Community and Public Health impact almost every aspect of your life. In this discussion, you will locate and summarize local interest stories or articles from the newspaper

Community and Public Health impact almost every aspect of your life. In this discussion, you will locate and summarize local interest stories or articles from the newspaper (or other local publications) that demonstrate how community or public health impact our daily lives.

 

 

 

NURS4465 Population and Community Nursing

 

Module 2 Discussion

 

Locate current or proposed legislation, city rules, or ordinances that have the potential to affect the environment in your area. Summarize the legislation and draw conclusions about the impact legislation will have on environmental practices.

 

 

 

NURS4465 Population and Community Nursing

 

Module 3 Discussion

 

Each person has his or her own personal history; that is, his or her collected experiences. Everything you have ever seen, heard, felt, learned, or experienced has lead to the development of this personal history. Factors that affect this history include your gender, race, age, ethnicity, culture, education, native language, and religion, to name a few. Collectively, these factors create the sum total of who you are as a person. Bias occurs when a person has a tendency towards a particular perspective or ideology (i.e. your personal history); after all, you see the world through your own eyes. To some extent, every person has a natural bias. However, if or when your personal bias interferes with your ability to be unprejudiced or objective – especially in your nursing practice – your biases can become problematic. In this discussion, you will have the opportunity to determine how strong your biases are.You should post your original message by 23:59 PM Wednesday. You should also reply to posts by two of your peers by 23:59 PM, Saturday of Module 3.

 

 

 

NURS4465 Population and Community Nursing

 

Module 5 Discussion

 

In this Discussion, you will select a clinic or community agency within the community. The organization you select must serve the needs of a vulnerable population group. Research the clinic or agency to obtain a clear idea of services provided and the specific population it serves. It is not necessary for you to make an on-site visit. However, you must cite the source(s) from which you obtained the information about the clinic or community agency.

 

Examples of clinical or community health agencies:

 

Parishes                                                                                                               Employee/Occupational Health

 

Infection Control in hospitals                                                                      Public Health Department

 

Refugee Centers                                                                                              Child/Adult Protective Services

 

School Health Clinic                                                                                         Hospice

 

Halfway House: Drug Abuse, Prison, etc.                                                               Homeless Center

 

Public Clinics: Pediatric, Psychiatric, OB, Geriatric, Migrant, etc.   Rehab Program: Cardiac, etc.

 

Shelters: Homeless, Women’s, etc.                                                         HIV/AIDS programs/clinics

 

Veterans’ agencies                                                                                         Adolescent Programs

 

Group homes for MHMR clients, etc.                                                      Support groups for cancer, sexual abuse, etc. survivors

 

 

 

NURS4465 Population and Community Nursing

 

Module 1 Assignment  

 

Windshield Survey of the Community Assignment Directions

 

You will complete this assignment using the following form:

 

Weeks 1-3 Windshield Assessment Template.doc

 

Overview of Community Assessment and Community Health Nursing Intervention: Community assessment is a systemic way to determine the health status, resources or needs of a population. Community Health Nurses (CHN) assess the community by using the nursing process:

 

Module 1: CH nurses gather subjective data (i.e. windshield survey and interviewing key informants). Based on this portion of the assignment you will analyze your findings and provide a summary of the key community health issues for your community.

 

Module 2: Next, you will obtain objective data (Demographic, Education, and Economic date, as well as Morbidly and Mortality rates, Health risk rates – obesity, alcohol use, seat belt use, etc.).  After collection and analysis of the data, Community Health Nursing needs are determined by comparing their community findings to the larger community (city/county, state and nation). Base on those comparisons, you will develop two priority Community Health Nursing diagnoses.

 

Module 3: Lastly, Community Health nurses develop interventions to address those priority health needs (Community Health Nursing Diagnosis) and indicate methods to evaluate the effectiveness of the interventions proposed.

 

Overview: Windshield Survey of the Community and Interview Key Community Informants

 

The purpose of this assignment is for you to obtain a clear understanding of the physical environment, people and services within the community, as well as,to begin to understand the community’s perceptions of their needs. Before beginning this assignment, watch the following video.

 

This windshield survey was conducted in London,Ohio for a nursing course. This video is only one example of a Windshield Survey.

 

 You will survey similar items; however, your survey will not be exactly as the example. In this assignment, you will conduct a windshield survey of a geographic area within or near the community where you live. Windshield surveys are effective in raising awareness of issues relating to public health in and around the community. Before you conduct the windshield survey, you may also wish to visit theGoogle Maps website (Links to an external site.). Input the zip code for your selected area. Once the map displays, view the map to determine if there are schools, parks, churches, bus stops, health care facilities, etc. in the vicinity. Note that Google Maps includes both a traditional Map view and a photographic Satellite view of the area.

 

This assignment is due by Saturday, 23:59 PM of Module 1.

 

Directions

 

Locate a community focal/starting point (for example, neighborhood, church, clinic, school, other) in the city or county where you live. Once you select a focal or starting point, you will conduct a survey of the community surrounding the site. Specifically, you will survey a 10-block radius of the facility – 10 blocks north, 10 blocks south, 10 blocks east, and 10 blocks west. If something is not within the area of the community you are surveying (for example, a Hospital), note such and state how far away it is and how people will access it. If you do not see something within the community (for example, homeless people) note that no homeless persons were observed.

 

Additionally, you will survey two community members about their perceptions of the 2 health and 1 safety needs/issues and 2 strengths of their community.

 

APA focus for this paper: in-text citation of personal commutation, objective writing (avoid biased language), formal writing (avoid use of contractions, numbers, etc) and sentence structure, grammar and flow. Refer to the APA on-line resources, as needed https://apastyle.apa.org/ (Links to an external site.)

 

See the Rubric in the Assignment Submission area to view grading criteria.

 

Windshield Survey Considerations

 

If you do not use this template, there will be a 10- point  grade penalty ,and you will be required to resubmit within 48 hours,or a zero will be given. In order to do this assignment, you must put aside prior knowledge about your community and gather information as if you were observing places and things for the first time. You will be reporting on only those things you observe through the windshield. Use the information found in the Instruction document to complete this assignment to guide this observation experience.

 

Use a map of your county to decide what areas you will include in the windshield survey.

 

Use the attached assignment document to create a list of things to observe.

 

It is recommended that you request someone else to drive you. This will allow you to focus your attention on what you are observing.

 

Do not put yourself in danger. If at any point, you feel at risk or threatened, leave the area immediately. Your safety is of utmost importance.

 

While driving through the various regions, keep detailed notes about what you observe including the different kinds of buildings, businesses, service agencies, and recreational spaces.

 

Compare and contrast areas by looking at the road conditions, types of housing, people on the streets, rural or urban in nature, etc.

 

You will complete the tables included in the assignment document with the information that you locate. Your final report should summarize what you find in area you survey.

 

When the assignment is completed then you will submit it to your faculty member for review using the Assignment tool.

 

Follow all rubric information carefully to complete this assignment successfully. Refer to the Rubric in the Assignment Submission area to view grading criteria.

 

 

 

NURS4465 Population and Community Nursing

 

Module 2 Assignment  

 

Community Statistics Assignment

 

Overview: Statistical Health Data for a Community

 

In this assignment, you will review and assess statistical data for the community you selected for your community Windshield Survey.  By reviewing demographic, health, crime, income, and educational data, and by comparing local data with city, county, state, and national data, you will be able to determine how well the selected community functions.

 

Your statistical analysis will address the community in general using the categories noted above. In addition, based on your observations from Module 1 subjective assignment, (windshield survey and key informants) provide Morbidity, Mortality (M&M) and risk data for the health problems you identified in your community, and gather comparative data from the local, city, county, state and national levels specific to those health issues.  For Example 1: if you observed obesity in your community then present obesity rates and health conditions associated with obesity [i.e. CVD, HD, Depression, etc.). These variables may include the following: gender (who does this problem affect the most, men or women); age distribution; ethnicity or racial group(s) mostly-affected; morbidity and mortality rates; any data related to life-expectancy in light of the health issues; is there a geographic area where the health problems mainly exist; is there a relationship between the health issue(s) and environmental health hazards; are these life-threatening health issues?

 

This type of inquiry in Module 2 Part II will provide the basis for the next paper in this course, the Nursing Intervention paper.  In that assignment, you will develop a community health nursing intervention(s) to address the community health problems you have defined.  There is a progression in problem definition from the Windshield Survey to the Statistical Analysis, to the recommendations for community health nursing interventions.  You will be able to follow the unfolding of this process from problem-identification to recommendations for intervention.  This process requires skills in data-gathering, data analysis, critical thinking, evidence-based nursing, and planning.

 

Please refer to the Assignment Directions

 

for further instructions on your assignment. Refer to the Rubric in the Assignment Submission area to view grading criteria.

 

 

 

NURS4465 Population and Community Nursing

 

Module 3 Assignment  

 

Community Health Nursing Intervention Assignment

 

Overview:

 

In Assignment Three, you will analyze and integrate findings of the two previous assignments. These are the Windshield Survey, including the informant interviews, and the Community Health Statistical Analysis. From these sources of information, you will establish a community health nursing care plan.

 

This assignment is due by Saturday, 23:59 PM of Module 3.

 

Directions:

 

The steps you will follow in this assignment are comparable to the development of a Nursing Care Plan. The main difference is that the point-of-impact is a community, an aggregate of people, versus an individual. For this assignment you will analyze and integrate the findings of your windshield survey, information from key informants, and your community health statistical analysis. This analysis and integration will help you establish a community health nursing plan of care.

 

This assignment requires that you take the following steps:

 

If you do NOT use this template there will be a 10- point grade penalty, and you will be required to resubmit with 48 hours or a zero will be given.

 

Introduction: You will state the PURPOSE of your paper. You will also provide a brief synopsis of your community and present two CHN from your observations and the statistical data from the previous two assignments. You will include key supporting evidence for the two CHN diagnoses.

 

Select ONE Diagnosis/problem based on the two (2) CHN Diagnoses you developed in Week 2 OR a newly developed CHN diagnosis based on Coach feedback from your two (2) CHN diagnoses in Assignment 2.

 

Discuss the rationale for selecting this problem/Diagnosis.

 

Provide supporting community and scientific evidence, for example, Healthy People 2020, Center for Disease Control (CDC), American Heart Association (AHA), and others for this diagnosis.

 

Develop a plan of nursing intervention.Explain the intervention time line. Remember to be realistic when setting the goals and the time line for the various intervention activities to take place.

 

Describe the Goals (minimum of 2) and objective (2-3 PER goal) of the CHN nursing intervention. Remember, goals are where you want to go. Objectives are how you plan to accomplish the goals.  Goals and objectives need to be realistic.

 

Explain the intervention objective time line. This time line needs to be realistic.

 

Include your plan of intervention activities and evaluation measures. The evaluation should measure the outcomes of your intervention. Be specific.

 

Summary and conclusions: Summarize your assessment findings, your proposed community health nursing intervention, and the community public health outcomes that you anticipate as a result of the intervention. This can be one or two brief paragraphs

 

References: Follow APA guidelines

 

All APA writing guidelines apply. Refer to the APA on-line resources , as needed. https://apastyle.apa.org/ (Links to an external site.)

 

Follow all rubric information carefully to complete this assignment successfully. Refer to the Rubric in the Assignment Submission area to view grading criteria.

 

If you have any questions about this assignment, please consult your Academic Coach.

 

 

 

NURS4465 Population and Community Nursing

 

Module 1 Review Quiz   

 

Question 1 The World Health Organization has defined a community as: (Select all that apply)

 

a. a group of people with the same annual per capita income

 

b. a group of people with the same community health issues

 

c. a group of people often living in a defined geographical area, who may share a common culture, values, and norms

 

d. a group of people arranged in a social structure according to relationships which the community has developed over a period of time

 

Question 2The core functions of Public Health are: (Select all that apply)

 

a. assessment

 

b. policy development

 

c. assurance

 

d. public debate

 

Question 3  Methods for data collection in conducting a community assessment include: (Select all that apply)

 

a. informant interviews

 

b. Windshield Surveys

 

c. participant observations

 

d. secondary analysis of existing data

 

Question 4  The basic principles of evidence-based practice can be applied only at the individual level. (True or False)

 

True

 

False

 

Question 5 Applied to nursing, evidence-based practice includes the best available evidence from a variety of sources.  These sources include: (Select all that apply)

 

 a. research studies

 

b. nursing experience and expertise

 

 c. community leaders

 

 d. the local community newspaper

 

Question 6 Assessment refers to: (Multiple Choice)

 

a. conducting criminal investigations on residents of a selected community

 

b. separating paying patients from non-paying patients in community health centers

 

c. systematically collecting data on the population, monitoring the population’s health status, and making information available about the health of community

 

d. keeping records of all traffic violations in a given number of zip codes

 

Question 7 Assurance refers to:

 

   a. the role of public health in ensuring that essential community-oriented health services are available, which may include providing essential personal health services for those who would otherwise not receive them

 

b. ensuring that all citizens pay their fair share of taxes

 

c. providing adequate animal control resources

 

d. by-passing competence requirements for public health workers

 

Question 8  Public health nursing is a specialty and is distinguished by the following characteristics: (Select all that appy.)

 

a. It is population-focused.

 

b. It is community- oriented.

 

c. There is a health and preventive focus.

 

d. it requires a Doctorate Degree to practice at an entry level.

 

Question 9 Policy development refers to:

 

a. endorsement of politicians who support public health initiatives at the state level

 

b. conducting research on epidemic outbreaks

 

c. conducting petition drives in the community to secure federal funding for health care services

 

d. the need to provide leadership in developing policies that support the health of the population, including the use of scientific knowledge- base in making decisions about the policy

 

Question 10 A nurse who was working in public health care has gotten a new job in primary care.  A main difference to be seen by the nurse at the new job is a focus on individuals. (True or False).

 

True

 

False

 

Question 11 Public health is defined as: (Multiple Choice).

 

a. what we, as a society, do collectiely to assure the conditions in which people can be healthy.

 

b. an insurance system to access health care services in rural areas

 

c. the exclusive health care services of infectious disease management

 

d. public health policy designed specifically for elderly population groups

 

Question 12 Public health nursing, referred to in this textbook as population-centered nursing, has been impacted by: (Select all that apply)

 

a. social forces

 

b. economic forces

 

c. political forces

 

d. military forces

 

Question 13A nurse is completing a community assessment.  Which of the following actions would be most likely for the nurse to complete?

 

a. Identify community needs and clarify problems

 

b. Determine the weaknesses of a community

 

c. Perform the core function of public health nursing

 

d. Assesses individual needs within the community

 

Question 14A nurse gathers information about the condition of homes, sizes of lots, neighborhood hangouts, road conditions, and modes of transportation.  Which mode of data collection is being used?

 

a. Windshield survey

 

b. Participant observation

 

c. Focus group

 

d. Informant interviews

 

Question 15A community health nurse is conducting informant interviews in a small community.  Which of the following would the nurse most likely contact?

 

a. A local priest for congregation information

 

b. The State Department of Health for death records

 

c. Surrounding communities for crime comparison

 

d. The Centers for Disease Control and Prevention (CDC) for illnesses in the area.

 

 

 

NURS4465 Population and Community Nursing

 

Module 2 Review Quiz   

 

Question 1Primary prevention (Select all that apply)

 

  a. provides health promotion and education to prevent health problems in children

 

  b. includes teaching healthy lifestyles

 

  c. immunizing children for school entry

 

  d. is limited to children ages from 8 to 12 years old

 

 Question 2 Tertiary prevention in the schools: (Select all that apply)

 

  a. is the continued care of children who need long-term health care services, along with education within the community

 

  b. making health referrals

 

  c. performing urinary catheterizations, dressing changes, peripheral or central line intravenous catheter maintenance

 

  d. teaching another person in the school how to care for the child in case the nurse is not in the building when the child needs help DIF: Cognitive Level: Knowledge REF. pp. 923, 926

 

Question 3 The measurement of incidence: (Select all that apply)

 

  a. describes the severity of a disease in young adults

 

  b. does not take into consideration a specified time as part of an incidence rate

 

  c. quantifies the rate of development of new cases in a population at risk

 

  d. does take into consideration a specified time as part of an incidence rate

 

Question 4   A windshield survey is a helpful first step in understanding the potential environmental health risks in a community.  Nursing observations can determine the following characteristics of the community: (Select all that apply)

 

 a. urban or rural in nature

 

  b. the age and condition of the housing stock

 

  c. proximity to factories, dump sites, major transportation routes

 

  d. the presence of contaminated waterways

 

Question 5  As a counselor, the school nurse: (Select all that apply)

 

  a. may assist withgrief counseling in the schools

 

  b. must have a reputation of being a trustworthy person

 

  c. should tell children if anything they reveal points out that they are in danger, the parents and school officials must be told

 

  d. should inform parents and school officials if children reveal anything that points out that they are in danger

 

Question 6  Federal public health agencies: (Select all that apply)

 

  a. develop regulations that implement policies formulated by Congress

 

  b. provide a significant amount of funding to state and territorial health agencies for public health activities

 

  c. survey the nation’s health status and health needs

 

  d. neglect any evidence-based practices in the implementation of public health policies.

 

Question 7  Risk refers to:

 

  a.  the probability that an event will occur within a specified time period

 

  b.  the probability that an event will not occur within a specified time period

 

  c.  a finite probability of an event occurring

 

  d.  none of the above

 

Question 8   The Occupational Safety and Health Administration (OSHA): (Select all that apply)

 

  a.  determines and sets standards and permissible exposure limits for hazardous exposures in the workplace

 

  b.  monitors compliance with occupational health and safety standards

 

  c.  educates employees and employers about occupational health and safety,

 

  d.  sets the age limts for the retirement of industrial workers

 

Question 9   The three levels of prevention have always been a part of health care in the schools.

 

  True

 

  False

 

Question 10  Toxicology is defined as:

 

  a.  the study of the West Nile virus

 

  b.  the study of global warming

 

  c.  the basic science applied to uderstanding the health effects associated with chemical exposures.

 

  d.  the injurious effects of insect bites

 

Question 11  Epidemiologists investigate the distribution or patterns of health events in populations in order to characterize health outcomes in terms of: (Select all that apply)

 

  a. what, who

 

  b. where, when

 

  c. at what cost

 

  d. how, why

 

Question 12  Epidemiology is:

 

  a.  the study of the distribution and determinants of health-related events in human populations and the application of this knowledge to improving the health of communities

 

  b.  the study of population groups

 

  c.  the process of ensuring that health standards are met

 

  d.  the study of toxic substances in the environment

 

Question 13  It is not necessary for the nurse to be diligent to take time for self-nurture and renewal while serving as a faith community nurse who provides spiritual care to support individuals, families, and communities in the healing and wholeness process.

 

  True

 

  False

 

Question 14  Occupational health nursing is not an autonomous practice specialty.

 

  True

 

  False

 

Question 15  School nurses give care to children as: (Select all that apply)

 

  a. direct caregivers

 

  b. educators

 

  c. legal mediators

 

  d. case managers

 

 

 

NURS4465 Population and Community Nursing

 

Module 3 Review Quiz   

 

Question 1 The Human Genome Project is an international research project, funded by the U.S. Congress in 1988 and completed in 2003, that has mapped all of the approximately:

 

  25,000 genes in the human DNA

 

  2, 500 genes in the human DNA

 

  32,000 genes in human DNA

 

  15,000 genes in the human DNA

 

Question 2  Among the Latino population in the United States, Latinos: (Select all that apply)

 

  a. have a higher prevalence of diabetes than that of the general population

 

  b. in migrant farmworker families have a lifestyle that makes it difficult to obtain proper nutrition, adhere to weight control measures, and procure continuity of health care and medication administration necessary for good diabetes control.

 

  c. have higher rates of end-stage complications

 

  d. have a record of better diabetes control that that of the general population

 

Question 3  Depression and stress are areas of concern among adult migrants.  This may be related to: (Select all that apply)

 

  a. isolation

 

  b. economic hardship

 

  c. legal status

 

  d. weather conditions that interrup their work

 

Question 4  Factors that limit adequate provision of health care services to migrant population groups include: (Select all that apply)

 

  a. lack of knowledge about services

 

  b. inability to afford care

 

  c. discrimination

 

  d. lack of fluency in English language

 

Question 5   Healthy People 2020 discusses vulnerable population groups and identifies illness prevention and health promotion objectives for them.  One of the four goals of Healthy People 2020 is the elimination of:

 

  a.  Safety net providers

 

  b. Carve outs

 

  c. Health disparities

 

  d. Case finding

 

Question 6   Key findings from early work to sequence the human genome were that: (Select all that apply)

 

  a. all humans are 99.9% identical at the DNA level

 

  b. all humans are 50% identical at the DNA level

 

  c. all humans are 25% identical at the DNA level

 

  d. nearly 25,000 genes make up the human genome

 

Question 7 A migrant worker is a laborer whose principal employment involves: (Select all that apply)

 

  a. moving from a home base to another location

 

  b. planting or harvesting agricultural products

 

  c. living in temporary housing

 

  d. enjoying the enforcement of legislation for field sanitation and safety regulations

 

Question 8 A vulnerable population group is:

 

  a.  a group of individuals who lives in suburban areas

 

  b.  a subgroup of families in high-income communities

 

  c. a subgroup of the population that is more likely to develop health problems as a result of exposure to risk or to have worse outcomes from these health problems than the rest of the population

 

  d. is always delinquest in keeping health care recommendations

 

Question 9 Factors that have a negative influence on social and community violence include: (Select all that apply)

 

  a. the lack of mass communication media

 

  b.changing social conditions

 

  c. population density

 

  d. work

 

Question 10 Genetics refers to the study of the function and effect of single genes that are inherited by children from their parents.

 

  True

 

  False

 

 

 

NURS4465 Population and Community Nursing

 

Module 4 Review Quiz   

 

Question 1   Common cognitive responses to a tramatic event include: (Select all that apply)

 

  a. memory loss

 

  b. confusion

 

  c. excellent ability to concentrate

 

  d. heightened ability to make decisions

 

Question 2   The first level of disaster response occurs at the local level with the mobilization of responders such as: (Select all that apply)

 

  a. local clergy

 

  b. fire department

 

  c. law enforcement

 

  d. public health

 

Question 3  The transmission of communicable diseases depends on the successful interaction of the following: (Select all that apply)

 

  a. infectious agent

 

  b. pesticides

 

  c. the host

 

  d. the environment

 

Question 4  Triage in a disaster setting centers on individuals only.

 

  True

 

  False

 

Question 5  Worldwide, infectious diseases are the leading killer of older adults.

 

  True

 

  False

 

Question 6  A method used by public health workers to track the source of an infection in the Watersedge case is known as the:

 

  a.  multiple causation theory

 

  b.  DNA mapping

 

  c.  baseline screening

 

  d.  mapping technique

 

 Question 7 Examples of infectious disease interventions based on primary prevention include: (Select all that apply)

 

  a. restaurant inspections

 

  b. rabies pre-exposure immunization

 

  c. irresponsible sexual behavior

 

  d. tetanus boosters and flu shots

 

Question 8  Following a disaster event, nurses can expect the victims to exhibit behavioral and emotional responses such as: (Select all that apply)

 

  a. irritability

 

  b. shock

 

  c. numbness

 

  d. being in control

 

Question 9 Human immunodeficiency virus (HIV) is transmitted through exposure to: (Select all that apply)

 

  a. contaminated air

 

  b. blood

 

  c. semen

 

  d. transplanted organs

 

Question 10 Nurses are prepared to use their skills in the following ways in the case of disasters: (Select all that apply)

 

  a. assessment

 

  b. priority setting

 

  c. addressing both preventive and acute care needs

 

  d. community resource referrals and liaison work

 

Question 11 The most common reportable infectious disease in the United States is:

 

  a.  congenital syphilis

 

  b.  Herpes Simplex Virus 2

 

  c. Chlamydia

 

  d. Human papillomavirus (HPV)

 

Question 12 This country has a tax-supported health system that is owned and operated by the government.  Services are available to all citizens without cost or for a small fee.

 

  a.  South Korea

 

  b.  Saudi Arabia

 

  c.  Cuba

 

  d.  The United Kingdom

 

Question 13 Recent reports by expatriate visitors to this country indicate that the greatest perk for foreign residents is the high-quality, low-cost health care. In the bigger cities, there are hospitals with state-of-the-art equipment, as well as specialists in all fields and physicians with private clinics.

 

  a.  Brazil

 

  b.  Portugal

 

  c.  Ecuador

 

  d.  Romania

 

Question 14 Which of the following defines a disaster?

 

  a.  any event that results in multiple deaths

 

  b.  devastation that cannot be relieved without assistance

 

  c.  devastation that covers a broad geographic area

 

  d.  when the event results in multiple injuries and deaths, as well as property damage

 

Question 15 The following country requires residents to purchase health insurance:

 

  a. the Netherlands

 

  b. Spain

 

  c. Sweden

 

  d. Japan

 

 

 

NURS4465 Population and Community Nursing

 

Module 5 Review Quiz   

 

Question 1 Healthy People 2020 includes the following targeted national health objectives for mental health and mental disorders: (Select all that apply)

 

  a. increase the proportion of persons with co-occurring substance abuse and mental disorders who receive treatment for both disorders

 

  b. decrease the number of children with mental health problems who receive treatment

 

  c. reduce the suicide rate

 

  d. reduce the proportion of persons who experience major depressive episodes

 

Question 2 Poverty refers to: (Select all that apply)

 

  a. having insufficient financial resources to meet basic living expenses

 

  b. belonging to a homogenous population group

 

  c. people who are more likely to live in dangerous environments

 

  d. people who work in high risk jobs, and eat less nutritious foods

 

Question 3   At present, the following groups often constitute the homeless in both rural and urban areas: (Select all that apply)

 

  a. single women

 

  b. adolescent runaways

 

  c. substance abusers

 

  d. mentally-ill individuals

 

Question 4   Babies born to teenage mothers in the United States are at-risk for many of the same problems as their young mothers.  These include:(Select all that apply)

 

  a. school failure

 

  b. a well-established career pathways

 

  c. poverty

 

  d. physical or mental illness

 

Question 5   Factors leading to the growing number of persons in poverty in the United States include: (Select all that apply)

 

  a. an abundance of employment opportunities

 

  b. inadequate education and job skills

 

  c. a growing number of households headed by women

 

  d. reduced Social Security payments to children

 

Question 6   Consumer advocacy movements for people with mental illness came about to fulfill unmet needs and to attempt to decrease the stigma associated with mental illness. (True or False)

 

  True

 

  False

 

Question 7   Objectives of Healthy People 2020 that address tertiary prevention and are targeted to persons with serious mental illness are to: (Select all that apply)

 

  a. reduce the proportion of homeless adults who have serious mental illness

 

  b. increase their employment

 

  c. decrease the number of adults with mental disorders who are incarcerated

 

  d. advocate for stronger penalties for mentally ill persons who cause community disturbances

 

Question 8   Poverty has a direct effect on health and well-being across the lifespan.  Persons in poverty have: (Select all that apply)

 

  a. higher rates of chronic illness

 

  b. longer life expectancy

 

  c. simple health problems

 

  d. higher rates of infant morbidity and mortality

 

Question 9   The leading cause of productivity loss because of disability in the United States is: (Multiple Choice)

 

  a.  heart disease

 

  b.  cancer

 

  c.  depression

 

  d.  neurological diseases

 

Question 10   When adolescents seek health care, it is often to discuss concerns about: (Select all that apply)

 

  a. how to follow a healthy lifestyle

 

  b. how to incorporate fruits and vegetables in their diets

 

  c. a possible pregnancy

 

  d. finding a birth control method

 

Question 11   When an adolescent seeks counsel from a nurse, it is important that the nurse: (Select all that apply)

 

  a. rely on her own opinions about what adolescents need in order to provide appropriate counsel to the adolescent

 

  b. take the adolescent’s concerns seriously

 

  c. establish a trusting relationship

 

  d. divulge the adolescent’s’ concerns without regard to patient confidentiality and privacy

 

Question 12  In providing mental health services to individuals or groups, the role of the nurse at the basic practitioner level may include: (Select all that apply)

 

  a. case management

 

  b. counseling

 

  c. psychobiologicall interventions

 

  d. milieu therapy

 

Question 13  Melissa, a 16 year-old, confides in you the nurse that she may be pregnant.  Your first course of action should include the following:

 

  a.  inform the school authorities where she attends school

 

  b.  call her parents and notify them immediately

 

  c.  refer her to a psychologist for counseling services

 

  d. establish a trusting relationship

 

Question 14  Strategies that are important to the nurse working with the poor and homeless include: (Select all that apply)

 

  a. making assumptions about the poverty mindset of the poor and destitute

 

  b. creating a trusting environment

 

  c. showing respect, compassion, and concern

 

  d. coordinating a network of services and providers

 

Question 15  The following characteristics are descriptive of crisis poverty: (Select all that apply)

 

  a. lives are usually marked by hardship and struggle

 

  b. homelessness is often transient or episodic

 

  c. homelessness may result from lack of education or employment, obsolete job skills, or domestic violence

 

  d. the homeless person may resort to brief stays in shelters or other temporary accommodations