Question 1

Which NAM report is important when discussing nursing leadership?

Accepted Answer

1. This report focused on status of the quality of care.
2. This report focuses on health professions education.
3. This report focuses on the need for more nursing leadership in healthcare delivery.
4. This report focuses on health safety and errors.

Question 2

What are the determinants in Healthy People 2020 that impact health outcomes? Select all that apply.

Accepted Answer

1. This is a determinant that impacts health outcomes.
2. This is a determinant that impacts health outcomes.
3. This is a determinant that impacts health outcomes.
4. This is a determinant that impacts health outcomes.
5. This is a determinant that impacts health outcomes.

Question 3

What has not been considered a common reason for lack of preventive services?

Accepted Answer

1. The fragmented system lacks coordination.
2. Providers do not have enough time with patients.
3. This is not a common reason. We have many prevention interventions.
4. Reimbursement for these interventions has been a problem-though ACA is offering more reimbursement for the interventions, and this is still new.

Question 4

Which organization provides opportunities to develop nurse leadership globally?

Accepted Answer

1. The World Health Organization does not have a specific program on developing nurse leaders globally.
2. The Sigma Theta Tau International does not have a specific program on developing nurse leaders globally.
3. The International Council of Nurses has a program, Global Nursing Leadership Institute, to help develop nursing leadership globally.
4. The International Committee of the Red Cross does not have a specific program on developing nurse leaders globally.

Question 5

You are a member of a county health group that is working on improving health services to vulnerable populations in the community. Which of the following would be important to you as you do this work?

Accepted Answer

1. The Centers for Disease Control offers resources, but you will need more than just resources to meet the goal.
2. The American Public Health Association provides education and resources, but you will need more than this to reach your goal.
3. MAP-IT (mobilize, assess, plan, implement, track) is a framework you could use to meet your goal; associated with Healthy Communities.
4. The U.S. Department of Health and Human Services provides resources, grants, and other services but not specific to meeting your goal.

Question 6

As a nurse who has just assumed a position as director of nursing for a county health department, you are now confronted with the department budget. You have been in management for some time in healthcare organizations. What is the major difference in the county budget?

Accepted Answer

1. Revenues are smaller as dependent on Medicaid, Medicare, and often no reimbursement either because the patient has no reimbursement or the service does receive reimbursement such as an education program on diabetes.
2. This major is the major difference.
3. Expenses would most likely be less as do not have the major expenses such as equipment, highly skilled physicians such as surgeons, supplies, and so on.
4. There were be more physicians in a hospital.

Question 7

What is the most important federal government department for healthcare?

Accepted Answer

1. Food and Drug Administration is not a department but an HHS agency.
2. U.S. Department of Health and Human Services is the most important federal department related to healthcare and is composed of multiple agencies that focus on specific health concerns.
3. Centers for Medicare & Medicaid Services is not a department but an HHS agency.
4. Health Resources and Services Administration is not a department but an HHS agency.

Question 8

Which of the following is important to address on a national level to increase healthcare professionals participation in disasters?

Accepted Answer

1. Volunteers usually do this work.
2. It is better to have most professionals working in their local areas where they are familiar with the location, needs, and people.
3. Teams should be interprofessional
4. Healthcare professionals are concerned about potential legal and ethical issues, and this holds them back from volunteering.

Question 9

According to the National Health Security Strategy, who should take the primary lead role in planning, providing resources, guiding others, and evaluating outcomes related to disaster preparedness?

Accepted Answer

1. The U.S. Department of Health and Human Services should assume the lead role.
2. This is a stakeholder but according to the strategy would not assume the lead role.
3. This is a stakeholder but according to the strategy would not assume the lead role.
4. This is a stakeholder but according to the strategy would not assume the lead role.

Question 10

What is the primary message in the NAM report The Future of the Public's Health in the 21^{st Century}?

Accepted Answer

1. Quality improvement is not just important for acute care and is not the primary message of this report.
2. Health professions need more preparation for public health, and this is not the primary message of this report.
3. There is an equality problem, but this is not the primary message of this report though related to the primary message.
4. This is the primary message; many aspects of society are dependent on healthy people.

Question 11

Nurses involved in population health may need to assess and develop strategies related to multiple concerns. Which concerns might be included? Select all that apply

Accepted Answer

1. Nurses may collaborate with this group to develop social support.
2. Nurses may help identify need for access to services through transportation.
3. Nurses may work with city services in area of environmental health such as sanitation.
4. Working in the population health requires collaboration not "directing" and telling police what they should do would not be a nursing responsibility.
5. Nurses may work with patients and families to determine how they might call for help if medical assistance is needed.

Question 12

Why is staffing a more complex issue for a county health department then for a hospital?

Accepted Answer

1. There is need to meet very different patient and community needs thus requiring varied competencies and work with varied stakeholders.
2. Nurses having a BSN is the same for acute care hospitals and for public/community health.
3. Required ratio of nurses is highly variable, and the public/community settings does not necessarily and most likely does not require more nurses.
4. Personal safety is more of a concern in the community-travel, safety in certain communities, going into homes and not always sure what one will find, going into high risk areas for crime and substance abuse.

Question 13

Which of the following is not considered to be related to one of the core public health functions?

Accepted Answer

1. This is not a related to a core function.
2. This is related to the core function of assessment.
3. This is related to the core function of policy development.
4. This is related to the core function of assurance.

Question 14

Who typically leads a home health team?

Accepted Answer

1. This staff member is important, but not typically the team leader.
2. This staff member is important, but not typically the team leader.
3. An RN typically leads the home health team.
4. This staff member is important, but not typically the team leader.

Question 15

Which of the following public/community health services is now emphasized the most due to work done by the NAM and the ACA?

Accepted Answer

1. Home care is expanding, but is not the most emphasized service.
2. Primary care is emphasized more now and needs to expand.
3. Hospice care is expanding, but is not the most emphasized service.
4. Rehabilitation is not the most emphasized service.

Question 16

Why is it more challenging to get staff who work in public/community services engaged in QI than in the hospital?

Accepted Answer

1. QI is important in all areas of healthcare delivery.
2. The effectiveness of a QI plan should not vary from a hospital or community. Implementation may be a problem, but not the plan.
3. The need for data collection is the same for the community and the hospital-both need data, but how one gets the data may be different.
4. Having staff dispersed means they it is more difficult to turn to a colleague or have regular interaction face-to-face about QI.

Question 17

Your disaster planning team is assessing the community to develop an effective disaster plan. What would you assess?

Accepted Answer

1. Recognize the importance of health needs of the population.
2. Determining who will pay for damages is important, but not done until a disaster actually occurs; could vary depending on the disaster.
3. Access to services should be assessed.
4. Assessing community planning in the past including individuals is important.
5. Assessing social conditions and community support is important.

Question 18

Which of the following interventions demonstrate secondary prevention?

Accepted Answer

1. Intervention that focuses on wellness-Primary Prevention
2. Intervention that focuses on wellness-Primary Prevention
3. New parent education may be used to decrease health problems for young children-Secondary Prevention.
4. Decreases disability-Tertiary Prevention

Question 19

You are a member of a local community that experiences tornados. What major categories of activities should be included in an effective disaster plan? Select all that apply.

Accepted Answer

1. This is one of the major categories found in an effective disaster plan.
2. This is one of the tasks found in one of the major categories in an effective disaster plan.
3. This is one of the major categories found in an effective disaster plan.
4. This is one of the tasks found in one of the major categories in an effective disaster plan.
5. This is one of the major categories found in an effective disaster plan.

Question 20

You want to establish a nurse-managed health center. Which of the following must you do to be designated as a NMHC?

Accepted Answer

1. NMHCs must partner with a school of nursing or if not with a community-based non-profit organization.
2. NMHCs include interprofessional providers.
3. Reimbursement is primarily from Medicare, Medicaid, and CHIP.
4. Services focus on comprehensive primary care, family planning, prenatal services, mental/behavioral healthcare, health promotion, and disease prevention.

Quiz 7: Publiccommunity Health: Expansion and Need for Leadership