aCngeMrsof misuseand overuseof antibiotics.Lobbying for increased use of antibiotics would not assist in decreasing the amount ofdrug-resistant organisms. Notifying the Centers for Disease Control or increasing thepercentage of children who are vaccinated will not effect the increased development ofdrug-resistant organisms.11.A nurse is considering applying for a public health nurse position at a local health department.Which of the following minimum levels of educational preparation should the nurse haveobtained?a.Associate degree in nursingb.Baccalaureate degree in nursingc.Master of science degree in nursingd.Training as a licensed practical nurseANS: BEducational preparation of nurses in community health should be at least a baccalaureatedegree. Nurses need this level of education because of the increasing complexity of better caredelivery in public health. A licensed practice nurse would need supervision for a registerednurse and would not be able to practice autonomously in this setting. Those registered nurseswho have associate degrees are encouraged to seek further degrees because of the increasingcomplexity of better care delivery in public health. A master’s degreewould be even moreuseful, but for many, advanced education may not be feasible.
12.A public health nurse has reviewed the objectives ofHealthy People 2020. Which of thefollowing should be the focus for programming in the community related to communicablediseases?a.Encouraging community members to engage in healthy behaviorsb.Identifying high-risk sexual behaviors among community membersc.Monitoring the sexual activity of adolescentsd.Providing information about the hazards of multiple sexual partnersANS: DHealthy People 2020lists communicable disease as an area of focus including levels ofhuman immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), andsexually transmitted infections. One method to reduce the risk of acquiring a communicabledisease is by the public health nurse providing information on the hazards of multiple sexualpartnersandstreet druguse.Encouraging―healthy behaviors‖isnotspecific to the preventionof communicable diseases. Monitoring the sexual activity of adolescents only addresses onesegment of the population, and montoring does not provide an active intervention for thenurse to complete to influence the problem. Identification of high-risk behaviors is part of theassessemnt of the community and may assist the nurse in knowing what programs to develop,but this would not assist in decreasing the rates of communicable disease.13.Which of the following is a core competency required of public health nurses?a.Knowledge in the use of high-technology diagnosticsb.Knowledge of the implementation of electronic medical recordsc.Skill in the physical assessment of complex clientsd.Skill in developing policy and planning programsANS: DN R I G B.C MThe core public health competeUnciSesaNre dTivided iOnto the following eight domains: (1) analyticassessment skills; (2) basic public health sciences skills; (3) cultural competency skills; (4)communication skills; (5) community dimensions of practice skills; (6) financial planning andmanagement skills; (7) leadership and systems thinking skills; (8) policydevelopment/program planning skills. The incorrect competencies are better suited for tertiary
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