← Back

Chapter 3: Public/Community Health in Practice

Every problem in the chapter beside the book’s answer, a chapter at a time as you scroll.

Chapter 3: Public/Community Health in Practice

10 problems · 0 figures

3-1 §3.RQ source ↗

Which action by the nurse demonstrates the application of community health principles to a program aimed at preventing cardiovascular disease through risk-factor modification?
  1. a.
    Providing individual counseling sessions for adults at risk for heart disease
  2. b.
    Promoting a weekly farmer’s market for locally grown fruits and vegetables
  3. c.
    Assisting an adult with heart disease to develop a medication schedule that fits their lifestyle
  4. d.
    Developing a cardiac rehabilitation program for community members with heart failure

Answer

B. Promoting a weekly farmer’s market for locally grown fruits and vegetables
Community health refers to a community’s physical, mental, and social well-being and involves health promotion, risk reduction, and disease prevention efforts to support health. Promoting a weekly farmer’s market of locally grown produce provides the opportunity for the community to engage in healthy eating practices to reduce the risk for heart disease.

3-2 §3.RQ source ↗

Which nursing action following World War II represents an autonomous public-health nursing function?
  1. a.
    Providing direct care to wounded soldiers in military hospitals
  2. b.
    Conducting vaccination campaigns to promote immunizations
  3. c.
    Collaborating with physicians to perform medical procedures
  4. d.
    Assisting in surgical operations in field hospitals

Answer

B. Conducting vaccination campaigns to promote immunizations
Following WWII, nurses sought professional roles with greater autonomy and found that public/community health nursing met this need. In this public/community health role, nurses provided education to raise public awareness of health issues, including the promotion of vaccinations to increase the proportion of the population receiving a vaccination.

3-3 §3.RQ source ↗

Which statement describes the purpose of defining a scope of practice for nurses?
  1. a.
    Establishing principles and guidelines for professional behaviors and ethics
  2. b.
    Outlining specific clinical skills and procedures nurses may perform
  3. c.
    Ensuring nurses work within their level of qualification, expertise, and competence
  4. d.
    Promoting collaboration in teamwork within a health care setting

Answer

C. Ensuring nurses work within their level of qualification, expertise, and competence
Scope of practice refers to the professional activities involved in the role of registered nurse. Defining a scope of practice helps nurses work within and to their level of qualification, expertise, and competence. Standards of practice are the principles and guidelines professionals must adhere to in their role.

3-4 §3.RQ source ↗

Which of the following accurately describes public health nursing practice?
  1. a.
    The scope of practice for public health nurses is broader than that of a registered nurse.
  2. b.
    The ANA has identified nine core concepts for public health nursing.
  3. c.
    Public health nurses practice using standards developed for medicine.
  4. d.
    The ANA has not identified a scope of practice for public health nursing.

Answer

B. The ANA has identified nine core concepts for public health nursing.
The ANA has identified nine core concepts of practice based on the dynamic and complex work of public health nursing: social determinants of health, community collaboration, population health, ecological model of health, culturally congruent practice, levels of prevention, ethics, social justice, and health equity.

3-5 §3.RQ source ↗

Which action by the public health nurse is an example of the “public health sciences” domain of the Quad Council Coalition’s Community/Public Health Nursing Competencies?
  1. a.
    Recommending a walking trail to encourage wellness
  2. b.
    Providing educational materials that meet the community’s cultural needs
  3. c.
    Applying research findings to the development of new community programs
  4. d.
    Assisting families in finding affordable health insurance

Answer

C. Applying research findings to the development of new community programs
The public health sciences domain of the Quad Council Coalition’s Community/Public Health Nursing Competencies focuses on understanding the foundation and prominent events of public health, applying public sciences to practice, critiquing and developing research, using evidence when developing policies and programs, and establishing academic partnerships.

3-6 §3.RQ source ↗

Which Quad Council Coalition’s Community/Public Health Nursing Competency domain is the nurse engaged in when hiring a workforce representative of the community?
  1. a.
    Communication
  2. b.
    Cultural competency
  3. c.
    Community dimensions of practice
  4. d.
    Leadership and systems thinking

Answer

B. Cultural competency
The Quad Council Coalition’s Community/Public Health Nursing Competencies were developed to guide the professional development of community health nurses. Cultural competency skills include understanding and responding to diverse needs, assessing organizational cultural diversity and competence, assessing effects of policies and programs on different populations, and taking action to support a diverse public health workforce.

3-7 §3.RQ source ↗

Which action by the community health nurse is an example of a downstream intervention?
  1. a.
    Focusing on health promotion and disease-prevention activities
  2. b.
    Managing the care of clients diagnosed with health conditions
  3. c.
    Engaging in advocacy and activism to advance health equity
  4. d.
    Addressing the root causes of health problems in a population

Answer

B. Managing the care of clients diagnosed with health conditions
Downstream interventions include responses to health issues without focusing on solving or preventing health problems, such as assisting clients in the management of their diagnoses.

3-8 §3.RQ source ↗

Which action will the community health nurse take when engaged in the activity of social prescribing?
  1. a.
    Referring a client with heart failure to a cardiac rehabilitation program
  2. b.
    Teaching a client with a new diagnosis of diabetes how to inject insulin
  3. c.
    Suggesting volunteer work to a client who is feeling depressed after retiring
  4. d.
    Assessing the social resources of a community

Answer

C. Suggesting volunteer work to a client who is feeling depressed after retiring
Social prescribing involves referring clients and families to community resources, activities, and groups other than those traditionally thought of as being related to the health care setting. Volunteering is an example of social prescribing that can improve a client’s emotional health, social connectedness, and feelings of empowerment.

3-9 §3.RQ source ↗

The community health nurse is interviewed for a podcast to discuss bike safety tips for children. Which level of prevention is the community health nurse providing during the interview?
  1. a.
    Primordial
  2. b.
    Primary
  3. c.
    Secondary
  4. d.
    Tertiary

Answer

B. Primary
Promoting health via a television news interview about bike safety tips for children represents primary prevention, as viewers will receive health education to prevent accidents and injury.

3-10 §3.RQ source ↗

Which activity will the community health nurse perform when engaged in secondary prevention activities at a community senior center?
  1. a.
    Educating about signs and symptoms of influenza
  2. b.
    Administering pneumococcal pneumonia vaccines
  3. c.
    Providing information about supportive care for COVID-19
  4. d.
    Teaching how to properly wash hands

Answer

A. Educating about signs and symptoms of influenza
Secondary prevention activities are those aimed at early disease detection, such as educating the public about the signs and symptoms of influenza.

Loading chapter 4…

Problems and answers are adapted from Population Health for Nurses by Jessica Ochs, Sherry L. Roper and Susan M. Schwartz, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/population-health/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.