risk. 
A)  Involve the entire community in solving the health problem. 
B)  Identify health problems in the community. 
C)  Change laws, policies, and practices that influence population-based issues. 
D)  Provide outreach services to populations at risk.

Question 15

Which statement is true about the origins of the Intervention Wheel?

Accepted Answer

A)  A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin developed and refined the Intervention Wheel. 
B)  It was conceived by a group of international nurses from Norway, Kazakhstan, and Japan. 
C)  It was a result of a qualitative analysis carried out by the State Boards of Nursing. 
D)  It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health. 
A)  A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin developed and refined the Intervention Wheel. 
B)  It was conceived by a group of international nurses from Norway, Kazakhstan, and Japan. 
C)  It was a result of a qualitative analysis carried out by the State Boards of Nursing. 
D)  It resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health.

Question 16

A nurse promotes alliances among organizations for a common purpose.Which public health intervention is being implemented?

Accepted Answer

A)  Health teaching 
B)  Coalition building 
C)  Surveillance 
D)  Referral and follow-up 
A)  Health teaching 
B)  Coalition building 
C)  Surveillance 
D)  Referral and follow-up

Question 17

A public health nurse implements the public health intervention of health teaching at the systems-level of practice by:

Accepted Answer

A)  Participating in the "Great American Smokeout" 
B)  Working with a local employer to provide smoking cessation education 
C)  Providing one-on-one counseling to smokers 
D)  Advocating for increased taxes on tobacco products 
A)  Participating in the "Great American Smokeout" 
B)  Working with a local employer to provide smoking cessation education 
C)  Providing one-on-one counseling to smokers 
D)  Advocating for increased taxes on tobacco products

Question 18

The levels of practice encompassed by the Intervention Wheel are:

Accepted Answer

A)  Communities, individuals and families, and systems 
B)  Assessment, diagnosis, and evaluation 
C)  Primary, secondary, and tertiary 
D)  Communities, populations, and aggregates 
A)  Communities, individuals and families, and systems 
B)  Assessment, diagnosis, and evaluation 
C)  Primary, secondary, and tertiary 
D)  Communities, populations, and aggregates

Question 19

Public health nurses use a common set of interventions to:

Accepted Answer

A)  Describe the proper order of implementation. 
B)  Emphasize surveillance as the main focus of public health practice. 
C)  Guide practice and generate agency protocols. 
D)  Improve the health status of communities, systems, individuals, and families. 
A)  Describe the proper order of implementation. 
B)  Emphasize surveillance as the main focus of public health practice. 
C)  Guide practice and generate agency protocols. 
D)  Improve the health status of communities, systems, individuals, and families.

Question 20

A public health nurse uses Assumption 2,"Public health nursing practice focuses on populations," to guide practice.Which would be considered a population of interest?

Accepted Answer

A)  Healthy school children 
B)  Homeless individuals 
C)  A person recently diagnosed with diabetes 
D)  Teenage parents 
A)  Healthy school children 
B)  Homeless individuals 
C)  A person recently diagnosed with diabetes 
D)  Teenage parents

Exam 9: Population-Based Public Health Nursing Practice: the Intervention Wheel

The cornerstones of public health nursing practice (select all that apply):

What is the purpose of the color-coded wedges on the Intervention Wheel?

Public health nurses utilize registries to identify children with delayed or missing immunizations.They subsequently follow up with families by phone calls or home visits.This is an example of ____-level of practice.

A public health nurse utilizes the nursing process at all levels of practice by:

Public health interventions are implemented with:

An example of a measurable outcome health status indicator at the individual-level of practice that would be used by a public health nurse is:

Since the Intervention Wheel was first published in 1998,it has:

A public health nurse uses collaboration,coalition building,and community organizing when:

A social marketing campaign urging community members to avoid driving motorized vehicles after consuming alcohol is implemented in a local community.This intervention is occurring the _____-level of practice.

Which nursing diagnosis would a public health nurse use when addressing the problem of obesity at the community-level of practice?

When public health nurses conduct an assessment of a community's health,they

Which statement about the Intervention Wheel is true?

Which is an example of a public health nurse conducting a community assessment?

When implementing interventions at the systems-level of practice,the public health nurse would:

Which statement is true about the origins of the Intervention Wheel?

A nurse promotes alliances among organizations for a common purpose.Which public health intervention is being implemented?

A public health nurse implements the public health intervention of health teaching at the systems-level of practice by:

The levels of practice encompassed by the Intervention Wheel are:

Public health nurses use a common set of interventions to:

A public health nurse uses Assumption 2,"Public health nursing practice focuses on populations," to guide practice.Which would be considered a population of interest?

Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Community Health Nursing

Public Health and Primary Care Systems and Health Care Transformation

Perspectives in Global Health Care

Economics of Health Care Delivery

Application of Ethics in the Community

Cultural Diversity in the Community

Public Health Policy

Environmental Health

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Evidence-Based Practice

Using Health Education and Groups to Promote Health

Promoting Healthy Communities Using Multilevel Participatory Strategies

Community As Client: Assessment and Analysis

Population-Centered Nursing in Rural and Urban Environments

Promoting Health Through Healthy Communities and Cities

The Nursing Center: A Model for Nursing Practice in the Community

Case Management

Public Health Nursing and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Quality Management

Family Development and Family Nursing Assessment

Family Health Risks

Child and Adolescent Health

Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Special Needs Populations

Vulnerability and Vulnerable Populations: an Overview

Poverty and Homelessness

Migrant Health Issues

Teen Pregnancy

Mental Health Issues

Alcohol, Tobacco, and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

Forensic Nursing in the Community

The Nurse in the Faith Community

Public Health Nursing at the Local, State, and National Levels

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