Two public health nurses plan to walk under a downtown bridge where various homeless persons live to assess their needs. Which of the following public health core functions is being used?
Policy development
Assurance
Primary prevention
Assessment
The Correct Answer is D
Choice A reason: Policy development involves creating guidelines, like sanitation laws, to improve health systemically. It’s proactive but not the direct action here. Assessing homeless needs under a bridge focuses on data collection, not crafting rules to address broader public health infrastructure issues immediately.
Choice B reason: Assurance ensures health services are available, like enforcing clinic access for the homeless. It follows assessment, not the act of evaluating needs under a bridge, which prioritizes gathering data over guaranteeing interventions or monitoring compliance with health standards directly.
Choice C reason: Primary prevention, like vaccinations, stops disease before it starts. Walking under a bridge to assess needs isn’t preventive action but data collection to understand health risks among the homeless, not directly reducing disease incidence at that moment.
Choice D reason: Assessment involves collecting data on health status, as seen here with nurses evaluating homeless needs under a bridge. It’s foundational, identifying risks like malnutrition or infection prevalence, enabling subsequent interventions without immediately altering conditions or enforcing services directly.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Delaying political involvement until after orientation sidesteps its ongoing relevance. Nurses influence health policy, like staffing laws, impacting client care quality. This dismisses how advocacy shapes ethical practice, limiting systemic improvements beyond individual clinical skills alone comprehensively over time.
Choice B reason: Claiming clinical excellence fulfills all obligations ignores broader ethical duties. Politics shapes healthcare access, like funding for underserved areas. Focusing solely on bedside care neglects advocacy’s role in addressing systemic inequities affecting client outcomes long-term fundamentally across populations.
Choice C reason: Reducing political action to ANA fees minimizes its scope. True involvement, like lobbying for safety laws, directly impacts clients. Passive membership doesn’t address ethical needs for active policy influence on care quality and access beyond mere financial support alone.
Choice D reason: Political action fulfills ethical duties by advocating for clients’ rights, like better resources or laws. It extends care beyond the bedside, addressing systemic issues—e.g., opioid crisis policies—ensuring justice and beneficence in healthcare delivery comprehensively for all affected populations effectively.
Correct Answer is D
Explanation
Choice A reason: Markets aid nutrition, not equity directly; access does. This errors per public health standards. It’s universally distinct, indirect benefit.
Choice B reason: Prevention is care type, not equity itself. Access ensures fairness. This misaligns with nursing definitions. It’s universally distinct, not equity.
Choice C reason: Free insurance helps, but access defines equity broadly. This errors per health standards. It’s universally distinct, a means not end.
Choice D reason: Access to services ensures fair health opportunities, equity’s core. This fits public health standards. It’s universally recognized, distinctly accurate.
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