Foundations e for e Population e Health e in e Community e Public e Health e Nursing e 5th
e Edition e Stanhope
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,Foundations e for e Population e Health e in e Community e Public e Health e Nursing e 5th
e Edition e Stanhope
Chapter e 01: e Community- e and e Prevention-Oriented e Practice e to e Improve
ePopulationeHealth
Stanhope: e Foundations e for e Population e Health e in e Community/Public e Health
eNursing, e5th e Edition
MULTIPLE
eCHOICE
1. Which e of e the e following e best e describes e community-based e nursing?
a. A e practice e in e which e care e is e provided e for e individuals e and e families
b. Providing e care e with e a e focus e on e the e group’s e needs
c. Giving e care e with e a e focus e on e the e aggregate’s e needs
d. A e value e system e in e which e all e clients e receive e optimal e care
ANS: A
By e definition, e community-based e nursing e is e a e setting-specific e practice e in e which
e care e is eprovided e for e “sick” e individuals e and e families e where e they e live,
e work, e and e attend eschool. e The e emphasis e is e on e acute e and e chronic e care e and
e the e provision e of e comprehensive, e coordinated, e andcontinuous e care. e These
e nurses e may e be e generalists e or especialists e in e maternal–infant, e pediatric, eadult, e or
e psychiatric e mental e health e nursing.
Community-based e nursing e emphasizes e acute e andchronic e care e to e individuals
e and efamilies, e rather e than e focusing e on e groups, e aggregates, e or e systems.
2. Which e of e the e following e best e describes e community-oriented e nursing?
a. Focusing e on e the e provision e of e care e to e individuals e and e families
b. Providing e care e to e manage e acute e or e chronic e conditions
c. Giving e direct e care e to e ill e inNdivR
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d. Having e the e goal e of e health e promotion e and e disease e prevention
ANS: D
By e definition, e community-oriented e nursing e has e the e goal e of e preserving,
e protecting, e or emaintaining e health e and e preventing e disease e to e promote e the
e quality e of e life. e All e nurses emay e focuson e individuals e and e families, e give
e direct e care e to e ill e persons e within e their e family e setting, e and e helpmanage e acute
e or e chronic e conditions. e These e definitions e are e not e specific e to e community-
orientednursing.
3. Which e of e the e following e is e the e primary e focus e of e public e health e nursing?
a. Families e and e groups
b. Illness-oriented e care
c. Individuals e within e the e family e unit
d. Health e care e of e communities e and e populations
ANS: e D
In e public e health e nursing e the e primary e focus e is e on e the e health e care e of
e communities e and e populations e rather e than e on e individuals, e groups, e and
e families. e The e goal e is e to e prevent edisease e andpreserve, e promote, e restore, e and
e protect e health e for e the e community e and e the e population e within e it. e Community-
based e nurses e deal e primarily e with e illness-oriented e care e of e individuals e and
e families e acorss e the e life e span. e The e aim e is e to e amanage e acute e and e chronic
e health e conditions e in e the e community, e and e the e focus e of e practice e is e on
e individual e or e family-centered e illness e care.
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,Foundations e for e Population e Health e in e Community e Public e Health e Nursing e 5th
e Edition e Stanhope
4. Which e of e the e following e is e responsible e for e the e dramatic e increase e in e life
e expectancy e during e the e20th e century?
a. Technology e increases e in e the e field e of e medical e laboratory e research
b. Advances e in e surgical e techniques e and e procedures
c. Sanitation e and e other e population-based e prevention e programs
d. Use e of e antibiotics e to e fight e infections
ANS: e C
Improvements e in e control e of e infectious e diseases e through e immunizations, e sanitation,
e and eother e population-based e prevention e programs e led e to e the e increase e in
e life e expectancy efrom e less e than e 50eyears e in e 1900 e to e more e than e 78 e years e in
e 2013. e Although e people e are e excited e when e a e new e drug e isdiscovered e that
e cures e a e disease e or e when e a e new e way e to etransplant e organs e is e perfected, e it
e is e important e to e know e about e the e significant e gains e in ethe e health e of
e populations e that e have e come e largely e from e public e health e accomplishments.
5. A e nurse e is e developing e a e plan e to e decrease e the e number e of e premature e deaths
e in e the e community.eWhich e of e the e following e interventions e would e most e likely
e be e implemented eby e the e nurse?
a. Increase e the e community’s e knowledge e about e hospice e care.
b. Promote e healthy e lifestyle e behavior e choices e among e the e community e members.
c. Encourage e employers e to e have e wellness e centers e at e each e industrial e site.
d. Ensure e timely e and e effective e medical e intervention e and
e treatment e for ecommunitymembers.
ANS: e B
Public e health e approaches e could e help e prevent e premature e deaths e by e influencing
e the e way epeopleeat, e drink, e drive, e engage e in e exercise, e and e treat e the
e environment. e Increasing eknowledge e of e hospice e care, e encouraging e on-site
e wellness e centers, e and e ensuring e timely etreatment e of e medical
conditions e do e not e address e theNfU
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inC o vMe r a l l e health e through e health
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e promotion
strategies. e This e is e the e major e method e that e is e suggested e to e decrease e the
e incidence e of e premature
death.
6. Which e of e the e following e is e a e basic e assumption e of e public e health e efforts?
a. Health e disparities e among e any e groups e are e morally e and e legally e wrong.
b. Health e care e is e the e most e important e priority e in e government e planning e and
e funding.
c. The e health e of e individuals e cannot e be e separated e from e the e health e of e the
e community.
d. The e government e is e responsible e for e lengthening e the e life e span e of e Americans.
ANS: e C
Public e health e practice e focuses e on e the e community e as e a e whole, e and e the e effect
e of e the ecommunity’s e health e status e (resources) e on e the e health e of
e individuals, e families, e and egroups. e The e goal e is e to e prevent e disease e and
e disability e and e promote e and e protect e the ehealth e of e the e community e as e a
e whole. e Public e health e can e be e described e as e what e society e collectively e does e to
e ensure e that e conditions e exist e in e which e people e can e be e healthy. e The e basic
e assumptions e of e public e health e do e notjudge e the e morality e of e health e disparities.
e The e focus e is e on e prevention e of e illness e not e on e spending e more e on e illness
e care. e Additionally, e individual e responsibility e for e making e healthy e choices e is
e the e directive e for e lengthening
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, Foundations e for e Population e Health e in e Community e Public e Health e Nursing e 5th
e Edition e Stanhope
life e span e not e the e role e of e the e government.
7. Which e of e the e following e actions e would e most e likely e be e performed e by e a
e public e health e nurse?
a. Asking e community e leaders e what e interventions e should e be e chosen
b. Assessing e the e community e and e deciding e on e appropriate e interventions
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