During which of the following stage would the community health nurse first expect to see signs of a disease via laboratory testing?

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  1. Science
  2. Medicine
  3. Public Health

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Terms in this set (124)

T/F

Tertiary prevention includes measures taken to keep illness or injuries from occurring

False

T/F

Health problems are most effectively prevented by maintenance of healthy lifestyles and healthy environments.

True

T/F

The ethical theory of utilitarianism promotes the ability of the patient to make his or her own decisions.

False

T/F

Community health nursing is grounded in both public health science and nursing science.

True

T/F

Health involves only the subjective dimension.

False

T/F

A community of solution is based on its location.

False

T/F

Populations and communities are terms that can be used interchangeably.

False

A _____________ is a collection of people.

Community

All people occupying an area is called a _____________.

Population

Cholesterol screening is an example of ______________ prevention.

Secondary

_________________ is a holistic state of well-being.

Health

The subjective dimension (feeling well/ill) and the ________________ dimension (functioning) together provide a clearer picture of people's health.

Objective

Which is an example of secondary prevention?
A. Planning an educational program on healthy lifestyles
B. Discussing healthy menu planning with client with diabetes
C. Providing skin testing for tuberculosis (PPD) to the homeless
D. Transporting clients to Alcoholics Anonymous (AA) meetings?

B. Discussing healthy menu planning with client with diabetes

Which activity would reflect a community health nurse working at the primary prevention level?
A. Teaching safe sex practices to teenagers
B. Performing adult hypertension screening
C. Encouraging women to do breast self-examination
D. Helping with a post mastectomy exercise program

A. Teaching safe sex practices to teenagers

T/F

The early roots of home care nursing began with religious and charitable groups.

True

T/F

The focus of early home care was on the total community.

False

T/F

Lillian Wald first used the term public health nursing to describe this specialty.

True

T/F

Frances Root was the first community health nurse in the United States.

True

T/F

The prototype of community-based nursing can be seen within the historical development of hospital nursing.

False

T/F

District nursing is the last stage of development of community health nursing.

False

T/F

Florence Nightingale was the first person to use the term "public health nursing"

False

The specialty of community health nursing developed historically through ______________ stages.

Four

Academic preparation for community health nursing begins at the __________ level.

Baccalaureate

Relating disease or illness to its cause is known as _______________ thinking in the health sciences.

Causal

The term community health nursing is used synonymously with ________________ health nursing

Public

The history of public health nursing, science its inception in _________________, encompasses continuing change and adaption.

Europe

Which societal influence would be closely associated with epidemiology?

A. Advanced technology
B. Causal thinking
C. Consumer movement
D. Role changes for women

B. Causal thinking

In many states, credentials for a career in community health nursing requires which of the following? Select all that apply.

A. A baccalaureate-level nursing degree
B. A public health nursing certificate
C. Continuing education units
D. Advance nursing practice status
E. Doctor of Nursing Practice (DNP) degree

A. A baccalaureate-level nursing degree
B. A public health nursing certificate
C. Continuing education units

T/F

The design of the research guides the conduct of the study.

True

T/F

Validity refers to how consistently an instrument measures a given research variable within a particular population.

False

T/F

The specific tool used to measure the variables in the study is the instrument.

True

T/F

A primary purpose for conducting community health research is to gain new knowledge that will improve health services and promote the public's health.

True

T/F

A value motivates people to behave in certain ways that are personally or socially preferable.

True

T/F

Evidence-based practice involves clinical reasoning.

True

T/F

The endurance of a value means that the value has more importance than another.

False

________________ is the systemic collection and analysis of data related to a particular problem of phenomenon.

Research

______________ research concerns data that can be measured objectively.

Quantitative

Qualitative research emphasizes ______________ and the meaning of the experiences to individuals.

Subjectivity

________________ is the systemic selection of research subjects, so that each one has an equal probability of selection.

Randomization

Nonexperimental designs are also called _________________ designs.

Descriptive

When preparing to perform research, which would the nurse do first?

A. Choose a research design
B. Review the literature
C. Formulate a research question
D. Select a conceptual model

C. Formulate a research question

Which ethical principle is applied when the nurse ensures the groups' involvement in decision-making?

A. Beneficence
B. Autonomy
C. Respect
D. Justice

B. Autonomy

T/F

Public health services include the functions of assessment, policy development and assurance.

True

T/F

The beginnings of an organized health care system in the United States came in the form of official health agencies.

True

T/F

Health services occur at three levels

False

T/F

The Secretary of Health and Human Services has ultimate responsibility for the PHS

True

T/F

Private health services are complementary and supplementary to government health agencies.

True

T/F

Voluntary health agencies are typically funded by the government.

False

T/F

Proprietary health services can be for-profit or not-for-profit.

True

___________________ is a period of enforced isolation of persons expose to a communicable disease during the incubation period of the disease, to prevent its spread should infection occur.

Quarantine

_________________ is the process of translating established policies into services.

Assurance

Microeconomic theory is concerned with supply and _________________.

Demand

____________________ payments are monetary reimbursements made by providers of health care by someone other than the consumer who received the care.

Third-party

Title XIX is also known as __________________.

Medicaid

Which of the following characterizes retrospective payment for health services?

A. External authority sets the rates
B. Rates of reimbursement vary
C. Wellness is encouraged
D. Fee is set up in advance

D. Fee is set up in advance

T/F

The simplest measure of description is a count.

True

T/F

Herd immunity refers to a situation in which a person's immunity to one agent provides immunity to a related agent as well.

False

T/F

The goal of descriptive studies is to identify the patterns of occurrence of any health-related condition.

True

T/F

Passive immunity is a long-term and sometimes lifelong resistance that is acquired either naturally or artificially.

False

T/F

Stating conclusions is an outcome of analysis and interpretation.

True

T/F

A major disadvantage of universal coverage involves tax incentives.

False

T/F

The current thinking of epidemiology focuses on casual thinking.

False

T/F

Analytic epidemiology involves cohort studies

True

_____________________ refers to a disease occurrence that clearly exceeds the normal or expected frequency in a community or region.

Epidemic

A(n) ______________________ is a factor that causes or contributes to a health problem or condition.

agent

The __________________ refers to all the external factors surrounding the host that might influence vulnerability or resistance.

environment

____________________ refers to the relationship between a cause and its effect.

Causality

__________________ immunity is a long-term and sometimes lifelong resistance that is acquired either naturally or artificially.

Active

During which of the following stage would the community health nurse first expect to see signs of a disease via laboratory testing?

A. Susceptibility stage
B. Subclinical disease stage
C. Clinical disease stage
D. Resolution stage

C. Clinical disease stage

T/F

Validity refers to the test's ability to accurately identify those with the disease.

True

T/F

The predictive value of screening tests increases as the prevalence of the disease increases.

True

T/F

Isolation refers to restrictions placed on healthy contacts of an infectious case for the duration of the incubation period to prevent disease transmission if infection should develop.

False

T/F

Syphilis is the first STD for which control measures were developed and tested.

True

T/F

The injectable influenza vaccine is inactivated.

True

T/F

Malaria is a disease that has become controlled globally.

False

T/F

Ebola hemorrhagic fever is a communicable disease used for bioterrorism.

False

_________________ transmission occurs by immediate transfer of infectious agents from a reservoir to a new susceptible host.

Direct

The time interval between exposure and onset of symptoms is called the __________ period.

incubation

A(n) __________________ is a nonhuman carrier such as an animal or insect.

vector

__________________ transmission occurs through droplet nuclei.

Airborne

Immunization is the process of introducing some form of ___________________ organism into a person's system to promote the development of antibodies that will resist that disease.

disease-causing

Which activity would the community health nurse be involved with at the primary level of prevention?

A. Screening
B. Partner notification
C. Immunization
D. Isolation

C. Immunization

T/F

Verbal messages consist of physical appearance, dress, gestures and facial expression.

False

T/F

Developing trust is necessary for effective communication.

True

T/F

Contracting applies that basic principles of adult education: self-direction, mutual negotiation, and mutual evaluation.

True

T/F

Collaboration in the context of community health nursing is goal directed.

True

T/F

The overriding purpose of collaboration in community health practice is to benefit the public's health.

True

T/F

Decoding is an important step in the communication process.

True

T/F

The nominal group technique for group decision making involves the members taking turns to freely offer suggestions.

False

T/F

Contracting involves commitment and negotiation.

True

________________ occurs when the receiver translates the message into understandable form.

Decoding

Communication involves ______________ meaning and enhancing understanding.

transferring

Active listening is also known as ______________ listening.

reflective

__________________ is the repeating back to the sender what the receiver heard.

Paraphrasing

___________________ is an idea-generating process that encourages group members to freely offer suggestions.

Brainstorming

Which stage of collaboration would occur first?

A. Networking
B. Competition
C. Cooperation
D. Coordination

B. Competition

T/F

A hallmark of the PRECEDE-PROCEED model is the emphasis on the desired outcome.

True

T/F

The degree of participation in the educational process directly influences the amount of learning.

True

T/F

The purpose of health education is to effect change, which alters the equilibrium in a system.

True

T/F

Normative-reeducative changes strategies use coercion based on fear to effect change.

False

T/F

Unfreezing occurs when change is established as an accepted and permanent part of the system

False

T/F

Individuals often have similar motives or reasons for change.

False

T/F

Skinner is a behavioral theorist who used conditioning with reinforcement.

True

T/F

Assessment and diagnosis is the first step in the teaching process.

False

_________________ change is a purposeful, designed effort to effect improvement in a system with the assistance of a change agent.

Planned

________________ is the ability not only to break down and understand the elements of a situation but also to form elements into a new whole.

Synthesis

The ______________ domain in which learning occurs involves emotion and feelings.

affective

The ___________________ domain of learning involves the mind and thinking processes.

cognitive

___________________ is reacting to new situations by using skills already possessed.

Assimilation

Which characterizes normative-reeducative strategies for change?

A. Persuasion
B. Coercion
C. Rationality
D. Best interests

A. Persuasion

Which health teaching model explains the behaviors and actions taken by people to prevent illness and injury?

A. Health Belief Model (HBM)
B. Health Promotion Model (HPM)
C. PRECEDE model

A. Health Belief Model (HBM)

T/F

Advocacy is an outcome.

False

T/F

The pursuit of personal agendas over the common good results in a piecemeal approach to problems and promotes polarization.

True

T/F

Health policies are only regulatory.

False

T/F

Competitive regulations set conditions under which various private activities can be undertaken.

False

T/F:

Implementation of health policy occurs when an individual, group or community puts the policy into use.

True

T/F

Adoption is the first step in health policy development.

False

T/F

Advocacy is the foundation for public health nursing.

False

T/F

Money is a key factor underlying measures to influence policy

True

_____________________ is the process by which a group is severely split into two or more factions over a political issue.

Polarization

Special interest groups are individuals who share a common ______________________ and work politically to make their goals a reality.

interest

A(n) ________________________ health policy changes the allocation of resources from one group to another.

redistributive

________________________ is defined as the art and science of government.

Politics

______________________ is the process of assisting communities to come together to express their values and ideas to those outside the community.

Empowerment

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