Definitions
This term means complete physical, mental, and social well-being, not merely the absence of disease
What is health?
This determinant affects whether a person has a stable place to live.
What is housing?
A diabetic patient keeps returning to the hospital because they cannot afford insulin. What issue should the nurse identify first?
What is access to care?
A public health nurse discovers that many children in a community have elevated lead levels. What is the nurse's FIRST action?
What is collect data and assess the extent of the problem?
Rationale: Before advocating for change, the nurse needs evidence (Right Information)
The largest professional nursing organization in the United States.
What is the American Nurses Association (ANA)?
The health outcomes of a group of individuals, including the distribution of outcomes within the group.
What is population health?
A nurse notices a patient cannot afford medications due to low wages.
What is an income disparity?
A nurse is comparing two interventions:
Which intervention best reflects population health nursing?
What is the county-wide healthy eating initiative?
A nurse wants to influence legislation regarding safe staffing ratios. Who should the nurse contact FIRST?
A. Local meteorologist
B. State legislator
C. Hospital volunteer
D. Insurance company
Who is the state legislator?
This organization focuses heavily on nursing education.
What is the National League for Nursing (NLN)?
Science and practice of preventing disease and promoting health through organized community efforts.
What is public health?
A community has low graduation rates and poor health outcomes.
What is education?
A community has rising rates of Type 2 diabetes.
Which intervention demonstrates population health nursing?
A. Teach one patient how to check blood sugar
B. Create a community diabetes prevention program
C. Administer insulin to a hospitalized patient
D. Teach one family about healthy eating
What is creates a community diabetes prevention program? (B)
A nurse wants to stay informed about nursing legislation, healthcare reform, and advocacy opportunities.
Which organization would be MOST helpful?
A. CDC
B. ANA
C. Joint Commission
D. WHO
What is the ANA (American Nurses Association)?
-The ANA is involved in nursing advocacy and policy?
A nurse wants updates on nursing legislation, staffing issues, and advocacy opportunities. Which organization would likely be most helpful?
What is the ANA?
Conditions in which people are born, live, work, learn, worship, and age.
What are social determinants of health?
A community has low rates of exercise despite widespread health education programs.
The nurse discovers there are no sidewalks, parks, or safe places to walk.
Question:
Which social determinant of health should the nurse address?
What is the neighborhood and built environment?
A county wants to reduce infant mortality.
Which nursing intervention would likely have the GREATEST impact?
A. Purchase new hospital beds
B. Increase access to prenatal care
C. Buy additional IV pumps
D. Increase parking spaces
What is increase access to prenatal care?
A nurse notices unsafe staffing on a medical-surgical unit. According to concepts discussed in H.B. 535, what is the BEST action?
A. Quit immediately
B. Ignore the issue
C. Participate in the nursing care committee
D. Call the news
What is participate in the nursing care committee?
* H.B. 535 emphasizes nurse involvement in staffing decisions through committees.
This organization represents nurses internationally.
What is the International Council of Nurses (ICN)?
A fair and just opportunity for everyone to attain their highest level of health.
What is health equity?
Policies and systems that create unequal opportunities for groups of people.
What is structural racism?
A nurse is asked to choose the BEST intervention to improve health outcomes in a community with:
Which intervention would have the GREATEST long-term impact?
A. Open a temporary clinic
B. Provide one-time health screenings
C. Address housing, education, and healthcare access simultaneously
D. Distribute health pamphlets
What is address housing, education, and healthcare access simultaneously? (C)
A nurse identifies increasing maternal mortality rates in her county.
Place the following actions in order:
What is?
A nurse wants to advocate for healthcare reform but doesn't know where to begin.
What is the BEST first step?
A. Contact a senator immediately
B. Gather accurate information and evidence
C. Start a petition
D. Contact the media
What is gather accurate information and evidence? (B)
A nurse uses data to study who gets a disease, where it occurs, and why it occurs within a population.
What is epidemiology?
A hospital notices that patients from one ZIP code have significantly higher rates of missed appointments than patients from neighboring ZIP codes.
The nurse discovers there is no public transportation route connecting that area to healthcare facilities.
Question:
Which social determinant of health is most directly affecting this population?
What is transportation (healthcare access and neighborhood environment)?
A public health nurse is given funding to improve community health.
Which project would likely produce the GREATEST long-term improvement in population health?
A. Purchase additional hospital beds
B. Build a larger emergency department
C. Develop early childhood education programs
D. Purchase new ventilators
What is develop early childhood education programs? (C)
A nurse discovers that a proposed healthcare bill may reduce access to prenatal care for low-income women.
What action best demonstrates political advocacy?
A. Complain to coworkers
B. Post frustration on social media
C. Contact legislators and provide evidence about maternal outcomes
D. Wait for the bill to pass
What is Contact legislators and provide evidence about maternal outcomes? (C)
A public health nurse notices increased asthma hospitalizations among children. Data show poor housing conditions, mold exposure, and limited healthcare access.
The nurse:
Question:
Name FOUR Chapter 3 concepts demonstrated by this nurse.
Any four you named are right: