Chapter 12 Family-Focused Care to Meet Population Needs

Chapter 12  Family-Focused Care to Meet Population Needs

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The public health nurse is writing the annual service plan for her agency. Which of the following data would be most helpful to her?
1.
A recent community needs assessment
2.
A list of the county board members
3.
The names and contact information for the physicians in the county
4.
The most recent hospital census data

ANS: 1

Feedback
1
The needs assessment details gaps in health services and provides support for planning and prioritizing programs.
2
A list of board members may be included in the plan, but the list itself is not helpful in setting health services priorities.
3
It is important to know who the physicians are in the county and their specialties, but this is not sufficient information for planning and prioritizing health services programs.
4
The numbers of hospitalized patients in the county does not provide enough information to support planning and prioritization of health services in the county.

PTS: 1
KEY: Content Area: Management of Care: Establishing Priorities | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Evaluation| Question Type: Multiple Choice

2. A public health nurse is new to his position and wants to get an overview of the health issues in the county. Which of the following items would be least helpful in providing him information?
1.
A windshield survey
2.
The state health commissioner’s blog
3.
The statewide health assessment
4.
The county vital statistics and county trends

ANS: 2

Feedback
1
The windshield survey provides an overview of health and other community services, the population characteristics, and the individual, family, and community needs.
2
The state health commissioner’s blog is not targeted to the particular county’s health needs.
3
Contains the top health needs in the state divided by county.
4
County vital statistics report the distribution of the population by age, gender, marital status, cultural/ethnic group, education level, home ownership, and income. The county trends demonstrate the direction of change for each of the county vital statistics. These data help the nurse to develop programs targeted toward specific subpopulation needs within the community.

PTS: 1
KEY: Content Area: Management of Care—Continuity of Care | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Evaluation | Question Type: Multiple Choice

3. Providing women who may become pregnant with statewide safe eating guidelines for fish is an example of which of the following?
1.
Obesity prevention
2.
Primary health prevention
3.
Secondary health prevention
4.
Tertiary health prevention

ANS: 2

Feedback
1
Eating fish is recommended as part of a healthful diet.
2
Primary prevention is aimed at decreasing mercury and/or polychlorinated biphenyl (PCB) exposure of the pregnant woman and the developing fetus. Mercury is known to cause neurological system damage, including damage to the growing brain. Prenatal PCB exposure is associated with low birth weight and developmental delays.
3
Secondary prevention is aimed at screening for toxic exposures.
4
Tertiary prevention is aimed at treating infants and children who have suffered toxic exposures.

PTS: 1
KEY: Content Area: Health Promotion and Maintenance: Health Promotion/Disease Prevention | Integrated Process: Nursing Process | Client Need: Health Promotion and Maintenance | Cognitive Level: Application | Question Type: Multiple Choice

4. The primary role of the public health nurse (PHN) is which of the following?
1.
Home visiting to provide companionship to the elderly
2.
Delivery of acute care nursing services in the homes of children with cancer
3.
Development of tertiary prevention plans for type 2 diabetics
4.
Health promotion and disease prevention

ANS: 4

Feedback
1
Home visiting for companionship is not a skilled nursing intervention.
2
Acute care in the home is provided by home health RNs, not PHNs.
3
Tertiary plans of care are generally developed by nurses employed in hospitals and clinics.
4
PHNs focus on primary and secondary prevention in the community with individuals, families, and populations.

PTS: 1
KEY: Content Area: Management of Care | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice