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FOUNDATIONS FOR POPULATION HEALTH IN
COMMUNITY PUBLIC HEALTH NURSING 5TH
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Chapter 01: Community- and Prevention-Oriented Practice to Improve Population
EDITION STANHOPE TEST BANK
Health
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
5th Edition
1. Which of the following 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 ―sick‖ individuals and families where they live, work, and attend
school. The emphasis is on acute and chronic care and the provision of
comprehensive, coordinated, andcontinuous care. These nurses may be generalists or
specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing.
Community-based nursing emphasizes acute andchronic care to individuals and
families, rather than focusing on groups, aggregates, or systems.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill inNdivR
idualIs d wGithiBn.t hCeir Mfamily setting
U S N
d. Having the goal of health promotion and disease prevention
ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or
maintaining health and preventing disease to promote the quality of life. All nurses
may focuson individuals and families, give direct care to ill persons within their
family setting, and helpmanage acute or chronic conditions. These definitions are not
specific to community-orientednursing.
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FOUNDATIONS FOR POPULATION HEALTH IN
COMMUNITY PUBLIC HEALTH NURSING 5TH
EEE
3.
EDITION
Which of the following STANHOPE
is the primary TEST
focus of public BANK
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 than on individuals, groups, and families. The goal is to prevent
disease andpreserve, promote, restore, and protect health for the community and the
population within it. Community-based nurses deal primarily with illness-oriented care
of individuals and families acorss the life span. The aim is to amanage acute and
chronic health conditions in the community, and the focus of practice is on individual
or family-centered illness care.
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FOUNDATIONS FOR POPULATION HEALTH IN
COMMUNITY PUBLIC HEALTH NURSING 5TH
EEE
4. Which of the following is responsible for the dramatic increase in life expectancy
EDITION STANHOPE TEST BANK
during the20th century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other population-based prevention programs
d. Use of antibiotics to fight infections
ANS: C
Improvements in control of infectious diseases through immunizations, sanitation, and
other population-based prevention programs led to the increase in life expectancy
from less than 50 years in 1900 to more than 78 years in 2013. Although people are
excited when a new drug isdiscovered that cures a disease or when a new way to
transplant organs is perfected, it is important to know about the significant gains in
the health of populations that have come largely from public health accomplishments.
5. A nurse is developing a plan to decrease the number of premature deaths in the
community. Which of the following interventions would most likely be implemented
by the nurse?
a. Increase the community’s knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for
communitydmembers.
ANS: B
Public health approaches could help prevent premature deaths by influencing the way
peopleeat, drink, drive, engage in exercise, and treat the environment. Increasing
knowledge of hospice care, encouraging on-site wellness centers, and ensuring timely
treatment of medical
conditions do not address theNfoUcR
usSofIN
imGpT
roBv.ingC O
o vMe r a l l health through health promotion
strategies. This is the major method that is suggested to decrease the incidence of
premature
death.
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FOUNDATIONS FOR POPULATION HEALTH IN
COMMUNITY PUBLIC HEALTH NURSING 5TH
EEE
6. Which of the following is a basic assumption of public health efforts?
EDITION
a. Health disparities among anySTANHOPE
groups are morally TEST BANK
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
Public health practice focuses on the community as a whole, and the effect of the
community’s health status (resources) on the health of individuals, families, and
groups. The goal is to prevent disease and disability and promote and protect the
health of the community as a whole. Public health can be described as what society
collectively does to ensure that conditions exist in which people can be healthy. The
basic assumptions of public health do notjudge the morality of health disparities. The
focus is on prevention of illness not on spending more on illness care. Additionally,
individual responsibility for making healthy 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
