test bank
foundations for population health incommunity/public health
by Marcia Stanhope, Jeanette Lancaster
.P .P .P .P .P
6
, Table of Contents .P .P
Chapter 01: Public Health Nursing and Population Health
.P .P .P .P .P .P .P
Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope: Chapter
.P .P .P .P .P .P .P .P .P .P .P .P . P .P
.P 03: US and Global Health Care
.P .P .P .P .P
Chapter 04: Government, the Law, and Policy
.P .P .P .P .P .P
Activism Chapter 05: Economics of US Health Care
.P .P .P .P .P .P .P .P
Delivery
.P
Chapter 06: Ethics in Public and Community Health Nursing
.P .P .P .P .P .P .P .P
Practice Chapter 07: Culture of Populations in Communities
.P .P .P .P .P .P .P .P
Chapter 08: Environmental Health
.P .P .P
.P Chapter 09: Evidence-Based Practice
.P .P .P
.P Chapter 10: Epidemiological Applications
.P .P .P
Chapter 11: Infectious Disease Prevention and Control
.P .P .P .P .P .P
.P Chapter 12: Communicable and Infection Disease
.P .P .P .P .P
Risks Chapter 13: Community Assessment and
.P .P .P .P .P .P
.P Evaluation Chapter 14: Health Education in the
.P .P .P .P .P .P
.P Community Chapter 15: Case Management .P .P .P .P
Chapter 16: Disaster Management
.P .P .P
Chapter 17: Public Health Surveillance and Outbreak
.P .P .P .P .P .P
Investigation Chapter 18: Program Management
.P .P .P .P .P
Chapter 19: Healthcare Improvement in the Community
.P .P .P .P .P .P
Chapter 20: Family Development, Family Nursing Assessment, and
.P .P .P .P .P .P .P
Genomics Chapter 21: Family Health Risks
.P .P .P .P .P .P
Chapter 22: Health Risks Across the Life Span
.P .P .P .P .P .P .P
Chapter 23: Health Equity and Care of Vulnerable PopulationsChapter
.P .P .P .P .P .P .P .P .P
24: Rural Health and Migrant Health
.P .P .P .P .P .P
Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
.P .P .P .P .P .P .P .P
.P Chapter 26: Alcohol, Tobacco, and Other Drug Problems in the
.P .P .P .P .P .P .P .P .P
CommunityChapter 27: Violence and Human Abuse
.P .P .P .P .P .P .P
Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health Chapter
.P .P .P .P .P .P .P .P .P .P .P .P .P .P
29: The Faith Community Nurse
.P .P .P .P .P
Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice Chapter
.P .P .P .P .P .P .P .P .P .P .P .P .P
31: The Nurse in the Schools
.P .P .P .P .P .P
Chapter 32: The Nurse in Occupational Health
.P .P .P .P .P .P
, Chapter 01: Public Health Nursing and Population Health . P . P . P . P . P . P . P
Stanhope: Foundations for Population Health in Community/Public Health Nu . P . P . P . P . P . P . P . P
MULTIPLE CHOICE .P
1. WHICH statement best describes community-based nursing?
.P .P .P .P .P
a. A practice in WHICH care is provided for individuals and families.
.P .P .P .P .P .P .P .P .P .P
b. Providing care with a focus on the group‘s needs. .P .P .P .P .P .P .P .P
c. Giving care with a focus on the aggregate‘s needs. .P .P .P .P .P .P .P .P
d. A value system in WHICH all clients receive optimal care.
.P .P .P .P .P .P .P .P .P
ANS A .P
By definition, community-based nursing is a setting-specific practice in WHICH care is provided for ―si
.P .P .P .P .P .P .P .P .P .P .P .P .P .P
familieswhere they live, work, and attend school. The emphasis is on acute and chronic care and the p
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
coordinated, and continuous care. These Nurses may be generalists or specialists in maternal–infant, p
.P .P .P .P .P .P .P .P .P .P .P .P .P .P
psychiatric mental health nursing. Community-based nursing emphasizes acute and chronic care to ind
.P .P .P .P .P .P .P .P .P .P .P .P .P
rather than focusing on groups, aggregates, or systems.
.P .P .P .P .P .P .P .P
2. WHICH statement best describes the goal of community-oriented nursing?
.P .P .P .P .P .P .P .P
a. Providing care to individuals and families .P .P .P .P .P
b. Providing care to manage acute or chronic conditions .P .P .P .P .P .P .P
c. Giving direct care to ill individuals within their family setting
.P .P .P .P .P .P .P .P .P
d. To preserve, protect, promote, or maintain health and prevent disease
.P .P .P .P .P .P .P .P .P
ANS D .P
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health a
.P .P .P .P .P .P .P .P .P .P .P .P .P
to promote the quality of life. All Nurses may focus on individuals and families, give direct care to ill
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
setting, and help manage acute or chronic conditions. These definitions are not specific to community-
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
3. WHICH of the Following is the primary focus of public health nursing?
.P .P .P .P .P .P .P .P .P .P .P
a. Families and groups .P .P
b. Illness-oriented care .P
c. Individuals within the family unit .P .P .P .P
d. Health care of communities and populations .P .P .P .P .P
ANS D .P
In public health nursing, the primary focus is on the health care of communities and populations rather
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .
groups, and families. The goal is to prevent disease and preserve, promote, restore, and protect health for
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
population within it. Community-based Nurses deal primarily with illness-oriented care of individuals
.P .P .P .P .P .P .P .P .P .P .P .P .
span. The aim is to manage acute and chronic health conditions in the community, and the focus of pr
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
family-centered illness care. .P .P
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th cen
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
a. Technology increases in the field of medical laboratory research .P .P .P .P .P .P .P .P
b. Advances in surgical techniques and procedures .P .P .P .P .P
c. Sanitation and other population-based prevention programs .P .P .P .P .P
d. Use of antibiotics to fight infections.P .P .P .P .P
ANS C .P
There has to be indisputable evidence collected over time that public health policies and programs wer
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
increasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60%
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
plusthrough improvements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4)
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are exci
.P .P .P .P .P .P .P .P .P .P .P .P .P
discovered that cures a disease or when a new way to transplant organs is perfected, it is important to kn
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
significant gains in the health of populations that have come largely from public health accomplishmen
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
5. A Nurse is developing a plan to decrease the number of premature deaths in the community. WHICH of th
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
Followinginterventions would most likely be implemented by the Nurse?
.P .P .P .P .P .P .P .P .P .P
a. Provide free health care to all citizens .P .P .P .P .P .P
, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
a. Health disparities among any groups are morally and legally wrong.
.P .P .P .P .P .P .P .P .P
b. Health care is the most important priority in government planning and funding.
.P .P .P .P .P .P .P .P .P .P .P
c. The health of individuals cannot be separated from the health of the community.
.P .P .P .P .P .P .P .P .P .P .P .P
d. The government is responsible for lengthening the life span of Americans.
.P .P .P .P .P .P .P .P .P .P
ANS C .P
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely sep
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
the larger community. Public health practice focuses on the community as a whole, and the effect of t
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
status (resources) on the health of individuals, families, and groups. The goal is to prevent disease and d
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
protectthe health of the community as a whole. Public health can be described as what society collecti
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
conditions exist in WHICH people can be healthy. The basic assumptions of public health do not judge
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
disparities. Thefocus is on prevention of illness not on spending more on illness care. Additionally, in
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
making healthy choices is the directive for lengthening life span not the role of the government.
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
7. WHICH of the Following actions would most likely be performed by a public health Nurse?
.P .P .P .P .P .P .P .P .P .P .P .P .P .P
a. Asking community leaders what interventions should be chosen .P .P .P .P .P .P .P
b. Assessing the community and deciding on appropriate interventions .P .P .P .P .P .P .P
c. Using data from the main health care institutions in the community to
.P .P .P .P .P .P .P .P .P .P .P
determine needed health services
.P .P .P .P
d. Working with community groups to create policies to improve the environment .P .P .P .P .P .P .P .P .P .P
ANS D .P
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily w
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
community to carry out core public health functions, including assessment of the population as a who
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
promoting health and improving the environment. The interventions of asking community leaders WH
.P .P .P .P .P .P .P .P .P .P .P .P .P
chosen, assessing the community and deciding on appropriate interventions, and using data from healt
.P .P .P .P .P .P .P .P .P .P .P .P .P .P
demonstrate the engagement of the community when making decisions about what the community actu
.P .P .P .P .P .P .P .P .P .P .P .P .P .P
8. WHICH public health Nurse most clearly fulfills the responsibilities of this role?
.P .P .P .P .P .P .P .P .P .P .P
a. The Nurse who met with several groups to discuss community recreation issues
.P .P .P .P .P .P .P .P .P .P .P
b. The Nurse who spent the day attending meetings of various health agencies
.P .P .P .P .P .P .P .P .P .P .P
c. The Nurse who talked to several people about their particular health concerns
.P .P .P .P .P .P .P .P .P .P .P
d. The Nurse who watched the city council meeting on local cable television
.P .P .P .P .P .P .P .P .P .P .P
ANS B .P
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with
.P .P .P .P .P .P .P .P .P .P .P .P .P
groups about health concerns. A major challenge for the future is the need for public health nursing sp
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
aggressive in working collaboratively with various groups in the community as well as professional c
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
settings to deal with barriers to health. However, the Nurse who spent the day attending meetings of v
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
the most representative, because in public health, concerns are addressed from a broader perspective. I
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
concerns of the community should be addressed. Concerns are broader than recreation, individual conce
.P .P .P .P .P .P .P .P .P .P .P .P .P .P
aggregate priorities, and watching television (a one-way form of communication) is less effective than
.P .P .P .P .P .P .P .P .P .P .P .P .P .P
9. WHICH of the Following best defines aggregate?
.P .P .P .P .P .P
a. A large group of persons .P .P .P .P
b. A collection of individuals and families
.P .P .P .P .P
c. A collection of people who share one or more characteristics
.P .P .P .P .P .P .P .P .P
d. Another name for demographic group .P .P .P .P
ANS C .P
An aggregate is defined a collection of people who share one or more personal or environmental chara
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
community can be defined in terms of either geography (e.g., a county, a group of counties, or a state)
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
(e.g., children attending a particular school). These members make up a population. The term population
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
interchangeably with the term aggregate. A large group of persons, a collection of individuals and fam
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
demographic group are not accurate definitions of the term aggregate.
.P .P .P .P .P .P .P .P .P .P
10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P
a. ―WHICH groups are at the greatest risk for problems?‖ .P .P .P .P .P .P .P .P
b. ―WHICH patients should I see first as I begin my day?‖ .P .P .P .P .P .P .P .P .P .P