Multi Choice
Which should you prioritize when allocating resources during a flu outbreak?
A. The political preferences of the community leaders
B. The cost effectiveness of the resource allocation process
C. The needs of those most at risk
D. The convenience of healthcare workers administering the resources
C. The needs of those most at risk
While the other answers may come into play, the priority would be to help the most people.
What is the main goal of the Healthy Start initiative?
Focuses on reducing infant mortality and low birth weight
Which of the following should the nurse include as a key component of improving childhood health?
A. Maternal child health
B. Immunization program
C. American with Disabilities Act (ADA)
D. School Health
B. Immunization Program.
The others, while they could be relevant to kids, would not have the most direct impact on improving health, and the question asked for the "key component" of the initiative. All could be considered correct, but the others are not the most correct (frustrating I know)
A windshield survey would provide primary or secondary data?
Primary.
This is data collected directly by the assessment team whereas secondary data includes the examination of data already collected for another purpose (such as census data).
Name 3 of the 4 vital statistics. **Hint: they all come with a certificate.
Births
Deaths (including fetal deaths)
Marriages
Divorces
What principal should guide your decision when deciding how to allocate resources?
A. Distributing resources to have the greatest impact
B. Satisfying business interests
C. Catering to the majority of community members
D. Using resources that are most convenient for healthcare providers
A. Distributing resources to have the greatest impact
While the word isn't in this question, it is asking what the priority principal would be in making a decision. In the instance of resource allocation, equity is the most important principal (of the options given in this example).
What program would you recommend to a mother who makes too much to qualify for Medicaid but cannot afford private insurance for her children?
Children's Health Insurance Program (CHIP)
You are working with mothers with disabilities in accessing necessary services. Which of the following should you emphasize in this pursuit?
A. WIC
B. Healthy Start
C. Maternal child health
D. American with Disabilities Act (ADA)
D. American with Disabilities Act (ADA).
The others, while potentially helpful, are not addressing the key concern which is mothers needing access to services related to having a disability. No where in the question does it mention/imply the mother needs help with prenatal care, that she's pregnant, or that she needs help with general medical care/feeding her family.
What is qualitative vs quantitative data?
Quantitative Data is data that can be calculated with numeric values
Qualitative data is that which cannot be assigned a value but instead it represents the opinion or viewpoint of an individual providing information.
Which would most likely be needed to continue to receive federal funding:
A. Results from a community survey demonstrating support for the program
B. A detailed progress report that includes program outcomes and financial usage
B. A detailed progress report that includes program outcomes and financial usage.
Federal/state govts and grant providers don't care if "the people" want it or how you apply/ask for funds, they want to see proof that coughing up the resources is worth it. For these questions the answer is most likely providing proof of how funds are being used. But read it carefully, b/c it may be asking something else!
During a windshield survey you notice that a grade school is poorly maintained, with cracked sidewalks and an overgrown yard. What would be the most beneficial intervention for the community?
A. Economic development incentives
B. Neighborhood watch programs
C. Increased public transportation options
D. Community beautification program
D. Community beautification program.
We haven't talked about beautification programs but you can easily rule out the other choices. Everything may not sound familiar!
What program would you recommend to an elderly patient on a fixed income who is struggling to afford healthcare?
Medicare
Medicare is for the elderly, Medicaid is for low income families. **Think elderly patients need more care, so they need Medicare
What is the first step a nurse should take after the discovery of an outbreak in a community?
Notify the Department of Health
This is done even before the nurse would start on treatment
Which type of assessment would you complete when designing health promotion opportunities specific to a middle school?
A setting specific assessment
Is this a SMART objective? Why or why not?
Hold smoking cessation courses at St. Patrick Catholic Church every month for six months to ensure 100% of residents quit smoking by the end of the campaign.
No, it is not attainable/achievable, and it's unreasonable to ensure 100% of residents will quit smoking. The goal is, however, specific, measurable, relevant and timebound.
Sidenote: With these types of questions on the test we infer that they're relevant if there is no background in the question to tell us otherwise.
Which best describes the criteria a nurse should use regarding resource allocation?
A. The opinions of government officials
B. The most economical approach
C. The nurse's ethical and moral principals
D. The needs of the community as a whole rather than the needs of the few
D. The needs of the community as a whole rather than the needs of the few
Again, while these other options may come into play, the question is asking which best describes the criteria the nurse should use, so which would be the priority.
What program would you recommend to a low-income family who is struggling to afford their medical care?
Medicaid
Medicaid is for low income families, Medicare is for the elderly. If you can remember who gets Medicare (which I think is a little easier) you'll remember the other option is for low-income families.
**Think elderly patients need more care, so they need Medicare
During a windshield survey you notice children playing in parking lots and on roads/sidewalks. What change could you recommend that would help this community?
Something to keep the children corralled in a safer place to play, such as having the city build more parks and playgrounds
Which type of assessment would you complete when designing health promotion opportunities specifically for elderly residents?
Population-focused assessment
What is an example of an upstream intervention that would address obesity?
Zoning laws to increase access to parks and recreational areas or to increase the availability of walking paths.
Limiting the number of fast food restaurants in a community
Healthy food in vending machines
Policies that reward people for being under a BMI of 30 and/or penalize those over (rude, but would count)
Community held exercise programs/classes
More exercise facilities built in the community
Having daycares put into exercise facilities
You are planning an intervention for a community to address high rates of obesity. Which action should you prioritize in the planning phase of the program?
A. Gather community members for a town hall meeting
B. Conduct a community health needs assessment
C. Implement healthy eating programs in schools
D. Develop educational materials on lifestyle changes.
B. Conduct a community health needs assessment.
The other steps will be important, but the question is asking which should you prioritize, which means which would you do first. Before you hold a meeting, implement programs or create educational materials you need data to understand the full scope of the problem.
You're working in a community with a high number of pregnant women in need of nutritional support. Which program should you recommend?
WIC, but will also take Healthy Start (they would likely refer to WIC).
WIC is administered at the federal level by the Food and Nutrition Service of the U.S. Department of Agriculture and this question specifically mentions the issue of pregnant mothers needing nutritional support. Healthy Start is a more comprehensive program (health education, well-baby clinics, provision of adequate prenatal care, meeting basic health needs, reducing barriers to access, and empowering clients)
Which would be a health change due to local health policy:
A. More individuals being eligible for CHIP benefits
B. Lower rates of food poisoning due to restaurant inspections
B. Lower rates of food poisoning due to restaurant inspections.
CHIP is operated federally, not at the local level
Which type of assessment should a nurse conduct to determine the immediate needs of a population following a devastating hurricane?
Rapid needs assessment
Just like a rapid-response or code in the hospital, this type of community health assessment is undertaken immediately after a disaster or event
Which accurately describes the role of an STI RN?
A. Screen all known sexual contacts of someone with a confirmed reportable STI
B. Screen all residents of a long term care facility with a Hx of STI
C. Contact local providers to keep track of all Dx STIs
A. Screen all known sexual contacts of someone with a confirmed reportable STI
Unless we are doing specific research, bothering Gam-Gam by interviewing her about that wild phase in her 20s isn't going to help anything, and therefore not routine practice.
Not "all" STIs are reportable, so the comment "...to keep track of all diagnosed STIs" rules out that option.