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WorksheetsPublic Health Core Competency
Total questions: 11
Worksheet time: 4mins
1. Which three of these risk factors for uncontrolled type 2 diabetes mellitus are MOST important to consider when planning care for clients at discharge? pick 2 correct responses
Family history
Pregnancy
High Blood Pressure
Sedentary life style
and obesity
Asthma
The standardized discharge care plans for adults with uncontrolled diabetes have not been updated in five years. During discharge discussions, your clients have shared concerns that are not addressed in these plans, including challenges to managing their diabetes after they return home.
2. What would you need to know about this population with uncontrolled type 2 diabetes to help them plan for their care after discharge select all that apply
Education level
Current living arrangements
Occupation
Preferred language
3. In addition to medications and follow-up appointments, which of the following would be MOST important to address in the discharge plans?
High fiber diet
Blood glucose monitoring
family history
foot care
4. Who is the BEST person to contact to find out about the hospital's involvement in community care for people with diabetes?
Hospital CEO
Hospital Chief medical officer
Patient advocate
Director of Social work
5. Where would be the BEST place to get valid and reliable data to determine if diabetes has increased in the community over the past five years?
Hospital diabetes registry
Local Health Department
Local Nursing Assn
Local Medical Assn
6. Which data would be MOST important to determine if diabetes is an increasing health problem in your community?
Diabetes incidence rates for the community
Diabetes prevalence rates for the community
Obesity rates for children with diabetes in the community
Obesity rates for adults with diabetes in the community
7. To be able to better understand factors influencing the occurrence of diabetes mellitus type 2 in your area, which of the following data would be MOST helpful?
Community hospital diabetes registry data by name, age, gender, and race/ethnicity
National data on diabetes incidence rates by age, gender, race/ethnicity
State level diabetes prevalence rates by age, educational level, and socioeconomic status
Local community diabetes incidence rates by race/ethnicity, gender, and socioeconomic status
You discover that diabetes prevalence in 18-35-year-olds in your community is higher than the state prevalence rate for the same age group. After reviewing your discharged clients’ records, you also notice that eight of the ten live in the same zip code.
8. Which risk factor for poorly controlled diabetes is better addressed at the community level than at the individual level?
Lack of recreational space for physical activity
Generational family history
Lack of community knowledge of healthy diets
Gestational diabetes
The Director of Social Work introduces you to the county Public Health Nurse (PHN) to talk about your findings. The PHN tells you that many people in the zip code you identified report not feeling safe to walk/exercise in the area. The neighborhood is very dense, with apartment buildings, many busy streets and malls. The county has been working on trying to create safe spaces for exercise for county residents. The PHN asks if you would like to go to the next Board of Health meeting and present your concerns. 9 Which is the MOST significant evidence you could present to the Board of Health to help with their deliberations?
County and state data on diabetes prevalence
Hospital data on diabetes prevalence in clients from the zip code
Client's stories about managing diabetes in this community
An explanation of the consequences of uncontrolled diabetes
After the meeting, the Board of Health decides to work on developing a walking path at the local high school that is accessible to the public.
10. Which of the following individuals needs to be involved in planning the walking path? Select all that apply.
School District Superintendent
Public Health nurse
Primary health care providers
PE Teacher
Local residents
One year later, the PHN reports to the RN that the walking path has been established.
11. What is the MOST important action the RN can take in the hospital to use this information to help clients?
Announce the new walking path at the next unit meeting
Report the new resource to the social work department
Put up posters in the hospital announcing the new path
Revise discharge planning documents to include local physical activity resources
