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FOUNDATIONS FOR POPULATION HEALTH IN COMM
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C HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6T
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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: Chap
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er 03: US and Global Health Care
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Chapter 04: Government, the Law, and Policy Activism
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Chapter 05: Economics of US Health Care Delivery
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Chapter 06: Ethics in Public and Community Health Nursing Practice
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Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapt
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er 09: Evidence-
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Based Practice Chapter 10: Epidemiologi
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cal Applications
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Chapter 11: Infectious Disease Prevention and Control
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Chapter 12: Communicable and Infection Disease Risks
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Chapter 13: Community Assessment and Evaluation Ch
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apter 14: Health Education in the Community Chapter
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15: Case Management
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Chapter 16: Disaster Management
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Chapter 17: Public Health Surveillance and Outbreak Investigation C
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hapter 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 C
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hapter 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 Chapt
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er 24: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapt
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er 26: Alcohol, Tobacco, and Other Drug Problems in the Community Chapter 2
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7: Violence and Human Abuse
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Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health Cha
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pter 29: The Faith Community Nurse
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Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice Chapt
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er 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
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Stanhope: Foundations for Population Health in Community/Public Health Nursin
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MULTIPLE CHOICE @
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. @ @ @ @ @ @ @ @
c. Giving care with a focus on the aggregate‘s needs.
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d. A value system in WHICH all clients receive optimal care.
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ANS A @
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
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mphasis is on acute and chronic care and the provision of comprehensive, coordinated, and continuou
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be generalists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing.
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based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on
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ms.
2. WHICH statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families @ @ @ @ @
b. Providing care to manage acute or chronic conditions
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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 @
By definition, community-
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oriented nursing has the goal of preserving, protecting, or maintaining health and preventing disease t
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. All Nurses may focus on individuals and families, give direct care to ill persons within their family
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cute or 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 @ @
b. Illness-oriented care @
c. Individuals within the family unit @ @ @ @
d. Health care of communities and populations
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ANS D @
In public health nursing, the primary focus is on the health care of communities and populations rathe
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ps, and families. The goal is to prevent disease and preserve, promote, restore, and protect health for t
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lation 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 chroni
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ommunity, and the focus of practice is on individual or
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family-centered illness care. @ @
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th c
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a. Technology increases in the field of medical laboratory research
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b. Advances in surgical techniques and procedures @ @ @ @ @
c. Sanitation and other population-based prevention programs
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d. Use of antibiotics to fight infections
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ANS C @
There has to be indisputable evidence collected over time that public health policies and programs w
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reasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60%
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ugh improvements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improv
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are exc
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covered that cures a disease or when a new way to transplant organs is perfected, it is important to kn
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ns in 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.
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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 @
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely se
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e larger community. Public health practice focuses on the community as a whole, and the effect of th
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s (resources) on the health of individuals, families, and groups. The goal is to prevent disease and disa
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ect the health of the community as a whole. Public health can be described as what society collective
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tions exist in WHICH people can be healthy. The basic assumptions of public health do not judge the
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es. The focus is on prevention of illness not on spending more on illness care. Additionally, individu
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@healthy choices 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
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b. Assessing the community and deciding on appropriate interventions
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c. Using data from the main health care institutions in the community to determi
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ne needed health services
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d. Working with community groups to create policies to improve the environment
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ANS D @
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily
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unity to carry out core public health functions, including assessment of the population as a whole and
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alth and improving the environment. The interventions of asking community leaders WHICH interven
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essing the community and deciding on appropriate interventions, and using data from health care inst
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the engagement of the community when making decisions about what the community actually wants
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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 @
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with
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oups about health concerns. A major challenge for the future is the need for public health nursing sp
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ve in working collaboratively with various groups in the community as well as professional colleagu
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@deal with barriers to health. However, the Nurse who spent the day attending meetings of various he
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presentative, because in public health, concerns are addressed from a broader perspective. In public h
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@community should be addressed. Concerns are broader than recreation, individual concerns are not as
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rities, and watching television (a one-way form of communication) is less effective than interacting w
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9. WHICH of the Following best defines aggregate?
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a. A large group of persons
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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 @ @ @ @
ANS C @
An aggregate is defined a collection of people who share one or more personal or environmental cha
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ommunity can be defined in terms of either geography (e.g., a county, a group of counties, or a state
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children attending a particular school). These members make up a population. The term population m
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with the term aggregate. A large group of persons, a collection of individuals and families, and anot
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roup are not 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 ro
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a. ―WHICH groups are at the greatest risk for problems?‖
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b. ―WHICH patients should I see first as I begin my day?‖
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