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1. Healthy People 2010's overall goals are to:
A) Assess the health care needs of individuals, families, or communities
B) Develop and implement public health policies and improve access to care
C) Gather information on incident rates of certain diseases and social problems
D) Increase life expectancy and quality of life and eliminate health disparities
Healthy People 2010 was established to create ongoing health care goals, including increasing life expectancy and quality of life, and eliminate health disparities through improved delivery of health care services. Gathering information, assessing needs, and developing and implementing public health policies are steps in achieving the goals set forth by Healthy People 2010. Correct Answer(s): D
2. Substance abusers frequently avoid health care providers because of:
A) Fear of the cost of health care
B) Fear of institutions and people
C) Fear of being turned in to the criminal authorities
D) Fear of being without the recreational drug of choice
Feedback: CORRECT Substance abusers avoid health care for fear of judgmental attitudes by health care providers and concern about being turned in to the criminal authorities. Options 1, 2, and 4 are not primary concerns that result in avoidance of health care. Correct Answer(s): C
3. Vulnerable populations of clients are those who are more likely to develop health problems as a result of:
A) Chronic diseases, homelessness, and poverty
B) Poverty and limits in access to health care services
C) Lack of transportation, dependence on others for care, and homelessness
D) Excess risks, limits in access to health care services, and dependence on others for care
Vulnerable population are defined as clients who are more likely to develop health problems as a result of excess risks, who have limits in access to health care services, or who are dependent on others for care. Correct Answer(s): D
4. The local health department received information from the Centers for Disease Control and Prevention that the flu was expected to be very contagious this season. The nurse is asked to set up flu vaccine clinics in local churches and senior citizen centers. This activity is an example of which level of prevention?
A) Primary intervention
B) Tertiary intervention
C) Nursing intervention
D) Secondary intervention
Secondary intervention includes disease prevention after a health issue has been identified. Primary intervention is prevention of a health problem that has not yet occurred in the community. Tertiary intervention occurs after a problem has occurred and aims at preventing long-term negative impacts or recurrences in a population.Points Correct Answer(s): A
5. The local school has an increasing number of adolescent parents. The nurse works with the school district to design and teach classes about infant care, child safety, and time management. These are examples of which nursing role?
D) Case manager
An educator helps clients, families, and communities gain greater skills and knowledge to provide their own care. An advocate is someone who helps clients walk through the system, identifies services, and plans for accessing appropriate resources. A collaborator is an individual who engages in a combined effort with other individuals to develop a mutually acceptable plan that will achieve common goals. A case manager develops and implements a plan of care. Correct Answer(s): A
6. A nurse is practicing in an occupational health setting. There are a large number of employees who smoke, and the nurse designs an employee assistance
program for smoking cessation. This is an example of which nursing role?
D) Case manager
- A counselor helps clients identify and clarify health problems and choose appropriate courses of action to solve those problems. An educator helps the
- community gain greater skills, including through the presentation of educational programs. A collaborator is an individual who engages in a combined effort
- with other individuals to develop a mutually acceptable plan that will achieve common goals. Correct Answer(s): B
7. What are the three elements included in a community assessment?
A) Environment, families, and social systems
B) People, neighborhoods, and social systems
C) Structure or locale, people, and social systems
D) Health care systems, geographic boundaries, and people
- The community has three components: structure or locale, people, and social systems. To develop a complete community assessment, the nurse must take a
- careful look at each of the three components to begin to identify needs for health policy, health programs, and health services.
- Correct Answer(s): C
8. The focus of community health nursing differs from that of public health nursing because the nursing care:
A) Is directed at the individual client only
B) Is provided by nurses with a graduate degree in community health nursing
C) Provides direct care to subpopulations who make up the community as a whole
D) Is administered to a collection of individuals who have in common one or more personal or environmental characteristics Option 3 defines the focus of community health nursing. Community health nursing focuses on the individual, family, and community. Educational requirements
for community-based nurses are not as clearly defined as those for public health nurses. An advanced degree is not always required. Correct Answer(s): C
Option 3 defines the focus of community health nursing. Community health nursing focuses on the individual, family, and community. Educational requirements for community-based nurses are not as clearly defined as those for public health nurses. An advanced degree is not always required. Correct Answer(s): C
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