Nursing and the Health Care Environment Essay

Nursing and the Health Care Environment

1. A community nurse in a diverse community is working with
health care professionals to provide prenatal care for underemployed and underinsured South African women. Which
overall goal of Healthy People 2020 does this represent?
1. Assess the health care needs of individuals, families, or
communities
2. Develop and implement public health policies and improve
access to care
3. Gather information on incident rates of certain diseases
and social problems
4. Increase life expectancy and quality of life and eliminate
health disparities
2. Using Healthy People 2020 as a guide, which of the following
would improve delivery of care to a community? (Select all that
apply.)
1. Community assessment
2. Implementing public health policies
3. Increasing access to care
4. Determining rates of specific illnesses
5. Reducing the number of fast food restaurants in the
community
3. A nursing student in the last semester of the baccalaureate
nursing program is beginning the community health practicum and will be working in a community-based clinic with a

focus on asthma and allergies. What is the focus of the
community health nurse in this clinic setting? (Select all that
apply.)
1. Decreasing the incidence of asthma attacks in the
community
2. Increasing healthy food choices for school lunches
3. Assessing for factors that contribute to asthmatic attacks in
the community
4. Providing asthma education programs for the teachers in
the local schools
4. A nurse caring for a Bosnian community identifies that
the children are undervaccinated and the community is
unaware of resources. The nurse assesses the community
and determines that there is a health clinic within a 5-mile
radius. The nurse meets with the community leaders and
explains the need for immunizations, the location of the
clinic, and the process of accessing health care resources.
Which of the following practices is the nurse providing?
(Select all that apply.)
1. Educating about community resources
2. Teaching the community about illness prevention
3. Promoting autonomy in decision making
4. Improving the health care of the children in the community
5. Vulnerable populations of patients are those who are more
likely to develop health problems as a result of:
1. Chronic diseases and homelessness
2. Poverty and acute illness
3. Lack of transportation, ability to perform self-care but are
homeless
4. Excess health risks, limits in access to health care services,
and dependency on others for care
6. Which of the following are major public health problems commonly affecting older adults? (Select all that apply.)
1. Substance abuse
2. Dementia
3. Financial limitations
4. Communicable diseases
5. Chronic physical illnesses
7. The local health department received information from the
Centers for Disease Control and Prevention that the flu was
expected to be very contagious this season. The nurses set up
flu vaccine clinics in local churches and senior citizen centers.
This activity is an example of which level of prevention?
8. A neighborhood with old homes is undergoing a lot of restoration. Lead paint was used in the buildings. The clinic is
initiating a lead screening program. This activity is an example
of which level of prevention?
9. In an occupational health setting, the nurse determines that a
large number of employees smoke and designs an employee
assistance program for smoking cessation. This is an example
of which nursing role:
1. Educator
2. Counselor
3. Collaborator
4. Case manager

Nursing and the Health Care Environment Essay

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