Population Week 1 PP

A public health nurse is developing a community health program. Which action best demonstrates population health nursing practice?

Identifying barriers to preventive care among an underserved neighborhood

A healthcare organization is evaluating whether it has successfully implemented the Triple Aim. Which outcomes should the nurse expect? Select all that apply.

- Improved patient satisfaction
- Improved population health
- Reduced healthcare costs

A public health nurse is deciding which intervention should receive priority for a community with a high incidence of type 2 diabetes. Which intervention represents primary prevention?

Teaching community members about healthy nutrition and physical activity

A county health department discovers that childhood immunization rates are significantly lower in one neighborhood than in surrounding communities. The nurse conducts a community assessment to determine why vaccination rates are low.

Which core public health function is the nurse performing?

Assessment

After completing a community assessment, the public health nurse discovers that many residents lack access to affordable preventive healthcare. The nurse works with community leaders to develop a proposal for expanded community health services.

Which core public health function is being demonstrated?

Policy development

A community health assessment identifies a high rate of hypertension among adults. The health department establishes free blood pressure screening clinics and ensures residents can access follow-up care.

Assurance

A public health nurse notices that residents in a particular neighborhood have higher rates of uncontrolled hypertension. The nurse discovers that many residents have limited transportation, live in food deserts, and cannot afford medications.

Which concept should guide the nurse's plan of care?

Social determinants of health

A public health nurse identifies a group of residents who could benefit from a smoking cessation program. The nurse contacts residents who have not previously sought assistance and provides information about the program.

Which principle of public health nursing is demonstrated?

Public health nurses should actively identify and reach those who may benefit

A public health department has funding for a new preventive health program. The nurse recommends allocating additional resources to a community with significantly higher rates of preventable disease and fewer healthcare resources.

Which public health principle supports the nurse's recommendation?

Equity

A nursing student is reviewing the history of public health nursing. Which historical figure should the student associate with establishing the Henry Street Settlement?

Lillian Wald

A public health nurse is preparing an intervention to reduce childhood obesity. The nurse reviews current research, considers professional expertise, and incorporates the community's preferences and values.

Which concept is the nurse applying?

Evidence-based nursing

A nurse is working with a community experiencing an increase in respiratory illnesses. Which intervention is most consistent with the population-based Public Health Intervention Wheel?

Teaching an entire neighborhood about reducing exposure to environmental pollutants

A public health nurse is participating in a community disaster preparedness meeting. Which concern represents one of the major challenges for public health nursing in the 21st century?

Developing coordinated responses to natural and human-made disasters

A public health nurse is assigned to a community with high rates of preventable chronic disease. The nurse has four possible interventions. Which should be prioritized?

Develop community-wide health promotion and disease prevention programs

A public health nurse is assessing a neighborhood in which residents share the same geographic boundaries and are governed by the same city government.

Which type of community is the nurse assessing?

Geopolitical community

A nurse is assessing a group of individuals who live in different neighborhoods but share a common religious belief and regularly participate in the same cultural activities.

Which type of community does this represent?

Phenomenologic

A public health nurse is beginning an assessment of an unfamiliar neighborhood. The nurse drives through the community and observes housing conditions, transportation, grocery stores, schools, parks, businesses, and signs of environmental hazards.

Which assessment method is the nurse using?

Windshield survey

A nurse is assessing a community that has experienced major demographic and cultural changes over the past 50 years. The nurse reviews historical records to understand how these changes have influenced current health conditions.

Which approach is the nurse using?

Developmental approach

A public health nurse wants to determine whether a community has experienced an increase in physical inactivity, obesity, hypertension, and mental health concerns.

Which assessment approach would be most appropriate?

Functional health status approach

A county health department reports that cases of influenza have increased from 500 cases last year to 1,200 cases this year. The public health nurse examines which populations are affected, when cases occur, and possible factors associated with the increase.

Which approach is the nurse using?

Epidemiologic approach

A community assessment reveals a high rate of childhood obesity. Instead of focusing only on the community's problems, the nurse identifies several existing resources, including:

• A local recreation center

• Community gardens

• Churches with large meeting spaces

• Volunteer fitness instructors

• A local grocery store willing to provide nutrition education

Which assessment approach is being demonstrated?

Assets-based approach

A public health nurse is conducting a community assessment. Which action best demonstrates the collaborative model?

An interdisciplinary team works with community members to identify health concerns and resources

A nurse is reviewing assessment data from four communities. Which community should receive the highest priority for intervention?

A community with high rates of preventable disease, significant health-risk behaviors, and insufficient healthcare resources

A public health nurse identifies four potential interventions for a community experiencing increasing rates of diabetes. Before selecting an intervention, which factors should the nurse consider? Select all that apply.

- Whether the intervention is affordable
- Whether the intervention can be completed within the needed timeframe
- Whether enough appropriately skilled people are available
- Whether community partners are available