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There are many barriers to specializing in public health nursing. They include which of the following? Select all that apply.


A) The mindset that the only role for the nurse is at the bedside.
B) The structures within which nurses work and the process of role socialization within those structures.
C) Few nurses receive graduate-level preparation in the concepts and strategies of the disciplines basic to public health.
D) The number of job opportunities in the area has been steadily declining.

E) All of the above
F) None of the above

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According to the Eight Principles of Public Health Nursing, which of the following best demonstrates the principle of "the obligation to actively reach out to all who might benefit from a specific activity or service"?


A) Giving a demonstration of tooth brushing at an elementary school
B) Conducting a diabetes screening at a rural church
C) Contacting local officials about mental health financing
D) Going to a senior citizens center to give flu shots

E) B) and D)
F) None of the above

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The threat of bioterrorism highlighted by the events of September 11, 2001, and the anthrax scare have the potential to:


A) Dissolve community-based programs
B) Cause the health care systems to collapse
C) Divert health care funds and resources from other public safety health care programs
D) Increase the need for shelters

E) All of the above
F) C) and D)

Correct Answer

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The focus of population-focused practice is that problems or needs are defined and solutions are implemented for:


A) Individuals
B) Aggregates
C) Communities
D) Geographical regions

E) C) and D)
F) A) and B)

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The nurse investigating environmental health problems caused by contaminated ground water is best described as practicing:


A) Community-oriented nursing
B) Community-based nursing
C) Policy development
D) Tertiary care

E) None of the above
F) C) and D)

Correct Answer

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Which of the following statements is true with regard to a population focus in public health nursing?


A) Priority is given to the highest risk population.
B) Direct caregiving is limited to preventive measures such as administration of immunizations.
C) Attention is given to the population or community as a whole, regardless of whether they do or do not access the health care system.
D) Only populations outside institutional settings are considered.

E) A) and B)
F) B) and C)

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Community health nurses practice in the community whether or not they have had preparation in public health nursing. All of the following are examples of a community health nurse except:


A) School nurse
B) Nurse in a clinic
C) Nurse who makes home visits to provide tertiary care
D) Director of nursing at a rehabilitation center

E) A) and B)
F) All of the above

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The nurse manager who makes sure that the nurses working in a local clinic are competent is an example of the public health core function of:


A) Assurance
B) Assessment
C) Prevention
D) Policy development

E) A) and D)
F) B) and D)

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Implementing quality performance standards in public health is important because:


A) They are used to guide improvement in the public health system.
B) They rigidly control public health.
C) Administrators will not monitor public health at the local level, but instead at the national level.
D) They can be used as hiring guidelines for nurses.

E) None of the above
F) C) and D)

Correct Answer

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Making sure that essential community-oriented health services are available defines which of the core public health functions?


A) Policy development
B) Assessment
C) Assurance
D) Scientific knowledge-based care

E) A) and C)
F) A) and D)

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A group of nursing students and their instructor set up a blood pressure screening clinic at the local community center. This is an example of which of the characteristics that distinguishes public health nursing as a specialty?


A) Population focused
B) Community orientation
C) Health and preventative focus
D) Concern for health for all members of the community

E) A) and D)
F) B) and C)

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Providing for the availability of essential personal health services for people who would otherwise not receive health care defines which public health core function?


A) Assessment
B) Prevention
C) Assurance
D) Policy development

E) None of the above
F) A) and D)

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Specialists in public health nursing usually have a degree with a focus in public health sciences. These practitioners are prepared at the graduate level. These specialists should be able to:


A) Teach public and community health nursing
B) Work with population groups and be able to assess and intervene successfully at the aggregate level
C) Diagnose and treat disease including having prescriptive authority
D) Run for political office as experts in public health policy

E) A) and B)
F) A) and D)

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The Council on Linkages developed a list of core competencies for all public health practitioners. All of the following are competencies except:


A) Cultural competency
B) Analytic/assessment
C) Acute care services
D) Basic public health services.

E) None of the above
F) C) and D)

Correct Answer

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Public health nurses who develop and implement local public health policies in concert with agencies, organizations, and consumers within the community are providing an example of which core public health function?


A) Assessment
B) Prevention
C) Assurance
D) Policy development

E) A) and B)
F) A) and C)

Correct Answer

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