100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
Public Health Nursing: Practicing Population-Based Care: Practicing Population-Based Care 3rd Edition By Marie Truglio-Londrigan , Sandra B. Lewenson 9781284121292 ALL Chapters .$17.99
Add to cart
Public Health Nursing: Practicing Population-Based
Public Health Nursing: Practicing Population-Based
Exam (elaborations)
Public Health Nursing: Practicing Population-Based Care: Practicing Population-Based Care 3rd Edition By Marie Truglio-Londrigan , Sandra B. Lewenson 9781284121292 ALL Chapters .
4 views 0 purchase
Course
Public Health Nursing: Practicing Population-Based
Institution
Public Health Nursing: Practicing Population-Based
Book
Public Health Nursing
Public Health Nursing: Practicing Population-Based Care: Practicing Population-Based Care 3rd Edition By Marie Truglio-Londrigan , Sandra B. Lewenson 9781284121292 ALL Chapters .
Public Health Nursing: Practicing Population-Based Care: Practicing Population-Based Care 3rd Edition By Marie Truglio-Londrigan , Sandra B. Lewenson 9781284121292 ALL Chapters .
Public Health Nursing: Practicing Population-Based Care: Practicing Population-Based Care 3rd Edition By Marie Truglio-Londrigan , Sandra B. Lewenson 9781284121292 ALL Chapters .
All for this textbook (3)
Written for
Public Health Nursing: Practicing Population-Based
All documents for this subject (3)
Seller
Follow
phinta004
Reviews received
Content preview
Test Bank For Public Health Nursing: Practicing Population-
Based Care: Practicing Population-Based Care 3rd Edition By
Marie Truglio-Londrigan , Sandra B. Lewenson
9781284121292 ALL Chapters .
1. In 1988, the Institute of Medicine (IOM) published a report on the future of public health and its
mission that defined public health as:
a. what public-private partnerships do to treat vulnerable populations.
b. what the government does to ensure that vital programs are in place.
c. what the U.S. Public Health Service does to prevent disease, promote health, and deliver services.
d. what society does collectively to ensure the conditions in which people can be healthy. - ANSWER:
ANS: D
In 1988, the IOM's report stated that public health is "what we, as a society, do collectively to assure
the conditions in which people can be healthy." Consequently, the mission of public health is "to
generate organized community effort to address the public's interest in health by applying scientific
and technical knowledge to prevent disease and promote health." This clearly places the emphasis on
the desire of the population and community to ensure access to services that foster the health status
of the overall community through the equitable distribution of resources addressed to community
problems that affect health.
2. A registered nurse is seeking a position as a public health nurse. In reviewing the job description,
the nurse would expect to find a description of a position that focused on functions such as:
a. monitoring pregnant teenagers for symptoms of complications of pregnancy.
b. offering free hypertension screening and treatment referral at local health fairs to low-income,
uninsured, community members.
c. partnering with local seasonal farmworkers to design a program aimed at preventing illness and
injury, and advocating for this population with local political and community leaders.
d. preventing injury among a population of elderly residents in an assisted living facility and treating
residents' chronic illnesses. - ANSWER: ANS: C
The scope of practice of public health nurses is population focused and community oriented, with a
primary emphasis on population-level interventions that target strategies for health promotion and
disease prevention. In addition, public health nursing is concerned with the health of all members of a
population or community, particularly vulnerable populations, and uses political processes as a major
intervention strategy.
3. A public health nurse leader is encountering barriers when trying to shift the public health agency's
efforts to a population-focused practice. The reasons peers are not supportive of the proposed shift to
a population focus are most likely related to:
a. agency colleagues' push for nurses to focus on population initiatives.
b. costs associated with staff training and revision of documents.
c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct client care and services. - ANSWER:
ANS: D
Barriers to implementing population-focused care include lack of understanding of the public health
nurse role and its relationship to other roles in nursing, such as direct care and services; workplace
role socialization that determines what roles are appropriate and inappropriate or accessible and
inaccessible for nurses; and lack of comprehensive training at the graduate level in the disciplines
basic to public health such as epidemiology, biostatistics, community development, service
administration, and policy formation.
4. The role and goals of the community health nursing practice can best be described as:
,a. community-based interventions aimed at promoting, preserving, and maintaining the health of
populations residing in institutional facilities such as nursing homes.
b. education of nurses and other staff working in community-based and community-oriented settings
to improve the overall effectiveness of their programs to meet client needs.
c. population-level strategies aimed at promoting, preserving, and maintaining the health of
populations through the delivery of personal health care services to individuals, families, and groups
in an effort to improve the health of the community as a whole.
d. activities targeted at improving the health status of clients served by community-based health
service agencies such as hospice and home health agencies. - ANSWER: ANS: C
Community health nursing practice is the synthesis of nursing theory and public health theory applied
to promoting, preserving, and maintaining the health of populations through the delivery of personal
health care services to individuals, families, and groups. The focus of community health nursing
practice is the health of individuals, families, and groups and the effect of their health status on the
health of the community as a whole (individual to families to groups to community flow). This is
different from public health nursing, which is the synthesis of nursing theory and public health theory
applied to promoting and preserving the health of populations. The focus of public health nursing
practice is the community as a whole and the effect that the community's health status, including
health care resources, has on the health of individuals, families, and groups (community to groups to
families to individual flow). Both community health and public health nursing are considered to be
community-oriented practices involving free-living (noninstitutionalized) clients. Community-based
nursing practice is setting specific, and care is provided to clients where they live (home health or
hospice nursing, community-based clinic), work (occupational health nursing), and/or attend school
(school nursing). The emphasis of community-based nursing practice is acute and chronic care (illness
care) and the provision of comprehensive, coordinated, and continuous services, usually within a
specialty area.
5. A community-oriented nurse has identified obesity as a problem in the middle school. The next step
in a population-focused practice is to make information available about the health of the middle
school students. This describes the core public health function of:
a. assessment.
b. assurance.
c. policy development.
d. research. - ANSWER: ANS: A
Assessment is a core function of public health and refers to systematically collecting data concerning
the population, monitoring the population's health status, and making information available on the
health of the community. In a community-oriented approach, a nurse would apply both nursing and
public health theory. In this case, assessment would be the first step from the perspective of both
theories. Because the practice is population focused and community oriented, it would involve the
assessment of the community subpopulation of middle school children and the impact of obesity on
their overall health status.
6. The state public health agency has received multiple complaints regarding the availability of elder
transportation services to a specific county senior center. The state agency assigns a public health
nurse to work with the community to evaluate its program for elder transportation services to
publicly sponsored eldercare programs. The public health core function applied is:
a. assurance.
b. policy development.
c. primary prevention.
d. public transportation. - ANSWER: ANS: A
The public health core function of assurance focuses on the responsibility of public health agencies to
be sure that activities are appropriately carried out to meet public health goals and plans. This
involves making sure that essential community-oriented health services are available and accessible,
especially to vulnerable populations who would otherwise not receive necessary services. Assurance
also includes assisting communities to implement and evaluate plans and practices.
,7. A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high
schools is providing:
a. community-oriented care.
b. community-based care.
c. secondary care.
d. tertiary care. - ANSWER: ANS: A
Community-oriented nurses emphasize health promotion, health maintenance, and disease
prevention, as well as self-reliance on the part of clients. Regardless of whether the client is a person,
family, or group, the goal is to promote health through education about prevailing health problems,
proper nutrition, beneficial forms of exercise, and environmental factors such as the safety of food,
water, air, and buildings.
8. A community-oriented nurse conducts home visits to new parents to assess the health status of the
infant, the parent-child relationship, the parents' knowledge regarding the care of the infant, and the
need for health department and social services referrals to support the needs of the new parents and
the infant. This can best be described as an example of:
a. clinical community health practice.
b. community-based practice.
c. population-focused practice.
d. public health nursing. - ANSWER: ANS: A
Community-oriented nurses who provide direct care services to individuals, families, or groups are
engaging in a clinically oriented practice even when they apply concepts of population-focused,
community-oriented strategies along with their direct care clinical strategies.
9. Nurses should consider opportunities for population-focused practice that result from the rapid
transformation of health care delivery from a medical model to a health promotion/disease
prevention model. An example of such opportunity is:
a. operator of a nurse practitioner-run urgent care center in a major retail location.
b. director of clinical services spanning inpatient and community-based settings that provide a wide
range of services to the populations seen by the system.
c. clinical director of a home health agency.
d. school nurse position in the local high school. - ANSWER: ANS: B
The new focus on populations, coupled with the integration of acute, chronic, and primary care
occurring in some health care systems, is likely to create new roles for individuals, including nurses,
who will span inpatient and community-based settings and focus on providing a wide range of
services to the populations served by the system. Such a role might be director of client care services
for the health care system, who has administrative responsibility for a large program area. There will
be a demand for individuals who can design programs of preventive and clinical services to be offered
to targeted subpopulations and for those who can implement such programs.
1. Public health nursing specialists are interested in which of the following topic(s)? (Select all that
apply.)
a. Educational materials for individuals with HIV/AIDS
b. Evaluation of an outreach program for at-risk pregnant teenagers
c. Community subpopulations with high rates of type 2 diabetes
d. New technologies to monitor diabetes
e. Prevalence of hypertension among various age, race, and gender groups - ANSWER: ANS: B, C, E
Public health specialists often define problems at the population or aggregate level as opposed to the
individual level. At the population level, public health specialists are usually concerned with more
than one subpopulation and frequently with the health of the entire community.
A clinic treating a child for otitis media is an example of:
, A. Community-based care
B. Public health care
C. Tertiary health care
D. Community-oriented care - ANSWER: Answer: A - In community-based nursing, the nurse focuses
on "illness care" of individuals and families across the life span. The aim is to manage acute and
chronic health conditions in the community, and the practice is family-centered illness care.
Community-based nursing is not a specialty in nursing but, rather, a philosophy that guides care in all
nursing specialties.
A state agency has received multiple complaints regarding the availability of elder transportation
services to a specific county senior center. The state agency assigns a public health nurse to work with
the community to evaluate its program for elder transportation services to publicly sponsored elder
care programs. The public health core function applied is:
A. Assurance
B. Primary prevention
C. Policy development
D. Public transportation - ANSWER: Answer: A - The public health core function of assurance focuses
on the responsibility of public health agencies to be sure that activities are appropriately carried out
to meet public health goals and plans. This role requires skill in assessment, investigative functions,
collaboration, consultation, and cooperation. Assurance also includes assisting communities to
implement and evaluate plans and projects.
A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high
schools is providing:
A. Community-oriented care
B. Community-based care
C. Secondary care
D. Tertiary care - ANSWER: Answer: A - Community-oriented nurses emphasize health protection,
maintenance, and promotion and disease prevention, as well as self-reliance among clients.
Regardless of whether the client is a person, a family, or a group, the goal is to promote health
through education about prevailing health problems, proper nutrition, beneficial forms of exercise,
and environmental factors such as safe food, water, air, and buildings.
A public health department makes sure that the essential community-oriented health services
are available in the community. Which of the following core public health functions is being
implemented?
a.Policy development
b.Assessment
c.Assurance
d.Scientific knowledge-based care - ANSWER: ANS: C
Assurance focuses on the responsibility of public health agencies to ensure certain activities have
been appropriately carried out to meet public health goals and plans. Policy development seeks
to build constituencies that can help bring about change in public policy. Assessment includes
activities that involve collecting, analyzing, and disseminating information on both the health
status and the health-related aspects of a community or a specific population. Public health is
based on scientific knowledge, but is not a core function.
DIF:Cognitive level: ApplyingREF:p. 14
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
Collecting data and monitoring the health status of the population defines which of the core public
health functions?
a.Assessment
b.Prevention
c.Assurance
d.Policy development - ANSWER: a.Assessment
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller phinta004. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
