Chapter 2: Optimizing Population Health

Chapter 2: Optimizing Population Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. In 2011, the National Prevention Strategy released a plan to increase the number of Americans who are healthy at every stage of life. The National Prevention Strategy was authorized by the:

A.	Department of Health and Human Services
B.	Centers for Disease Control and Prevention
C.	Affordable Care Act
D.	American Medical Association

 

 

ANS:  C

Objective: 1. Describe the National Prevention Strategy.

1. 27-28

Heading: Introduction

Integrated Processes: N/A

Client Need: Health Promotion and Maintenance

Cognitive Level: Knowledge [Remembering]

Concept: Promoting Health; Legal

Difficulty: Easy

	Feedback
A	The Department of Health and Human Services is the U.S. government’s main agency for the protection of health of all Americans, but it did not authorize the National Prevention Strategy.
B	The Centers for Disease Control and Prevention is a research facility that aids the development of better public health, but it is not a legislative body and did not authorize the National Prevention Strategy.
C	The National Prevention Strategy was part authorized by the legislation of the Affordable Care Act.
D	The American Medical Association is the professional association of medical doctors. It does not enact governmental mandates and did not authorize the National Prevention Strategy.

 

 

PTS:   1                    CON:  Promoting Health | Legal

 

2. A nursing student is studying the National Prevention Council Action Plan. The student correctly identifies which one of the following interventions as not reflecting the strategic directions in this plan?

A.	Conducting bi-weekly visits to new mothers and newborn babies
B.	Paying for insurance for low-income families
C.	Providing nutrition classes which offer weekly fill-in guides for grocery shopping
D.	Building a health and exercise center in a hospital near the physical and occupational therapy areas

 

 

ANS:  B

Objective: 1. Describe the National Prevention Strategy.

1. 27-28

Heading: Introduction

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Nursing Roles; Legal

Difficulty: Moderate

	Feedback
A	One goal of the National Prevention Council Action Plan is to build healthy and safe community efforts to create a supportive healthy ecology.
B	Providing financial health-care assistance for lower income families is not one of the strategic directions of the National Prevention Council Action Plan.
C	Empowering people to make healthy choices by educating them through health promotion and risk reduction is one of the goals of the National Prevention Council Action Plan.
D	Expanding quality preventive services in both clinical and community settings is one of the goals of the National Prevention Council Action Plan.

 

 

PTS:   1                    CON:  Promoting Health | Nursing Roles | Legal

 

3. Based on the ecological model of health, a nurse would evaluate which of the following to understand why a community is having a large incidence of recurring respiratory infections?

A.	Local health-care facilities
B.	Community health-care programs
C.	Medical tests results
D.	Living and employment situations

 

 

ANS:  D

Objective: 2. Describe public health in terms of current frameworks guiding prevention efforts from a local to a global perspective.

1. 29

Heading:  Population Health Promotion, Health Protection, and Risk Reduction > Health Protection and Risk Reduction

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Assessment; Promoting Health; Evidence-Based Practice

Difficulty: Easy

	Feedback
A	The local health-care facilities would not be a part of the patient’s environment so the nurse would not evaluate them based on the ecological model.
B	The community health-care program could assist in health promotion and risk reduction activities, but it is not a place the nurse would evaluate to understand the increasing rate of infection according to the ecological model.
C	Medical tests could diagnose the underlying problems, but they would not illuminate the causes of the problems according to the ecological model.
D	Based on the ecological model, the public health nurse would evaluate how, where, and with whom the patients spent most of their time.

 

 

PTS:   1                    CON:  Assessment | Promoting Health | Evidence-Based Practice

 

4. If a nurse is focusing on prevention and establishing a public health intervention for an illness by following the natural history of a disease, he or she is:

A.	Making sure that everyone in a certain area receives treatment
B.	Studying the biological components of the disease
C.	Looking at medical trends of clients who have had the disease
D.	Going to the autopsies of the patients who have died

 

 

ANS:  C

Objective: 2. Describe public health in terms of current frameworks guiding prevention efforts from a local to a global perspective.

1. 30-32

Heading: Prevention Frameworks > Natural History of Disease

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Health-Care System

Difficulty: Easy

	Feedback
A	Following a disease does not involve treating everyone in an area.
B	Studying the biological components of the disease may help in some aspects, such as prescribing antibiotics, but this is not part of following the natural history of a disease.
C	Following the natural history of a disease allows the nurse to identify who is at the greatest risk by looking at the groups who have had it.
D	Following the natural history of a disease allows the nurse to identify who is at the greatest risk for developing the disease by looking at groups who have had it. This does not include attending autopsies.

 

 

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