Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
Chapter 01: Community- and Prevention-Oriented Practice to Improve
Population Health
Stanhope: Foundations for Population Health in Community/Public Health
Nursing, 5th Edition
MULTIPLE CHOICE
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
N R G C
c. Giving direct care to ill in Udi v Sidu NaIls w Tit hBin.th O
eirMfamily setting
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 focus on individuals and families, give direct care to ill persons within their
family setting, and help manage acute or chronic conditions. These definitions are
not specific to community-oriented nursing.
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, and continuous care. These nurses may be generalists or specialists in
,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
maternal–infant, pediatric, adult, or psychiatric mental health nursing.
Communitybased nursing emphasizes acute and chronic care to individuals and
families, rather than focusing on groups, aggregates, or systems.
3. Which of the following is the primary focus of public 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 and preserve, 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.
,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
4. Which of the following is responsible for the dramatic increase in life expectancy
during the 20th 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 is discovered 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 community
members.
ANS: B
Public health approaches could help prevent premature deaths by influencing the
way people eat, 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
N R I G B. C M
the fUoc usSo fNim pTro v in g Oov erall health through health
promotion strategies. This is the major method that is suggested to decrease the
incidence of premature death.
6. Which of the following is a basic assumption of public health efforts?
, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
a. Health disparities among any groups are morally 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 not judge 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
needed health services
d. Working with community groups to create policies to improve the environment
ANS: D
Although the public health nurse might engage in any of the tasks listed, he or she
works primarily with members of the community to carry out core public health
functions, including assessment of the population as a whole and engaging in
promoting health and improving the environment. The interventions of asking
community leaders which interventions should be chosen, asessing the community
and deciding on appropriate interventions, and using data from health care
institutions do not demonstrate the engagement of the community when making
decisions about what the community actually wants and needs.
8. Which of the following public health nurses most clearly fulfills the responsibilities of
this role?
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