Community/Systems/ Individual Prevention
Public Health nurses operate an STD/HIV testing site downtown in a metropolitan area. This testing site is open to all individuals at risk for STD/HIV. The PHNs provide health teaching and counseling to all clients while they wait for their test results.
Community level intervention
What type of prevention strategy is mental health screening for LBGTQIA populations?
secondary screening
Creating laws and regulations that protect vulnerable populations and promote health equity is part of which core function?
Policy development
When assessing a patient for risk of developing a substance use disorder, what aspect of the patient’s history is considered one of the strongest predictors of future substance abuse?
Family history of substance abuse
What health concerns exist for the Rural/Migrant Farmer?
occupational hazards (agricultural)
air pollution
musculoskeletal injuries
lack health insurance
A public health agency receives state funding to initiate family planning services out of a local clinic in the county to low-income women, offering screening and education for STDs/HIV.
Systems level intervention
What is an example of a tertiary prevention strategy for substance abuse?
Rehab services
What vulnerable populations would benefit most from a pop-up free clinic?
Those in poverty, rural communities, and people experiencing homelessness
Length of service, race and gender, military rank, whether service was active or domestic, rural access to care, and providers unfamiliar with veteran health needs are examples of these affecting veterans.
What are risk factors impacting veterans’ health?
Which patient is more likely to receive poor-quality care in a health care setting?
a. nonverbal young adult white male with no caregiver at the patient's bedside
b. nonverbal young adult hispanic female with no caregiver at the patient's bedside
c. black developmentally delayed adult with caregiver at the patient's bedside
d. indigenous developmentally delayed older adult who struggles to communicate needs
B
The PHN nurse practitioner performs a physical examination on a young woman at a student health clinic, counseling the woman regarding risk and STD prevention.
Individual level
Foot care (with no open wounds) for the homeless population is what type of prevention strategy?
Primary prevention
What community members should the nurse partner with to create accessibility for PrEP?
LGBTQIA populations
You are talking with a patient who is a lesbian about risk factors that affect the LGBTQIA+ community. What are at least four risk factors that you could mention to this patient?
Bullying
Lack of access to care
Family rejection
Discrimination
Increased risk homelessness
High rates of depression
You are a nurse caring for a patient with a history of Substance Use Disorder. During assessment, the patient reports fatigue, dark urine, abdominal discomfort, and yellowing of the skin and eyes. Because the patient has a history of intravenous drug use, the nurse should suspect this viral infection that affects the liver.
What is Hepatitis C?
PHN partnered with local county clinic to offer telehealth services for migrant farm workers.
Systems Level
What policy provides primary, supplemental health coverage to migrant workers?
Migrant Health Act of 1962
What assessment cues would indicate that a veteran is experiencing undiagnosed PTSD?
Insomnia, drug/alcohol abuse, nightmares, aggression, anxiety, depression, flashbacks, hypervigilance
You are setting up a clinic that serve mainly the farmer population. List 2 nursing intervention examples for this population to address their risk factors?
early health screening
mobile health clinics
education upon giving care
Which of the following leads to patients with disabilities being wrongfully or undiagnosed with diseases? (select all that apply)
a. difficulty communicating symptoms
b. bias perceptions from physicians
c. communication with caregivers
d. frequent health care visits
ABC
PHN offer Mobile Resource Hub in high-poverty neighborhood to enroll community members in government programs (WIC/SNAP), and connect to local job training or housing agencies.
Community level intervention
Conducting an accessibility assessment of a disabled individual's home would be what kind of prevention strategy?
Secondary prevention
You are assessing a child with a t-shirt and shorts on in the winter who appears malnourished and fatigued. What is this child most likely experiencing?
Which of the following is an example of a communication barrier that may prevent a patient with a disability from receiving an accurate diagnosis?
A. A physician ordering additional imaging tests to rule out secondary conditions
B. A healthcare provider not offering alternative communication formats such as sign language interpreters or picture boards during an appointment
C. A care team documenting a patient's full medical history before making a diagnosis
D. A specialist consulting with a patient's primary care physician before prescribing treatment
B
You are talking with a transgender youth about health concerns for the LGBTQIA community. What are at least seven health concerns for the LGBTQIA community?
Depression, Anxiety, Suicide, Substance use, STD/STIs, Cancer risk, HIV, Isolation, Homelessness