TEST BANK h4
FOUNDATIONS FOR POPULATI h4 h4
ON HEALTH IN COMMUNITY/ P
h4 h4 h4 h4
UBLIC HEALTHNURSING, 5TH E
h4 h
4 h4 h4
DITION BY MARCIA STANHOPE
h4 h4 h4
, Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Contents:
Part I: Perspectives in Health Care Delivery and Nursing
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 1. Community and Prevention Oriented Practice to Improve Population Health
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 2. The History of Public Health and Public and Community Health Nursing
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 3. The Changing U.S. Health and Public Health Care Systems
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Part II: Influences on Health Care Delivery and Nursing
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 4. Ethics in Public and Community Health Nursing Practice
h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 5. Cultural Influences in Nursing in Community Health
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 6. Environmental Health
h4 h4 h4
Chapter 7. Government, the Law, and Policy Activism
h4 h4 h4 h4 h4 h4 h4
Chapter 8. Economic Influences
h4 h4 h4
Part III: Conceptual Frameworks Applied to Nursing Practice in the Community
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 9. Epidemiological Applications
h4 h4 h4
Chapter 10. Evidence-Based Practice
h4 h4 h4
Chapter 11. Using Health Education and Groups in the Community
h4 h4 h4 h4 h4 h4 h4 h4 h4
Part IV: Issues and Approaches in Health Care of Populations
h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 12. Community Assessment and Evaluation
h4 h4 h4 h4 h4
Chapter 13. Case Management
h4 h4 h4
Chapter 14. Disaster Management
h4 h4 h4
Chapter 15. Surveillance and Outbreak Investigation
h4 h4 h4 h4 h4
Chapter 16. Program Management
h4 h4 h4
Chapter 17. Managing Quality and Safety
h4 h4 h4 h4 h4
Part V: Issues and Approaches in Family and Individual Health Care
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 18. Family Development and Family Nursing Assessment
h4 h4 h4 h4 h4 h4 h4
Chapter 19. Family Health Risks
h4 h4 h4 h4
Chapter 20. Health Risks Across the Life Span
h4 h4 h4 h4 h4 h4 h4
Part VI: Vulnerability: Predisposing Factors
h4 h4 h4 h4
Chapter 21. Vulnerability and Vulnerable Populations: An Overview
h4 h4 h4 h4 h4 h4 h4
Chapter 22. Rural Health and Migrant Health
h4 h4 h4 h4 h4 h4
Chapter 23. Poverty, Homelessness, Teen Pregnancy, and Mental Illness
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 24. Alcohol, Tobacco, and Other Drug Problems in the Community
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 25. Violence and Human Abuse
h4 h4 h4 h4 h4
Chapter 26. Infectious Disease Prevention and Control
h4 h4 h4 h4 h4 h4
Chapter 27. HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases
h4 h4 h4 h4 h4 h4 h4 h4 h4
Part VII: Nursing Practice in the Community: Roles and Functions
h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 28. Nursing Practice at the Local, State, and National Levels in Public Health
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 29. The Faith Community Nurse
h4 h4 h4 h4 h4
Chapter 30. The Nurse in Home Health and Hospice
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 31. The Nurse in the Schools
h4 h4 h4 h4 h4 h4
Chapter 32. The Nurse in Occupational Health
h4 h4 h4 h4 h4 h4
,Stanhope: Foundations for Population Health in Community/Public HealthNursing, 5th Edition
h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 01: Community and Prevention Oriented Practice to Improve Population Health
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
MULTIPLE CHOICE h4
1. Which of the following best describes community-based nursing?
h4 h4 h4 h4 h4 h4 h4
a. A practice in which care is provided for individuals and families
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Providing care with a focus on the group’s needs h4 h4 h4 h4 h4 h4 h4 h4
c. Giving care with a focus on the aggregate’s needs
h4 h4 h4 h4 h4 h4 h4 h4
d. A value system in which all clients receive optimal care
h4 h4 h4 h4 h4 h4 h4 h4 h4
ANS: h 4 A
By definition, community-based nursing is a setting-
h4 h4 h4 h4 h4 h4
specific practice in which care is provided for ―sick‖ individuals and families where they
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
live, work, and attend school. The emphasis is on acute and chronic care and the provisio
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
n of comprehensive, coordinated, andcontinuous care. These nurses may be generalists or
h4 h4 h4 h4 4
h h4 h4 h4 h4 h4 h4 h4 h4
specialists in maternal– h4 h4
infant, pediatric,adult, or psychiatric mental health nursing. Community-
h4 h4 h4 h4 h4 h4 h4 h4
based nursing emphasizes acute andchronic care to individuals and families, rather than f
h4 h4 h4 h4 4
h h4 h4 h4 h4 h4 h4 h4 h4
ocusing on groups, aggregates, or systems.
h4 h4 h4 h4 h4
2. Which of the following best describes community-oriented nursing?
h4 h4 h4 h4 h4 h4 h4
a. Focusing on the provision of care to individuals and familiesh4 h4 h4 h4 h4 h4 h4 h4 h4
b. Providing care to manage acute or chronic conditions h4 h4 h4 h4 h4 h4 h4
c. Giving direct care to ill individuals within their family setting
h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Having the goal of health promotion and disease prevention
h4 h4 h4 h4 h4 h4 h4 h4
ANS: h 4 D
By definition, community-
h4 h4
oriented nursing has the goal of preserving, protecting, or maintaining health and preventin
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
g disease to promote the quality of life. All nurses may focuson individuals and families, gi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h h4 h4 h4 h4
ve direct care to ill persons within their family setting, and helpmanage acute or chronic co
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h h4 h4 h4 h4
nditions. These definitions are not specific to community-orientednursing.
h4 h4 h4 h4 h4 h4 h4 4
h
3. Which of the following is the primary focus of public health nursing?
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
a. Families and groups h4 h4
b. Illness-oriented care h4
c. Individuals within the family unit h4 h4 h4 h4
d. Health care of communities and populations h4 h4 h4 h4 h4
ANS: D h4
In public health nursing the primary focus is on the health care of communities and popula
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
tions rather than on individuals, groups, and families. The goal is to prevent disease andpres
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h
erve, promote, restore, and protect health for the community and the population within it.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Community-based nurses deal primarily with illness- h4 h4 h4 h4 h4
oriented care of individuals and families acorss the life span. The aim is to amanage acute
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
and chronic health conditions in the community, and the focus of practice is on individual
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
or family-centered illness care.
h4 h4 h4
, 4. Which of the following is responsible for the dramatic increase in life expectancy during
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
the20th century?4
h h4
a. Technology increases in the field of medical laboratory research h4 h4 h4 h4 h4 h4 h4 h4
b. Advances in surgical techniques and procedures h4 h4 h4 h4 h4
c. Sanitation and other population-based prevention programs h4 h4 h4 h4 h4
d. Use of antibiotics to fight infections h4 h4 h4 h4 h4
ANS: C h4
Improvements in control of infectious diseases through immunizations, sanitation, and othe
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
r population-
h4
based prevention programs led to the increase in life expectancy from less than 50years in
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h h4 h4
1900 to more than 78 years in 2013. Although people are excited when a new drug isdisc
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h
overed that cures a disease or when a new way to transplant organs is perfected, it is impo
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
rtant to know about the significant gains in the health of populations that have come largel
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
y from public health accomplishments.
h4 h4 h4 h4
5. A nurse is developing a plan to decrease the number of premature deaths in the communi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ty.Which of the following interventions would most likely be implemented by the nurse?
4
h h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
a. Increase the community’s knowledge about hospice care. h4 h4 h4 h4 h4 h4
b. Promote healthy lifestyle behavior choices among the community members.
h4 h4 h4 h4 h4 h4 h4 h4
c. Encourage employers to have wellness centers at each industrial site. h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Ensure timely and effective medical intervention and treatment for communi
h4 h4 h4 h4 h4 h4 h4 h4 h4
tymembers. h4
ANS: B h4
Public health approaches could help prevent premature deaths by influencing the way peo
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
pleeat, drink, drive, engage in exercise, and treat the environment. Increasing knowledge
4
h h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
of hospice care, encouraging on-
h4 h4 h4 h4
site wellness centers, and ensuring timely treatment of medicalconditions do not address t
h4 h4 h4 h4 h4 h4 h4 h4 4
h h4 h4 h4 h4
he focus of improving overall health through health promotion strategies. This is the maj
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
or method that is suggested to decrease the incidence of premature death.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
6. Which of the following is a basic assumption of public health efforts?
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
a. Health disparities among any groups are morally and legally wrong.
h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Health care is the most important priority in government planning and funding.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
c. The health of individuals cannot be separated from the health of the community.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
d. The government is responsible for lengthening the life span of Americans.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ANS: C h4
Public health practice focuses on the community as a whole, and the effect of the commun
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ity’s health status (resources) on the health of individuals, families, and groups. The goal is
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
to prevent disease and disability and promote and protect the health of the community as a
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
whole. Public health can be described as what society collectively does to ensure that con
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ditions exist in which people can be healthy. The basic assumptions of public health do notj
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h
udge the morality of health disparities. The focus is on prevention of illness not on spendin
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
g more on illness care. Additionally, individual responsibility for making healthy choices is
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
the directive for lengthening life span not the role of the government.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
7. Which of the following actions would most likely be performed by a public health nurse?
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
a. Asking community leaders what interventions should be chosen
h4 h4 h4 h4 h4 h4 h4
b. Assessing the community and deciding on appropriate interventions h4 h4 h4 h4 h4 h4 h4
c. Using data from the main health care institutions in the community to determine
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
FOUNDATIONS FOR POPULATI h4 h4
ON HEALTH IN COMMUNITY/ P
h4 h4 h4 h4
UBLIC HEALTHNURSING, 5TH E
h4 h
4 h4 h4
DITION BY MARCIA STANHOPE
h4 h4 h4
, Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Contents:
Part I: Perspectives in Health Care Delivery and Nursing
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 1. Community and Prevention Oriented Practice to Improve Population Health
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 2. The History of Public Health and Public and Community Health Nursing
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 3. The Changing U.S. Health and Public Health Care Systems
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Part II: Influences on Health Care Delivery and Nursing
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 4. Ethics in Public and Community Health Nursing Practice
h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 5. Cultural Influences in Nursing in Community Health
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 6. Environmental Health
h4 h4 h4
Chapter 7. Government, the Law, and Policy Activism
h4 h4 h4 h4 h4 h4 h4
Chapter 8. Economic Influences
h4 h4 h4
Part III: Conceptual Frameworks Applied to Nursing Practice in the Community
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 9. Epidemiological Applications
h4 h4 h4
Chapter 10. Evidence-Based Practice
h4 h4 h4
Chapter 11. Using Health Education and Groups in the Community
h4 h4 h4 h4 h4 h4 h4 h4 h4
Part IV: Issues and Approaches in Health Care of Populations
h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 12. Community Assessment and Evaluation
h4 h4 h4 h4 h4
Chapter 13. Case Management
h4 h4 h4
Chapter 14. Disaster Management
h4 h4 h4
Chapter 15. Surveillance and Outbreak Investigation
h4 h4 h4 h4 h4
Chapter 16. Program Management
h4 h4 h4
Chapter 17. Managing Quality and Safety
h4 h4 h4 h4 h4
Part V: Issues and Approaches in Family and Individual Health Care
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 18. Family Development and Family Nursing Assessment
h4 h4 h4 h4 h4 h4 h4
Chapter 19. Family Health Risks
h4 h4 h4 h4
Chapter 20. Health Risks Across the Life Span
h4 h4 h4 h4 h4 h4 h4
Part VI: Vulnerability: Predisposing Factors
h4 h4 h4 h4
Chapter 21. Vulnerability and Vulnerable Populations: An Overview
h4 h4 h4 h4 h4 h4 h4
Chapter 22. Rural Health and Migrant Health
h4 h4 h4 h4 h4 h4
Chapter 23. Poverty, Homelessness, Teen Pregnancy, and Mental Illness
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 24. Alcohol, Tobacco, and Other Drug Problems in the Community
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 25. Violence and Human Abuse
h4 h4 h4 h4 h4
Chapter 26. Infectious Disease Prevention and Control
h4 h4 h4 h4 h4 h4
Chapter 27. HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases
h4 h4 h4 h4 h4 h4 h4 h4 h4
Part VII: Nursing Practice in the Community: Roles and Functions
h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 28. Nursing Practice at the Local, State, and National Levels in Public Health
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 29. The Faith Community Nurse
h4 h4 h4 h4 h4
Chapter 30. The Nurse in Home Health and Hospice
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 31. The Nurse in the Schools
h4 h4 h4 h4 h4 h4
Chapter 32. The Nurse in Occupational Health
h4 h4 h4 h4 h4 h4
,Stanhope: Foundations for Population Health in Community/Public HealthNursing, 5th Edition
h4 h4 h4 h4 h4 h4 h4 h4 h4
Chapter 01: Community and Prevention Oriented Practice to Improve Population Health
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
MULTIPLE CHOICE h4
1. Which of the following best describes community-based nursing?
h4 h4 h4 h4 h4 h4 h4
a. A practice in which care is provided for individuals and families
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Providing care with a focus on the group’s needs h4 h4 h4 h4 h4 h4 h4 h4
c. Giving care with a focus on the aggregate’s needs
h4 h4 h4 h4 h4 h4 h4 h4
d. A value system in which all clients receive optimal care
h4 h4 h4 h4 h4 h4 h4 h4 h4
ANS: h 4 A
By definition, community-based nursing is a setting-
h4 h4 h4 h4 h4 h4
specific practice in which care is provided for ―sick‖ individuals and families where they
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
live, work, and attend school. The emphasis is on acute and chronic care and the provisio
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
n of comprehensive, coordinated, andcontinuous care. These nurses may be generalists or
h4 h4 h4 h4 4
h h4 h4 h4 h4 h4 h4 h4 h4
specialists in maternal– h4 h4
infant, pediatric,adult, or psychiatric mental health nursing. Community-
h4 h4 h4 h4 h4 h4 h4 h4
based nursing emphasizes acute andchronic care to individuals and families, rather than f
h4 h4 h4 h4 4
h h4 h4 h4 h4 h4 h4 h4 h4
ocusing on groups, aggregates, or systems.
h4 h4 h4 h4 h4
2. Which of the following best describes community-oriented nursing?
h4 h4 h4 h4 h4 h4 h4
a. Focusing on the provision of care to individuals and familiesh4 h4 h4 h4 h4 h4 h4 h4 h4
b. Providing care to manage acute or chronic conditions h4 h4 h4 h4 h4 h4 h4
c. Giving direct care to ill individuals within their family setting
h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Having the goal of health promotion and disease prevention
h4 h4 h4 h4 h4 h4 h4 h4
ANS: h 4 D
By definition, community-
h4 h4
oriented nursing has the goal of preserving, protecting, or maintaining health and preventin
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
g disease to promote the quality of life. All nurses may focuson individuals and families, gi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h h4 h4 h4 h4
ve direct care to ill persons within their family setting, and helpmanage acute or chronic co
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h h4 h4 h4 h4
nditions. These definitions are not specific to community-orientednursing.
h4 h4 h4 h4 h4 h4 h4 4
h
3. Which of the following is the primary focus of public health nursing?
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
a. Families and groups h4 h4
b. Illness-oriented care h4
c. Individuals within the family unit h4 h4 h4 h4
d. Health care of communities and populations h4 h4 h4 h4 h4
ANS: D h4
In public health nursing the primary focus is on the health care of communities and popula
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
tions rather than on individuals, groups, and families. The goal is to prevent disease andpres
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h
erve, promote, restore, and protect health for the community and the population within it.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
Community-based nurses deal primarily with illness- h4 h4 h4 h4 h4
oriented care of individuals and families acorss the life span. The aim is to amanage acute
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
and chronic health conditions in the community, and the focus of practice is on individual
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
or family-centered illness care.
h4 h4 h4
, 4. Which of the following is responsible for the dramatic increase in life expectancy during
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
the20th century?4
h h4
a. Technology increases in the field of medical laboratory research h4 h4 h4 h4 h4 h4 h4 h4
b. Advances in surgical techniques and procedures h4 h4 h4 h4 h4
c. Sanitation and other population-based prevention programs h4 h4 h4 h4 h4
d. Use of antibiotics to fight infections h4 h4 h4 h4 h4
ANS: C h4
Improvements in control of infectious diseases through immunizations, sanitation, and othe
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
r population-
h4
based prevention programs led to the increase in life expectancy from less than 50years in
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h h4 h4
1900 to more than 78 years in 2013. Although people are excited when a new drug isdisc
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 4
h
overed that cures a disease or when a new way to transplant organs is perfected, it is impo
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
rtant to know about the significant gains in the health of populations that have come largel
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
y from public health accomplishments.
h4 h4 h4 h4
5. A nurse is developing a plan to decrease the number of premature deaths in the communi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ty.Which of the following interventions would most likely be implemented by the nurse?
4
h h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
a. Increase the community’s knowledge about hospice care. h4 h4 h4 h4 h4 h4
b. Promote healthy lifestyle behavior choices among the community members.
h4 h4 h4 h4 h4 h4 h4 h4
c. Encourage employers to have wellness centers at each industrial site. h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Ensure timely and effective medical intervention and treatment for communi
h4 h4 h4 h4 h4 h4 h4 h4 h4
tymembers. h4
ANS: B h4
Public health approaches could help prevent premature deaths by influencing the way peo
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
pleeat, drink, drive, engage in exercise, and treat the environment. Increasing knowledge
4
h h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
of hospice care, encouraging on-
h4 h4 h4 h4
site wellness centers, and ensuring timely treatment of medicalconditions do not address t
h4 h4 h4 h4 h4 h4 h4 h4 4
h h4 h4 h4 h4
he focus of improving overall health through health promotion strategies. This is the maj
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
or method that is suggested to decrease the incidence of premature death.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
6. Which of the following is a basic assumption of public health efforts?
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
a. Health disparities among any groups are morally and legally wrong.
h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Health care is the most important priority in government planning and funding.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
c. The health of individuals cannot be separated from the health of the community.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
d. The government is responsible for lengthening the life span of Americans.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ANS: C h4
Public health practice focuses on the community as a whole, and the effect of the commun
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ity’s health status (resources) on the health of individuals, families, and groups. The goal is
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
to prevent disease and disability and promote and protect the health of the community as a
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whole. Public health can be described as what society collectively does to ensure that con
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ditions exist in which people can be healthy. The basic assumptions of public health do notj
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udge the morality of health disparities. The focus is on prevention of illness not on spendin
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g more on illness care. Additionally, individual responsibility for making healthy choices is
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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
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b. Assessing the community and deciding on appropriate interventions h4 h4 h4 h4 h4 h4 h4
c. Using data from the main health care institutions in the community to determine
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