Community health test 1

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What were the changes that resulted from the Shattuck report?

Led to public sanitation changes (correct)
Increased funding for hospitals
Creation of the Centers for Disease Control
Establishment of the American Medical Association

What is the state law regarding immunization requirements?

Regulations determined by state (correct)
Immunization is optional in all states
Federal law mandates all vaccinations
Only children under 5 are required to be vaccinated

What is one of the key responsibilities of the CDC regarding public health?

What is the responsibility of UNICEF in regards to public health?

Protecting the rights of children and providing emergency relief such as clean water and sanitation (B) Signup and view all the answers

What are the qualifications for a client to receive Medicaid?

Low-Income individuals (A) Signup and view all the answers

What is the responsibility of the Office for Disease Prevention and Health Promotion in regards to public health?

Sets and supports national objectives through four initiatives: • Health People (every decade) • Healthy Aging • Health Literacy • Health Care Quality (A) Signup and view all the answers

What are some contributions to the nursing shortage in community and public health settings?

Increased need for population health nurses (A) Signup and view all the answers

Which organization directly provides food to select populations?

U.S. Department of Agriculture (USDA) provides food to select populations (A) Signup and view all the answers

Which of the following are core competencies for public health professionals?

Policy development skills, Financial planning skills, Management and leadership skills (A) Signup and view all the answers

Which task is appropriately delegated to an LPN in a community health assessment?

Assisting RNs in data collection (A) Signup and view all the answers

What best describes the term global health?

International collaboration to improve health outcomes and decrease health inequities (C) Signup and view all the answers

What is the appropriate nursing action to take when there is a suspicion of physical abuse on a child?

Mandatory reporting (A) Signup and view all the answers

Which of the following is a function of a population health nurse?

Assist clients in managing health conditions in community (A) Signup and view all the answers

What is a key activity in the preparation phase of the Trans theoretical Model?

look at slide (A), look at slide (C) Signup and view all the answers

Which of the following is a key component of the Health Belief Model?

Internal motivation for improving health (A) Signup and view all the answers

Which tasks are appropriate to delegate to assistive personnel?

Assisting with activities of daily living (ADLs) and taking vital signs (B) Signup and view all the answers

Which of the following examples illustrate the tertiary level of prevention for chronic illness?

Education on disease management • Reinforcement of past teachings • Rehabilitation • Long-term social support • Home health services (A) Signup and view all the answers

Which of the following strategies did a community health nurse employ to address a community's needs?

Decrease health inequities; Uses nursing process to address community needs; Delegation (A) Signup and view all the answers

Which statement best describes the role of the nurse as a client advocate?

A nurse advocate supports and informs the client of their rights (A) Signup and view all the answers

Which organization is responsible for decreasing nursing staff shortages?

The American Organization for Nursing Leadership (AONL) (A) Signup and view all the answers

Which of the following accomplishments are attributed to the CDC in the 21st century?

Vaccine-preventable diseases, Prevention and control of infectious diseases, Tobacco control, Maternal and infant health, Motor vehicle safety, Cardiovascular disease prevention, Occupational safety, Cancer prevention, Childhood lead poisoning prevention, Public health preparedness and response (A) Signup and view all the answers

Which of the following options represents ways nurses can get involved in political advocacy? (Select all that apply)

Collaboration with lawmakers (A), Development of public health policies (B) Signup and view all the answers

Which of the following statements correctly describes the role of the community health nurse as an educator?

Uses nursing process to address community needs (A) Signup and view all the answers

Who is responsible for enforcing the Nurse Practice Act?

Enforced by the state the nurse is licensed in by the Board of Nursing. (A) Signup and view all the answers

What should a nurse do when a client is refusing an aspect of their care?

Respect the client’s choice regarding treatment (A) Signup and view all the answers

Which of these qualities should a nurse embody when communicating with clients? (Select all that apply)

Ensure nursing communication is direct, compassionate, and informative (A) Signup and view all the answers

What does Workforce Sustainability involve?

Strategic planning that helps to address workforce capacity and includes increasing access to nursing education (C) Signup and view all the answers

What is the purpose of reviewing referrals to the social worker?

To ensure the client is safe in the hospital and in community settings such as the home. (B) Signup and view all the answers

Which characteristics are associated with compassion? (Select all that apply)

Respecting the needs and values of all (A), Build trusting relationships and respecting choices (B), Demonstrate caring (C), Ensure the appropriate care is being given (D) Signup and view all the answers

Which of the following principles are essential in ethical decision making?

Autonomy Beneficence Non-maleficence Justice (A) Signup and view all the answers

Which of the following considerations are included in the Public Health Code of Ethics? (Select all that apply)

Permissibility - would the proposed conduct be unethical if it resulted in a positive outcome? (A), Respect - would the suggested action, even if beneficial to their health, be insulting or disrespectful? (B), Reciprocity - have we done everything we can to mitigate harm? (C), Effectiveness - is it fair to believe that the proposed interventions would achieve their stated health goals? (D) Signup and view all the answers

Which of the following statements correctly describes examples of health policy advocacy? (Select all that apply)

Understanding policies, political influences and laws (A), Identifying and implementing public health regulations and policies (B), Promoting and protecting the health of all populations (C), Interacting with decision makers (D) Signup and view all the answers

What is the first step to becoming a policy-making advocate?

The first step is to determine the most appropriate jurisdiction for an idea/issue to be introduced, developed, and regulated. (A) Signup and view all the answers

What is the purpose of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)?

Quality-based payment and reimbursement: Required for institutions receiving federal funding, key indicator of healthcare quality, data collected via surveys, reimbursement tied to survey results. (A) Signup and view all the answers

Which of the following items are part of the government's responsibilities for health care? (Select all that apply)

Preventative care access • Removal of pre-existing conditions • Dependent eligibility until age 26 • Removal of lifetime benefit limits (A) Signup and view all the answers

What does the Children's Health Insurance Program (CHIP) provide?

Insurance for low-income children not eligible for Medicaid (A) Signup and view all the answers

What can grants be used for in community health projects?

Funding sources for community-focused projects for health care. • Nurses can apply for these funds (A) Signup and view all the answers

Which of the following professionals are required to deliver public health care? (Select all that apply)

Advocates (A), Nurses (B), Doctors (C), Research Scientists (D) Signup and view all the answers

Which options represent primary prevention strategies to decrease health costs for individuals living in poverty? (Select all that apply)

Job training sessions (A), Educational sessions (B), Risk factors for chronic illness (C), Reduced gym memberships (D) Signup and view all the answers

What is one of the main purposes of the Affordable Care Act (ACA)?

Increase health insurance coverage (A) Signup and view all the answers

What does the term environmental justice primarily emphasize?

Creating health and housing equity is a guiding priority (A) Signup and view all the answers

Which of the following environmental influences should a client with allergies avoid? (Select all that apply)

Contains allergens (C), Causes respiratory distress (A) Signup and view all the answers

What should you do when you suspect a chemical ingestion?

Call poison control center immediately (A) Signup and view all the answers

What is the primary purpose of critical incident stress debriefing?

Psychological support for providers involved (A) Signup and view all the answers

Which of these options correctly summarizes the 3 components of the epidemiology framework?

Host=Human (B), Agent=Exposure (A), Environment=surroundings of the host (C) Signup and view all the answers

What is the primary purpose of environmental advocacy?

Creating health and housing equity is a guiding priority (A) Signup and view all the answers

What does the term 'subculture' refer to?

Variations within a cultural group (A) Signup and view all the answers

What is the definition of racism?

Assigning values about people based on physical characteristics and skin color • Negative cultural representations (A) Signup and view all the answers

Which dietary option is associated with the Muslim faith?

Muslim faith includes no alcohol, no pork or by-products of pork (A) Signup and view all the answers

Which of the following are ways to show cultural competence? (Select all that apply)

Cultural awareness (sensitivity) (A), Cultural humility - Communication reflects sensitivity and appreciation for diversity (B), Cultural safety - Self-reflection and critique of power imbalances causing health inequities (C) Signup and view all the answers

What is a major health consideration for Hispanic and Latino populations regarding diabetes?

Incident rate of end-stage kidney disease due to diabetes remains double in Hispanic populations (A) Signup and view all the answers

Which of the following considerations regarding health in Black Americans is correct?

Keeps individuals from seeking care, leading to risks for chronic illness (A) Signup and view all the answers

Which of the following statements accurately reflects the term diversity in the context of health? (Select all that apply)

How different cultural groups perceive health conditions and symptoms (A), How care is sought out (B), Client preferences about treatments and procedures and treatment plans (C), Decisions about who is included in decisions (D) Signup and view all the answers

Who is considered the founder of trans-cultural nursing?

Madeline Leininger is considered the founder of trans-cultural nursing. (A) Signup and view all the answers

Which of these options are examples of barriers to creating a diverse workforce? (Select all that apply)

Lack of recruitment strategies for diverse candidates (C), Increased employee turnover rates (D) Signup and view all the answers

Which of the following models can help increase nursing knowledge about cultural diversity in healthcare? (Select all that apply)

Transcultural Assessment Model - Every individual within a culture is unique (B), Madeline Leininger’s Sunrise Model - Allows nurse to incorporate client’s culture into care (A), Purnell Model for Cultural Competence - Provides foundation for providers to learn about client’s culture and reduces health care bias (C) Signup and view all the answers

Which of the following qualifications are necessary for a client to receive Medicare?

Covers adults older than 65 years or younger than 65 years with a disability (A) Signup and view all the answers

Which of the following statements correctly describes the relationship between quality education and health outcomes? (Select all that apply)

Chance to make a living wage (A), Improved access to health care benefits/provides more coverage (B), Preventative screenings (C), Better decision-making about health (D) Signup and view all the answers

Review the role of the occupational health nurse when an employee is injured on the job. Which of the following actions are part of this role? (Select all that apply)

Assesses situation • Conduct a physical exam • Review medical records • Perform drug and alcohol tests • Look for additional causes of the injury (A) Signup and view all the answers

Which of the following considerations is true about a private managed care program?

Does not allow clients to keep their current providers (C) Signup and view all the answers

Shattuck Report impact

Led to improvements in public sanitation.

Immunization laws

State-based regulations govern immunization requirements.