Health Planning for Primary Care Settings
You are a PHN instructed to create a health protection program for the community. Which option accurately represents the type of program you are supposed to create?
a. Influenza vaccines for elementary school students
b. A program for the elderly to teach them about the dangers of low-risk alcohol use
c. Free exercise program for office workers
d. Support group for teenagers to help them stop smoking
a. Influenza vaccines for elementary school students
You are a parish nurse speaking with high school students during their annual job fair. A student in the class asks you what your job consists of. How would you respond?
a. I work within a school setting and keep students healthy so they can achieve their academic goals.
b. I primarily pray for patients in the hospital who are almost at the end of their life.
c. I focus on health promotion, education, and personal health counseling for the church congregation.
d. I counsel patients who have different mental health disorders and assist with treating their conditions.
c. I focus on health promotion, education, and personal health counseling for the church congregation.
This concept is built on the premise of a holistic approach that encompasses accessible, coordinated, and team-driven delivery of primary care that relies on outcome measurement and evidence-based practice.
a. acute care model
b. community health concept
c. patient-centered medical home
d. interprofessional collaboration
e. Holistic resurgence
c. patient-centered medical home
You are a PHN traveling to a new rural town. Which of the following public health issues should the nurse anticipate to see within the community? Select all that apply.
a. Lack of primary care physicians
b. Poor dental health
c. High incidences of crime
d. High incidences of injury-related deaths
e. Poor air quality
f. Many residents having limited or no health insurance
a. Lack of primary care physicians
b. Poor dental health
d. High incidences of injury-related deaths
f. Many residents having limited or no health insurance
Match the following sites to their definition:
a. Federally qualified health center
b. Free clinic
c. Private clinic
d. Nurse managed health center
1. provide health care to underserved populations on a sliding scale and must provide comprehensive services.
2. provide high-quality, affordable care and serve as training sites for future advance practice nurses.
3. safety-net health-care organizations that provide a range of services. depend heavily on a volunteer workforce.
4. do not receive direct federal support, but most accept payment through Medicaid and Medicare. financial structure is based on a fee-for-service model.
A. Federally qualified health center- provide health care to underserved populations on a sliding scale and must also provide comprehensive services.
B. Free clinic- safety-net health-care organizations that provide a range of services. depend heavily on a volunteer workforce.
C. Private clinic- do not receive direct federal support, but most accept payment through Medicaid and Medicare. financial structure is based on a fee-for-service model.
D. Nurse managed health center- provide high-quality, affordable care and serve as training sites for future advance practice nurses.
Sam is a nurse working with residents of a low income community. Sam's goal is to increase the resident's capacity to make choices and to transform those choices into desired actions and outcomes. Which of the following describes Sam's goal?
a. Partnerships
b. Community organizing
c. Community empowerment
d. Community based participatory research
c. Community empowerment
Case management is an important part of improving patient's overall health and wellness. Which of the following is true regarding case management? Select all that apply.
a. Case managers are part of the interprofessional healthcare team.
b. Case management is part of primary prevention within the primary care setting.
c. Case management can be diagnosis focused, patient-type focused, or site-focused
d. Case management has been shown to improve patient outcomes.
e. Case management has been proven to show improved results but is often costly and unattainable for most.
a. Case managers are part of the interprofessional healthcare team.
c. Case management can be diagnosis focused, patient-type focused, or site-focused
d. Case management has been shown to improve patient outcomes.
Jane is a PHN in a rural community. She wants to assist more clients by utilizing telehealth. How has telehealth been useful in increasing access to healthcare and proficiency in providing care? Select all that apply.
a. It has helped decrease ED admissions
b. Nurses in rural areas can present patient information to a provider at a higher-level facility
c. It can transmit physiological data and images
d. Nurses can review care education with patients (ex. dressing changes, insulin dosage, etc.)
e. physicians can diagnose complex medical cases
a. It has helped decrease ED admissions
b. Nurses in rural areas can present patient information to a provider at a higher-level facility
c. It can transmit physiological data and images
d. Nurses can review care education with patients (ex. dressing changes, insulin dosage, etc)
One of the emerging primary care public issues is the current opioid epidemic. Which of the following are key recommendations for practice in primary care when it comes to opioids? Select all that apply.
a. Use nonopioid analgesics when possible.
b. Identify cause of pain: History, assessment, testing, diagnosis
c. Prescribe opioids as prn for better control pain
d. Limit supply to 3-5 days (some states have specified time)
e. Prescribe extended release OPRs when a client is starting opioid therapy
a. Use nonopioid analgesics when possible.
b. Identify cause of pain: History, assessment, testing, diagnosis
d. Limit supply to 3-5 days (some states have specified time)
Greg is a PHN in charge of conducting community-based participatory research (CBPR) in a neighboring town. He is informing his team on the ethical issues that might arise when completing CBPR. Which of the following statements indicates the team member understands how to handle the issues associated with CBPR? Select all that apply.
a. "We must ensure the community will actually benefit from the research."
b. "We will be doing all the research so community members do not feel burdened with this task."
c. "We have to figure out a way to share the data we find with members of the community."
d. "We will share leadership roles with the community."
a. "We must ensure the community will actually benefit from the research."
c. "We have to figure out a way to share the data we find with members of the community."
d. "We will share leadership roles with the community."