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WorksheetsCommunity Exam 2
Total questions: 131
Worksheet time: 1hrs 13mins
What is the first step in the nursing process when performing a community health assessment?
Planning interventions
Recognizing Cues
Implementing care
Evaluating outcomes
A nurse is reviewing local data and notices an increase in teenage vaping in the community. What should the nurse do first?
Create a school policy on vaping
Teach a class on substance abuse
Assess the scope of the problem across age groups
Call the school board
Which of the following is a goal of the Affordable Care Act (ACA)?
Eliminate Medicare
Reduce access to healthcare
Expand health insurance coverage
Decrease funding for public health
Who leads the development and coordination of public health programs at the local level?
CDC
local Public health department- PHD
Department of transportation
Individual school districts
A nurse notices that older adults in the community lack transportation to healthcare appointments. What is the priority action?
Ask hospital administration to open a new clinic
Call the mayor
Evaluate the availability and barriers to public transportation
tell patients to use taxis
Which model emphasizes empowerment and community partnerships in addressing public health issues?
Biomedical model
epidemiological triad
PRECEDE-PROCEED model
Disease control model
After implementing a new diabetes education program in a rural community, what outcome best indicates program success?
Increased nurse hours
Decreased ER visits for diabetes related issues
Increased insulin prescriptions
Reduced hospital spending
What is a common source of funding for local public health initiatives?
Fast food tax
personal savings
government grants
patient co-pays
A nurse is planning interventions for a community with high rates of vaccine hesitancy. Which is the most effective initial approach?
Punish parents who refuse vaccines
Mandate vaccines for all children
Host listening sessions to understand community concerns
cancel vaccine clinics
A nurse advocates for funding to support a maternal health program in a low-income area. Which action best demonstrates the nurse’s role in influencing health policy?
Complaining to a coworker
Writing a letter to a state legislator
Posting on social media
Asking for more overtime
Which of the following is a major source of funding for public health programs?
Retail taxes
Volunteer donations
Federal grants
Personal insurance premiums
You’re working on a community program that provides health screenings and education. Which professional would most likely collaborate with you as part of the public health force?
Orthopedic surgeon
Epidemiologist
Private lawyer
City planner
Which level of government is primarily responsible for implementing health policies at the community level?
Federal
State
Local
International
A nurse sees that funding for a smoking cessation program has been cut. What is the best next action?
Do nothing, it's not your job
Educate the public on nicotine patches
Collect data on smoking rates and write a proposal for funding
Blame the health department
Who is part of the public health infrastructure workforce?
Only nurses and doctors
Public health nurses, epidemiologists, environmental health specialists, and health educators
Only social workers
Just health department directors
A new local policy mandates vaccination tracking in schools. What is the nurse’s priority role?
Enforce disciplinary actions
Call parents daily
Educate families and ensure documentation
Refuse to participate
Which of the following best describes health policy?
Insurance forms
personal opinions about health
Rules and decisions that impact health at the population level
A type of medicine
During a community outbreak, which public health department action best demonstrates financial stewardship?
Ignoring supply needs
Ordering unlimited PPE regardless of need
Assessing needs and distributing PPE based on population risk and inventory
Saving all money for future use
Why should nurses participate in health policy discussions?
Nurses are required to do so
Nurses are the largest group of healthcare professionals and understand real world patient needs
Nurses enjoy politics
It's part of the discharge process
A nurse conducting a windshield survey in an urban neighborhood notes high traffic, few grocery stores, and many fast-food restaurants. What is the most important inference based on these findings?
Residents likely prioritize convenience over nutrition
The area may be a food desert, increasing chronic disease risk
Traffic contributes to more social interaction
Residents enjoy a wide variety of food choices
A nurse is advocating for legislation to expand Medicaid coverage in their state. Which evidence-based argument would be most persuasive to lawmakers?
"This law will help me as a nurse"
“Expanding Medicaid will reduce ER overcrowding and healthcare costs.”
“We shouldn’t have people dying in the street.”
“Patients don’t like paying for healthcare.”
A nurse is assessing a rural area and finds increased rates of obesity, limited sidewalks, and only one clinic open two days per week. What is the priority concern?
Lack of educational materials
Cultural resistance to change
Limited infrastructure affecting access and activity
Overuse of the health care system
A local public health department receives a $200,000 grant to address rising STI rates in young adults. Which action reflects fiscal responsibility and public health priorities?
Hiring more nurses for general wellness visits
Launching a targeted screening and education program in schools and colleges
Upgrading office computers
Funding TV commercials for general health tips
After implementing a nutrition program for school-aged children, which outcome would best indicate program effectiveness?
High participation rates in lunch programs
Increased requests for snack foods
Decreased BMI percentiles among participants after 6 months
Improved teacher satisfaction scores
During a community lead exposure investigation, which team member should the public health nurse collaborate with first?
School principal
Environmental health specialist
Local pediatrician
Transportation authority
Using the PRECEDE-PROCEED model, what is the nurse’s priority step before designing a program to reduce adolescent smoking?
Assess health data and risk behaviors in the population
Begin advertising the program on social media
Choose incentives to motivate participants
Design a curriculum and seek volunteers
A public health nurse discovers that a new city ordinance will limit clinic funding in underserved areas. Which action reflects professional responsibility?
Accept the policy and move on
Discuss it with coworkers but take no further action
Organize a community forum and testify at the city council meeting
Distribute flyers criticizing the local government
A community has high rates of diabetes and low participation in wellness programs. What is the most effective intervention?
Continue the current program and wait for more time
Develop culturally tailored outreach and flexible class times
Send pamphlets about healthy eating
Recommend community members go to private clinics
In the Socio-Ecological Model, which intervention targets the interpersonal level of influence on health?
Policy requiring menu calorie labeling
One-on-one counseling by a public health nurse
A peer support group for new mothers
City-wide bike lane construction
You are a public health nurse assigned to a rural community where Type 2 diabetes rates are rapidly increasing. Many residents lack transportation, access to fresh food, and internet service. The local health department has received a grant to address chronic disease prevention. Which of the following actions should the nurse prioritize to address community needs?
Partner with local farms to set up a mobile produce market
Provide telehealth diabetes education via Zoom
Offer walking groups at the community center
Launch a culturally tailored cooking class in Spanish and English
Distribute nutrition handouts at gas stations
You are a public health nurse assigned to a rural community where Type 2 diabetes rates are rapidly increasing. Many residents lack transportation, access to fresh food, and internet service. The local health department has received a grant to address chronic disease prevention. Using the PRECEDE-PROCEED model, which step is the nurse addressing when conducting windshield surveys, reviewing county health rankings, and identifying gaps in access to care?
Implementation
Social and epidemiological assessment
Reinforcement strategy evaluation
Impact evaluation
The local public health department has identified a surge in STI cases among adolescents in an underserved urban area. Funding is available for an education and prevention campaign. Which actions reflect best practices for implementing a community-focused intervention for this population?
Host a mandatory STI education seminar at the city courthouse
Collaborate with local high schools and youth centers
Offer walk-in STI testing with confidentiality protections
Distribute information via social media platforms like TikTok and Instagram
Hire peer educators from the community
The local public health department has identified a surge in STI cases among adolescents in an underserved urban area. Funding is available for an education and prevention campaign. After the campaign runs for 3 months, which evaluation metric would best demonstrate success?
Number of posters displayed in the community
Decrease in STI-related ER visits among teens
Number of adults attending education sessions
Teacher satisfaction with health curriculum
You are part of a nursing coalition in a flood-prone region. The city council is voting on a policy to fund climate-resilient infrastructure for at-risk neighborhoods. Many council members are unaware of the connection between housing, climate, and health. As a nurse advocate, which actions align with your role in influencing policy and promoting health equity?
Testify at the council meeting with community health data
Write a letter to the editor of the local newspaper
Refuse to speak publicly to remain neutral
Educate lawmakers about the social determinants of health
Share lived experiences of flood victims from your community
You are part of a nursing coalition in a flood-prone region. The city council is voting on a policy to fund climate-resilient infrastructure for at-risk neighborhoods. Many council members are unaware of the connection between housing, climate, and health. If funding is approved but only enough for one neighborhood, which clinical judgment action is most appropriate next?
Apply funds evenly across all zip codes
Select a low-risk area with good media visibility
Use public health data to identify the highest-risk, underserved community
Let the city decide where funds go without input
A local health department is facing budget cuts. Programs being considered for elimination include:
- Home visits for new parents
- Needle exchange program
- Mobile dental van
- Smoking cessation classes
Which criteria should the nurse use to prioritize which programs to advocate for retaining?
Number of social media followers each program has
Evidence of effectiveness in improving health outcomes
Cost-effectiveness and population reach
Legal requirements or mandates to continue the service
Staff popularity with the community
A local health department is facing budget cuts. Programs being considered for elimination include:
- Home visits for new parents
- Needle exchange program
- Mobile dental van
- Smoking cessation classes
Which program would likely be prioritized using an equity-focused public health lens?
Mobile dental van serving children in rural areas
Weekly yoga in the park
Smoking cessation for middle-income professionals
CPR classes for business owners
Which of the following best defines a population-focused community health assessment?
An assessment conducted on hospital staff to evaluate workflow
A targeted evaluation of a specific group to address a health issue
A brief visual scan of a neighborhood for environmental risks
A personal health evaluation done in the clinic
Which of the following are valid types of community health assessments? SATA
Comprehensive assessment
Setting specific assessment
Rapid needs assessment
Nutritional screening
Health impact and asset mapping assessment
You are asked to conduct an assessment after a hurricane to determine the immediate needs of affected neighborhoods. Which type of community health assessment is most appropriate?
Comprehensive assessment
Health impact assessment
Rapid needs assessment
Asset mapping
A nurse is conducting an asset mapping process in a neighborhood with high food insecurity. Which findings would be considered community assets?
A well attended community church with a kitchen
A vacant lot with debris
A mobile food pantry that visits weekly
A senior center that hosts health fairs
An abandoned home used by teens
Which of the following best describes the purpose of asset mapping in community health?
To determine how sick the population is
To identify barriers to healthcare
To locate and leverage existing community resources
To create competition between neighborhoods
Which observations should the nurse include in a windshield survey? (SATA)
Condition of housing
Traffic patterns and pedestrian safety
Clinical lab values
Presence of parks and recreational areas
Community members facial expressions
During a windshield survey of an urban community, you observe broken sidewalks, liquor stores on every block, and few grocery stores. What is the best next step?
Diagnose the community with alcohol use disorder
Recommend everyone take vitamins
Conduct a comprehensive community assessment to gather more data
Inform police of the liquor store density
Once data has been collected during a community assessment, what is the next step?
Begin advertising new services
Develop a post-assessment action plan based on findings
Ask the health department to repeat the assessment
File the data away for future reference
Which of the following are valid strategies for evaluating the assessment process itself? SATA
Was the community involved in the process
Were data sources accurate and up to date
Did the assessment result in media attention
Did findings lead to actual interventions
Was feedback collected from stakeholders
Which of the following represents the “inputs” in a logic model?
Trained staff, funding, and supplies
Number of participants
Patient satisfaction scores
Improved vaccination rates
You’re helping a local health department create a logic model for a prenatal nutrition program. Which element is an outcome in the logic model?
Grant money from CDC
Education sessions held
Increase in healthy birth weights
Food pantries restocked
Which of the following reflect a social justice approach in community nursing?
Prioritizing marginalized populations
Providing equal care to all without health disparities
Addressing root causes of health disparities
Ensuring community voice guides decision making
Only serving patients who ask for help
After analyzing data from a neighborhood, you find: high asthma rates, poor housing, and lack of primary care. What is the best community diagnosis?
Increased risk of flu
Risk for ineffective parenting related to economic stress
Ineffective community management of environmental health hazards related to substandard housing
Risk for violence due to unemployment
Which of the following are functions of public health surveillance? SATA
Early detection of disease outbreaks
Identifying high risk populations
Collecting random hospital complaints
Tracking trends over time
Informing resource allocation
Which level of government is primarily responsible for epidemiologic surveillance and response at the local level?
Federal
International
Local public health department
Senate health committee
What distinguishes the U.S. public health system from the clinical healthcare system?
Clinical system focuses on prevention, public health focuses on treatment
Public health works with individuals, clinical system with populations
Public health focuses on prevention and population level interventions
Clinical care receives all government funding
Which funding sources commonly support public health programs?
Medicaid and medicare
State and federal grants
Charitable donations
County property taxes
Private insurers
Which concern was the focus of local boards of health during the late 18th century
Sanitation
Communicable diseases
Maternal and child health
Rural health
A nurse is starting a job at the local public health agency. Which responsibility will the nurse have? SATA
Water fluoridation
Regulation of health care workers licensure
Managing medicare and medicaid reimbursement
Restaurant inspection
Licensing of healthcare facilities
Which statement accurately reflects the definition of a population? SATA
A population is a large group whose members may or may not interact with one another
A population contains members who share at least one characteristic or trait such as age, gender, ethnicity, residence, or a health issue
A population must include shared geography
A population can be a group of any size, but its member always have some type of interaction
A population does not always include people who share the same culture or place of residence
A nurse discovers that their new apartment building had been a medical office and contained lead paint. The nurse contacts the local health department and discovers there is no local health policy restricting the use of lead paint in commercial buildings. The nurse decides to partner with the health department to develop a policy. Which best describes this type of policy?
Acculturation
Advocacy
Environmental
Upstream
The nurse knows a community's health improves when its members work together to recognize, evaluate, and address key problems by organizing and using resources. Which term most accurately describes this concept?
Community drive
Community capacity
Community ability
Community strength
Following a widely publicized case of a toddler who died after being left in a hot car, the state public health department decided to begin a campaign to educate the public. Which intervention would be appropriate for this goal? SATA
Require hospitals to educate new parents about the dangers of leaving children in hot cars
Place ads on television and social media warning about the dangers of leaving children in hot cars
Offer child and infant seat safety checks at police and fire departments
Provide look before you lock seminars conducted by public health nurses at schools and libraries
Create legislation mandating jail time for individuals who leave children locked in hot cars
There has been a measles outbreak in New York State. Which information technology program can be used to visualize data in a designated area and show various characteristics of cases
CDC website
EHR
Geographic information system (GIS)
Public health nursing: scope and standards of practice
The nurse tells the family of a patient who died that the death certificate will be sent to the public health department. Which individual certifies information regarding the cause of death?
The funeral director
The medical examiner
The nurse
The hospitalist
How is the identification of a community different from that of a population?
A community is identified by its demographic characteristics
A community is identified as one group living within specifc geographic boundaries
A community is identified as a group that shares social interactions with each other
A community is identified by its biostatistics
In which topic area of health people 2020 were 50% or more of trackable objectives improved, met, or exceeded? SATA
Cancer
Diabetes
Food safety
Oral health
Environmental health
Which characteristic accurately describes the difference between qualitative and quantitative data?
Quantitative data represents a viewpoint and cannot be assigned a numeric value
Qualitative data cannot be assigned a numeric value but quantitative can
they are interchangable terms
Qualitative represents the mean in a set of values and quantitative represents the mode
The nurse manager is writing a community health program evaluation that describes its cost effectiveness, outcome, and impact on the community. Which type of evaluation is the nurse manager writing
Summative
Progress
Formative
Process
Which step is performed first when conducting a community health survey
Select the target population
Define the purpose
Write questions
Determine the delivery method
A public health nurse employed by the state department of health is working on a budget for the upcoming fiscal year. The nurse knows the budget must include funding for which program
Medicaid
Medicare
Veterans administration
Indian health services
A nurse has partnered with a local college to develop a campus alcohol policy. Which is the first action?
Increase security patrols to detain and issue fines to intoxicated students
Conduct interviews with students, faculty, staff, campus police, and alumni
Declare the school a "dry" campus pending further review
Implement a free shuttle service for students who have been drinking
What is the best example of a community diagnosis
Abuse and neglect caused by intimate partner violence
Type 2 diabetes resulting from elevated blood glucose levels
Lack of knowledge related to dehydration and confusion
Risk for stroke related to hypertension among women
The county public health department wants to reduce the incidence of influenza in the community by 20% this year. Which example represents a community level of care?
Conduct workshops and distribute influenza fact sheets at schools and libraries
Mandate that all county pharmacies and clinics provide free flu shots
Enact legislation requiring county residents to receive the flu vaccines
Schedule individual home visits to give flu shots to residents aged 65 years and older
The nurse selects the MAPP (mobilizing for actions through planning and partnerships) tool to assist the community in developing a health improvement plan. The nurse is facilitating a brainstorming session with the advisory committee to determine what a healthy community means to them. Which phase of the MAPP process is the nurse in?
Organizing
Assessment
Visioning
Identifying
The public health department is managing a TB outbreak. Which interdisciplinary team member is appropriate to help manage the outbreak? SATA
Physicians
Information technology specialists
Epidemiologists
Nutritionalists
Environmental health specialists
It is essential that everyone in the community has access to basic healthcare services, economic security, and adequate food and housing. Which concept describes this belief?
Community organizing
Social Justice
Social determinants of health
Health program planning
A nursing instructor asks a student to identify the components of a community nursing diagnosis. Which component should the nursing student mention? SATA
Population
Characteristics of the population
Problem outcome
Indicators of the problem
Medical diagnosis
A public health nurse wants to create a health program to address obesity in the community. Which would be the nurse's first action?
Request that schools remove all vending machines
Petition the city council to tax soda at a higher rate
Collect data regarding obesity rates and diabetes
Distribute educational materials at fast food restaurants
Which phase is included in the mobilizing for actions through planning and partnerships (MAPP) process? SATA
Visioning
Performing the four assessments
Formulating goals and strategies
Identifying insignificant issues
Moving into the action cycle
The nurse has completed the community health assessment and is ready to develop the health plan. Which step would the nurse perform first to begin the development of a health program
Write goals and objectives
Gather community resources
Review the literature
Choose health indicators
A group of community health nurses use the logic model to plan an immunization clinic for children living at the transitional housing center. Administering immunizations represents which component of the logic model
Resources
Activites
Outputs
Outcomes
Funding for the health department's fiscal year budget was dramatically reduced. Which factors most likely affected the health departments funding? SATA
Tax revenues for the coming year significantly decreased
The federal government drastically reduced funding
Funding through private grants became less available
The health department added personnel to the budget
The number of residents receiving medicare increased
Which primary data collection method would the nruse use with the community health assessment and group evaluation (CHANGE) approach ro community assessment? SATA
Conducting a mirror survey
Administering surveys to individuals
Using PhotoVoice
Doing a walkability audit
Examining voting records
What is the primary purpose of the patient protection and affordable care act (ACA) of 2010?
To mandate health coverage for all Americans
To enforce consumer protection in the health care system
To improve access to affordable health coverage
To provide universal health care to all citizens
Which is the primary reason the government intervenes in the healthcare system
To collect taxes from healthcare providers and insurance companies
To promote fairness for citizens who are unable to afford health care
To control the healthcare market by regulating the availability of private funding
To regulate public health care and insurance coverage legislation
Which was the primary mission of public health during the mid 19th century
Housing conditions and slavery
Maternal death and communicable diseases
Housing conditions and communicable diseases
Women's suffrage and communicable diseases
Which is a benefit of public health accreditation? SATA
Increased transparency
Stronger management processes
Identification of organizational strengths
Increased use of quality improvement information in decision-making
Which health planning model enables users to visualize the direct connections among program goals. objectives, activites, and resources?
MAPP
CHANGE
PRECEDE-PROCEED
Logic
When planning a health program, the nurse knows that which component is important? SATA
Limited individual rights for the greater public good
Actively involving and partnering with the community
Performing a skilled and competent assessment
Organizing the community to develop and implement the program
Sharing conclusions with partners and recipients of interventions
Nurses are extremely concerned about a recent cut in federal funding for women's health care services. Which is the best strategy to create positive change in healthcare legislation and policy?
Write an individual letter to state and federal representatives
Make an appointment and meet with state and federal representatives
Organize a national day of action to call, email, or meet with congressional representatives
Lead a protest outside the office of the legislator who introduced the bill to the senate
Which step is included in the Kellogg Foundation's nine steps in developing program evaluation? SATA
Identify members of the evaluation team
Collect, analyze, and interpret data
Hire an external program evaluator
Develop the evaluation questions
Refine the program based on findings
When the nurse is conducting a community assessment, which statement is true about culture, ethnicity, and language?
Culture, ethnicity, and language are secondary to data collection and program design
Organizations may choose whether to value and endorse cultural competency
Healthcare providers in the community should expect community members to speak english
Culture, ethnicity, and language are essential in establishing community partnerships
Which method uses a qualitative approach for collecting community data and encourages community members to document their own lives and engage in discussion?
CDC HRQoL questionnaire
Community mapping
PhotoVoice
Convenience sample
A middle school nurse is concerned about a rising teen pregnancy rate. The nurse plans to recommend a policy allowing distribution of free condoms to any student who requests them. Which criterion is most likely to determine whether the policy will be adopted?
Efficiency
Effectiveness
Social acceptability
Cost
Which is an appropriate goal for inclusion in a community action plan?
The prevalence of obesity will decrease by 5% in 12 months
The patient's body mass index will be normal within 6 months
Of the surveys sent, 75% will be completed and returned
Patient satisfaction scores will improve by the end of the year
Which goal for the public health agencies was included in the committee on administrative practice of the american public health association in the 1930s
Vital Statistics
Environmental sanitation
Child health promotion
Maternal health promotion
Regulations and requirements to move health records from paper based systems to electronic ones have caused public health departments to face unique challenges. Which improvement is necessary to allow implementation of systems with a broader focus than clinical care?
Electronic systems for individual patient care
Maintenance of population based core functions
Increase in use of quality improvement information
Expansion of capacity for psychosocial, behavioral, and environmental patient data
Which provision of the patient protection and affordable care act of 2010 provides increased, sustained national resources for preventative and public health evidence based activities?
Centers for medicare and medicaid services
Funds for early intervention programs
Health resources and services administration funds
Prevention and public health fund
Which statement reflects the meaning of the PROCEED part of the PRECEDE-PROCEED model
An effort to modify the social environment and promote a healthy lifestyle
A comprehensive community assessment
A program aimed at improving community health
Evaluation of data collected during development phase of the program
A public health nurse is advising the owners of a local supermarket chain on the creation of an employee wellness program intended to improve employee physical and mental health. Which strategy would be appropriate for this goal? SATA
Conduct free biometric screenings once a month
Offer discounted memberships to local health clubs
Provide paid time off for employees without benefits
Organize walking groups that meet twice a week
Give employees a store gift card after an annual physical
The third phase of the MAPP model focuses on performing the "four assessments" which assessment would include gathering data regarding obesity morbidity rates?
Community health status assessment
Forces of change assessment
Community themes and strengths assessment
Local public health system assessment (LPHSA)
Which is the priority consideration when interpreting community assessment data?
Morbidity and mortality rates
Trends over time
Leading health indicators (LHIs)
U.S. Census data
Approximately 20% of the population of North Orange, New York, lives at or below poverty level set by the U.S Federal Poverty Guidelines. Many residents have health care coverage through medicaid or medicare, but there are very few providers in the community who accept this coverage, and residents use the emergency department for non urgent health issues. The hospital and public health department decide to address the problem. Which is the best solution?
Petition the state to build a county hospital
Establish federally qualified health centers (FQHCs)
Contract with the hospital to provide primary care
Provide family nurse practitioners in every school;
Which is the primary reason public health nurses conduct community assessments
To develop a strategic plan for health promotion activities
To prioritize health problems in a community
To prevent the spread of communicable diseases
To develop interventions to ensure the health of the population
Community policy makers request the assistance of the public health nurse in developing policies that address their priority to reduce health disparities in the community. Which is the priority action by the nurse
Review the insurance coverage of the majority of the population
Prioritize the physical and mental health needs of each individual
Consider the learned knowledge, attitudes, and behaviors of groups of people
Use recommendations from nearby communities key stakeholders
Which term describes a broad statement of the expected impact or overall purpose of a health program
Outcome
Goal
Objective
Diagnosis
A nursing student expresses interest in volunteering for an organization that focuses on ending epidemics such as AIDS and TB. Which organization should they consider working with?
The global fund
Save the Children
Catholic relief services
International Red Cross
A nurse from the public health department visits a family who cannot afford their child's asthma medications. Which member of the nurses interdisciplinary team is the best resource for this patient
Physician
Pharmacist
Social worker
Nutritionist
Which is a required component of disaster preparedness programs that public health departments need to address? SATA
Prevention
Mitigation
Response
Rescue
Evaluation
After analyzing a health survey, Smalltown USA decides to develop a healthy eating and physical exercise program. Using the community health assessment and group evaluation (CHANGE) approach, which is an example of the next step?
Hold a small town meeting
Outline the details of the program
Create a committee of community members and experts
Identify behavioral risk factors
Public health departments provide direct care individually and at the community level. Which is an example of direct individual care
Well baby clinics
Tobacco cessation classes for teens
Legislative changes for the healthy start initiative
Counseling school administrators on mandatory vaccines
A presentation is given on ethical issues during a public health and health policy class. Which is the basic assumption that influences public health policy decisions
Society has an obligation to provide conditions supporting health
Rights of the government override the rights of an individual
Individual rights take precedence over the rights of society
Collective rights of society almost always take precedence over individual rights
The local middle school is experiencing a high rate of absenteeism. Which type of community health assessment would be best suited to explore this issue
Rapid needs assessment
Setting specific assessment
Health impact assessment
Population focused assessment
Which scenario is an example of formative evaluation
The project manager submits an evaluation assessment of a 25% decrease in childhood obesity over the last 2 years, resulting in an additional decrease in cardiovascular risk factors in this population
The project manager submits feed back for evaluation following the first evening education session for parents of participants in the childhood obesity program based on survey results that indicate 85% of parents understood the content disussed
The project manager submits an evaluation of the childhood obesity program, focusing on the overall needs of students and the lack of health care
The project manager submits feedback from key stakeholders on the overall cost of the childhood obesity program and concerns about the budget
Medicaid is jointly financed by federal and state governments. States set their own guidelines for eligibility and services but must include certain basic, federally mandated services. Which healthcare component is federally mandated? SATA
Radiology services
inpatient hospital care
family planning services
skilled care at long term care facility
In which way is community based participatory research most relevant to community nursing
It provides a rationale for obtaining community funds
It supports the use of evidence based practice
It establishes collaboration between community members and public health experts
It provides a framework for population level nursing interventions
A nurse is interested in becoming more politically active to advocate for more effective public health policies. Which nursing action influences health policy? SATA
Joining a professional nursing organization
Becoming a candidate for political office
Volunteering with the campaign of a local candidate
Meeting with a local policy maker
Learning more about the political process
A 62 year old man arrives at the emergency department with end stage renal disease (ESRD). He delayed getting medical treatment because of the high cost. Which program is the social worker most likely to recommend
Medicaid
Social security disability insurance
Children's health insurance program
Affordable care act
Which is a goal of a rapid needs assessment? SATA
Understand immediate needs after a disaster or adverse event
Determine possible courses of action to help those in need
Collect past data to assist in developing a plan
Identify resource requirements
Start the process immediately after the disaster or event (usually within 1 week)
The public health nurse working at the public health department (PHD) is focused on implementing a program to ensure that local restaurants are being held to sanitation standards. Which major function of PHDs is the nurse participating in?
Individual and community health
Environmental health services
Disease control, epidemiology, and surveillance
Data collection and analysis
Which would be the best resource for the nurse to use when developing a health program about stroke prevention to improve the health of the local community?
Healthy people USA
CDC
Healthy people 2030
The institute of medicine
The public health nurse is starting to develop a program for reducing community obesity. Which assessment component of the mobilizing for action through planning and partnerships (MAPP) would the nurse use to review legislation related to community obesity?
The forces of change assessment
The community health status assessment
The local public health system assessment
The community themes and strengths assessment
A public health nurse notices that members of the community meet federal poverty guidelines but are unaware of government programs for which they may be eligible. The nurse organizes a community fair to educate people about programs that offer financial and nutritional assistance. Which topics are most appropriate for the fair? SATA
Supplemental security income
Temporary assistance for needy families
Children's health insurance program
Supplemental nutrition assistance program
A nurse has been working with a local congressman to restrict the sale of inhalants to minors. The bill was approved by both the senate and house of representatives 15 days ago and is currently awaiting the president's signature. Congress adjourns next week. Which action is next?
No furhter action is required as the bill has become law
Reintroduce the bill in senate when congress reconvenes
Contact the leaders of the senate and house of representatives
wait for the president to sign the bill to determine further actions
The community nurse is analyzing the states population data from the U.S. census. Data shows a 45% increase in the number of persons aged 65 and older. Data also indicate a 5% decrease in the number of persons aged 64 years and younger. The increase in persons 65 and older has created a disproportionate number in this category. Which type of population pyramid does the data represent
Expansive
Stationary
Indentation
Declining
A school nurse requests that the school board institute a policy requiring nutrition education to be added to the district's curriculum. The president of the school board asks about the goals and costs of the program. Which evaluation criterion is the president asking about
Efficiency
Effectiveness
Feasibility
Equity
The nurse recognizes that which skills or competencies are needed to effectively conduct a community health assessment
Collecting, analyzing, and interpreting data
Attending city council meetings
Speaking a foreign language
Creating health education programs
Which example shows evidence based practice being used in the steps of program planning? SATA
Discussing community assessment results with community leaders to determine what components are necessary
Reviewing the literature for similar programs and population based approaches to solving the problem
Evaluating similar programs in similar communities to see if strategies can be replicated
Determining if strategies used in other communities produced expected outcomes
Continuing to run community health programs the way they are usually done to avoid conflicting with current research
A nurse working for the state department of health wants to create a policy mandating a scoliosis screening program. Which os the priority action
Inform the director of the need for scoliosis screening
Conduct an assessment of health status, social data, needs, and resources
Interview superintendents, healthcare providers, and school nurses
Establish goals and objectives to evaluate health outcomes
Which indicator is often used by media outlets to identify the healthiest cities in the country?
Morbidity rates
Nutrition
Community demographics
Literacy rates
Which component is included in the KEEPRA criteria for assessing formal institutions within a community? SATA
Kinship
Education
Partnerships
Religious
Associations
Local health care providers contacted the local public health department when they became concerned that the incidence of sexually transmitted infections was rapidly increasing. The PHD initiated actions to manage a potential outbreak of STIs. Which would be the first action
Provide treatment options for people diagnosed with an STI
Ask those who test positive for an STI to provide names and phone numbers of their sucal partners
Gather data from local physicians and hospitals on the number of cases of STIs they have received
Screen people suspected of having an STI
A public health nurse works in a public health department that is operated by the state board of health. Which type of system is this?
Shared system
community system
Centralized system
Decentralized system
