Chapter 16: Health Planning for Primary Care Settings

Chapter 16: Health Planning for Primary Care Settings

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is teaching a class about different models of care. The nurse explains that ____ is the most important person in the primary health-care model.

A.	The individual/family
B.	The population
C.	The primary-care physician
D.	Medical specialists

 

 

ANS:  A

Objective: 1. Describe the evolution of primary care at the national and global level.

1. 378

Heading: Evolution of Primary Care > United States

Integrated Processes: Teaching/Learning

Client Need: Safe and Effective Care Environment: Management of Care

Cognitive Level: Application [Applying]

Concept: Nursing Roles; Evidence-Based Practice; Health-Care System

Difficulty: Easy

	Feedback
A	This is correct. While medical providers (both specialists and primary-care providers) are a necessary part of the team, the most important part of the primary care model of health care is the individual patient or family.
B	This is incorrect. While population health is addressed in the primary-care model of health care, the most important member of the primary health-care team is the individual or family.
C	This is incorrect. While medical providers (both specialists and primary-care providers) are a necessary part of the team, the most important part of the primary care model of health-care is the individual patient or family.
D	This is incorrect. While medical providers (both specialists and primary-care providers) are a necessary part of the team, the most important part of the primary care model of health-care is the individual patient or family.

 

 

PTS:   1                    CON:  Nursing Roles | Evidence-Based Practice | Health-Care System

 

2. A nurse is looking to reduce the number of teen smokers in her community. The nurse implements a community-wide program to raise awareness about the dangers of nicotine use and creates a support group specifically aimed at teens looking to quit smoking. This is an example of:

A.	Health protection
B.	Health promotion
C.	Risk reduction
D.	Tertiary Prevention

 

 

ANS:  B

Objective: 2. Apply the principles of epidemiology to the primary care setting.

1. 381-385

Heading: Epidemiology and Targeted Prevention Levels in Primary Care > Primary Prevention Within the Primary Care Setting

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Addiction

Difficulty: Moderate

	Feedback
A	This is incorrect. Health protection or risk reduction involve clinical activities whose goal is to minimize risk for disease. Vaccinations are one example of health protection or risk reduction interventions.
B	This is correct. Health promotion activities aim to help people make lifestyle changes to achieve better health.
C	This is incorrect. Health protection or risk reduction involve clinical activities whose goal is to minimize risk for disease. Vaccinations are one example of health protection or risk reduction interventions.
D	This is incorrect. Tertiary prevention aims to minimize the effects of an existing disease process.

 

 

PTS:   1                    CON:  Promoting Health | Addiction

 

3. A community health nurse is training new nurses about the development of public health programs to benefit community members. The nurse explains that even though primary care focuses on caring for an individual, health promotion activities need to focus on:

A.	The family
B.	Each individual patient
C.	Good medical care
D.	The community

 

 

ANS:  D

Objective: 2. Apply the principles of epidemiology to the primary care setting.

1. 381-385

Heading: Epidemiology and Targeted Prevention Levels in Primary Care > Primary Prevention Within the Primary Care Setting

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Nursing Roles

Difficulty: Moderate

	Feedback
A	This is incorrect. Primary care health promotion activities must be based on an analysis of the needs of the population and culture, though they are delivered at the individual level. Therefore, a cultural and community assessment should be performed prior to the development of any interventions.
B	This is incorrect. Primary care health promotion activities must be based on an analysis of the needs of the population and culture, though they are delivered at the individual level. Therefore, a cultural and community assessment should be performed prior to the development of any interventions.
C	This is incorrect. Primary care health promotion activities must be based on an analysis of the needs of the population and culture, though they are delivered at the individual level. Therefore, a cultural and community assessment should be performed prior to the development of any interventions.
D	This is correct. Primary care health promotion activities must be based on an analysis of the needs of the population and culture, though they are delivered at the individual level. Therefore, a cultural and community assessment should be performed prior to the development of any interventions.

 

 

PTS:   1

 

4. A nurse is volunteering a community-wide health fair. The nurse is performing blood pressure and blood glucose screenings for everyone who stops by the booth. After performing the screening tests, the most important thing that the nurse must give to all of the participants is:

A.	A prescription for blood pressure or diabetes medication as needed
B.	An appointment for follow-up appointment with a specialist
C.	A specific and individualized action plan with their next steps
D.	The normal values for blood pressure and blood glucose levels so they know how to interpret their own levels

 

 

ANS:  C

Objective: 3. Discuss the integration of primary, secondary, and tertiary care interventions in the primary care setting.

1. 385-386

Heading: Epidemiology and Targeted Prevention Levels in Primary Care > Secondary Prevention Within the Primary Care Setting

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Analysis [Analyzing]

Concept: Assessment; Promoting Health; Perfusion; Metabolism

Difficulty: Moderate

	Feedback
A	This is incorrect. Giving each patient a specific plan based on his or her screening results is crucial. This may or may not involve a prescription for medication. What is important, however, is that the patient has a specific, individualized plan moving forward.
B	This is incorrect. Giving each patient a specific plan based on his or her screening results is crucial. This may or may not involve an appointment with a primary care provider or specialist. What is important, however, is that the patient has a specific, individualized plan moving forward.
C	This is correct. Giving each patient a specific plan based on his or her screening results is crucial. Whether the plan involves following up with a primary care provider or implementing diet and lifestyle changes, the patient must be educated about his results and given specific steps to take moving forward.
D	This is incorrect. Screening without any plan for follow-up is ineffective. It leaves the patient without a plan to properly manage his health.

 

 

PTS:   1                    CON:  Assessment | Promoting Health | Perfusion | Metabolism