NURS4465 Population and Community Nursing Full Course

UTA NURS4465 Population and Community Nursing Full Course

UTA NURS4465 Population and Community Nursing Full Course

NURS4465 Population and Community Nursing

Module 1 Discussion

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.

Browse your local newspaper or other local publications for articles that focus on public health issues at the local, state, and/or national level. For example, reports or articles that discuss a train collision, an earthquake in California, the dedication of a new park in your neighborhood, an outbreak of the flu in Texas, low-cost child immunization clinics, or a free traveling mammogram program for low-income women are all examples of public or community health issues.

Locate two examples of community or public health issues from a local publication, magazine, or newspaper. The examples you select should focus on completely different topics – for example, select one article that discusses a new park and another article that focuses on plans for a new coal-fired power plant. NURS4465 Population and Community Nursing Full Course

Write a one paragraph summary of each article. Include a proper reference to the source of the article.

Include an additional paragraph that explains why you consider these articles to be public or community health.

Your original post should consist of complete sentences and include three paragraphs.

Reply to at least two of your online colleagues’ posts with reflective questions, substantive comments, or relevant personal experiences.

NURS4465 Population and Community Nursing

NURS4465 Population and Community Nursing Full Course 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.

Visit the website of a legislative body that has the ability to create rules, codes, or ordinances that impact the environment. Examples of these types of agencies include: Green Dallas, Fort Worth Environmental Management Department, Texas House of Representatives Committee on Environmental Regulation, NURS4465 Population and Community Nursing Full Course

U.S. House of Representatives Committee on Natural Resources, U.S. Senate Committee on Environment and Public Works and U.S. Environmental Protection Agency (EPA). Select one piece of legislation (or rule, or ordinance), either proposed or actual, and summarize it for the class. Ideally, you should select legislation that will directly impact your community.

Review the discussion board prior to selecting a proposal or prior to posting your message to the discussion board in order to avoid duplicating resources.

List the title of the legislative bill, rule, or ordinance. Include the title of the legislative body that drafted, proposed, or authorized the legislation.

Summarize the environmental legislation in one or two paragraphs. Identify key concepts included in the legislation.

In your opinion, what is the potential or realized impact of this legislation on the community?

Do you agree or disagree with the legislation? Support your answer. NURS4465 Population and Community Nursing Full Course

Your original post should consist of complete sentences and should be at least two complete paragraphs but no more than three paragraphs.

Reply to at least two of your online colleagues’ posts with reflective questions, substantive comments, or relevant personal experiences.

Please go to the Discussions area on the left to post to the Discussion Board.

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. NURS4465 Population and Community Nursing Full Course

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.

In the professional nursing practice, nurses must provide unbiased care, even in situations where the person/s being treated have different backgrounds (language, religion, culture, ethnicity, etc.) than you. The first step in overcoming and minimizing personal biases is to recognize them. In this discussion, you will assess your personal biases. Answer the questions honestly and to the best of your ability, noting that there are no right or wrong answers. NURS4465 Population and Community Nursing Full Course

Complete the General Awareness and Attitudes Scale Preview the document

The General Awareness and Attitudes Scale is adapted from the Cultural Awareness Scale by Catterson, Cookston, Martinez, & Rew (1998). Answer the question as honestly as possible. There are no right or wrong answers.

Once you complete and score the General Awareness and Attitudes Scale, answer the following questions:

What does the scale say about you?

How strong are your biases?

NOTE: Do NOT post your individual scores. This discussion is not about how you score, but about personal discovery. In other words, the focus of this discussion is about what you learn about yourself. You also do NOT need to share your score with your academic coach.

How can you address these personal biases in your professional nursing practice? NURS4465 Population and Community Nursing Full Course

Your original post should consist of complete sentences and should be at least two complete paragraphs but no more than three paragraphs.

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.NURS4465 Population and Community Nursing Full Course

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

Research the selected agency, and using the following *headings, discuss:

Name of agency and why you selected this agency;

Brief history and mission of the agency;

Target population the agency serves;

Services and programs offered;

What criteria (i.e. income, age, etc.) must clients meet in order to be served by the agency; and

What you found interesting about this agency or helpful for you as a professional nurse.

Cite and reference the information you report on, as appropriate. NURS4465 Population and Community Nursing Full Course

Please post your initial response by 23:59 Wednesday of Module 5, and comment on the posts of two classmates by 23:59 Saturday.

NURS4465 Population and Community Nursing

Module 1 Assignment  

Windshield Survey Assignment

PLEASE NOTE: Submission of any assignment from a prior session of N-4465 without prior permission from course faculty, will receive a zero for the assignment or a 10 point grade penalty if a new assignment is re submitted within 48 hours of notification by academic coach or faculty. After 48 hours the assignment will receive a zero. NURS4465 Population and Community Nursing Full Course

Use of the Three-Part Course Template

?  The use of the three-part template to submit weekly Major Course Paper Assignments goes as follows:

?  Week 1:  Clinical Experience: Windshield Survey and Key Informant Interviews. Complete the  First Section of the  course template and submit. (Keep this section attached to Weeks 2 and 3 assignments.)

? Week 2:  Statistical  Analysis of Community Health Problem. Complete the Second Section of the course template and submit.  (Keep this section attached to Weeks 1 and 3 assignments.)

? Week 3:  Community Health Nursing Intervention. Complete the Third Section of the course template and submit.  By now, you should have Sections 1-3 as one whole document.

? Each section of the course template is submitted on a WEEKLY basis, depending on which week you

are working on.  DO NOT wait to submit all three sections at the end of the third week.

? Please note that students are not to make any changes to the content of the course template, for example, removal of questions or examples imbedded in the response box of the template. NURS4465 Population and Community Nursing Full Course

? Removal of the questions or examples imbedded in the response box of the template is

considered tampering with the content and will result in a 10-point grade deduction per assignment.

Should removal of the questions or examples imbedded in the response box of the template persist by the student, in addition to the 10-point deduction, the student will be referred to the Office of Student Conduct for final disposition.  You are strongly encouraged to be mindful of this course policy.

? The ONLY change students may make to the template is to enlarge the space to make their entries in the response boxes.

? Should you encounter any difficulties with these course policy guidelines, please consult with your

Academic Coach.

Clinical Experience: Windshield Survey and Key Informant Interviews

Student Name: _______________________________Dates: _________________

Name of Community or Zip Code: _____________________

Module One (Week One): Part One Windshield Survey and Key Informant Interviews

Please complete the following information on this template about the community you have selected. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers NURS4465 Population and Community Nursing Full Course

Elements             Descriptors

Physical Environment     Make sure you address fully what you observed and NOTE if something was not found within your community area.

? Boundaries  What defines the boundaries? Roads, water, railroads. Is the area known for a particular name? What area is this community located in?

? Housing and Zoning                 What is the age of the houses? Describe type of construction material, appearance, and general condition. Do you see single family housing?  Multi-family housing?

? Common Meeting Places         Where do people in the neighborhood hang out? Who hangs out there and what hours of the day?

? Indicators of Growth or Decline          Is this a “thriving” community or does it look “run down?”  Is there new or ongoing construction?  Businesses and Industries coming to the area? Are buildings, roadways, and public areas clean and well-kept. Do you see dirt, trash, or graffiti?

? Employment Opportunities  What places for employment are there is this area? Name the businesses and industries in this area.

? Transportation           How to people get from one place to another?  Is public transportation available?  How timely is it? Personal autos? Bikes?  Walking?

People  Make sure you address fully what you observed and NOTE if something was not found within your community area.

? Race and Ethnicity    What is the majority racial group represented? What is the majority ethnic group represented? Describe the distribution of gender, approximate ages, single families, multiple families, generational families? NURS4465 Population and Community Nursing Full Course

? Cultural Characteristics           What cultural similarities or differences do you observe? Languages spoken?  Clothing?  Ethnic eating places?  Culturally-based celebrations? Signs in languages other than English?

?Lifestyle Healthy Behaviors   What healthy lifestyle behaviors do you observe? Do you see people exercising, wearing helmets when biking, seat belt usage, using trash cans for garbage disposal, healthy eating practices?NURS4465 Population and Community Nursing Full Course

? Lifestyle Risk Behaviors             What unhealthy lifestyle behaviors do you observe? Do you see people practicing risky lifestyle behaviors such as drinking alcoholic beverages, smoking, fighting? Do you see signs of violence, gang activity, drug use, criminal activity, and bars on doors and/or windows?  Do you see overweight/underweight persons? Do you see children unattended playing out in the streets? Do you see any signs of homelessness?  Street people? Describe gender, age, and race/ethnicity of persons observed.

? Poverty Indications     Do you see any signs of homelessness?  Street people? Describe gender, age, and race/ethnicity of persons observed.

Services in the Community          Make sure you address fully what you observed and NOTE if something was not found within your community area, how far away it is and how people will access it.

? Social Services               Do you see evidence of recreation centers, parks, and social services? For services that are not available, how far must persons travel to access these services?   Describe each.

? Health Services             Do you see evidence of health (Hospitals, Dr’s Offices, Clinics) and mental health services?  Describe each. Are there any signs of alternative services in the area, such as healers (curanderos), herbalists, herbal stores, palm readers, acupunctures, chiropractors. For services that are not available, how far must persons travel to access these services?

? Fire and Police Services          Do you see any fire and police services/equipment/officers? Where are the closest fire and/or police stations? NURS4465 Population and Community Nursing Full Course

? Educational Resources           Where is the nearest public library?  Discuss the Schools and Universities/Community colleges?

? Religions      What signs of religion do you see? Discuss the types of churches, mosques, temples?  What services are offered by these churches, e.g., Day Care, Mother’s Day Out, Summer Camps, Languages Classes, Citizenship Classes, Food Banks, Clothing, other.

Business & Industry        Describe stores and shops available in the community, e.g., grocery stores, gas stations, department stores. What type of business climate exists?  Manufactures? Light or heavy industry?  Large employers?  Small business owners?  Retail? Hospitality industry?  Do people have to seek employment elsewhere?  Is this considered a “bedroom community”- where people work outside this community but live here? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Politics What indicators do you see about politics? Posters? Headquarters? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Media   Do you see indicators of what people read? Listen to the radio?  Watch TV? Are there any signs of media language other than English? Make sure you address fully what you observed and NOTE if something was not found within your community area.

Key Informants Interview a fireman or police office.NURS4465 Population and Community Nursing Full Course

Also interview a librarian, schoolteacher, school nurse or administrator.

Ask each person interviewed to share their perceptions of

the following and cite personal communication as appropriate:

1.            Interview with fireman or police officer

? Community’s Health issues

? Community’s Safety issues

? Strengths of the Community

2.            Interview with librarian, schoolteacher, school nurse or administrator

? Community’s Health issues

? Community’s Safety issues

? Strengths of the Community

Enter the information about your interviews with Key Informants in this space in your template. You will not receive credit if the Key Informant interviews are inserted elsewhere on this template.

Analysis of Windshield Survey    Analyze and summarize your observations and the input from key informants. Write a 3-paragraph summary of community health (2) and safety (1) issues for this community and strengthens of the community. Remember to cite personal communication as appropriate:

NURS4465 Population and Community Nursing

NURS4465 Population and Community Nursing Full Course Module 2 Assignment  

Community Statistics Assignment

Please complete the following information on this template. If you do not use this template there will be a 10-point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type. Use as much space as necessary to provide your answers NURS4465 Population and Community Nursing Full Course

Name of Community or Zip Code:

Instructions:  Enter your response in each category marked below.  Provide objective, statistical support for your subjective findings.

? Include all the data listed in the Objective Data Criteria listed below.

? Add supplemental data as needed for your community.

? All statistical data must be reported in NARRATIVE form only. Tables and graphs will not be accepted.

? Compare objective data for your community with local (city), state, and national data.

You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers

General Objective Data Criteria for the Community-at-Large

1.            Demographics:  Total population; age distribution; gender distribution; family characteristics (single parent, multi-family, etc.). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

2.            Racial/Ethnic Characteristics: Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

3.            Economy: poverty rate, unemployment rates, median income. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

4.            Education: High school completion rates; higher education statistics. Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

5.            Identify two Morbidity and Mortality/Risk Problems: (Based on your observations from Week 1 subjective assignment, windshield survey and key informants provide Morbidity, Mortality (M&M) and risk data for your community… 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.). NURS4465 Population and Community Nursing Full Course

Example 2: smoking/drinking rates and health conditions associated with smoking [i.e. Lung Cancer, COPD, 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? Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

6.            Other data as needed (air, water quality, crimes rates). Remember compare objective data for your community with local (city), state, and national data. Remember to cite sources as appropriate.

Analysis of Data

1.            Based on your subjective and objective review of your findings, what conclusions have you arrived at? Remember to cite sources as appropriate.

•             What impressions from your subjective observations were unfounded/invalid?

•             Given the objective data, what impressions were validated/substantiated?

•             What cause-and-effect relationships did you discover/identify?

2.            Problem Analysis for Community/Zip Code: NURS4465 Population and Community Nursing Full Course

Problem: List two (2) problems within your community (for example, Infant Malnutrition, CVD, Lung Cancer, Obesity, Alcoholism, Violence) NOTE: These problems need to be something the Community Health Nurse can impact  (for example, a CHN cannot build a sidewalk, repair a street, implement a new bus route, etc.). Remember to cite sources as appropriate.

1.            ____________________________________________

2.            ____________________________________________

Select one of these problems and complete the Problem Analysis chart

Problem Correlates*      Relationship of Correlate to Problem      Data Supportive of Relationship +

Ex. Inadequate diet        Ex. Diets lacking in required nutrients contribute to malnutrition               Ex. All infants and children seen at the local Public Health Clinic are referred to the nutritionist because of poor diets (X.Y. personal communication, date). Of infants measured, 60% were in the lower percent for their weight/height (X report, date).

*These are factors that contribute to problem and outcomes.

+ Refer to appropriate sections of the database and relevant research of the findings in current literature.  Data in the third column could be local, state, or national statistics.

3.            Community Health Nursing Diagnoses: NURS4465 Population and Community Nursing Full Course

Based on your subjective and objective assessment findings above for both Weeks 1 and 2, write TWO priority community health nursing diagnoses.

You must use this format for correctly writing a CH nursing diagnosis (do NOT use NANDA): *RISK OF   AMONG    RELATED TO

Health *Risk/problem of (specific injury, illness, or potential of, complication of, etc) Among (specific population) Related to (supporting evidence from your assessment findings).

?             Your CHN Diagnoses MUST be something that a community/public health nurse can do something about. See example below.NURS4465 Population and Community Nursing Full Course

?             Note: Poverty is NOT a CHN diagnosis.

?             Remember do NOT use NANDA Nursing Diagnoses.

For example: Risk of asthma complications among children in SE Dallas County related to observations of overcrowded living conditions, lack of public transportation (may result in inability to access health care), high number of animals observed living in homes, poverty indications (may result in lack of access to medications).

Community Health Nursing Diagnosis #1

Community Health Nursing Diagnosis #2

Reference

NURS4465 Population and Community Nursing

NURS4465 Population and Community Nursing Full CourseModule 3 Assignment  

Community Health Nursing Intervention Assignment

Directions: Please complete the following information on this template. If you do not use this template there will be a 10- point grade penalty per assignment, and you will be required to resubmit within 48 hrs. You may increase the size of the block by continuing to type.  Use as much space as necessary to provide your answers NURS4465 Population and Community Nursing Full Course

Introduction: Purpose of the paper, synopsis of community, two CHN diagnoses with supporting evidence, for example, observations, reports from Key Informants and Statistical data.  Remember to cite sources as appropriate.

Based on the 2 CHN Diagnoses you developed in Assignment 2 or modified, select ONE problem and develop a CH Nursing intervention. Remember to cite sources as appropriate.

1.            CHN Diagnosis/Problem you selected:

2.            Why did you select this problem? Provide your rational for selecting this problem in 1-2 comprehensive paragraphs (Consider the problem priority criterion on page 417 Box 18-5). Provide supporting community and scientific/authoritative evidence, for example, Healthy People 2020, CDC, AHA, other.  Remember to cite sources as appropriate.NURS4465 Population and Community Nursing Full Course

3.            Identify two (2) Goals. For example, goals indicate where you want to go.

Then, identify two to three (2-3) objectives per goal. For example, objectives should indicate how you plan to get there, or how you plan to accomplish the goal(s). NURS4465 Population and Community Nursing Full Course

Goal 1:

1.            Objective:

2.            Objective:

3.  Objective:

Goal 2:

1.            Objective:

2.            Objective:

3.            Objective:

4.            Intervention Objectives Timeline

Under Interventions you should have an intervention for EACH objective you list (if you have 4 objectives then you should list 4 interventions;  if you have 6 objectives (3 for each goal), then 6 interventions).  You can insert rows into that table to accommodate if needed. If one intervention addressed more than one objective, you must make it clear in your paper. See the example in the table.

Present Date     Objective( Number and Statement)        Anticipated Completion Date

Enter Date            Ex.  Eighty-percent (80%) of infants seen by health department, neighborhood health center, and private physicians will have developmental levels assessed.       Enter Date

Refer to textbook for additional examples.

5.            Plan of Intervention and Evaluation

Date      Intervention Activities                   Responsible  Agency/Person      Evaluation Measures      Target Date of Completion

Enter start date.               Ex. Community Health Nurse identifies and trains lay advisors in community as case finders         Ex. Community Health Nurse

(CHN)    Ex. • Lay advisors will be able to verbally describe case-finding methods to CHN

• Number of new WIC cases will be tracked by CHN on monthly basis for 1 year to determine if goal of 80% has been met                Ex. Lay advisor training completed by enter date of estimated completion.

Summary/Conclusion: 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. Remember to cite sources as appropriate. NURS4465 Population and Community Nursing Full Course

Reference

NURS4465 Population and Community Nursing

NURS4465 Population and Community Nursing Full Course Module 1 Quiz  

Question 1The 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 NURS4465 Population and Community Nursing Full Course

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 5Applied 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 6Assessment 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 NURS4465 Population and Community Nursing Full Course

Question 7Assurance 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 8Public 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 9Policy 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 10A 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). NURS4465 Population and Community Nursing Full Course

True

False

Question 11Public 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 12Public 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? NURS4465 Population and Community Nursing Full Course

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 Full Course

NURS4465 Population and Community Nursing

Module 2 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 2Tertiary 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 NURS4465 Population and Community Nursing Full Course

Question 3The 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)NURS4465 Population and Community Nursing Full Course

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)NURS4465 Population and Community Nursing Full Course

a. may assist withgrief counseling in the schools NURS4465 Population and Community Nursing Full Course

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, NURS4465 Population and Community Nursing Full Course

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 11Epidemiologists 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 12Epidemiology 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 13It 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. NURS4465 Population and Community Nursing Full Course

True

False

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

True

False

Question 15School 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 Quiz  

Question 1The 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: NURS4465 Population and Community Nursing Full Course

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: NURS4465 Population and Community Nursing Full Course

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 7A 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 8A 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 9Factors 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 10Genetics refers to the study of the function and effect of single genes that are inherited by children from their parents.

True

False

Question 11Genomics is the study of all of a person’s genes including their interaction with one another, as well as the interaction of a person’s genes with the environment.

True

False

Question 12Nursing assessments about vulnerable populations should include the following dimensions: (Select all that apply)NURS4465 Population and Community Nursing Full Course

a. questions about the client’s perceptions of socioeconomic resources, including identifying people who provide support and financial resources

b. assessment for congenital and genetic predisposition to illness

c. an evaluation of family indebtedness status

d. the presence of stress and healthy or dysfunctional family dynamics

Question 13The professional registered nurse provides the following nursing care services for patients with or at risk for a disease that arises from a genetic susceptibility: (Select all that apply)

a. Demonstrates an understanding of the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness;

b. interpretation of x-ray findings

c.Demonstrates ability to elicit a family health history (minimum of three generations); and

d. Assesses clients’ knowledge, perceptions, and responses to genetic and genomic information.

Question 14The four categories of child neglect include: (Select all that apply)

a. physical

b. economic

c. medical

d. educational

Question 15Violence is generally defined as accidental acts, interpersonal or intrapersonal, that result in physical or psychological injury to one or more persons.

True

False

NURS4465 Population and Community Nursing

NURS4465 Population and Community Nursing Full Course Module 4 Quiz  

Question 1  Common cognitive responses to a tramatic event include: (Select all that apply) NURS4465 Population and Community Nursing Full Course

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. NURS4465 Population and Community Nursing Full Course

True

False

Question 6A 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 7Examples 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 8Following 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 9Human immunodeficiency virus (HIV) is transmitted through exposure to: (Select all that apply) NURS4465 Population and Community Nursing Full Course

a. contaminated air

b. blood

c. semen

d. transplanted organs

Question 10Nurses are prepared to use their skills in the following ways in the case of disasters: (Select all that apply)NURS4465 Population and Community Nursing Full Course

a. assessment

b. priority setting

c. addressing both preventive and acute care needs

d. community resource referrals and liaison work

Question 11The 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 12This 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 NURS4465 Population and Community Nursing Full Course

b.  Saudi Arabia

c.  Cuba

d.  The United Kingdom

Question 13Recent 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 14Which 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 15The following country requires residents to purchase health insurance:

a. the Netherlands

b. Spain

c. Sweden

d. Japan

NURS4465 Population and Community Nursing Full Course

Module 5 Quiz  

Question 1Healthy 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 NURS4465 Population and Community Nursing Full Course

Question 2Poverty 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) NURS4465 Population and Community Nursing Full Course

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 NURS4465 Population and Community Nursing Full Course

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)NURS4465 Population and Community Nursing Full Course

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 12In 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 13Melissa, a 16 year-old, confides in you the nurse that she may be pregnant.  Your first course of action should include the following: NURS4465 Population and Community Nursing Full Course

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 14Strategies 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 15The 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 NURS4465 Population and Community Nursing Full Course

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