NURS NURS-460/ Pop Final Exam, Questions & Answers

NURS NURS-460/ Pop Final Exam, Questions & Answers-A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural community that currently lacks access to them. This is an example of which public ...

NURS NURS-460/ Pop Final Exam, Questions & Answers-A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural community that currently lacks access to them. This is an example of which public health intervention? A) Surveillance B) Outreach C) Screening D) Case management Ans: D The nurse is locating populations in her region who are exposed to lead-based paint and providing them with information regarding the dangers of lead poisoning. This is an example of which public health intervention? A) Surveillance B) Outreach C) Screening D) Case management Ans: B Why has there been an increase in the number of acute and chronically ill people residing in the community who need professional nursing care? A) Shorter length of stay in long-term care facilities B) Increase in ambulatory surgery C) Decrease in the use of outpatient clinics D) Increase in length of stay in emergency departments Ans: B A high school graduate has decided to pursue a career in public health nursing. Which represents the minimum educational credential that this student will need to obtain entry into public health nursing practice? A) Associate's B) Baccalaureate C) Master's D) Doctorate Ans: B Which best describes a nongovernmental organization? A) Agency that is based in only one country but provides services to many other countries B) Agency that acquires resources to help others from private rather than public sources C) A group that collects data related to healthcare use across a variety of professional and service parameters D) An organization that uses endowed funds or private fundraising to address the needs of individuals, families, and populations Ans: B A nurse is coordinating an initiative in the community to make sure that the healthcare needs of local refugees and asylees are recognized and addressed. Which federal agency should this nurse contact, as it is directly involved with the health and healthcare of refugees and asylees in the United States? A) United States Department of Health and Human Services B) National Institutes of Health C) Agency for Healthcare Research and Quality D) Centers for Disease Control and Prevention Ans: A Which best describes a philanthropic organization? A) Agency that is based in only one country but provides services to many other countries B) Agency that acquires resources to help others from private rather than public sources C) A group that collects data related to healthcare use across a variety of professional and service parameters D) An organization that uses endowed funds or private fundraising to address the needs of individuals, families, and populations Ans: D Which best describes a multilateral agency? A) Is based in only one country but provides services to many other countries B) Is responsible for the health and welfare of citizens nationally C) Receives funding from both governmental and nongovernmental sources D) Acquires resources to help others from private rather than public sources Ans: C The nurse is passionate about research for a cure for pediatric leukemia and has written the state representatives in Congress to urge them to expand federal funding for this research. This behavior is an example of involvement in: A) Policy B) Politics C) Public health D) Equity Ans: B Which represents the correct order of events in the policy-making process? A) 1) Policy formulation, 2) policy assessment, 3) policy adoption, 4) policy implementation, 5) policy modification, 6) setting an agenda B) 1) Setting an agenda, 2) policy formulation, 3) policy assessment, 4) policy modification, 5) policy adoption, 6) policy implementation C) 1) Policy formulation, 2) setting an agenda, 3) policy implementation, 4) policy modification, 5) policy assessment, 6) policy adoption D) 1) Setting an agenda, 2) policy formulation, 3) policy adoption, 4) policy implementation, 5) policy assessment, 6) policy modification Ans: D The nurse meets with a group of fellow nurses. They discuss the number of children who have died in hot cars and how likely they are to gain support from their state legislators to address the problem. The nurses are currently in which step of the policy-making process? A) Policy formulation B) Policy adoption C) Setting an agenda D) Policy assessment Ans: C The hospital board is in the process of developing a policy regarding the use of cell phones within the hospital. At the current meeting, the board has decided to allow use of cell phones only within certain waiting areas within the hospital, and nowhere else. Which stage of policy- making does this action represent? A) Policy formulation B) Policy adoption C) Policy implementation D) Policy assessment Ans: B The hospital board is in the process of developing a policy regarding the use of cell phones within the hospital. After 6 months of a policy being in place and weeks of ongoing evaluation of the policy by individual board members, the board decided to expand the areas where cell phone use is permitted to include all waiting rooms and some client rooms. Which stage of policy- making does this action represent? A) Policy modification B) Policy adoption C) Policy implementation D) Policy assessment Ans: A Which represent ways nurses can actively engage in policy making? (Select all that apply.) A) Testify at congressional hearings B) Disseminate information on health issues in the media C) Serve as members of governing boards D) Document client symptoms following a physical examination E) Review articles in recent nursing journals Ans: A, B, C The nurse collects specific data related to risk factors, health indicators, and health outcomes that determine the burden of disease. Which data would the measure known as HALE yield about health indicators and outcomes? A) Average number of years a newborn is expected to live if current mortality rates continue to apply B) Average number of years that a person can expect to live in “full health” by taking into account years lived in less than full health due to disease and/or injury C) Quantifying the burden of disease to a healthy life on the basis of the loss of years related to the burden of disease. The gap in years reflects the current state of health compared with an optimum state of health of a nation. D) Quantifying the burden of acute illness to a healthy life on the basis of the loss of years related to the burden of acute illness. The gap in years reflects the current state of health compared with an optimum state of health of a nation. Ans: B A community health nurse visits a village in Chad. The nurse has just finished assessing a 10- year-old girl who reports always being hungry. She lives in a home with her mother and father, who both work. She says she's never been to a healthcare provider before. Which level of poverty should the nurse most suspect in this girl and her family? A) Middle B) Moderate C) Relative D) Extreme Ans: D In a healthcare facility, a client is regarded as being healthy if he or she has no diagnosed diseases and is free of any symptoms. Which model of health is in place at this facility? A) Clinical model B) Role performance model C) Adaptive model D) Eudaimonistic model Ans: A A client reluctantly came to the clinic only after his daughter insisted that he do so. The nurse finds that he has type 2 diabetes. When the nurse explains that he has a serious condition, the client brushes it off and says, “I can still work and provide for my family. I'm not sick.” Which model of health has this client adopted? A) Clinical model B) Role performance model C) Adaptive model D) Eudaimonistic model Ans: B The nurse works to identify epidemiologic transitions in the community. Which is an example of a demographic transition? A) High fertility and high mortality, resulting in slow population growth B) Progressive declines in mortality, as epidemics become less frequent C) High and fluctuating mortality, due to poor health, epidemics, and famine D) Further declines in mortality, increasing life expectancy, and predominance of noncommunicable diseases Ans: A