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Chapter 01: Public Health Nursing and Population Health
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Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Editio
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MULTIPLE CHOICE to!
1. Which statement best describes community-based nursing?
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a. A practice in which care is provided for individuals and families.
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b. Providing care with a focus on the group‘s needs. to! to! to! to! to ! to! to ! to !
c. Giving care with a focus on the aggregate‘s needs. to ! to! to! to! to! to! to! to!
d. A value system in which all clients receive optimal care.
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ANS: A t o !!
By definition, community-based nursing is a setting-
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specific practice in which care is provided for ―sick‖ individuals and familieswhere they live, work, an
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sis is on acute and chronic care and the provision of comprehensive, coordinated, and continuous care.
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alists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing. Communit
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based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on g
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ms.
2. Which statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families to! to! to ! to! to!
b. Providing care to manage acute or chronic conditions to! to! to! to! to! to! to !
c. Giving direct care to ill individuals within their family setting to! to! to ! to! to! to! to! to! to!
d. To preserve, protect, promote, or maintain health and prevent disease
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ANS: D to!
By definition, community-
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oriented nursing has the goal of preserving, protecting, or maintaining health and preventing disease to
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e. All nurses may focus on individuals and families, give direct care to ill persons within their family s
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cute or chronic conditions. These definitions are not specific to community-oriented nursing.
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3. Which of the following is the primary focus of public health nursing?
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a. Families and groups to! to!
b. Illness-oriented care to!
c. Individuals within the family unit to! to! to! to!
d. Health care of communities and populations to! to! to! to! to !
ANS: D to!
In public health nursing, the primary focus is on the health care of communities and populations rather
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s, and families. The goal is to prevent disease and preserve, promote, restore, and protect health for the
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tionwithin it. Community-based nurses deal primarily with illness-
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oriented care of individuals and families across the life span. The aim is to manage acute and chronic
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mmunity, and the focus of practice is on individual or to! to ! to ! to! to ! to ! to! to! to !
family-centered illness care. to ! to!
4. Which of the following is responsible for the dramatic increase in life expectancy during the 20th cent
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a. Technology increases in the field of medical laboratory research to! to ! to ! to ! to! to! to! to!
b. Advances in surgical techniques and procedures to! to! to! to! to!
c. Sanitation and other population-based prevention programs to! to! to! to! to!
d. Use of antibiotics to fight infections to! to! to! to ! to!
ANS: C to!
There has to be indisputable evidence collected over time that public health policies and programs wer
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ncreasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60
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sthrough improvements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) imp
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,
(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excit
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iscovered that cures a disease or when a new way to transplant organs is perfected, it is important to k
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tgains in the health of populations that have come largely from public health accomplishments.
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6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
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a. Health disparities among any groups are morally and legally wrong. to! to! to ! to! to! to! to! to! to!
b. Health care is the most important priority in government planning and funding.to! to! to! to ! to! to ! to! to! to ! to! to!
c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS: C to!
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely sep
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larger community. Public health practice focuses on the community as a whole, and the effect of the c
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sources) on the health of individuals, families, and groups. The goal is to prevent disease and disability
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e health of the community as a whole. Public health can be described as what society collectively does
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ist in which people can be healthy. The basic assumptions of public health do not judge the morality o
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us is on prevention of illness not on spending more on illness care. Additionally, individual responsibi
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ces is the directive for lengthening life span not the role of the government.
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7. Which of the following actions would most likely be performed by a public health nurse?
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a. Asking community leaders what interventions should be chosen to! to! to ! to! to! to! to!
b. Assessing the community and deciding on appropriate interventions to! to ! to! to! to ! to! to!
c. Using data from the main health care institutions in the community to determin
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eneeded health services
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d. Working with community groups to create policies to improve the environment
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ANS: D to!
Although the public health nurse might engage in any of the tasks listed, he or she works primarily wi
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tyto carry out core public health functions, including assessment of the population as a whole and enga
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d improving the environment. The interventions of asking community leaders which interventions shou
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community and deciding on appropriate interventions, and using data from health care institutions do n
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ment of the community when making decisions about what the community actually wants and needs.
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8. Which public health nurse most clearly fulfills the responsibilities of this role?
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a. The nurse who met with several groups to discuss community recreation issues
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b. The nurse who spent the day attending meetings of various health agencies
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c. The nurse who talked to several people about their particular health concerns
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d. The nurse who watched the city council meeting on local cable television
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ANS: B to!
Any of these descriptions might represent a nurse communicating, cooperating, or collaborating with c
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ups about health concerns. A major challenge for the future is the need for public health nursing specia
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in working collaboratively with various groups in the community as well as professional colleagues in
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l with barriers to health. However, the nurse who spent the day attending meetings of various health ag
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tative, because in public health, concerns are addressed from a broader perspective. In public health, b
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unity should be addressed. Concerns are broader than recreation, individual concerns are not as import
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nd watching television (a one-way form of communication) is less effective than interacting with other
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9. Which of the following best defines aggregate? to! to! to! to ! to ! to!
a. A large group of persons to! to! to! to !
b. A collection of individuals and families to! to! to! to ! to!
c. A collection of people who share one or more characteristics
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d. Another name for demographic group to! to! to! to!
ANS: C to!
An aggregate is defined a collection of people who share one or more personal or environmental chara
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community can be defined in terms of either geography (e.g., a county, a group of counties, or a state)
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, children attending a particular school). These members make up a population. The term population m
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blywith the term aggregate. A large group of persons, a collection of individuals and families, and ano
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hic group are not accurate definitions of the term aggregate.
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10. Which question asked by a novice nurse would be the most reflective of an understanding of the role o
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a. ―Which groups are at the greatest risk for problems?‖ to! to! to! to! to! to! to! to!
b. ―Which patients should I see first as I begin my day?‖ to! to! to! to ! to! to! to! to! to! to!