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FOUNDATIONSFORPOPULATIONHEALTH IN COMMU
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C HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6T
, Table of Contents 5i 5i
Chapter 01: Public Health Nursing and Population Health
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Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope: Chapte
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03: US and Global Health Care
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Chapter 04: Government, the Law, and Policy Activism C
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hapter 05: Economics of US Health Care Delivery
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Chapter 06: Ethics in Public and Community Health Nursing Practice C
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hapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapte
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r 09: Evidence-
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Based Practice Chapter 10: Epidemiologic
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al Applications
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Chapter 11: Infectious Disease Prevention and Control
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Chapter 12: Communicable and Infection Disease Risks C
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hapter 13: Community Assessment and Evaluation Chap
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ter 14: Health Education in the Community Chapter 15:
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Case Management 5i
Chapter 16: Disaster Management 5i 5i 5i
Chapter 17: Public Health Surveillance and Outbreak Investigation Cha
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pter 18: Program Management
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Chapter 19: Healthcare Improvement in the Community
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Chapter 20: Family Development, Family Nursing Assessment, and Genomics Ch
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apter 21: Family Health Risks
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Chapter 22: Health Risks Across the Life Span
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Chapter 23: Health Equity and Care of Vulnerable Populations Chapter
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24: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapte
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r 26: Alcohol, Tobacco, and Other Drug Problems in the Community Chapter 27:
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Violence and Human Abuse 5i 5i 5i
Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health Chapte
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r 29: The Faith Community Nurse
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Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice Chapter
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31: The Nurse in the Schools
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Chapter 32: The Nurse in Occupational Health
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, Chapter 01: Public Health Nursing and Population Health 5i 5i 5i 5i 5i 5i 5i
Stanhope: Foundations for Population Health in Community/Public Health Nursing
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MULTIPLE CHOICE 5i
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. 5i 5i 5i 5i 5i 5i 5i 5i
c. Giving care with a focus on the aggregate‘s needs. 5i 5i 5i 5i 5i 5i 5i 5i
d. A value system in WHICH all clients receive optimal care.
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ANS A 5 i
By definition, community-based nursing is a setting-
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specific practice in WHICH care is provided for ―sick‖ individuals and families where they live, work, a
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asis is on acute and chronic care and the provision of comprehensive, coordinated, and continuous care
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ralists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing. Commun
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based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on g
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s.
2. WHICH statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families 5i 5i 5i 5i 5i
b. Providing care to manage acute or chronic conditions 5i 5i 5i 5i 5i 5i 5i
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 5 i
By definition, community-
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oriented nursing has the goal of preserving, protecting, or maintaining health and preventing disease to p
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ll Nurses may focus on individuals and families, give direct care to ill persons within their family setti
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r chronic conditions. These definitions are not specific to community-oriented nursing.
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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 5i 5i
b. Illness-oriented care 5i
c. Individuals within the family unit 5i 5i 5i 5i
d. Health care of communities and populations 5i 5i 5i 5i 5i
ANS D 5 i
In public health nursing, the primary focus is on the health care of communities and populations rather
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and families. The goal is to prevent disease and preserve, promote, restore, and protect health for the com
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within 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 chronic
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munity, and the focus of practice is on individual or
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family-centered illness care. 5i 5i
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th cen
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a. Technology increases in the field of medical laboratory research 5i 5i 5i 5i 5i 5i 5i 5i
b. Advances in surgical techniques and procedures 5i 5i 5i 5i 5i
c. Sanitation and other population-based prevention programs 5i 5i 5i 5i 5i
d. Use of antibiotics to fight infections5i 5i 5i 5i 5i
ANS C 5 i
There has to be indisputable evidence collected over time that public health policies and programs wer
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asing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60% in ju
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mprovements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improving fo
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excit
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overed that cures a disease or when a new way to transplant organs is perfected, it is important to know a
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the health of populations that have come largely from public health accomplishments.
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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. 5i 5i 5i 5i 5i 5i 5i 5i 5i
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 5 i
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely sep
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arger community. Public health practice focuses on the community as a whole, and the effect of the co
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ources) on the health of individuals, families, and groups. The goal is to prevent disease and disability an
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ealth of the community as a whole. Public health can be described as what society collectively does to
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in WHICH people can be healthy. The basic assumptions of public health do not judge the morality of h
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is on prevention of illness not on spending more on illness care. Additionally, individual responsibility
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is the directive for lengthening life span not the role of the government.
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7. WHICH of the Following actions would most likely be performed by a public health Nurse?
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a. Asking community leaders what interventions should be chosen 5i 5i 5i 5i 5i 5i 5i
b. Assessing the community and deciding on appropriate interventions 5i 5i 5i 5i 5i 5i 5i
c. Using data from the main health care institutions in the community to determine
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needed health services 5i 5i
d. Working with community groups to create policies to improve the environment
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ANS D 5 i
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily wi
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ty to carry out core public health functions, including assessment of the population as a whole and eng
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nd improving the environment. The interventions of asking community leaders WHICH interventions s
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he community and deciding on appropriate interventions, and using data from health care institutions do
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ement of the community when making decisions about what the community actually wants and needs.
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8. WHICH public health Nurse most clearly fulfills the responsibilities of this role?
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a. The Nurse who met with several groups to discuss community recreation issues
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b. The Nurse who spent the day attending meetings of various health agencies
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c. The Nurse who talked to several people about their particular health concerns
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d. The Nurse who watched the city council meeting on local cable television
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ANS B 5 i
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with c
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ps about health concerns. A major challenge for the future is the need for public health nursing special
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working collaboratively with various groups in the community as well as professional colleagues in in
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ith barriers to health. However, the Nurse who spent the day attending meetings of various health agen
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ve, because in public health, concerns are addressed from a broader perspective. In public health, broad
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should be addressed. Concerns are broader than recreation, individual concerns are not as important as a
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hing television (a one-way form of communication) is less effective than interacting with others.
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9. WHICH of the Following best defines aggregate? 5i 5i 5i 5i 5i 5i
a. A large group of persons 5i 5i 5i 5i
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 5i 5i 5i 5i
ANS C 5 i
An aggregate is defined a collection of people who share one or more personal or environmental chara
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mmunity can be defined in terms of either geography (e.g., a county, a group of counties, or a state) or
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ren attending a particular school). These members make up a population. The term population may be us
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term aggregate. A large group of persons, a collection of individuals and families, and another name f
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ot accurate definitions of the term aggregate.
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10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role
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a. ―WHICH groups are at the greatest risk for problems?‖ 5i 5i 5i 5i 5i 5i 5i 5i
b. ―WHICH patients should I see first as I begin my day?‖ 5i 5i 5i 5i 5i 5i 5i 5i 5i 5i
