, ChapterL01:LCommunity-LandLPrevention-
OrientedLPracticeLtoLImproveLPopulationLHealth
MULTIPLELCHOICE
1. WhichLofLtheLfollowingLbestLdescribesLcommunity-basedLnursing?
a. ALpracticeLinLwhichLcareLisLprovidedLforLindividualsLandLfamilies
b. ProvidingLcareLwithLaLfocusLonLtheLgroup’sLneeds
c. GivingLcareLwithLaLfocusLonLtheLaggregate’sLneeds
d. ALvalueLsystemLinLwhichLallLclientsLreceiveLoptimalLcare
ANS:L A
ByLdefinition,Lcommunity-basedLnursingLisLaLsetting-
specificLpracticeLinLwhichLcareLisLprovidedLforL“sick”LindividualsLandLfamiliesLwhereLthe
yLlive,Lwork,LandLattendLschool.LTheLemphasisLisLonLacuteLandLchronicLcareLandLtheLprov
isionLofLcomprehensive,Lcoordinated,LandLcontinuousLcare.LTheseLnursesLmayLbeLgeneralis
tsLorLspecialistsLinLmaternal–
infant,Lpediatric,Ladult,LorLpsychiatricLmentalLhealthLnursing.LCommunity-
basedLnursingLemphasizesLacuteLandLchronicLcareLtoLindividualsLandLfamilies,LratherLthanL
focusingLonLgroups,Laggregates,LorLsystems.
2. WhichLofLtheLfollowingLbestLdescribesLcommunity-orientedLnursing?
a. FocusingLonLtheLprovisionLofLcareLtoLindividualsLandLfamilies
b. ProvidingLcareLtoLmanageLacuteLorLchronicLconditions
c. GivingLdirectL careLtoL illL inNdivR
iduaIls L wGithB
i n.thCeir M
family Lsetting
U LS LN
d. HavingLtheLgoalLofLhealthLpromotionLandLdiseaseLprevention
ANS:L D
ByLdefinition,Lcommunity-
orientedLnursingLhasLtheLgoalLofLpreserving,Lprotecting,LorLmaintainingLhealthLandLprevent
ingLdiseaseLtoLpromoteLtheLqualityLofLlife.LAllLnursesLmayLfocusLonLindividualsLandLfamil
ies,LgiveLdirectLcareLtoLillLpersonsLwithinLtheirLfamilyLsetting,LandLhelpLmanageLacuteLorL
chronicLconditions.LTheseLdefinitionsLareLnotLspecificLtoLcommunity-orientedLnursing.
3. WhichLofLtheLfollowingLisLtheLprimaryLfocusLofLpublicLhealthLnursing?
a. FamiliesLandLgroups
b. Illness-orientedL care
c. IndividualsLwithinLtheLfamilyLunit
d. HealthLcareLofLcommunitiesLandLpopulations
ANS:L D
InLpublicLhealthLnursingLtheLprimaryLfocusLisLonLtheLhealthLcareLofLcommunitiesLandLpop
ulationsLratherLthanLonLindividuals,Lgroups,LandLfamilies.LTheLgoalLisLtoLpreventLdiseaseLan
dLpreserve,Lpromote,Lrestore,LandLprotectLhealthLforLtheLcommunityLandLtheLpopulationLwi
thinLit.LCommunity-basedLnursesLdealLprimarilyLwithLillness-
orientedLcareLofLindividualsLandLfamiliesLacorssLtheLlifeLspan.LTheLaimLisLtoLamanageLacu
teLandLchronicLhealthLconditionsLinLtheLcommunity,LandLtheLfocusLofLpracticeLisLonLindivi
dualLorLfamily-centeredLillnessLcare.
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, 4. WhichLofLtheLfollowingLisLresponsibleLforLtheLdramaticLincreaseLinLlifeLexpectancyLdurin
gLtheL20thLcentury?
a. TechnologyLincreasesLinLtheLfieldLofLmedicalLlaboratoryLresearch
b. AdvancesLinLsurgicalLtechniquesLandLprocedures
c. SanitationLandLotherLpopulation-basedLpreventionLprograms
d. UseLofLantibioticsLtoLfightLinfections
ANS:L C
ImprovementsLinLcontrolLofLinfectiousLdiseasesLthroughLimmunizations,Lsanitation,LandLot
herLpopulation-
basedLpreventionLprogramsLledLtoLtheLincreaseLinLlifeLexpectancyLfromLlessLthanL50Lyears
LinL1900LtoLmoreLthanL78LyearsLinL2013.LAlthoughLpeopleLareLexcitedLwhenLaLnewLdrugL
isLdiscoveredLthatLcuresLaLdiseaseLorLwhenLaLnewLwayLtoLtransplantLorgansLisLperfected,L
itLisLimportantLtoLknowLaboutLtheLsignificantLgainsLinLtheLhealthLofLpopulationsLthatLhave
LcomeLlargelyLfromLpublicLhealthLaccomplishments.
5. ALnurseLisLdevelopingLaLplanLtoLdecreaseLtheLnumberLofLprematureLdeathsLinLtheLcomm
unity.LWhichLofLtheLfollowingLinterventionsLwouldLmostLlikelyLbeLimplementedLbyLtheL
nurse?
a. IncreaseLtheLcommunity’sLknowledgeLaboutLhospiceLcare.
b. PromoteLhealthyLlifestyleLbehaviorLchoicesLamongLtheLcommunityLmembers.
c. EncourageLemployersLtoLhaveLwellnessLcentersLatLeachLindustrialLsite.
d. EnsureLtimelyLandLeffectiveLmedicalLinterventionLandLtreatmentLforLcommu
nityLmembers.
ANS:L B
PublicLhealthLapproachesLcouldLhelpLpreventLprematureLdeathsLbyLinfluencingLtheLwayLpeo
pleLeat,Ldrink,Ldrive,LengageLinLexercise,LandLtreatLtheLenvironment.LIncreasingLknowledg
eLofLhospiceLcare,LencouragingLon-
siteLwellnessLcenters,LandLensuringLtimelyLtreatmentLofLmedical
conditionsLdoLnotLaddressLtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l LhealthLthroughLhealthLpromotionL
gLO
strategies.LThisLisLtheLmajorLmethodLthatLisLsuggestedLtoLdecreaseLtheLincidenceLofLpremat
ure
death.
6. WhichLofLtheLfollowingLisLaLbasicLassumptionLofLpublicLhealthLefforts?
a. HealthLdisparitiesLamongLanyLgroupsLareLmorallyLandLlegallyLwrong.
b. HealthLcareLisLtheLmostLimportantLpriorityLinLgovernmentLplanningLandLfunding.
c. TheLhealthLofLindividualsLcannotLbeLseparatedLfromLtheLhealthLofLtheLcommunity.
d. TheLgovernmentLisLresponsibleLforLlengtheningLtheLlifeLspanLofLAmericans.
ANS:L C
PublicLhealthLpracticeLfocusesLonLtheLcommunityLasLaLwhole,LandLtheLeffectL ofLtheLcomm
unity’sLhealthLstatusL(resources)LonLtheLhealthLofLindividuals,Lfamilies,LandLgroups.LTheLg
oalLisLtoLpreventLdiseaseLandLdisabilityLandLpromoteLandLprotectLtheLhealthLofLtheLcommu
nityLasLaLwhole.LPublicLhealthLcanLbeLdescribedLasLwhatLsocietyLcollectivelyLdoesLtoLensu
reLthatLconditionsLexistLinLwhichLpeopleLcanLbeLhealthy.LTheLbasicLassumptionsLofLpublicL
healthLdoLnotLjudgeLtheLmoralityLofLhealthLdisparities.LTheLfocusLisLonLpreventionLofLillne
ssLnotLonLspendingLmoreLonLillnessLcare.LAdditionally,LindividualLresponsibilityLforLmakin
gLhealthyLchoicesLisLtheLdirectiveLforLlengtheningLlifeLspanLnotLtheLroleLofLtheLgovernmen
t.
7. WhichLofLtheLfollowingLactionsLwouldLmostLlikelyLbeLperformedLbyLaLpublicLhealthLnurse?
a. AskingLcommunityLleadersLwhatLinterventionsLshouldLbeLchosen
b. AssessingLtheLcommunityLandLdecidingLonLappropriateLinterventions
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, c. UsingLdataLfromLtheLmainLhealthLcareLinstitutionsLinLtheLcommunityLtoLdetermine
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