FOUNDATIONS FOR
POPULATION HEALTH IN
COMMUNITY/ PUBLIC HEALTH
NURSING, 5TH EDITION BY
MARCIA STANHOPE
,Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition
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Contents:
Part I: Perspectives in Health Care Delivery and Nursing
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Chapter 1. Community and Prevention Oriented Practice to Improve Population Health Ch
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apter 2. The History of Public Health and Public and Community Health Nursing Chapter 3
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. The Changing U.S. Health and Public Health Care Systems
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Part II: Influences on Health Care Delivery and Nursing Chapter
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4. Ethics in Public and Community Health Nursing Practice Chapter
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5. Cultural Influences in Nursing in Community Health Chapter 6. En
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vironmental Health yq
Chapter 7. Government, the Law, and Policy Activism Chapyq yq yq yq yq yq yq y q
ter 8. Economic Influences
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Part III: Conceptual Frameworks Applied to Nursing Practice in the Community
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Chapter 9. Epidemiological Applications Chapt yq yq yq y q
er 10. Evidence-Based Practice
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Chapter 11. Using Health Education and Groups in the Community P
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art IV: Issues and Approaches in Health Care of Populations Ch
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apter 12. Community Assessment and Evaluation
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Chapter 13. Case Management Chapte yq yq yq y q
r 14. Disaster Management
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Chapter 15. Surveillance and Outbreak Investigation Chapt
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er 16. Program Management
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Chapter 17. Managing Quality and Safety yq yq yq yq yq
Part V: Issues and Approaches in Family and Individual Health Care
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Chapter 18. Family Development and Family Nursing Assessment Chapter
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19. Family Health Risks
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Chapter 20. Health Risks Across the Life Span yq yq yq yq yq yq yq
Part VI: Vulnerability: Predisposing Factors
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Chapter 21. Vulnerability and Vulnerable Populations: An Overview Cha
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pter 22. Rural Health and Migrant Health
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Chapter 23. Poverty, Homelessness, Teen Pregnancy, and Mental Illness Ch
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apter 24. Alcohol, Tobacco, and Other Drug Problems in the Community Ch
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apter 25. Violence and Human Abuse
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Chapter 26. Infectious Disease Prevention and Control yq yq yq yq yq yq
Chapter 27. HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases
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Part VII: Nursing Practice in the Community: Roles and Functions
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Chapter 28. Nursing Practice at the Local, State, and National Levels in Public Health Chap
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ter 29. The Faith Community Nurse
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Chapter 30. The Nurse in Home Health and Hospice Chapteryq yq yq yq yq yq yq yq y q yq
31. The Nurse in the Schools
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Chapter 32. The Nurse in Occupational Health yq yq yq yq yq yq
,Stanhope: Foundations for Population Health in Community/Public HealthNursing, 5th Edition
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Chapter 01: Community and Prevention Oriented Practice to Improve Population Health
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MULTIPLE CHOICE yq
1. Which of the following 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 yq yq yq yq yq yq yq yq
c. Giving care with a focus on the aggregate’s needs yq yq yq yq yq yq yq yq
d. A value system in which all clients receive optimal care
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ANS: A yqy q
By definition, community-based nursing is a setting-
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specific practice in which care is provided for “sick” individuals and families where they live,
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work, and attend school. The emphasis is on acute and chronic care and the provision of compr
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ehensive, coordinated, and continuous care. These nurses may be generalists or specialists in
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maternal–infant, pediatric, adult, or psychiatric mental health nursing. Community- yq y q yq yq yq yq yq yq
based nursing emphasizes acute and chronic care to individuals and families, rather than focusi
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ng on groups, aggregates, or systems.
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2. Which of the following best describes community-oriented nursing?
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a. Focusing on the provision of care to individuals and families yq yq yq yq yq yq yq yq yq
b. Providing care to manage acute or chronic conditions yq yq yq yq yq yq yq
c. Giving direct care to ill individuals within their family setting yq yq yq yq yq yq yq yq yq
d. Having the goal of health promotion and disease prevention yq yq yq yq yq yq yq yq
ANS: D yqy q
By definition, community-
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oriented nursing has the goal of preserving, protecting, or maintaining health and preventing di
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sease to promote the quality of life. All nurses may focus on individuals and families, give direc
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t care to ill persons within their family setting, and help manage acute or chronic conditions. Th
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ese 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 yq yq
b. Illness-oriented care yq
c. Individuals within the family unit yq yq yq yq
d. Health care of communities and populations yq yq yq yq yq
ANS: D y q
In public health nursing the primary focus is on the health care of communities and populations r
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ather than on individuals, groups, and families. The goal is to prevent disease and preserve, prom
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ote, restore, and protect health for the community and the population within it. Community-
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based nurses deal primarily with illness-
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oriented care of individuals and families acorss the life span. The aim is to amanage acute and c
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hronic health conditions in the community, and the focus of practice is on individual or family-
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centered illness care. yq yq
, 4. Which of the following is responsible for the dramatic increase in life expectancy during the 2
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0th century? yq
a. Technology increases in the field of medical laboratory research yq yq yq yq yq yq yq yq
b. Advances in surgical techniques and procedures yq yq yq yq yq
c. Sanitation and other population-based prevention programs yq yq yq yq yq
d. Use of antibiotics to fight infections yq yq yq yq yq
ANS: C y q
Improvements in control of infectious diseases through immunizations, sanitation, and other p yq yq yq yq yq yq yq yq yq yq y q
opulation-
based prevention programs led to the increase in life expectancy from less than 50 years in 190
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0 to more than 78 years in 2013. Although people are excited when a new drug is discovered tha
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t cures a disease or when a new way to transplant organs is perfected, it is important to know ab
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out the significant gains in the health of populations that have come largely from public health a
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ccomplishments.
5. A nurse is developing a plan to decrease the number of premature deaths in the community.
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Which of the following interventions would most likely be implemented by the nurse?
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a. Increase the community’s knowledge about hospice care. yq yq yq yq yq yq
b. Promote healthy lifestyle behavior choices among the community members. yq yq yq yq yq yq yq yq
c. Encourage employers to have wellness centers at each industrial site. yq yq yq yq yq yq yq yq yq
d. Ensure timely and effective medical intervention and treatment for community yq yq yq yq yq yq yq yq yq y q
members.
ANS: B y q
Public health approaches could help prevent premature deaths by influencing the way people ea
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t, drink, drive, engage in exercise, and treat the environment. Increasing knowledge of hospice
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care, encouraging on- yq yq
site wellness centers, and ensuring timely treatment of medical conditions do not address the fo
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cus of improving overall health through health promotion strategies. This is the major method t
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hat is suggested to decrease the incidence of premature death.
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6. Which of the following is a basic assumption of public health efforts?
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a. Health disparities among any groups are morally and legally wrong. yq yq yq yq yq yq yq yq yq
b. Health care is the most important priority in government planning and funding. yq yq yq yq yq yq yq yq yq yq yq
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 y q
Public health practice focuses on the community as a whole, and the effect of the community’s
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health status (resources) on the health of individuals, families, and groups. The goal is to preve
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nt disease and disability and promote and protect the health of the community as a whole. Public
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health can be described as what society collectively does to ensure that conditions exist in whic
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h people can be healthy. The basic assumptions of public health do not judge the morality of hea
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lth disparities. The focus is on prevention of illness not on spending more on illness care. Additi
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onally, individual responsibility for making healthy choices is the directive for lengthening life s
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pan 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 yq yq yq yq yq yq yq
b. Assessing the community and deciding on appropriate interventions yq yq yq yq yq yq yq
c. Using data from the main health care institutions in the community to determine
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