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NR442 MIDTERM EXAM WITH ALL CORRECT ANSWERS AND EXPLANATIONS

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NR442 MIDTERM EXAM WITH ALL CORRECT ANSWERS AND EXPLANATIONS

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NR442 COMMUNITY HEALTH
NURSING MIDTERM EXAM WITH
ALL CORRECT ANSWERS AND
EXPLANATIONS

Which statement best describes community-based nursing?

A. A practice in which care is provided for individuals and families.

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 a setting-specific practice in which
care is provided for "sick" individuals and families

where they live, work, and attend school. The emphasis is on acute and
chronic care and the provision of comprehensive,

coordinated, and continuous care. These nurses may be generalists or
specialists in maternal-infant, pediatric, adult, or psychiatric

mental health nursing. Community-based nursing emphasizes acute and
chronic care to individuals and families, rather than

focusing on groups, aggregates, or systems




Which statement best describes the goal of community-oriented nursing?

A. Providing 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. To preserve, protect, promote, or maintain health and prevent disease

ANS: D

By definition, community-oriented nursing has the goal of preserving,
protecting, or maintaining health and preventing disease 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. These definitions are
not specific to community-oriented nursing




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. Health care of communities and populations

ANS: D

In public health nursing, the primary focus is on the health care of
communities and populations rather than on individuals, groups,

and families. The goal is to prevent disease and preserve, promote, restore,
and protect health for the community and the population

within it. Community-based nurses deal primarily with illness-oriented care of
individuals and families across the life span. The

aim is to manage acute and chronic health conditions in the community, and
the focus of practice is on individual or

family-centered illness care.




Which of the following is responsible for the dramatic increase in life
expectancy during the 20th century?

,a. Technology increases in the field of medical laboratory research

b. Advances in surgical techniques and procedures

c. Sanitation and other population-based prevention programs

d. Use of antibiotics to fight infections

ANS: C

There has to be indisputable evidence collected over time that public health
policies and programs were primarily responsible for

increasing the average life span from 47 in 1900 to 78.6 years in 2017, an
increase of approximately 60% in just over a century plus

through improvements in (1) sanitation, (2) clean water supplies, (3) making
workplaces safer, (4) improving food and drug safety,

(5) immunizing children, and (6) improving nutrition, hygiene, and housing.
Although people are excited when a new drug is

discovered that cures a disease or when a new way to transplant organs is
perfected, it is important to know about the significant

gains in the health of populations that have come largely from public health
accomplishments




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. Provide free health care to all citizens

b. To increase the number of individuals with access to effective health care
benefits

c. Lower the cost of health care to the American population

d. To lessen the governmental burden of providing health care to Americans

ANS: B

The central feature in the Patient Protection and Affordable Care Act (ACA) of
2010 are the mechanisms to increase the number of

, people with health insurance. The care provided is not necessarily free. While
the cost of health care and the burden it places on the

American government are serious concerns, they are not the primary focus
of ACA




What is the basic assumption stated by Healthy People 2010 as it relates to
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

The major premise of Healthy People 2010 was that the health of the
individual cannot be entirely separate from the health of the

larger community. Public health practice focuses on the community as a
whole, and the effect of the community's health status

(resources) on the health of individuals, families, and groups. The goal is to
prevent disease and disability and promote and protect

the health of the community as a whole. Public health can be described as
what society collectively does to ensure that conditions

exist in which people can be healthy. The basic assumptions of public health
do not judge the morality of health disparities. The

focus is on prevention of illness not on spending more on illness care.
Additionally, individual responsibility for making healthy

choices is the directive for lengthening life span not the role of the
government

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