TEST BANK for Foundations of Nursing in the Community 4th Edition Community-Oriented Practice. ISBN 0946, ISBN: 1823. _TABLE OF CONTENTS_ Part I: Perspectives in Health Care Delive ry and Nursing 1. Community-Oriented Nursing and Community-Based Nursing 2. The History of Public Health and Public an...
, TEST BANK for Foundations of Nursing in the Community
4th Edition by Stanhope
Chapter 01: Community-Oriented Nursing and Community-Based Nursing
Test Bank
MULTIPLE CHOICE
1. Which of the following best describes community-based nursing?
a. A philosophy that guides family-centered illness care
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 nursing that focuses on family-centered illness care to
individuals and families in the community.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2-3
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
c. Giving direct care to ill individuals within their family 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 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.
DIF: Cognitive Level: Understand (Comprehension) REF: pp. 2, 10
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. Promotion of quality of life
ANS: D
The key difference between community-based and community-oriented nursing is that
community-based nurses deal primarily with illness-oriented care, whereas community-oriented
nurses—or public health nurses—provide health care to promote quality of life.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
4. Which of the following is responsible for the dramatic increase in life expectancy during the
twentieth century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other public health activities
d. Use of antibiotics to fight infections
ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and other
public health activities led to the increase in life expectancy from less than 50 years in 1900 to
more than 77 years in 2002.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 2
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 about 70% of early deaths by influencing the way
people eat, drink, drive, engage in exercise, and treat the environment.
, DIF: Cognitive Level: Apply (Application) REF: p. 2
6. Which of the following is a basic assumption of public health efforts?
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 can be described as what society collectively does to ensure that conditions exist in
which people can be healthy.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 4
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
Using data from the main health care institutions in the community to determine needed
c. 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.
DIF: Cognitive Level: Apply (Application) REF: p. 8
8. Which of the following public health nurses most clearly fulfills the responsibilities of this
role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
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