,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test
zx zx zx zx zx zx zx zx zx zx zx zx
Bank
Chapter 01: Community- and Prevention-Oriented Practice to Improve Population
zx zx zx zx zx zx zx zx
Health
zx
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
zx zx zx zx zx zx zx zx
5th Edition
zx zx
MULTIPLE CHOICE zx
1. Which of the following best describes community-based nursing?
zx zx zx zx zx zx zx
a. A practice in which care is provided for individuals and families
zx zx zx zx zx zx zx zx zx zx
b. Providing care with a focus on the group’s needs zx zx zx zx zx zx zx zx
c. Giving care with a focus on the aggregate’s needs
zx zx zx zx zx zx zx zx
d. A value system in which all clients receive optimal care
zx zx zx zx zx zx zx zx zx
ANS: z x A
By definition, community-based nursing is a setting-specific practice in which care is
zx zx zx zx zx zx zx zx zx zx zx
provided for ―sick‖ individuals and families where they live, work, and attend school.
zx zx zx zx zx zx zx zx zx zx zx zx
The emphasis is on acute and chronic care and the provision of comprehensive,
zx zx zx zx zx zx zx zx zx zx zx zx zx
coordinated, and continuous care. These nurses may be generalists or specialists in
zx zx zx zx zx zx zx zx zx zx zx zx
maternal–infant, pediatric, adult, or psychiatric mental health nursing. Community-based
zx zx zx zx zx zx zx zx zx
nursing emphasizes acute and chronic care to individuals and families, rather than
zx zx zx zx zx zx zx zx zx zx zx zx
focusing on groups, aggregates, or systems.
zx zx zx zx zx zx
2. Which of the following best describes community-oriented nursing?
zx zx zx zx zx zx zx
a. Focusing on the provision of care to individuals and families
zx zx zx zx zx zx zx zx zx
b. Providing care to manage acute or chronic conditions zx zx zx zx zx zx zx
c. Giving direct care to ill inNdivR
S INls TwGithBin.thC
Uidua zx
Oeir Mfamily setting
d. Having the goal of health promotion and disease prevention
zx
zx
zx
zx
zx
zx
zx
zx
zx
zx zx zx
zx
zx zx zx
zx
ANS: z x D
By definition, community-oriented
zx zx zx nursing has the goal of preserving, protecting, or
zx zx zx zx zx zx zx
maintaining health and preventing
zx zx zx zx zx disease to promote the quality of life. All nurses may
zx zx zx zx zx zx zx zx zx
focus on individuals and families,
zx zx zx zx zx zx give direct care to ill persons within their family
zx zx zx zx zx zx zx zx
setting, and help manage acute or
zx zx zx zx zx zx zx chronic conditions. These definitions are not specific
zx zx zx zx zx zx
to community-oriented nursing.
zx zx zx
3. Which of the following is the primary focus of public health nursing?
zx zx zx zx zx zx zx zx zx zx zx
a. Families and groups zx zx
b. Illness-oriented care zx
c. Individuals within the family unit zx zx zx zx
d. Health care of communities and populations zx zx zx zx zx
ANS: z x D
In public health nursing the primary focus is on the health care of communities and
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
populations rather than on individuals, groups, and families. The goal is to prevent
zx zx zx zx zx zx zx zx zx zx zx zx zx
disease and preserve, promote, restore, and protect health for the community and the
zx zx zx zx zx zx zx zx zx zx zx zx zx
population within it. Community-based nurses deal primarily with illness-oriented care of
zx zx zx zx zx zx zx zx zx zx zx
individuals and families acorss the life span. The aim is to amanage acute and chronic
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
health conditions in the community, and the focus of practice is on individual or family-
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
centered illness care. zx zx
NURSINGTB.COM
,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test
zx zx zx zx zx zx zx zx zx zx zx zx
Bank
4. Which of the following is responsible for the dramatic increase in life expectancy during
zx zx zx zx zx zx zx zx zx zx zx zx zx
the 20th century?
zx zx zx
a. Technology increases in the field of medical laboratory research zx zx zx zx zx zx zx zx
b. Advances in surgical techniques and procedures zx zx zx zx zx
c. Sanitation and other population-based prevention programs zx zx zx zx zx
d. Use of antibiotics to fight infections
zx zx zx zx zx
ANS: z x C
Improvements in control of infectious diseases through immunizations, sanitation, and
zx zx zx zx zx zx zx zx zx
other population-based prevention programs led to the increase in life expectancy from
zx zx zx zx zx zx zx zx zx zx zx zx
less than 50 years in 1900 to more than 78 years in 2013. Although people are excited
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
when a new drug is discovered that cures a disease or when a new way to transplant
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
organs is perfected, it is important to know about the significant gains in the health of
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
populations that have come largely from public health accomplishments.
zx zx zx zx zx zx zx zx zx
5. A nurse is developing a plan to decrease the number of premature deaths in the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
community. Which of the following interventions would most likely be implemented
zx zx zx zx zx zx zx zx zx zx zx
by the nurse?
zx zx zx
a. Increase the community’s knowledge about hospice care. zx zx zx zx zx zx
b. Promote healthy lifestyle behavior choices among the community members.
zx zx zx zx zx zx zx zx
c. Encourage employers to have wellness centers at each industrial site. zx zx zx zx zx zx zx zx zx
d. Ensure timely and effective medical intervention and treatment for
zx zx zx zx zx zx zx zx
community members.
zx zx
ANS: z x B
Public health approaches could help prevent premature deaths by influencing the way
zx zx zx zx zx zx zx zx zx zx zx
people eat, drink, drive, engage in exercise, and treat the environment. Increasing
zx zx zx zx zx zx zx zx zx zx zx zx
knowledge of hospice care, encouraging on-site wellness centers, and ensuring timely
zx zx zx zx zx zx zx zx zx zx zx
treatment of medical
zx zx zx
conditions do not address theNfU
ocR
usSoIf N
imGpT
roBv.
zxinC
gOo vMe r a l l health through health promotion
zx zx zx zx zx zx zx zx
strategies. This is the major method that is suggested to decrease the incidence of
zx zx zx zx zx zx zx zx zx zx zx zx zx
premature
zx
death.
6. Which of the following is a basic assumption of public health efforts?
zx zx zx zx zx zx zx zx zx zx zx
a. Health disparities among any groups are morally and legally wrong.
zx zx zx zx zx zx zx zx zx
b. Health care is the most important priority in government planning and funding.
zx zx zx zx zx zx zx zx zx zx zx
c. The health of individuals cannot be separated from the health of the community.
zx zx zx zx zx zx zx zx zx zx zx zx
d. The government is responsible for lengthening the life span of Americans.
zx zx zx zx zx zx zx zx zx zx
ANS: z x C
Public health practice focuses on the community as a whole, and the effect of the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
community’s health status (resources) on the health of individuals, families, and groups.
zx zx zx zx zx zx zx zx zx zx zx
The goal is to prevent disease and disability and promote and protect the health of the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
community as a whole. Public health can be described as what society collectively does
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
to ensure that conditions exist in which people can be healthy. The basic assumptions of
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
public health do not judge the morality of health disparities. The focus is on prevention
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
of illness not on spending more on illness care. Additionally, individual responsibility
zx zx zx zx zx zx zx zx zx zx zx zx
for making healthy choices is the directive for lengthening life span not the role of the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
government.
zx
7. Which of the following actions would most likely be performed by a public health nurse?
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
a. Asking community leaders what interventions should be chosen
zx zx zx zx zx zx zx
b. Assessing the community and deciding on appropriate interventions zx zx zx zx zx zx zx
c. Using data from the main health care institutions in the community to determine
zx zx zx zx zx zx zx zx zx zx zx zx
NURSINGTB.COM
, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test
zx zx zx zx zx zx zx zx zx zx zx zx
Bank
needed health services zx zx
d. Working with community groups to create policies to improve the environment
zx zx zx zx zx zx zx zx zx zx
ANS: z x D
Although the public health nurse might engage in any of the tasks listed, he or she
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
works primarily with members of the community to carry out core public health
zx zx zx zx zx zx zx zx zx zx zx zx zx
functions, including assessment of the population as a whole and engaging in promoting
zx zx zx zx zx zx zx zx zx zx zx zx zx
health and improving the environment. The interventions of asking community leaders
zx zx zx zx zx zx zx zx zx zx zx
which interventions should be chosen, asessing the community and deciding on
zx zx zx zx zx zx zx zx zx zx zx
appropriate interventions, and using data from health care institutions do not
zx zx zx zx zx zx zx zx zx zx zx
demonstrate the engagement of the community when making decisions about what the
zx zx zx zx zx zx zx zx zx zx zx zx
community actually wants and needs.
zx zx zx zx zx
8. Which of the following public health nurses most clearly fulfills the responsibilities of
zx zx zx zx zx zx zx zx zx zx zx zx
this role?
zx zx
a. The nurse zx zx who zx met with several groups to discuss community recreation issues
zx zx zx zx zx zx zx zx
b. The nurse zx zx who zx spent the day attending meetings of various health agencies
zx zx zx zx zx zx zx zx
c. The nurse zx zx who zx talked to several people about their particular health concerns
zx zx zx zx zx zx zx zx
d. The nurse zx zx who zx watched the city council meeting on local cable television
zx zx zx zx zx zx zx zx
ANS: z x B
Any of these descriptions might represent a nurse communicating, cooperating, or
zx zx zx zx zx zx zx zx zx zx
collaborating with community residents or groups about health concerns. However, the
zx zx zx zx zx zx zx zx zx zx zx
nurse who spent the day attending meetings of various health agencies is the most
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
representative, because in public health, concerns are addressed from a broader
zx zx zx zx zx zx zx zx zx zx zx
perspective. In public health, broad concerns of the community should be addressed.
zx zx zx zx zx zx zx zx zx zx zx zx
Concerns are broader than recreation, individual concerns are not as important as
zx zx zx zx zx zx zx zx zx zx zx zx
aggregate priorities, and watching television (a one-way form of communication) is less
zx zx zx zx zx zx zx zx zx zx zx zx
effective than interacting with others.
zx zx zx zx zx
NURSINGTB.COM
9. Which of the following best defines aggregate?
zx zx zx zx zx zx
a. A large group of persons
zx zx zx zx
b. A collection of individuals and families
zx zx zx zx zx
c. A collection of people who share one or more characteristics
zx zx zx zx zx zx zx zx zx
d. Another name for demographic group zx zx zx zx
ANS: z x C
An aggregate is defined a collection of people who share one or more personal or
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
environmental characteristics. Members of a community can be defined in terms of
zx zx zx zx zx zx zx zx zx zx zx zx
either geography (e.g., a county, a group of counties, or a state) or a special interest
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx
(e.g., children attending a particular school). These members make up a population. The
zx zx zx zx zx zx zx zx zx zx zx zx zx
term population may be used interchangeably with the term aggregate. A large group of
zx zx zx zx zx zx zx zx zx zx zx zx zx zx
persons, a collection of individuals and families, and another name for demograhpic
zx zx zx zx zx zx zx zx zx zx zx zx
group are not accurate definitions of the term aggregate.
zx zx zx zx zx zx zx zx zx
10. A registered nurse was just employed as a public health nurse. Which question would
zx zx zx zx zx zx zx zx zx zx zx zx zx
be the most relevant for the nurse to ask?
zx zx zx zx zx zx zx zx zx
a. ―Which groups are at the greatest risk for problems?‖
zx zx zx zx zx zx zx zx
b. ―Which patients should I see first as I begin my day?‖
zx zx zx zx zx zx zx zx zx zx
c. ―With which physicians will I be most closely collaborating?‖
zx zx zx zx zx zx zx zx
d. ―With which nursing assistants will I partner the most?‖
zx zx zx zx zx zx zx zx
ANS: z x A
NURSINGTB.COM
