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COMMUNITY 1
community 1 TF and multiples
| Question | Answer |
|---|---|
| Because of the influx of immigrants into the US during the 19th century, crowding and communicable disease were common problems. T or F | TRUE |
| What were the two types of community-oriented nursing practice that existed in the 19th century | Visiting Nurses and District Nursing |
| The name of the organization est. in 1912 to standardize public health nursing and community health nursing educ. was the National Organization for Public Health Nursing T or F | TRUE |
| The Healthy People program has decreased the need for disease prevention efforts by public and community health nurses T or F | FALSE |
| Population-based, community oriented and community based approaches to public health nursing are all needed in today's community T or F | TRUE |
| Primary care is part of primary health care T or F | TRUE |
| Primary care is essential care made universaly acessibly to individuals and families in a community; it is made available to all through their full participation and is provided at a cost that the community can affort T or F | TRUE |
| The system that refers to organized community efforts designed to prevent disease and promote health is (multiple choice) | public health system |
| The key problems for the current health care in the US generally focus on which of the following (multiple choice) | all of the above (quality improvement, access to care, cost containment) |
| Which of the following federal agencies is most directly involved with the health and welfare of Americans? (Multiple choice) | US Deptartment of Health and Human Services |
| Nearly 60-80% of primary and preventive care traditionally done by physicians can be done by a nurse practitioner for less money T or F | TRUE |
| more than 70 million people in the US are uninsured and many more simply lack access to adequate health care T or F | FALSE |
| Which of the followings statements about the Code of Ethics for Nurses is NOT true? (multiple choice) | Individual rights can never be overriden by public health considerations |
| Racher (2007) states "community practice is traditionally based on utilitarianism" which of the following statements best aligns with values of utilitarianism? (multi choice) | Does the most good for the most people |
| Ethical principles can be used effectively to help the nurse arrive at the correct decision T or F | TRUE |
| Ethical principles are abstract guides that serve as the foundations for such moral rules as 'always tell the truth' and 'treat equals equally' T or F | TRUE |
| In the public health ethic the ethical principles of beneficence and distributive justice often carry more weight than the ethical principle of autonomy T or F | TRUE |
| The formal principle of distributive justice claims that equals ought to do good and prevent or avoid doing harm T or F | FALSE |
| Virtue ethics are concerned primarily with actions T or F | FALSE (virtue is 'what kind of person should I be - not actions) |
| Deontology is based primarily on consequences T or F | FALSE (deontology is adhering to moral value, not consequences) |
| Understanding the effect of culture on behavior is important to the nurse in community health because culture fits which of the following characteristics (multi choice) | Is learned process that is transmitted by the family, ethnic group, and society |
| The folk health in Native American culture is called which of the following (multi choice) | Shaman (or a medicine man) |
| SCENARIO BASED ON ango-american nursing student has appt. with postpartum Hispanic at 2pm. Q: Instructor agrees student should? Q: instructor & student aware client time viewed? Q: Student behavior example of? Q: What advice can instructor give? | A: Call client ev. 30 minutes. A: From present orientation A: ethnocentrism A: maintain open attitude-avoid seeing all indiv. as alike |
| When serving a culturally diverse population, cmmty health agencies should have which of the following essential resources available? (multi choice) | all of the above (translator, person from cmmty to serve as cultural belief expert, expert/caring nurses |
| Nurse Evans overhears Dr. Peters telling Ms. Lopez that her 7 yr old daughter needs tonsils removed. Lopez is hesitant and wants another opinion. Dr. wants surgery done immediately. As nurse, what do you do? (multi choice) | Obtain more info from client on nature of her concerns |
| Culturally competent nursing care is characterized by which of the following (multi choice) | care that is consistent with client's beliefs |
| One of the reasons cultural competence is being stressed in baccalaureate programs is which of the following (multi choice) | The US population is becoming more heterogeneous (diverse in character or content) |
| Nurses develop cultural competence in many ways, but mainly by which of the following? (multi choice) | Learning from clients as they express their experiences and problem-solving strategies |
| insisting the way your culture does things is the best (or only) way is... | ethnocentrism |
| the tendency to judge all individuals the same is... | stereotyping |
| insisting that Asian clients make direct eye contact with nurses during health teaching program is... | cultural imposition |
| an intense emotional response when working with clients from cultures other than your own is... | cultural shock |
| negative responses of clients to unacceptable nursing practices is... | cultural conflict |
| each nursing assessment should include questions and observations about intended and unintended environmental exposures T or F | TRUE |
| lead poisining is no longer a major environmental health problem in the US T or F | FALSE |
| motor vehicles are the greatest single source of air pollution in the US T or F | TRUE |
| what governemnt accomplishes in the area of health often depends on the particular executive administration and majority political party T or F | TRUE |
| the federal gonverment has had little effect on health care delivery in the last 20 years T or F | FALSE |
| the legal basis on which the federal governemth has functions in health care is found in the Fourteenth Amendment of the US constitution T or F | FALSE |
| the major functin of government in health care is direct delivery of care to many American citizens T or F | FALSE |
| IN the US the historic tradition of self determination and self sufficiency has little influence on individauls beliefs about government involvement in society T or F | FALSE |
| Health People 2020 is an example of national health policy T or F | TRUE |
| which is written first (multi choice) | laws |
| if you were a nurse employed in an industry, which of the follwoing federal laws would affect you the most? (multi choice) | occupational safety and health act (OSHA) |
| list the key components of professional negligence involving a nurse... | duty. breach of duty. failure to act. injuries |
| a nurse practice act can be found in which of the following sources? (multi choice) | state laws |
| in the US the legal standard of prudent nurse is used to judge the competency of a nurses practice T or F | TRUE |
| persons with communicable diseases may be confined or incarcerated if their condition poses a threat to the health of a commuity T or F | TRUE |
| health economics is concerned with problems of producting and distributing the health care rsources of the nation in a way that will provide maximum benefit to the most people T or F | TRUE |
| three major factors have been associated with the growth of the health delivery system: price inflation, changes in population demographics, and technology and service intensity. T or F | TRUE |
| the consumer directly pays the major portion of health care bills out of pocket T or F | FALSE |
| the federal government does not directly provide health care services? T or F | FALSE |
| the prospective cost reimbursement method encourages health care agencies to stay within budget limits T or F | TRUE |
| the prospective payment approach to health care financing will require the consumer to pay a larger portion of the health care bill T or F | TRUE |
| a health care delivery system with primary prevention as the major focus could possibly reduce human and economic costs by decreasing avoidable illness and disability T or F | TRUE |
| service intensity and facilities do not affect the development of health services T or F | FALSE |
| federal regulatory mechanisms contribute little to the cost of health care T or F | FALSE |
| the medicare program is a federal program that provides hopsital and medical insurance to older perosns, permanently and totally disabled persons and persons with end state renal disease T or F | TRUE |
| the traditional reimbursement method for health care services is which of the following (multi choice) | retrospective |
| capitation is a health system payment in which the health care provider receives payment for client services based on one predetermined fee T or F | TRUE |
| poor health outcomes are linked to existing socioeconomic status T or F | TRUE |
| a form of epidemiology that describes a disease according to person, place and time is descriptive epidemiology T or F | TRUE |
| the science of epidemiology is important to nurses in community health predominantly for its usefulness in studying infectious diseases T or F | FALSE |
| clinical medicine focuses on the diagnosis and treatment of disease in individuals and epidemiology focuses on understanding the causes of disease in populations T or F | TRUE |
| nurses in community health should consider secular trends to be a component activity of epidemiologic surveillance T or F | TRUE |
| all components of the epidemiologic triangle must be affected if disease is to occur? T or F | FALSE |
| tertiary prevention incorporates activities designed to detect disease in the early states T or F | FALSE |
| the use of treadmill stress tests is an activity of secondary prevention for cardiovascular disease T or F | TRUE |
| screening programs are an example of primary prevention T or F | FALSE |
| infant mortality rate is used as the indicator of overall health and availability of health care services T or F | TRUE |
| the morbidity rate used most often in infectious disease investigations is prevalence T or F | FALSE |
| Mausener & Kramer report that at the initial exam for Framingham study, the prevalence of CHD was about he same in men as in women 30-44 years of age(5 per 100 in each group_. Do these equal rates mean men and women have equalrisk for develping CHD?... | No |
| secular trends are patterns of mortality and morbidity that may reflect changes in social behaviors and practices T or F | TRUE |
| the consistency or repeatability of a measure is called the reliability of a measure T or F | TRUE |
| specificity is a type of validity that indicates how accurately the test identifies those people without a particular disease T or F | TRUE |
| the person historically described as the father of epidemiology is which of the following? (multi choice) | Snow |
| which of the following constitutes the epidemiologic triangle (multi choice) | agent, host, environment |
| the complex contributory interrelationship of many factors that interact to affect disease is which of the following? (multi choice) | web of casualty |
| which of the following illustrates a host factor? (multi choice) | diet |
| which of the following best describes a rate? (multi choice) | a measure of the frequency of health event in a defined population during a specified period of time |
| analysis associated with descriptive epidemiology incorporates which of the following questions? (multi choice) | who was affected AND where where the affected (who, where, when) |
| identify each of the following as a primary, secondary, or tertiary prevention: screening for glaucoma? Environmental control measures? Rehab for stroke? Health fair info about radon? Health for BP checks? Immunizations for measels? | glaucoma/secondary. Environmental/primary. Stroke rehab/tertiary. Health fair radon/primary. Health fair BP/secondary. Immunize for measels/primary |
| identify each of the following as a primary, secondary, or tertiary prevention: Educating young women about birth control/prenatal care? MIdnight ball game for atrisk youth? Neonatal ICU? | educating youth birth control/prenatal care/primary. Midnight ball game/primary. Neonatal ICU/tertiary |
| what is the underlying principle of evidence-based practice?... | evidence rather than tradition |
| which of the following is the highest level of evidence-gathering in evidence-based practice? (multi choice) | randomized clinical trials |
| in the US the national health objectives (health ppl 2000/2010/2020) indicate major health concerns for different age groups while providing specific standards and evaluation outcome measures T or F | TRUE |
| which of the following types of evidence was not used by the Minnesota Dept of Health to develop a model of public health nursing interventions? (multi choice) | survey of nursing facility |
| health education is a vital part of community-oriented nursing T or F | TRUE |
| if health education is successful the client should not have to change any behaviors T or F | FALSE |
| all of the following are types of domains that make up the nature of learning EXCEPT which of the following? (multi choice) | spiritual |
| which of the following learning strategies would be most appropriate for a health fair for children between the ages of 6 and 12? (multi choice) | interactive games |
| the nurse in community health assesses the learning needs of the community by which of the following? (multi choice) | examining the health people 2020 education objectives and determining whether any of the objectives listed are appropriate for the commnity |
| all of the following are components of educational evaluation except: (multi choice) | needs evaluation |
| the goal of the education product is a measureable change in the health status or behavior of a client T or F | TRUE |
| what is a good size for a small group whose purpose is focused on individual health change?... | generally 8-12 |
| identify two positive ways to respond to conflict?... | assertiveness and cooperativeness |
| group accomplishment marking progress should be celebrated T or F | TRUE |
| norms are the measures of attraction between members and the group T or F | FALSE |
| groups are influenced positively when there is some varied diversity in member backgrounds T or F | TRUE |
| advising is a group leadership behavior that involves the leader verifying the meaning of interactions and communication through restatement T or F | FALSE |
| maintenance norms create group pressures to reaffirm and maintain the comfort of group members T or F | TRUE |