Question 1

Public health nursing is guided by priorities identified through an assessment of community health as described by Assumption 4. This includes:

Accepted Answer

A)   Community assessment to define one problem that nurses will focus on for any given year.
B)   The definition of community is a social network of interacting individuals usually in a defined territory.
C)   Prevention strategies are used to minimize the effects of occurrences from the last year.
D)   Public health nurses intervene at the population level only after doing community assessments.

Question 2

The Intervention Wheel framework is based on 10 assumptions. Assumption 2 is, "Public health nursing practice focuses on populations." This implies:

Accepted Answer

A)   A population is a collection of individuals who have one or more personal or environmental characteristics in common.
B)   The population at risk has many identified and unidentified risk factors.
C)   The focus of public health nurses is on individuals in a population.
D)   The determinants of health are focused on knowledge from international sources.

Question 3

Assumption 7 states: "Public health nursing utilizes the nursing process at all levels of practice." What does this imply?

Accepted Answer

A)   The nursing process includes specific goals for community health nurses.
B)   The nursing diagnosis part of the nursing process is not applicable for public health.
C)   The nursing process can be used at the community, systems, and individual/family levels of practice.
D)   The nursing process is used mainly at the individual and family level of practice.

Question 4

Public health nurses utilize registries to identify children with delayed or missing immunizations. They contact families by phone or do home visits. This is an example of what practice level of the three levels of practice described by the Intervention Wheel?

Accepted Answer

A)   Systems-level practice
B)   Community-level practice
C)   Policy-level practice
D)   Individual/family-level practice D

Question 5

The orange wedge of the Intervention Wheel includes collaboration, coalition building, and community organizing. What does this include?

Accepted Answer

A)   Case management, referral, and follow-up
B)   The types of collective action often carried out at the systems or community levels of practice
C)   Health teaching and counseling
D)   Interventions that are frequently implemented in conjunction with one another

Question 6

Since the Intervention Wheel was first published in 1998, the Wheel has:

Accepted Answer

A)   Guided national policy
B)   Been used as a tool in deciding licensure issues at the State Boards of Nursing
C)   Been incorporated into the public/community health curricula of many undergraduate and graduate nursing programs9-PAGE 7Test Bank
D)   Gained wide acceptance internationally

Question 7

The cornerstones of public health nursing practice:

Accepted Answer

A)   Focus on the health of entire populations
B)   Reflect community priorities and needs
C)   Promote health through strategies driven by epidemiological evidence
D)   Encompass the mental, physical, emotional, social, spiritual, and environmental aspects of health.
E)   None of the above

Question 8

There are 17 actions common to the work of public health nurses regardless of their practice setting. Most of these interventions are implemented at three levels. They are with:

Accepted Answer

A)   Legislators, policy makers, and community leaders
B)   Individuals and families, communities, and systems
C)   Children, adolescents, and adults
D)   Health departments, public health agencies, and visiting nurses associations

Question 9

The Intervention Wheel model encompasses three levels of practice. They are:

Accepted Answer

A)   Communities, individuals and families, and systems
B)   Coalition, collaboration, and case management
C)   Education, advocacy, and policy making
D)   Idealism, justice, and power

Question 10

The Intervention Wheel is a conceptual framework that has proven to be a useful model in defining population-based practice and how it contributes to improving population health. Which of the following is true about the Intervention Wheel?

Accepted Answer

A)   It provides a graphic illustration of population-based public health practice.
B)   It eliminates the need for collaboration because it describes in detail public health nursing practice.
C)   It provides policy and lawmakers with an idea of what community health nurses are responsible for and can thus guide policy.
D)   It is a framework used by all health departments in the United States. A

Question 11

The Intervention Wheel contains wedges that are color-coded. What is the purpose of these wedges?

Accepted Answer

A)   The interventions are grouped with related wedges.
B)   Wedges consist of referral information for each wedge.
C)   The element of health teaching is the predominant feature of each wedge
D)   Coalition building must be implemented with each wedge.

Question 12

An example of implementation that followed measurable outcome indicators to measure the impact of interventions on public health is:

Accepted Answer

A)   Doing a home visit on a child who has had multiple absences from school due to illness
B)   Collecting data in order to assess the reasons for school absences in a community
C)   Evaluating the impact of a teaching program for teachers who deal with children with disabilities
D)   Developing nursing diagnoses related to school absences

Question 13

The nursing process can be applied in public health nursing practice. Which of the following is an example of community assessment?

Accepted Answer

A)   Visiting an elderly person at home to assess safety risks
B)   Developing nursing diagnoses to identify actions nurses at a community health center will take
C)   Evaluating an immunization clinic that included a translator to assist non-English speaking clients
D)   Data from the county social services department on child abuse cases for the past 5 years

Question 14

A nurse promotes alliances among organizations for a common purpose. This is an example of which of the 17 public health interventions?

Accepted Answer

A)   Health teaching
B)   Coalition building
C)   Surveillance
D)   Referral and follow-up

Question 15

The Intervention Wheel is a conceptual model that defines population-based practice. Which of the following is true about the origins of the Wheel?

Accepted Answer

A)   A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wisconsin developed and refined the Wheel.
B)   The Wheel was conceived by a group of international nurses from Norway, Kazakhstan, and Japan.
C)   The Wheel was a result of a qualitative analysis carried out by the State Boards of Nursing.
D)   The Wheel resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health.

Question 16

A nursing student develops a teaching plan about hand washing to present to a group of elementary school children at the local school. This student is using which of the 17 public health interventions?

Accepted Answer

A)   Collaboration
B)   Surveillance
C)   Health teaching
D)   Screening C

Question 17

The Intervention Wheel model encompasses three levels of practice. The systems-level of practice involves:

Accepted Answer

A)   Community-level practice to increase the knowledge of the entire community
B)   Involving individuals and families in identifying health problems in the community
C)   Changing laws, policies, and practices that influence population-based issues
D)   Public health nurses identifying children with delayed or missing immunizations

Question 18

Assumption 8 states: "Public health nursing practice utilizes a common set of interventions regardless of practice setting." This implies:

Accepted Answer

A)   Interventions are characterized by wedges that clearly state the order of implementation.
B)   The Intervention Wheel encompasses surveillance as the main element.
C)   Interventions guide practice and are subject to regulatory agency protocols.
D)   Interventions are actions taken on behalf of communities, systems, individuals, and families to improve or protect health status.

Question 19

An example of a health priority that almost every public health nurse will encounter is:

Accepted Answer

A)   The contamination of water sources due to flooding
B)   The potential for the occurrence of vaccine-preventable disease due to missing immunizations
C)   Restrictions on practice due to local law
D)   Lack of knowledge about infant care by all new mothers that necessitates home visits

Question 20

The Intervention Model identifies 17 public health interventions. A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which of the following interventions?

Accepted Answer

A)   Screening
B)   Referral and follow-up
C)   Surveillance
D)   Health teaching

Exam 9: Population-Based Public Health Nursing Practice: the Intervention Wheel

Public health nursing is guided by priorities identified through an assessment of community health as described by Assumption 4. This includes:

Correct AnswerverifiedShow Answer

The Intervention Wheel framework is based on 10 assumptions. Assumption 2 is, "Public health nursing practice focuses on populations." This implies:

Correct AnswerverifiedShow Answer

Assumption 7 states: "Public health nursing utilizes the nursing process at all levels of practice." What does this imply?

Correct AnswerverifiedShow Answer

Public health nurses utilize registries to identify children with delayed or missing immunizations. They contact families by phone or do home visits. This is an example of what practice level of the three levels of practice described by the Intervention Wheel?

Correct AnswerverifiedD

The orange wedge of the Intervention Wheel includes collaboration, coalition building, and community organizing. What does this include?

Correct AnswerverifiedShow Answer

Since the Intervention Wheel was first published in 1998, the Wheel has:

Correct AnswerverifiedShow Answer

The cornerstones of public health nursing practice:

Correct AnswerverifiedShow Answer

There are 17 actions common to the work of public health nurses regardless of their practice setting. Most of these interventions are implemented at three levels. They are with:

Correct AnswerverifiedShow Answer

The Intervention Wheel model encompasses three levels of practice. They are:

Correct AnswerverifiedShow Answer

The Intervention Wheel is a conceptual framework that has proven to be a useful model in defining population-based practice and how it contributes to improving population health. Which of the following is true about the Intervention Wheel?

Correct AnswerverifiedA

The Intervention Wheel contains wedges that are color-coded. What is the purpose of these wedges?

Correct AnswerverifiedShow Answer

An example of implementation that followed measurable outcome indicators to measure the impact of interventions on public health is:

Correct AnswerverifiedShow Answer

The nursing process can be applied in public health nursing practice. Which of the following is an example of community assessment?

Correct AnswerverifiedShow Answer

A nurse promotes alliances among organizations for a common purpose. This is an example of which of the 17 public health interventions?

Correct AnswerverifiedShow Answer

The Intervention Wheel is a conceptual model that defines population-based practice. Which of the following is true about the origins of the Wheel?

Correct AnswerverifiedShow Answer

A nursing student develops a teaching plan about hand washing to present to a group of elementary school children at the local school. This student is using which of the 17 public health interventions?

Correct AnswerverifiedC

The Intervention Wheel model encompasses three levels of practice. The systems-level of practice involves:

Correct AnswerverifiedShow Answer

Assumption 8 states: "Public health nursing practice utilizes a common set of interventions regardless of practice setting." This implies:

Correct AnswerverifiedShow Answer

An example of a health priority that almost every public health nurse will encounter is:

Correct AnswerverifiedShow Answer

The Intervention Model identifies 17 public health interventions. A nurse who is involved in identifying individuals with unrecognized health risk factors or asymptomatic disease is using which of the following interventions?

Correct AnswerverifiedShow Answer

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D

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C

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