Exam 1 - Chapter 1

Question 1

Primary reason Americans are so concerned with healthcare

Answer 1

National health care costs keep increasing

Question 2

Why are nurses encouraged to get involved in discussions about health care system?

Answer 2

Nurses are largest group of healthcare providers

Question 3

What conclusion can be drawn from examining where nurses are employed?

Answer 3

There is an increased emphasis on community-based health care.

Question 4

Which ethical belief would be most helpful in the current health care crisis?

Answer 4

Emphasis should be on social justice and collective responsibility.

Question 5

What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy lifestyle behaviors, such as daily exercise or healthy food choices?

Answer 5

Public policy emphasizes personal responsibility but ignores social and environmental changes needed for well-being.

Question 6

What responsibility does the ANA Code of Ethics require of the nurse beyond giving excellent care to clients?

Answer 6

Support health legislation to improve accessibility and cost of health care.

Question 7

What is the community health nursing definition of health?

Answer 7

Health is families and aggregates choosing actions to ensure safety and well-being.

Question 8

How does community health nursing define community?

Answer 8

A group of persons who share a common identity and environment

Question 9

Which variable has a major influence on a community’s health?

Answer 9

Behavior choices made by persons in the community

Question 10

What change could most effectively lead to a longer life span in Americans?

Answer 10

The belief that smoking is shameful and disgusting, as well as expensive, becoming the social norm

Question 11

What is the health issue causing the most concern in the United States today?

Answer 11

Obesity

Question 12

What factors are most responsible for the increasing length of life of Americans over the past 100 years?

Answer 12

Better nutrition and family planning options

Question 13

Why would a public health nurse want to know about morbidity and mortality statistics on the local, state, and national level?

Answer 13

To be able to observe the community’s statistics over time and compare the community with other communities

Question 14

How do public health efforts differ from medical efforts in improving the health of our citizens?

Answer 14

Medical care providers focus on disease diagnosis and management, whereas public health care providers focus on health promotion and disease prevention.

Question 15

Which primary prevention would the school nurse choose to address the school’s number of unwed pregnancies?

Answer 15

Convince the school board to allow sex education classes to include birth control measures

Question 16

What would be the proper term for the action of the school health nurse arranging for all the students in the elementary school to receive H1N1 immunizations?

Answer 16

Specific prevention

Question 17

Which action would probably result in the largest change in health care outcomes for Americans?

Answer 17

Redirect a large portion of federal funding from acute care to health promotion activities

Question 18

Which task will be most helpful in meeting the public health agency’s goals?

Answer 18

Actively participate in community agencies’ collaborative action plan to meet the community’s health goals for the year

Question 19

A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?

Answer 19

Reviewing the most recent hospital patient data collected by the local college of nursing

Question 20

A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?

Answer 20

Community-based nursing

Question 21

Which task is most crucial for the community health nurse to do very well?

Answer 21

Give testimony regarding proposed state health legislation

Question 22

A new public health nurse carefully assessed all the local mortality and morbidity data in preparation for making appropriate planning suggestions at a meeting next week. What other action is crucial before the nurse can feel prepared?

Answer 22

Meet members of the community to determine their culture and values

Question 23

Why are high-risk and vulnerable subpopulations identified by public health nurses before deciding on appropriate interventions?

Answer 23

Populations are not homogeneous, and resources are limited.

Question 24

A nurse works very hard to develop alliances among various community organizations toward improving health in the community. What are actions such as this called?

Answer 24

Building coalitions

Question 25

After completing a master’s degree, a nurse took a course in marketing. Should the agency reimburse the nurse’s tuition costs?

Answer 25

Yes, could use such info in social marketing for the agency

Question 26

Which factor is most responsible for differences in an individual’s health?

Answer 26

Individual’s education and income

Question 27

What are the leading health indicators found in Healthy People 2020?

Answer 27

Health systems issues
Individual behaviors
Physical and social environmental factors

Question 28

Public health nurses 2 most important priorities

Answer 28

Engage in political activity to improve living conditions

Work with community to confront health issues and poverty

Question 29

2 primary goals of Healthy People 20/20

Answer 29

Eliminate health disparities

Increase quality and years of health life