Chapter 14: Health Planning for Local Public Health Departments

Chapter 14: Health Planning for Local Public Health Departments

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is beginning employment at a local health department and reviewing the job description and the functions that fall under the purview of the health department. Which of the following is not one of the six minimum functions as named by the American Public Health Association (APHA)?

A.	Vital statistics
B.	Public health education
C.	Promotion of elder health and safety
D.	Environmental sanitation

 

 

ANS:  C

Objective: 1.Describe the historical development of public health departments (PHDs).

1. 324

Heading: History of Public Health Departments > Mission of Public Health

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Health-Care System; Safety

Difficulty: Moderate

	Feedback
A	This is incorrect. According to a statement released by the APHA, the six minimum functions that all public health departments must meet are vital statistics, environmental sanitation, communicable disease management, public health labs, promotion of maternal and child health, and public health education.
B	This is incorrect. According to a statement released by the APHA, the six minimum functions that all public health departments must meet are: vital statistics, environmental sanitation, communicable disease management, public health labs, promotion of maternal and child health, and public health education.
C	This is correct. According to a statement released by the APHA, the six minimum functions that all public health departments must meet are vital statistics, environmental sanitation, communicable disease management, public health labs, promotion of maternal and child health, and public health education.
D	This is incorrect. According to a statement released by the APHA, the six minimum functions that all public health departments must meet are vital statistics, environmental sanitation, communicable disease management, public health labs, promotion of maternal and child health, and public health education.

 

 

PTS:   1                    CON:  Promoting Health | Health-Care System | Safety

 

2. A nurse wishes to involve the local health department in planning a community-wide intervention. The nurse calls the reception area to determine how best to involve the health department and learns that it is run by the local government in conjunction with the local board of health, also known as a ____ system.

A.	Centralized
B.	Mixed
C.	Decentralized
D.	Shared

 

 

ANS:  C

Objective: 2. Describe the structure and services of PHDs.

1. 324-325

Heading: History of Public Health Departments > Structure of Public Health Departments

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Health-Care System; Collaboration

Difficulty: Easy

	Feedback
A	A centralized system is one where the PHD is run by the state board of health and functions under the state authority.
B	A shared or mixed system is one where the PHD is run by multiple groups, including the state health agency, the board of health, and the local government.
C	A decentralized system is one where the PHD is run by the local government either with or without the state board of health.
D	A shared or mixed system is one where the PHD is run by multiple groups, including the state health agency, the board of health, and the local government.

 

 

PTS:   1                    CON:  Promoting Health | Health-Care System | Collaboration

 

3. A nurse is teaching a class about public health nursing. A student asks about the daily responsibilities and core functions of a public health nurse (PHN) working within the health department. Which of the following is not one of the core public health functions the nurse would list?

A.	Decrease health disparities within the community
B.	Assessment of the population
C.	Creation of public health policies to enhance community health
D.	Ensure that the public health system runs smoothly

 

 

ANS:  A

Objective: 2. Describe the structure and services of PHDs.

1. 326-327

Heading: Role of Public Health Nurses in Public Health Departments > Core Functions

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Nursing Roles; Health-Care System

Difficulty: Moderate

	Feedback
A	This is correct. The three core functions of the PHN working in the health department are assessment of the population, creation of public health policies to enhance community health, and ensure that the public health system runs smoothly.
B	This is incorrect. The three core functions of the PHN working in the health department are assessment of the population, creation of public health policies to enhance community health, and ensure that the public health system runs smoothly.
C	This is incorrect. The three core functions of the PHN working in the health department are assessment of the population, creation of public health policies to enhance community health, and ensure that the public health system runs smoothly.
D	This is incorrect. The three core functions of the PHN working in the health department are assessment of the population, creation of public health policies to enhance community health, and ensure that the public health system runs smoothly.

 

 

PTS:   1                    CON:  Promoting Health | Nursing Roles | Health-Care System

 

4. A PHN is working in the public health department in San Diego County. After a recent storm, the department begins to conduct water testing to ensure that the ocean water is safe to swim in. Testing results reveal that the level of bacteria is 10 times the acceptable limit. How does the nurse proceed?

A.	Issue a public health statement informing residents of the risk of swimming.
B.	Close the beaches until the levels return to normal.
C.	Treat the water with anti-microbial agents.
D.	Issue a boil water alert.

 

 

ANS:  B

Objective: 4. Analyze key roles and responsibilities of PHNs in PHDs.

1. 332

Heading: Local Health Department Activities > Environmental Health Services

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Analysis [Analyzing]

Concept: Critical Thinking; Health-Care System; Safety

Difficulty: Moderate

	Feedback
A	This is incorrect. The levels are way too high to simply issue a public health statement. The nurse should close the beaches until bacterial levels return to normal.
B	This is correct. The nurse should close the beaches until bacterial levels return to normal. The elevated levels pose too great of a risk for swimmers.
C	This is incorrect. Treating the ocean with anti-microbial agents isn’t practical. The nurse should close the beaches until the levels return to normal.
D	This is incorrect. Tap water does not come from the ocean, so boiling it does not address the problem. The nurse should close the beaches until the levels return to normal.

 

 

PTS:   1                    CON:  Critical Thinking | Health-Care System | Safety