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Test Bank for Foundations for Population Health in Community Public Health Nursing, 6th Edition by Stanhope.pdf

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Test Bank for Foundations for Population Health in Community Public Health Nursing, 6th Edition by S

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6/20/23,m6:13mP TestmBank mformFoundations mformPopulationmHealthminmCommunity mPublicmH
M ealt…

Chapterm 01: m Publicm Health m Nursingm and m Population m Health
Stanhope: m Foundations m form Population m Health m in m Community/Publicm Health m Nursing,m 6th m Edition


MULTIPLEmCHOICE

1. Whichmstatementmbestmdescribesmcommunity-basedmnursing?
a . A mpractice minmwhichmcare mismprovidedmfor mindividualsmandmfamilies.
b. Providingmcare mwithma mfocusmonmthe mgroup’smneeds.
c . Givingmcare mwithma mfocusmonmthe maggregate’smneeds.
d. A mvalue msystemminmwhichmallmclientsmreceive moptimalmcare.

ANS:m A
Bymdefinition,mcommunity-basedmnursingmisma msetting-
specific mpractice minmwhichmcare mismprovidedmfor m“sick” mindividualsmandmfamilie m wheremtheymlive,mwork,mandmattendm
school.mThe memphasismismonmacute mandmchronic mcare mandmthe mprovisionmof mcomprehensive,m coordinated,mandmcontinu
ousmcare.mThese mnursesmmaymbe mgeneralistsmor mspecialistsminmmaternal–
infant,mpediatric,madult,mor mpsychiatrim mentalmhealthmnursing.mCommunity-
basedmnursingmemphasizesmacute mandmchronic mcare mtomindividualsmandmfamilies,mrather mthanm focusingmonmgroups,magg
regates,mor msystems.

2. Whichmstatementmbestmdescribesmthe mgoalmof mcommunity-orientedmnursing?
a . Providingmcare mtomindividualsmandmfamilies
b. Providingmcare mtommanage macute mor mchronic mconditions
c . Givingmdirectmcare mtomillmindividualsmwithinmtheir mfamilymsetting
d. Tompreserve,mprotect,mpromote,mor mmaintainmhealthmandmpreventmdisease

ANS:m D
Bymdefinition,mcommunity-
orientedmnursingmhasmthe mgoalmof mpreserving,mprotecting,mor mmaintainingmhealthmandmpreventingmdiseasemtom promote mt
he mqualitymof mlife.mAllmnursesmmaymfocusmonmindividualsmandmfamilies,mgive mdirectmcare mtomillmpersonsmwithinmtheir m
familym setting,mandmhelpmmanage macute mor mchronic mconditions.mThese mdefinitionsmare mnotmspecific mtomcommunity-
orientedmnursing.

3. Whichmof mthe mfollowingmismthe mprimarymfocusmof mpublic mhealthmnursing?
a . Familiesmandmgroups
b. Illness-orientedmcare
c . Individualsmwithinmthe mfamilymunit
d. Healthmcare mof mcommunitiesmandmpopulations

ANS:m D
Inmpublic mhealthmnursing,mthe mprimarymfocusmismonmthe mhealthmcaremof mcommunitiesmandmpopulationsmrather mthanmonm
individuals,mgroupm andmfamilies.mThe mgoalmismtompreventmdisease mandmpreserve,mpromote,mrestore,mandmprotectmhealthm
for mthe mcommunitymandmthe mpopulatim withinmit.mCommunity-basedmnursesmdealmprimarilymwithmillness-
orientedmcare mof mindividualsmandmfamiliesmacrossmthe mlife mspan.mThe m aimmismtommanage macute mandmchronicmhealthmc
onditionsminmthe mcommunity,mandmthe mfocusmof mpractice mismonmindividualmor
family-centeredmillnessmcare.

4. Whichmof mthe mfollowingmismresponsible mfor mthe mdramatic mincrease minmlife mexpectancymduringmthe m20thmcentury?
a . Technologymincreasesminmthe mfieldmof mmedicalmlaboratorymresearch
b. Advancesminmsurgicalmtechniquesmandmprocedures
c . Sanitationmandmother mpopulation-basedmpreventionmprograms
d. Use mof mantibioticsmtomfightminfections

ANS:m C
There mhasmtombe mindisputable mevidence mcollectedmover mtime mthatmpublic mhealthmpoliciesmandmprogramsmwere mprimarily
mresponsible mfor m increasingmthe maverage mlife mspanmfromm47minm1900mtom78.6myearsminm2017,manmincrease mof mapproxi
matelym60% minmjustmover ma mcenturymplm throughmimprovementsminm(1) msanitation,m(2) mcleanmwater msupplies,m(3) mmaki
ngmworkplacesmsafer,m(4) mimprovingmfoodmandmdrugmsafet
(5) mimmunizingmchildren,mandm(6) mimprovingmnutrition,mhygiene,mandmhousing.mAlthoughmpeople mare mexcitedmwhenma m
new mdrugmism discoveredmthatmcuresma mdisease mor mwhenma mnew mwaymtomtransplantmorgansmismperfected,mitmismimporta
ntmtomknow maboutmthe msignificantm gainsminmthe mhealthmof mpopulationsmthatmhave mcome mlargelymfrommpublic mhealthma
ccomplishments.

5. Amnurse mismdevelopingma mplanmtomdecrease mthemnumber mof mprematuremdeathsminmthe mcommunity.mWhichmof mthe mfollo
wingminterventionsm wouldmmostmlikelymbe mimplementedmbymthe mnurse?
a . Provide mfree mhealthmcare mtomallmcitizens
b. Tomincrease mthe mnumber mof mindividualsmwithmaccessmtomeffective mhealthmcare mbenefits
c . Lower mthe mcostmof mhealthmcare mtomthe mAmericanmpopulation
d. Tomlessenmthe mgovernmentalmburdenmof mprovidingmhealthmcare mtomAmericans

ANS:m B
The mcentralmfeature minmthe mPatientmProtectionmandmAffordable mCare mActm(ACA) mof m2010mare mthe mmechanismsmtominc
rease mthe mnumber m people mwithmhealthminsurance.mThe mcare mprovidedmismnotmnecessarilymfree.mWhile mthe mcostmof mhea
lthmcare mandmthe mburdenmitmplacesmonmtm Americanmgovernmentmare mseriousmconcerns,mtheymare mnotmthe mprimarymfoc
usmof mACA.


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,6/20/23,m6:13mP TestmBank mformFoundations mformPopulationmHealthminmCommunity mPublicmH
M ealt…




Copyrightm©m2022,mElseviermInc.mAllmrightsmre 1
served.




about:blank 2/403

,6/20/23,m6:13mP TestmBank mformFoundations mformPopulationmHealthminmCommunity mPublicmH
M ealt…

6. Whatmismthe mbasic massumptionmstatedmbymHealthy mPeople m2010masmitmrelatesmtompublic mhealthmefforts?
a . Healthmdisparitiesmamongmanymgroupsmare mmorallymandmlegallymwrong.
b. Healthmcare mismthe mmostmimportantmpriorityminmgovernmentmplanningmandmfunding.
c . The mhealthmof mindividualsmcannotmbe mseparatedmfrommthe mhealthmof mthe mcommunity.
d. The mgovernmentmismresponsible mfor mlengtheningmthe mlife mspanmof mAmericans.

ANS:m C
The mmajor mpremise mof mHealthy mPeople m2010mwasmthatmthe mhealthmof mthe mindividualmcannotmbe mentirelymseparate mfrom
mthe mhealthmof mthe m larger mcommunity.mPublic mhealthmpractice mfocusesmonmthe mcommunitymasma mwhole,mandmthe meffe
ctmof mthe mcommunity’smhealthmstatusm (resources) monmthe mhealthmof mindividuals,mfamilies,mandmgroups.mThe mgoalmismt
ompreventmdisease mandmdisabilitymandmpromote mandmprote m the mhealthmof mthe mcommunitymasma mwhole.mPublic mhealthm
canmbe mdescribedmasmwhatmsocietymcollectivelymdoesmtomensure mthatmconditionsm existminmwhichmpeople mcanmbe mhealth
y.mThe mbasic massumptionsmof mpublic mhealthmdomnotmjudge mthe mmoralitymof mhealthmdisparities.mThe m focusmismonmprev
entionmof millnessmnotmonmspendingmmore monmillnessmcare.mAdditionally,mindividualmresponsibilitymfor mmakingmhealthym
choicesmismthe mdirective mfor mlengtheningmlife mspanmnotmthe mrole mof mthe mgovernment.

7. Whichmof mthe mfollowingmactionsmwouldmmostmlikelymbe mperformedmbyma mpublic mhealthmnurse?
a . Askingmcommunitymleadersmwhatminterventionsmshouldmbe mchosen
b. Assessingmthe mcommunitymandmdecidingmonmappropriate minterventions
c . Usingmdata mfrommthe mmainmhealthmcare minstitutionsminmthe mcommunitymto
mdetermine m neededmhealthmservices
d. Workingmwithmcommunitymgroupsmtomcreate mpoliciesmtomimprove mthe menvironment

ANS:m D
Althoughmthe mpublic mhealthmnurse mmightmengage minmanymof mthe mtasksmlisted,mhe mor mshe mworksmprimarilymwithmmemb
ersmof mthe mcommunm tomcarrymoutmcore mpublic mhealthmfunctions,mincludingmassessmentmof mthe mpopulationmasma mwhole
mandmengagingminmpromotingmhealthmandm improvingmthe menvironment.mThe minterventionsmof maskingmcommunitymleader
smwhichminterventionsmshouldmbe mchosen,massessingmthe m communitymandmdecidingmonmappropriate minterventions,mandm
usingmdata mfrommhealthmcare minstitutionsmdomnotmdemonstrate mthe m engagementmof mthe mcommunitymwhenmmakingmdeci
sionsmaboutmwhatmthe mcommunitymactuallymwantsmandmneeds.

8. Whichmpublic mhealthmnurse mmostmclearlymfulfillsmthe mresponsibilitiesmof mthismrole?
a . The mnurse mwhommetmwithmseveralmgroupsmtomdiscussmcommunitymrecreationmissues
b. The mnurse mwhomspentmthe mdaymattendingmmeetingsmof mvariousmhealthmagencies
c . The mnurse mwhomtalkedmtomseveralmpeople maboutmtheir mparticular mhealthmconcerns
d. The mnurse mwhomwatchedmthe mcitymcouncilmmeetingmonmlocalmcable mtelevision

ANS:m B
Anymof mthese mdescriptionsmmightmrepresentma mnurse mcommunicating,mcooperating,mor mcollaboratingmwithmcommunitymre
sidentsmor m groupsmaboutmhealthmconcerns.mAmmajor mchallenge mfor mthe mfuture mismthe mneedmfor mpublic mhealthmnursing
mspecialistsmtombe mmore m aggressive minmworkingmcollaborativelymwithmvariousmgroupsminmthe mcommunitymasmwellmasm
professionalmcolleaguesminminstitutionalm settingsmtomdealmwithmbarriersmtomhealth.mHowever,mthe mnursemwhomspentmthem
daymattendingmmeetingsmof mvariousmhealthmagenciesmismthe m mostmrepresentative,mbecause minmpublic mhealth,mconcernsma
re maddressedmfromma mbroader mperspective.mInmpublic mhealth,mbroadmconcernm of mthe mcommunitymshouldmbe maddressed.
mConcernsmare mbroader mthanmrecreation,mindividualmconcernsmaremnotmasmimportantmasmaggrega m priorities,mandmwatchin
gmtelevisionm(a mone-waymformmof mcommunication) mismlessmeffective mthanminteractingmwithmothers.

9. Whichmof mthe mfollowingmbestmdefinesmaggregate?
a . A mlarge mgroupmof mpersons
b. A mcollectionmof mindividualsmandmfamilies
c . A mcollectionmof mpeople mwhomshare mone mor mmore mcharacteristics
d. Another mname mfor mdemographic mgroup

ANS:m C
Anmaggregate mismdefinedma mcollectionmof mpeople mwhomshare monemor mmore mpersonalmor menvironmentalmcharacteristics.m
Membersmof ma m communitymcanmbe mdefinedminmtermsmof meither mgeographym(e.g.,ma mcounty,ma mgroupmof mcounties,mor
ma mstate) mor ma mspecialminterestm(e.g.,m childrenmattendingma mparticularmschool).mThese mmembersmmake mupmampopulation
.mThe mtermmpopulationmmaymbe musedminterchangeablym withmthe mtermmaggregate.mA mlargemgroupmof mpersons,ma mcollec
tionmof mindividualsmandmfamilies,mandmanother mname mfor mdemographic m groupmaremnotmaccuratemdefinitionsmof mthe mter
mmaggregate.

10 . Whichmquestionmaskedmbyma mnovice mnurse mwouldmbe mthe mmostmreflective mof manmunderstandingmof mthe mrole mof mampublic
mhealthmnurse?
a . “Whichmgroupsmare matmthe mgreatestmriskmfor mproblems?”
b. “WhichmpatientsmshouldmI msee mfirstmasmI mbeginmmymday?”
c . “WithmwhichmphysiciansmwillmI mbe mmostmcloselymcollaborating?”
d. “WithmwhichmnursingmassistantsmwillmI mpartner mthe mmost?”

ANS:m A
Askingmwhichmgroupsmare matmgreatestmriskmreflectsma mcommunity-
orientedmperspective.mThe mincorrectmresponsesmreflectma mfocusmonm individualsmrather mthanma mcommunity-
orientedmperspective.

11 . Makingmsure mthatmessentialmcommunity-
orientedmhealthmservicesmare mavailable mdefinesmwhichmof mthe mcore mpublic mhealthmfunctions?
a . Policymdevelopment
b. Assessment


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, 6/20/23,m6:13mP TestmBank mformFoundations mformPopulationmHealthminmCommunity mPublicmH
M c. Assuranceealt…
d. Scientific mknowledge-basedmcare
ANS:m C
Assurance mincludesmmakingmsure mthatmessentialmcommunity-
orientedmhealthmservicesmaremavailableminmthe mcommunity.mThe mdefinitionm doesmnotmfitmthe mtermsmassessment,mpolicy m
development.mScientific mknowledge-basedmcare mismnotma mcore mfunctionmof mpublic mhealth.
Assessmentmismsystematic mdata mcollectionmonmthe mpopulation,mmonitoringmthe mpopulation’smhealthmstatus,mandmmakingminf
ormation




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