Public Health Concepts

Question 1

What are the 3 core functions of public health?

Answer 1

1. Assessment
2. Policy Development
3. Assurance

Question 2

What is an example of an Assessment?

Answer 2

A nurse at the city health center compares the number of homeless persons in various neighborhoods of philadelphia

Question 3

What is an example of policy development?

Answer 3

The nurse at the city health center collaborates with the philadelphia office of homeless services to draft and advocate for policies addressing the needs of the housing unstable population in PA.

Question 4

What’s an example of Assurance?

Answer 4

The population health nurse provides essential personal health services to marginalized population in the community.

Question 5

Define Primary Prevention.

Answer 5

Its before the injury or presence of condition or disease. It targets healthy individuals

Question 6

Example of Primary Prevention:

Answer 6

Teaching healthy lifestyles, Immunizing children before school entry, review/ update immunizations, education of the use of PPE in the workplace

Question 7

Define secondary prevention:

Answer 7

Emphasizes early detection, risk reduction and mitigate progression of condition or disease.

Question 8

Example of secondary prevention

Answer 8

Screening of health conditions, vision/ hearing test, lead testing in communities with older homes

Question 9

Define tertiary prevention

Answer 9

Treatment and recovery of condition of disease with the goal of symptom reductions and improvement in quality of life

Question 10

Example of tertiary prevention

Answer 10

Caring for children with chronic conditions, monitor workers with HTN to ensure appro. BP management and med adherence, administering chelating med for children with high blood lead levels

Question 11

What are the three levels of interventions?

Answer 11

1. Upstream
2. Midstream
3. Downstream

Question 12

Define Upstream

Answer 12

Ensures everyone in the population has access to these conditions through actions taken at the societal level ( State or federal level). Policy making that affects a community

Question 13

Example of Upstream:

Answer 13

State laws that ban smoking in public places

Question 14

Define Midstream

Answer 14

Changes conditions from those that negatively affects people’s health to ones that positively affect their health * Community level*

Question 15

Example of Midstream:

Answer 15

Employer enforcing higher insurance premium for tobacco users.
Holding a food pantry in an area that is a food desert.
Employer allowing their employees paid time off to visit their primary care provider.

Question 16

Define Downstream

Answer 16

Changes behaviors that contribute to stress or poor health Individual level

Question 17

Example of downstream

Answer 17

Tobacco cessation program

Question 18

Role of a forensic nurse

Answer 18

Caring for victims of injuries
Goal= Improve health/legal outcomes for victims of violence

Question 19

Primary level of prevention for forensic nursing

Answer 19

Develop programs that promote safety and avoidance of violence
* Prevent disease/injury before it occurs*

Question 20

Secondary prevention for forensic nursing

Answer 20

Provide timely, direct care to injured, both victim and perpetrator of crime and violent behaviors
Target people at risk

Question 21

Tertiary prevention for forensic nursing

Answer 21

Refer clients to appropriate community services for follow- up care and rehabilitation
Condition is present> TREATMENT

Question 22

Role of School Nursing

Answer 22

Provide up to date and appropriate direct care
Collaborate with other health professionals and school staff

Question 23

Primary level of prevention for school nursing

Answer 23

Teach healthy lifestyle, Immunizing children for school entry, and teach about safety

Question 24

Secondary prevention for school nursing

Answer 24

Provide screening> vision/ hearing, depression, bullying, neglect, lice
*Assessment of illness and/ or injury

Question 25

Tertiary prevention of school nursing

Answer 25

Caring for children with chronic conditions

Question 26

The nurse holds a diabetes clinic at an adult day center for clients who have diabetes. Which level of prevention is this action?

Answer 26

Tertiary

Question 27

The school nurse administers the Bullying Survery for students for all 9th grade students at JHS. This represents?

Answer 27

Secondary Prevention

Question 28

You are asked to conduct a windshield survey. What core function of public health does this action fall under?

Answer 28

Assessment

Question 29

The local YMCA hosts a fire safety fair for the community. Which level of prevention is being demonstrated?

Answer 29

Primary

Question 30

Which two states use modified Federal Poverty Level

Answer 30

Hawaii and Akaska

Question 31

The nurse in the ED administes the rabies vaccine to a patient who was bitten by a stray dog. What level of prevention is this action?

Answer 31

Secondary

Question 32

Pepper suffered a fall at home. As a result, grab bars have been installed in pepper’s bathroom. What level of prevention is this?

Answer 32

Tertiary

Question 33

A nurse petition for the building of the grocery store in a community that is a known food desert. What level of intervention is the nurse practicing?

Answer 33

Midstream

Question 34

The COVID stimulus checks are an example of what level of intervention?

Answer 34

Upstream

Question 35

What is a hallmark of population health nursing?

Answer 35

Focused on creating a healthy environment