All Multi Choice
Which should you prioritize when allocating resources during an flu outbreak?
The political preferences of the community leaders
The cost effectiveness of the resource allocation process
The needs of those most at risk
The convenience of healthcare workers administering the resources
The needs of those most at risk
What is the main goal of the Healthy Start initiative?
Focuses on reducing infant mortality and low birth weight
You're working on an outreach program to help improve childhood health. Which of the following should you include as a key component of the initiative?
Maternal child health
Immunization program
ADA
School Health
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)
T of F: A nurse collecting data to identify trends in obesity would be described as surveillance.
True
Name 3 of the 4 vital statistics. **Hint: they all come with a certificate.
Births (including fetal deaths)
Deaths
Marriages
Divorces
What principal should guide your decision when deciding how to allocate resources?
Equity in distributing resources to have the greatest impact
Satisfying business interests
Pleasing the majority of the community members
Using resources that are most convenient for healthcare providers
Equity in distributing resources to have the greatest impact
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)
"federal government provides matching funds to states for coverage of children in families whose incomes are too high to qualify for Medicaid, yet they remain unable to afford private insurance"
You are working with mothers with disabilities in accessing necessary services. Which of the following should you emphasize in this pursuit?
WIC
Healthy Start
Maternal child health
ADA
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.
T or F: A nurse gathering data about water quality to assess potential health risks to the community would be considered surveillance.
False. Would be considered researcher.
Difference between this question and the previous one is that in this instance you are gathering data to r/o the need for a potential intervention whereas in the previous question you were just gathering the data to monitor (or surveil) a trend. No mention of a use for the data.
Which would most likely be needed to continue to receive federal funding; results from a community survey demonstrating support for the program or a detailed progress report that includes program outcomes and financial usage?
A detailed progress report that includes program outcomes and financial usage.
Federal/state gov 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 their time and money. 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?
Community beautification program
Economic development incentives
Neighborhood watch programs
Increased public transportation options
Community beautification program.
We haven't talked about beautification programs, term isn't even in the book, but you can easily rule out the other choices. You don't have to know everything!
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 next step for a public health nurse after an outbreak in a community?
Notify the Department of Health
This is done even before the nurse would start on treatment
T or F: A nurse working with local community officials to prompt a vote to improve smoking cessation efforts would be an example of case management.
F. Would be advocacy. There are no "typical nursing interventions" going on, but we are using our role as a community health nurse to advocate for the health betterment of the community.
Is this a SMART goal? 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. It's unreasonable to ensure 100% of residents will quit smoking.
sidenote: With these types of questions on the test we infer (never assume) 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?
The opinions of government officials
The most economical approach
The nurse's ethical and moral principals
The needs of the community as a whole rather than the needs of the few
The needs of the community as a whole rather than the needs of the few
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?
More parks and playgrounds
Explain the differences between the roles of nurse researcher, surveillance and nurse advocate **Hint: remember the previous questions in this category we (hopefully) already answered
Researcher: gathering data for a specific reason
Surveillance: gathering data for monitoring purposes
Advocate: likely no direct RN care, but using role as an RN to support a cause
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
Policies that reward people for being under a BMI of 30 and/or penalize those over (rude, but would count)
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?
Gather community members for a town hall meeting
Conduct a community health needs assessment
Implement healthy eating programs in schools
Develop educational materials on lifestyle changes.
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 with a community which a high number of pregnant women in need of nutritional support. Which program should you recommend?
WIC, 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;
More individuals being eligible for CHIP benefits or lower rates of food poisoning due to restaurant inspections
Lower rates of food poisoning due to restaurant inspections.
CHIP is not operated at the local level
Which accurately describes the role of an STI RN?
Screen all known sexual contacts of someone with a confirmed reportable STI
Screen all residents of a long term care facility with a Hx of STI
Contact local providers to keep track of all Dx STIs
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.
Write an example of a SMART goal. **Lemme know if you need a hint on what SMART stands for.
Was the goal:
Specific, Measurable, Attainable/Achievable, Relevant, and Time bound