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Leadership and Management for Nurses, 3e (Finkelman)
Chapter 7 Public/Community Health: Expansion and Need for Leadership
1) What is the primary message in the NAM report The Future of the Public's Health in the 21st
Century?
1. Quality improvement focuses primarily on acute care.
2. Healthcare professionals are prepared for public health.
3. Healthcare inequality is not a problem.
4. Health is a primary good for the public.
2) What is the most important federal government department for healthcare?
1. FDA
2. HHS
3. CMS
4. HRSA
3) What are the determinants in Healthy People 2020 that impact health outcomes? Select all that
apply.
1. Social environment
2. Health services
3. Physical environment
4. Biology and genetics
5. Individual behavior
4) Which of the following is not considered to be related to one of the core public health
functions?
1. Establish a budget.
2. Investigate potential air pollution from a factory.
3. Identify stakeholders to work on community problem of drug abuse.
4. Ensure that health inspections of restaurants is met.
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?
1. CDC
2. APHA
3. MAP-IT
6) 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
1. Work with religious leaders
2. Bus service to the medical clinics
3. Work with city services related to trash
4. Tell police where they need to patrol
5. Help identify alternative telephone access
7) Which of the following interventions demonstrate secondary prevention?
1. Offer a stress management course to teens.
2. Teach students in elementary school about good nutrition.
3. Provide new parent education in local community center.
4. Expand services to train the blind in reading in the community.
8) What has not been considered a common reason for lack of preventive services?
1. Presence of a fragmented healthcare system
2. Lack of provider time with patients to explain preventive interventions
3. Limited types of preventive interventions
4. Lack of reimbursement for preventive services
9) Which of the following public/community health services is now emphasized the most due to
work done by the NAM and the ACA?
1. Home health
2. Primary care
3. Hospice care
4. Rehabilitation
10) Who typically leads a home health team?
1. Home health aide
2. Physician
3. Registered nurse
4. Social worker
11) You want to establish a nurse-managed health center. Which of the following must you do
to be designated as a NMHC?
1. You must partner with a school of nursing or community-based non-profit organization.
2. Care in the NMHC is provided by registered nurses.
3. Reimbursement is focused on any third party payer.
4. NMHC services focus on comprehensive primary care and care of the older adult.
12) Which of the following is important to address on a national level to increase healthcare
professionals participation in disasters?
1. Provide payment for these services.
2. Arrange for providers to be sent to areas where needed not just their home states.
3. Focus on developing teams of professionals such as nursing teams, physician teams, and so
on.
13) 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?
1. HHS
2. State health departments
3. Healthcare organizations
4. Local health departments
14) 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.
1. Response
2. Staffing
3. Prevention
4. Buying supplies
5. Recovery
15) Your disaster planning team is assessing the community to develop an effective disaster plan.
What would you assess?
1. Review data on health status of various vulnerable populations in the community.
2. Determine who will pay for damages to homes and businesses.
3. The types of healthcare services available and how easily it would be to get to them in a
disaster.
4. Review data about past individual purchases of food and water when warned of potential
storm.
5. What social institutions including religious have been involved in past and how could they be
involved in the future.
16) Which organization provides opportunities to develop nurse leadership globally?
1. WHO
2. STTI
3. ICN
17) Which NAM report is important when discussing nursing leadership?
1. Crossing the Quality Chasm
2. Health Professions Education
3. The Future of Nursing
4. To Err Is Human
18) 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?
1. Budget revenues are larger than for a hospital.
2. There is dependency on funding from government sources (local, state, federal).
3. Expenses are greater for the department than for a hospital.
4. Physician costs are higher for the clinics compared to the hospital staff.
19) Why is staffing a more complex issue for a county health department then for a hospital?
1. Stakeholders are more varied and complex.
2. Nurses need to have a BSN.
3. Community requires a higher ratio of nurses than a hospital.
20) Why is it more challenging to get staff who work in public/community services engaged in
QI than in the hospital?
1. QI is not as critical to care in the community.
2. A QI plan is better in the hospital.
3. The need for data collections is more important in the community.
4. Community staff are more dispersed.
21) As director of nursing for a city health department you are challenged with providing staff
education. What would be a major difference for you compared to a hospital staff education
program?
1. You have staff who are less interested in staff education.
2. You have less budget or onsite staff educators.
3. Nursing schools place their students in hospitals reducing the influence of faculty and students
in the community settings.
4. Health literacy problem exists in the community and in the hospital.
22) What is the difference in how a nurse addresses the problem of health literacy in the
community as compared with acute care?
1. In the community, health literacy is viewed in the same way as in acute care.
2. In the community, the nurse must consider individual needs and group needs.
3. In the community, nurses have less involvement in health literacy as social workers focus on
this problem.
4. Health literacy is best viewed from an individual patient's needs to effectively resolve health
literacy problems.
23) Public health impacts many aspects of the country, including which of the following? Select
all that apply.
1. Economic
2. Families
3. Employment
4. Social relationships
5. Politics
24) The National Prevention Strategy (NPS) focuses on which of the following elements? Select
all that apply.
1. Healthy and safe community environments
2. Treatment of disease
3. Public/community empowered staff
4. Elimination of health disparities
5. Clinical and community preventive services
25) What is a major setting in public/community health services?
1. Hospitals
2. Clinics
3. School health
4. Hospice unit
