Review Questions
1
.
John is a public health professional who is passionate about promoting health and preventing disease. He is interested in learning about the Healthy People 2030 initiative. What is the goal of this initiative?
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to increase the prevalence of chronic diseases in the population
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to decrease the number of people with access to health care
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to improve the health and well-being of all individuals and communities
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to decrease the use of evidence-based practices in health care
2
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Sarah is a community health worker who is working with a family struggling with poverty. Which SDOH is likely to have the greatest impact on the family’s health outcomes?
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healthcare access and quality
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education access and quality
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neighborhood and built environment
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economic stability
3
.
The nurse is discussing foundational concepts of community-based nursing care. Which concept is the nurse describing when stating, “this concept refers to the comprehensive view of physical, mental, emotional, and social well-being and not simply the absence of disease or illness”?
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wellness
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health
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cultural competence
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befitting
4
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What is an example of an intervention that a nurse can use to address the perceived barriers to a patient’s health behavior, as outlined in the HBM?
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providing educational resources on the relationship between healthy behaviors and diseases
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offering financial incentives for behavior change
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helping the patient identify available social support networks
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scheduling follow-up appointments to monitor progress
5
.
Mr. Brown, a 68-year-old male, is diagnosed with type 2 diabetes. He is currently taking medication to manage his blood glucose levels. He asks the nurse, “What more can I do to manage my diabetes?” If a nurse were responding to this question in a way that reflected the limitations of the biomedical model of care, what might she say?
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“It’s important to keep taking your medication and incorporating some exercise to manage your diabetes.”
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“There’s not much more you can do beyond taking your medication. Your compliance to the medication is the only way you can manage your diabetes.”
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“We can focus on managing your symptoms and preventing complications of diabetes, such heart and kidney diseases.”
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“Let’s explore some lifestyle changes you can make, such as improving your diet, to better manage your diabetes.
6
.
A nurse would like to use a medical model of health when planning a care plan. The nurse selects a model that emphasizes the importance of personal growth in achieving optimal health and well-being, involving development beyond the adult ego. Which model has the nurse selected?
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transpersonal model
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religious model
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humanistic model
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Holistic Health Model
7
.
A 55-year-old male patient visits the clinic for his annual checkup. He reports having a family history of cardiovascular disease and is concerned about his risk of developing heart disease. Which level of disease prevention would be most appropriate for this patient?
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primary prevention
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secondary prevention
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tertiary prevention
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quaternary prevention
8
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A patient with chronic obstructive pulmonary disease (COPD) expresses concern about the impact the illness has on his ability to engage in health-promoting activities. What would be the best response from the nurse?
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“It’s understandable that you’re feeling discouraged, but you should still try to engage in some form of exercise.”
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“It’s important to listen to your body and not push yourself too hard, but there are still ways you can promote your health.”
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“With COPD, there’s not much you can do to promote your health. You just have to focus on managing your symptoms.”
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“You should avoid any physical activity that makes you short of breath. Just take it easy and rest.”
9
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What is the nurse’s role as a patient advocate?
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to make medical decisions for the patient
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to ensure the patient’s wishes are respected and their rights are upheld
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to prioritize the needs of the healthcare facility over the patient’s needs
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withhold information from the patient in the interest of their well-being
10
.
What strategy can nurses use to provide culturally sensitive care to patients from underrepresented groups?
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engage in self-reflection and education to become aware of their own biases
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avoid discussing cultural beliefs or practices with patients to avoid causing offense
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use standardized treatment protocols that are not tailored to individual patient needs
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focus on evidence-based practice and ignore the patients’ cultural beliefs
11
.
What is a characteristic of successful community-based programs?
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quality
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cost-effectiveness
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efficiency
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effectiveness
12
.
Which tool is commonly used for conducting a community health needs assessment?
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CASPER
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Health Impact Assessment (HIA)
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Rapid Assessment and Response (RAR)
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Participatory Action Research (PAR)
13
.
The nurse is developing an educational plan regarding community-based initiatives. Problems within the community have been identified, and one specific program has been prioritized for this education plan. What is the next step in the planning process?
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developing strategies
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setting goals
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implementing interventions
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evaluating
14
.
Which is not a division of population health that nurses should be familiar with?
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population involvement
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patterns of health determinants and risk factors
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policy revision
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access to healthcare services
15
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Which statement shows the nurse has a wrong understanding about the goals of population health management?
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“Improving patient care outcomes is very important in population health management.”
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“We should enhance patient engagement in their own care, which is one of our population health management goals.”
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“Chronic and complex health issues are something we need to work on in population health management.”
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“Integrating care across the delivery system should always be considered.”