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Chapter 01: Public Health Nursing and Population Health
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Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Editi
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MULTIPLE CHOICE vn
1. Which statement best describes community-based nursing?
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a. A practice in which care is provided for individuals and families.
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b. Providing care with a focus on the group‘s needs. to vn vn vn v n vn to vn v n v n
c. Giving care with a focus on the aggregate‘s needs. to vn vn vn to vn to vn vn vn to vn vn vn vn
d. A value system in which all clients receive optimal care.
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ANS: A vn
By definition, community-based nursing is a setting-
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specific practice in which care is provided for ―sick‖ individuals and familieswhere they live
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The empha sis is on acute and chronic care and the provision of comprehensive, coordinated, a
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nurses may be gener alists or specialists in maternal–infant, pediatric, adult, or psychia
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Community-
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based nursing emphasizes acute and chronic care to individuals and families, rather than focusin
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or syste ms.
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2. Which statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families to vn vn vn vn vn vn
b. Providing care to manage acute or chronic conditions to vn vn vn vn vn vn vn
c. Giving direct care to ill individuals within their family setting
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d. To preserve, protect, promote, or maintain health and prevent disease
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ANS: D v n
By definition, community-
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oriented nursing has the goal of preserving, protecting, or maintaining health and preventing dise
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lif
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e. All nurses may focus on individuals and families, give direct care to ill persons within their
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manage a cute or chronic conditions. These definitions are not specific to community-oriented nur
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3. Which of the following is the primary focus of public health nursing?
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a. Families and groups to vn vn
b. Illness-oriented care vn
c. Individuals within the family unit vn to vn vn vn vn
d. Health care of communities and populations to vn vn to vn vn vn
ANS: D v n
In public health nursing, the primary focus is on the health care of communities and pop
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individuals, group s, and families. The goal is to prevent disease and preserve, promote, restor
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the community and the popula
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tionw ithin it. Community-based nurses deal primarily with illness-
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oriented care of individuals and families across the life span. The aim is to manage acute and chr
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co mmunity, and the focus of practice is on individual or
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family-centered illness care. vn vn
4. Which of the following is responsible for the dramatic increase in life expectancy during the 2
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a. Technology increases in the field of medical laboratory research vn to vn vn vn to vn vn v n vn vn vn vn
b. Advances in surgical techniques and procedures vn to vn vn vn vn
c. Sanitation and other population-based prevention programs to vn vn vn vn to vn
d. Use of antibiotics to fight infections vn to vn vn vnvn vn
ANS: C v n
There has to be indisputable evidence collected over time that public health policies and
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responsible for i ncreasing the average life span from 47 in 1900 to 78.6 years in 2017, an
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60% in just over a century plu sthrough improvements in (1) sanitation, (2) clean water suppl
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safer, (4) improving food and drug safety
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6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts
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a. Health disparities among any groups are morally and legally wrong.
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b. Health care is the most important priority in government planning and funding.
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c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS: C v n
The major premise of Healthy People 2010 was that the health of the individual cannot be entirel
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of the larger community. Public health practice focuses on the community as a whole, and the
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health status (re sources) on the health of individuals, families, and groups. The goal is to preve
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and promote and protectt h e health of the community as a whole. Public health can be describe
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collectively does to ensure that conditions ex ist in which people can be healthy. The basic ass
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do not judge the morality of health disparities. The foc us is on prevention of illness not on sp
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care. Additionally, individual responsibility for making healthy choi ces is the directive for length
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role of the government.
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7. Which of the following actions would most likely be performed by a public health
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a. Asking community leaders what interventions should be chosen
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b. Assessing the community and deciding on appropriate interventions to vn vn vn vn to vn vn to vn vn
c. Using data from the main health care institutions in the community to
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determin eneeded health services
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d. Working with community groups to create policies to improve the environment
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ANS: D v n
Although the public health nurse might engage in any of the tasks listed, he or she works primari
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communi tyto carry out core public health functions, including assessment of the population as a
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promoting health an d improving the environment. The interventions of asking community leade
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should be chosen, assessing the community and deciding on appropriate interventions, and using
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institutions do not demonstrate the engage ment of the community when making decisions abou
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actually wants and needs.
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8. Which public to vn vn health nurse most clearly fulfills the responsibilities of this role?
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a. The nurse vn vn who met with several groups to discuss community recreation issues
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b. The nurse vn vn who spent the day attending meetings of various health agencies
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c. The nurse vn vn who talked to several people about their particular health concerns
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d. The nurse vn vn who watched the city council meeting on local cable television
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ANS: B v n
Any of these descriptions might represent a nurse communicating, cooperating, or collaborating w
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gro ups about health concerns. A major challenge for the future is the need for public health
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more aggressive in working collaboratively with various groups in the community as well as p
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institutional settings to dea l with barriers to health. However, the nurse who spent the day
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various health agencies is the most represen tative, because in public health, concerns are
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perspective. In public health, broad concerns of the comm unity should be addressed. C
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recreation, individual concerns are not as important as aggregatep riorities, a nd watching televis
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communication) is less effective than interacting with others.
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9. Which of the following best defines aggregate?
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a. A large group of persons vn vn vn to vn vn
b. A collection of individuals and families
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c. A collection of people who share one or more characteristics
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d. Another name for demographic group vn vn vn vn
ANS: C v n
An aggregate is defined a collection of people who share one or more personal or enviro
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Members of a community can be defined in terms of either geography (e.g., a county, a group
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or a special interest (e.g.
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, children attending a particular school). These members make up a population. The term p
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interchangea blywith the term aggregate. A large group of persons, a collection of individ
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another name for demograp hic group are not accurate definitions of the term aggregate.
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