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Test bank for foundations for populatio n health in community public health nu rsing 6th edition by stanhope 1. Which statement best describes community-based nursing? a. A practice in which care is provided for individuals and families. b. Providing ca$12.99
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Test bank for foundations for populatio n health in community public health nu rsing 6th edition by stanhope 1. Which statement best describes community-based nursing? a. A practice in which care is provided for individuals and families. b. Providing ca
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Test-bank foundations for populatio n health
Institution
Test-bank Foundations For Populatio N Health
Test bank for foundations for populatio n health
in community public health nu rsing 6th edition
by stanhope
1. Which statement best describes community-based nursing?
a. A practice in which care is provided for individuals and families.
b. Providing care with a focus on the group’s needs....
Test bank for foundations for populatio
in community public health nu rsing 6th
by stanhope
1. Which statement best describes community-based nursing?
a. A practice in which care is provided for individuals and families.
b. Providing care with a focus on the group’s needs.
c. Giving care with a focus on the aggregate’s needs.
d. A value system in which all clients receive optimal care.
ANS: A
By definition, community-based nursing is a setting-specific practice in which care is provided for “sic
where they live, work, and attend school. The emphasis is on acute and chronic care and the provision
coordinated, and continuous care. These nurses may be generalists or specialists in maternal–infant, pe
mental health nursing. Community-based nursing emphasizes acute and chronic care to individuals and
focusing on groups, aggregates, or systems.
2. Which statement best describes the goal of community-oriented nursing?
a. Providing care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill individuals within their family setting
d. To preserve, protect, promote, or maintain health and prevent disease
ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health
promote the quality of life. All nurses may focus on individuals and families, give direct care to ill pers
setting, and help manage acute or chronic conditions. These definitions are not specific to community-o
3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals within the family unit
d. Health care of communities and populations
ANS: D
In public health nursing, the primary focus is on the health care of communities and populations rather
and families. The goal is to prevent disease and preserve, promote, restore, and protect health for the co
within it. Community-based nurses deal primarily with illness-oriented care of individuals and families
aim is to manage acute and chronic health conditions in the community, and the focus of practice is on
centered illness care.
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d. To lessen the governmental burden of providing health care to Americans
ANS: B
The central feature in the Patient Protection and Affordable Care Act (ACA) of 2010 are the mechanisms to
people with health insurance. The care provided is not necessarily free. While the cost of health care and th
American government are serious concerns, they are not the primary focus of ACA.
6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans.
ANS: C
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely separate
larger community. Public health practice focuses on the community as a whole, and the effect of the comm
(resources) on the health of individuals, families, and groups. The goal is to prevent disease and disability
the health of the community as a whole. Public health can be described as what society collectively does to
exist in which people can be healthy. The basic assumptions of public health do not judge the morality of h
focus is on prevention of illness not on spending more on illness care. Additionally, individual responsibili
choices is the directive for lengthening life span not the role of the government.
7. Which of the following actions would most likely be performed by a public health nurse?
a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine needed health service
d. Working with community groups to create policies to improve the environment
ANS: D
Although the public health nurse might engage in any of the tasks listed, he or she works primarily with m
to carry out core public health functions, including assessment of the population as a whole and engaging i
improving the environment. The interventions of asking community leaders which interventions should be
community and deciding on appropriate interventions, and using data from health care institutions do not d
engagement of the community when making decisions about what the community actually wants and need
8. Which public health nurse most clearly fulfills the responsibilities of this role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television
ANS: B
Any of these descriptions might represent a nurse communicating, cooperating, or collaborating with comm
groups about health concerns. A major challenge for the future is the need for public health nursing special
aggressive in working collaboratively with various groups in the community as well as professional collea
settings to deal with barriers to health. However, the nurse who spent the day attending meetings of variou
most representative, because in public health, concerns are addressed from a broader perspective. In public
of the community should be addressed. Concerns are broader than recreation, individual concerns are not a
priorities, and watching television (a one-way form of communication) is less effective than interacting wi
9. Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A collection of people who share one or more characteristics
d. Another name for demographic group
ANS: C
An aggregate is defined a collection of people who share one or more personal or environmental characteri
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c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance includes making sure that essential community-oriented health services are available in the c
does not fit the terms assessment, policy development. Scientific knowledge-based care is not a core fu
Assessment is systematic data collection on the population, monitoring the population’s health status, a
available about the health of the community. Policy development refers to efforts to develop policies th
population, including using a scientific knowledge base to make policy decisions.
12. When talking to a women’s group at the senior citizens’ center, the nurse reminded them that the only wa
to afford to provide transportation services for them would be for them to continue to write letters to thei
representatives requesting funding for such a service. What was the nurse trying to accomplish through t
that the women did not expect the nurse to solve their problem.
b. Demonstrate that the nurse understood the women’s concerns and needs.
c. Express empathy, support, and concern.
d. Help the women engage in political action.
ANS: D
Public health nurses engage themselves and others in policy development and encourage and assist per
needs to those with the power to take action. The nurse is demonstrating the role of advocate through th
merely understanding the women’s concern, and instead mobilizes them to take action. This action doe
showing empathy rather the nurse is empowering these women.
13. The public health nurse has a clear vision of what needs to be done and where to begin to improve the he
would the nurse spend time meeting with community groups to discuss the most important task to be add
increase the group’s self-esteem
b. To maintain communication links with the groups
c. To make the groups feel good about their contribution
d. To work with the groups, not for the groups
ANS: D
Historically, health care providers have been accused of providing care for or to people without actually
the decisions. Public health nursing is a “with the people”—not a “to the people” or “for the people”—
is an imperative to work with members of the community to carry out core public health functions. The
community groups is not to increase their self-esteem or make them feel good about their contribution,
act for themselves to solve the problems they are facing. The first task of working with the group shoul
maintaining communication links.
14. The nurse often has to make resource allocation decisions. Which of the following best describes the crit
such cases?
a. The specific moral or ethical principle related to the situation
b. The cheapest, most economical approach
c. The most rational probable outcome
d. The needs of the aggregate rather than a few individuals
ANS: D
The dominant needs of the population outweigh the expressed needs of one or a few people. All of the
components of a decision that the nurse might consider in determining the needs of the aggregate.
15. Which of the following actions best represents public health nursing?
a. Assessing the effectiveness of the high school health clinic
b. Caring for clients in their home following their outpatient surgeries
c. Providing care to children and their families at the school clinic
d. Administering follow-up care for pediatric clients at an outpatient clinic
ANS: A
A public health or population-focused approach would look at the entire group of children being served
available services are effective in achieving the goal of improving the health of the school population. C
families focuses on individuals and families and not on the entire population. Public health focuses on
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c. Emphasis on overall health care needs rather than only on acute care treatment d. Threat of bioter
ANS: B, C, D
As overall health needs become the focus of care in the United States, a stronger commitment to populatio
emerging. Threats of bioterrorism, anthrax scares, and the emergence of modern-day epidemics have draw
focused safety and services. Economic turmoil and demand for high-technology care have not contributed
commitment to population-focused services, rather it has occurred as overall health needs have become the
2. Which of the following actions demonstrate effective public health nursing practice in the community? (Selec
a. Epidemiologic investigations examine the environment for health hazards.
b. New services are organized where particular vulnerable populations live.
c. Partnerships are established with community coalitions.
d. Staff members at the public health agency continue to increase in number.
e. Staffing walk in clinics for low income families
ANS: A, B, C
Evidence that public health nurses are practicing effectively in the community would include organizing se
work, play, and learn; working in partnerships and with coalitions; and participating in epidemiologic stud
the number of staff nor acting as staff in the delivery of acute and/or chronic care has a relationship to the e
health nursing practice.
3. Why are nurses increasingly providing care in clients’ homes rather than in hospitals? (Select all that apply.) a
is less expensive.
b. It is much more efficient to give care in the home.
c. Nurses prefer to give home care with individual attention.
d. People prefer to receive care in their homes rather than in hospitals.
ANS: A, D
An increasing number of clients are receiving care in the home because it is less expensive and clients pref
familiar and comfortable settings. It is not more efficient nor more convenient, since travel time has to be c
as to their preferred employment setting.
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