Chapter 4 Flashcards

1
Q

A public health nurse (PHN) conducts a community health assessment to identify the needs of a population. For example, the PHN might gather data to provide the rationale for a pediatric clinic in a low income area. He or she would take into account the socio demographics of the community, as well as the:
A. preventative health concerns
B. need for more medical facilites
C. collaboration of the community
D. lifestyle concerns

A

A. preventative health concerns

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2
Q

A PHN is assigned to an area to do a community assessment. The demographic data the nurse collects includes:
A. insurance company preference
B. Religious affiliation
C. educational levels
D. medical results

A

C. educational level

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3
Q

A nursing instructor explains to a nursing student that information about a community’s health services and resources includes all of the following factors except:
A. service use patterns
B. treatment data
C. insurance costs
D. provider/client ratios

A

C. insurance costs

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4
Q

A nursing instructor describes one approach to conducting an assessment as a collection of data about the populations living within the community; an assessment of the assets within the community, such as the local health department capacity; and the identification of problems and issues in the community, such as unmet needs and health disparities, and opportunities for action. The instructor explains that this type of approach is called a:
A. rapid needs assessment
B. comprehensive community assessment
C. population focused assessment
D. health impact assessment

A

B. comprehensive community assessment

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5
Q

A PHN is looking for a tool to help conduct a community assessment. The nurse can get such a tool from the:
A. national institute of occupational safety and health
B. affordable care act
C. institute of medicine report the future of public health
D. community health assessment and group evaluation

A

D. community health assessment and group evaluation

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6
Q

A PHN goes to a factory to find out why employees are missing so many work days. what type of assessment would be the most appropriate in this case?
A. setting specific assessment
B. health impact assessment
C. problem or health issue based assessment
D. population focused assessment

A

A. setting specific assessment

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7
Q

In order to develop maintenance and survival strategies for a community in the event of an emergency, a PHN looks for useful places, persons, and systems. This part of the assessment is called:
A. capacity building
B. needs assessment
C. participatory research
D. asset mapping

A

D. asset mapping

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8
Q

A PHN uses the mobilizing for actions through planning and partnerships (MAPP) strategic model because of its distinct use for assessing what particular aspect of a public health situation?
A. financial
B. mortality
C. intervention
D. geographic

A

C. intervention

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9
Q

A PHN is using the MAPP model to conduct an assessment within the community and has reached Phase 3, the four assessments. The nurse understands that analysis of the legislation, technology, and other external positive and negative influences that have an impact on the promotion and protection of the public’s health is called a:
A. community themes and strengths assessment
B. forces of change assessment
C. community health status assessment
D. local public health system assessment

A

B. forces of change assessment

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10
Q

A PHN was asked to come to a town that was having some noticeable health problems. Driving through town, the nurse noted that there were many for-sale signs, as well as very little green space and some trash in the street. This pre-assessment phase is called a:
A. community themes and strengths assessemt
B. community health assessment and group evaluation
C. community health status assessment
D. windshield survey

A

D. windhsield survey

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11
Q

A relatively permanent statistical subdivision of a county that averages between 2,500 and 8,000 inhabitants is called a:
A. census block
B. secondary data
C. census tract
D. health care sector

A

C. census tract

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12
Q

According to the CHANGE model, the aspect of a community that includes community-wide efforts that have an effect on the social and built environments such as improving food access, walkability or bike-ability, tobacco use or exposure, or personal safety is called the:
A. community institution or organization sector
B. health care sector
C. community at large sector
D. preventative sector

A

C. community at large sector

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13
Q

A nursing student is learning about a type of sampling in which a list of the possible participants is present and the number needed for the sample is divided into the total population. From that point, n, every nth person is chosen for the sample. The student learns that this type of sampling is called:
A. quota sampling
B. convenience sampling
C. simple random sampling
D. systematic sampling

A

D. systematic sampling

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14
Q

A community assessment team found that the problem with their surveys of older adults was that there was not enough information on the health-related quality of life (HRQoL) for those over the age of 65 who were not living in a health-care facility. The best approach to assess this population is to do surveys:
A. by personal interview
B. by mail
C. by telephone
D. online

A

A. by personal interview

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15
Q

A nursing student is listening to a lecture in which the instructor explains that a population pyramid is a way to visually compare a population for a certain demographic such as age. If a pyramid has a broad base and a small top, it represents:
A. slow growth
B. rapid growth
C. equal growth
D. mostly older people, with no growth

A

B. rapid growth

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16
Q

Using the Kinship/Economics/Education/Political/Religious/Associations (KEEPRA) model for observing formal institutions in a community, the PHN recognizes that which of the following categories assesses the number or availability of recreational centers?
A. education
B. kinship
C. associations
D. economic

A

C. associations

17
Q

A nursing student is listening to a lecture on community assessment tools. The nursing instructor explains that PHNs have found that some of the best uses of the Geographic Information Systems (GIS) include which of the following?
A. to locate medical facilities
B. to identify spatial data
C. to display environmental risk factors and health risks
D. to display demographic data
E. to display socioeconomic data

A

B. to identify spatial data
C. to display environmental risk factors and health risks
D. to display demographic data
E. to display socioeconomic data

18
Q

A PHN wants to conduct an assessment in the community and intends to start by collecting data through the use of a survey. The PHN recognizes that the advantages of a health indicator survey that measures health-related quality of life (HRQoL) include which of the following?
A. HRQoL is a multidimensional construct that relates to a person’s perception of hte impact their physical and emotional health has on their quality of life
B. HRQoL is an indicator of how much health insurance will pay if you are in the hospital
C. including HRQoL items on a survey will provide information on the health of the community that the secondary data does not provide
D. HRQoL ascertains if a intervention is needed
E. HRQoL contains information that is quantitative rather than qualitative in nature

A

A. HRQoL is a multidimensional construct that relates to a person’s perception of hte impact their physical and emotional health has on their quality of life
C. including HRQoL items on a survey will provide information on the health of the community that the secondary data does not provide
D. HRQoL ascertains if a intervention is needed

19
Q

A public health team wanted to track the changes in a population within their town, particularly a shift in the Hispanic population. Currently, the town’s population is 60% Hispanic, whereas five years ago, it was 39%. The percentage change is ____________________.

A

53.8%

20
Q

A PHN wants to calculate the age-adjusted crude death rate of a community. If the total number of expected deaths is 365 and the total standard population is 60,000, then the death rate would be ____________________.

A

608 per 100,000 deaths