TEST BANK FOUNDATIONS FOR
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POPULATION HEALTH IN
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r COMMUNITY/PUBLIC HEALTH NURSING r r
6TH EDITION ||UPDATED 2024
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,Chapter 01: Community- and Prevention-Oriented Practice to Improve Population
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Health
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Stanhope: Foundations for Population Health in Community/Public Health Nursing,
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6th Edition
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MULTIPLE rCHOICE
1. Which rof rthe rfollowing rbest rdescribes rcommunity-based rnursing?
a. A rpractice rin rwhich rcare ris rprovided rfor rindividuals rand rfamilies
b. Providing rcare rwith ra rfocus ron rthe rgroup’s rneeds
c. Giving rcare rwith ra rfocus ron rthe raggregate’s rneeds
d. A rvalue rsystem rin rwhich rall rclients rreceive roptimal rcare
ANS: r A
By rdefinition, rcommunity-based rnursing ris ra rsetting-specific rpractice rin rwhich rcare ris
rprovided rfor r“sick” rindividuals rand rfamilies rwhere rthey rlive, rwork, rand rattend rschool. rThe
remphasis ris ron racute rand rchronic rcare rand rthe rprovision rof rcomprehensive, rcoordinated, rand
rcontinuous rcare. rThese rnurses rmay rbe rgeneralists ror rspecialists rin rmaternal–infant, rpediatric,
radult, ror rpsychiatric rmental rhealth rnursing. rCommunity-based rnursing remphasizes racute rand
rchronic rcare rto rindividuals rand rfamilies, rrather rthan rfocusing ron rgroups, raggregates, ror
rsystems.
2. Which rof rthe rfollowing rbest rdescribes rcommunity-oriented rnursing?
a. Focusing ron rthe rprovision rof rcare rto rindividuals rand rfamilies
b. Providing rcare rto rmanage racute ror rchronic rconditions
c. Giving rdirect rcare rto rill rinNdivR Ils rwGithB
in.thCeir
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rS rN rT OMfamily rsetting
d. Having rthe rgoal rof rhealth rpromotion rand rdisease rprevention
ANS: r D
By rdefinition, rcommunity-oriented rnursing rhas rthe rgoal rof rpreserving, rprotecting, ror
rmaintaining rhealth rand rpreventing rdisease rto rpromote rthe rquality rof rlife. rAll rnurses rmay rfocus
ron rindividuals rand rfamilies, rgive rdirect rcare rto rill rpersons rwithin rtheir rfamily rsetting, rand rhelp
rmanage racute ror rchronic rconditions. rThese rdefinitions rare rnot rspecific rto rcommunity-oriented
rnursing.
3. Which rof rthe rfollowing ris rthe rprimary rfocus rof rpublic rhealth rnursing?
a. Families rand rgroups
b. Illness-oriented rcare
c. Individuals rwithin rthe rfamily runit
d. Health rcare rof rcommunities rand rpopulations
ANS: r D
In rpublic rhealth rnursing rthe rprimary rfocus ris ron rthe rhealth rcare rof rcommunities rand
rpopulations rrather rthan ron rindividuals, rgroups, rand rfamilies. rThe rgoal ris rto rprevent rdisease rand
rpreserve, rpromote, rrestore, rand rprotect rhealth rfor rthe rcommunity rand rthe rpopulation rwithin rit.
rCommunity-based rnurses rdeal rprimarily rwith rillness-oriented rcare rof rindividuals rand rfamilies
racorss rthe rlife rspan. rThe raim ris rto ramanage racute rand rchronic rhealth rconditions rin rthe
rcommunity, rand rthe rfocus rof rpractice ris ron rindividual ror rfamily-centered rillness rcare.
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,4. Which rof rthe rfollowing ris rresponsible rfor rthe rdramatic rincrease rin rlife rexpectancy rduring rthe
20th rcentury?
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a. Technology rincreases rin rthe rfield rof rmedical rlaboratory rresearch
b. Advances rin rsurgical rtechniques rand rprocedures
c. Sanitation rand rother rpopulation-based rprevention rprograms
d. Use rof rantibiotics rto rfight rinfections
ANS: r C
Improvements rin rcontrol rof rinfectious rdiseases rthrough rimmunizations, rsanitation, rand rother
rpopulation-based rprevention rprograms rled rto rthe rincrease rin rlife rexpectancy rfrom rless rthan
r50ryears rin r1900 rto rmore rthan r78 ryears rin r2013. rAlthough rpeople rare rexcited rwhen ra rnew
rdrug risrdiscovered rthat rcures ra rdisease ror rwhen ra rnew rway rto rtransplant rorgans ris rperfected, rit
ris rimportant rto rknow rabout rthe rsignificant rgains rin rthe rhealth rof rpopulations rthat rhave rcome
rlargely rfrom rpublic rhealth raccomplishments.
5. A rnurse ris rdeveloping ra rplan rto rdecrease rthe rnumber rof rpremature rdeaths rin rthe rcommunity.
Which rof rthe rfollowing rinterventions rwould rmost rlikely rbe rimplemented rby rthe rnurse?
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a. Increase rthe rcommunity’s rknowledge rabout rhospice rcare.
b. Promote rhealthy rlifestyle rbehavior rchoices ramong rthe rcommunity rmembers.
c. Encourage remployers rto rhave rwellness rcenters rat reach rindustrial rsite.
d. Ensure rtimely rand reffective rmedical rintervention rand rtreatment rfor rcommunity
rmembers.
ANS: r B
Public rhealth rapproaches rcould rhelp rprevent rpremature rdeaths rby rinfluencing rthe rway rpeople
reat, rdrink, rdrive, rengage rin rexercise, rand rtreat rthe renvironment. rIncreasing rknowledge rof
rhospice rcare, rencouraging ron-site rwellness rcenters, rand rensuring rtimely rtreatment rof rmedical
conditions rdo rnot raddress rtheNfU ocR
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inC ovMerall rhealth rthrough rhealth rpromotion
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strategies. rThis ris rthe rmajor rmethod rthat ris rsuggested rto rdecrease rthe rincidence rof rpremature
death.
6. Which rof rthe rfollowing ris ra rbasic rassumption rof rpublic rhealth refforts?
a. Health rdisparities ramong rany rgroups rare rmorally rand rlegally rwrong.
b. Health rcare ris rthe rmost rimportant rpriority rin rgovernment rplanning rand rfunding.
c. The rhealth rof rindividuals rcannot rbe rseparated rfrom rthe rhealth rof rthe rcommunity.
d. The rgovernment ris rresponsible rfor rlengthening rthe rlife rspan rof rAmericans.
ANS: r C
Public rhealth rpractice rfocuses ron rthe rcommunity ras ra rwhole, rand rthe reffect rof rthe
community’s rhealth rstatus r(resources) ron rthe rhealth rof rindividuals, rfamilies, rand rgroups. rThe
rgoal ris rto rprevent rdisease rand rdisability rand rpromote rand rprotect rthe rhealth rof rthe rcommunity
ras ra rwhole. rPublic rhealth rcan rbe rdescribed ras rwhat rsociety rcollectively rdoes rto rensure rthat
rconditions rexist rin rwhich rpeople rcan rbe rhealthy. rThe rbasic rassumptions rof rpublic rhealth rdo rnot
rjudge rthe rmorality rof rhealth rdisparities. rThe rfocus ris ron rprevention rof rillness rnot ron rspending
rmore ron rillness rcare. rAdditionally, rindividual rresponsibility rfor rmaking rhealthy rchoices ris rthe
rdirective rfor rlengthening rlife rspan rnot rthe rrole rof rthe rgovernment.
7. Which rof rthe rfollowing ractions rwould rmost rlikely rbe rperformed rby ra rpublic rhealth rnurse?
a. Asking rcommunity rleaders rwhat rinterventions rshould rbe rchosen
b. Assessing rthe rcommunity rand rdeciding ron rappropriate rinterventions
c. Using rdata rfrom rthe rmain rhealth rcare rinstitutions rin rthe rcommunity rto rdetermine
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, needed rhealth rservices
d. Working rwith rcommunity rgroups rto rcreate rpolicies rto rimprove rthe renvironment
ANS: r D
Although rthe rpublic rhealth rnurse rmight rengage rin rany rof rthe rtasks rlisted, rhe ror rshe rworks
rprimarily rwith rmembers rof rthe rcommunity rto rcarry rout rcore rpublic rhealth rfunctions, rincluding
rassessment rof rthe rpopulation ras ra rwhole rand rengaging rin rpromoting rhealth rand rimproving rthe
renvironment. rThe rinterventions rof rasking rcommunity rleaders rwhich rinterventions rshould rbe
rchosen, rasessing rthe rcommunity rand rdeciding ron rappropriate rinterventions, rand rusing rdata
rfrom rhealth rcare rinstitutions rdo rnot rdemonstrate rthe rengagement rof rthe rcommunity rwhen
rmaking rdecisions rabout rwhat rthe rcommunity ractually rwants rand rneeds.
8. Which rof rthe rfollowing rpublic rhealth rnurses rmost rclearly rfulfills rthe rresponsibilities rof rthis
role?
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a. The rnurse rwho rmet rwith rseveral rgroups rto rdiscuss rcommunity rrecreation rissues
b. The rnurse rwho rspent rthe rday rattending rmeetings rof rvarious rhealth ragencies
c. The rnurse rwho rtalked rto rseveral rpeople rabout rtheir rparticular rhealth rconcerns
d. The rnurse rwho rwatched rthe rcity rcouncil rmeeting ron rlocal rcable rtelevision
ANS: r B
Any rof rthese rdescriptions rmight rrepresent ra rnurse rcommunicating, rcooperating, ror
rcollaborating rwith rcommunity rresidents ror rgroups rabout rhealth rconcerns. rHowever, rthe rnurse
rwho rspent rthe rday rattending rmeetings rof rvarious rhealth ragencies ris rthe rmost rrepresentative,
rbecause rin rpublic rhealth, rconcerns rare raddressed rfrom ra rbroader rperspective. rIn rpublic rhealth,
rbroad rconcerns rof rthe rcommunity rshould rbe raddressed. rConcerns rare rbroader rthan rrecreation,
rindividual rconcerns rare rnot ras rimportant ras raggregate rpriorities, rand rwatching rtelevision r(a
rone-way rform rof rcommunication) ris rless reffective rthan rinteracting rwith rothers.
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9. Which rof rthe rfollowing rbest rdefines raggregate?
a. A rlarge rgroup rof rpersons
b. A rcollection rof rindividuals rand rfamilies
c. A rcollection rof rpeople rwho rshare rone ror rmore rcharacteristics
d. Another rname rfor rdemographic rgroup
ANS: r C
An raggregate ris rdefined ra rcollection rof rpeople rwho rshare rone ror rmore rpersonal ror
renvironmental rcharacteristics. rMembers rof ra rcommunity rcan rbe rdefined rin rterms rof reither
rgeography r(e.g., ra rcounty, ra rgroup rof rcounties, ror ra rstate) ror ra rspecial rinterest r(e.g., rchildren
rattending ra rparticular rschool). rThese rmembers rmake rup ra rpopulation. rThe rterm rpopulation
rmay rbe rused rinterchangeably rwith rthe rterm raggregate. rA rlarge rgroup rof rpersons, ra rcollection
rof rindividuals rand rfamilies, rand ranother rname rfor rdemograhpic rgroup rare rnot raccurate
rdefinitions rof rthe rterm raggregate.
10. A rregistered rnurse rwas rjust remployed ras ra rpublic rhealth rnurse. rWhich rquestion rwould rbe rthe
most rrelevant rfor rthe rnurse rto rask?
r
a. “Which rgroups rare rat rthe rgreatest rrisk rfor rproblems?”
b. “Which rpatients rshould rI rsee rfirst ras rI rbegin rmy rday?”
c. “With rwhich rphysicians rwill rI rbe rmost rclosely rcollaborating?”
d. “With rwhich rnursing rassistants rwill rI rpartner rthe rmost?”
ANS: r A
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