Chapter 01: Public Health Nursing and Population Health
v v v v v v v
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Edition
v v v v v v v v v v
MULTIPLEvCHOICE
1. Whichvstatementvbestvdescribesvcommunity-basedvnursing?
a. Avpracticevinvwhichvcarevisvprovidedvforvindividualsvandvfamilies.
b. Providingvcarevwithvavfocusvonvthevgroup’svneeds.
c. Givingvcarevwithvavfocusvonvthevaggregate’svneeds.
d. Avvaluevsystemvinvwhichvallvclientsvreceivevoptimalvcare.
ANS:v A
Byvdefinition,vcommunity-basedvnursingvisvavsetting-
specificvpracticevinvwhichvcarevisvprovidedvforv“sick”vindividualsvandvfamiliesvwherevtheyvlive,vwork,vand
visvonvacutevandvchronicvcarevandvthevprovisionvofvcomprehensive,vcoordinated,vandvcontinuousvcare.vThe
orvspecialistsvinvmaternal–infant,vpediatric,vadult,vorvpsychiatricvmentalvhealthvnursing.vCommunity-
basedvnursingvemphasizesvacutevandvchronicvcarevtovindividualsvandvfamilies,vrathervthanvfocusingvonvgro
2. Whichvstatementvbestvdescribesvthevgoalvofvcommunity-orientedvnursing?
a. Providingvcarevtovindividualsvandvfamilies
b. Providingvcarevtovmanagevacutevorvchronicvconditions
c. Givingvdirectvcarevtovillvindividualsvwithinvtheirvfamilyvsetting
d. Tovpreserve,vprotect,vpromote,vorvmaintainvhealthvandvpreventvdisease
ANS:v D
Byvdefinition,vcommunity-
orientedvnursingvhasvthevgoalvofvpreserving,vprotecting,vorvmaintainingvhealthvandvpreventingvdiseasevtovp
vnursesvmayvfocusvonvindividualsvandvfamilies,vgivevdirectvcarevtovillvpersonsvwithinvtheirvfamilyvsetting, va
onicvconditions.vThesevdefinitionsvarevnotvspecificvtovcommunity-orientedvnursing.
3. Whichvofvthevfollowingvisvthevprimaryvfocusvofvpublicvhealthvnursing?
a. Familiesvandvgroups
b. Illness-orientedvcare
c. Individualsvwithinvthevfamilyvunit
d. Healthvcarevofvcommunitiesvandvpopulations
ANS:v D
Invpublicvhealthvnursing,vthevprimaryvfocusvisvonvthevhealthvcarevofvcommunitiesvandvpopulationsvrathervth
ndvfamilies.vThevgoalvisvtovpreventvdiseasevandvpreserve,vpromote,vrestore,vandvprotectvhealthvforvthevcomm
thinvit.vCommunity-basedvnursesvdealvprimarilyvwithvillness-
orientedvcarevofvindividualsvandvfamiliesvacrossvthevlifev span.vThevaimvisvtovmanagevacutevandvchronicvhe
nity,vandvthevfocusvofvpracticevisvonvindividualvor
family-centeredvillnessvcare.
4. Whichvofvthevfollowingvisvresponsiblevforvthevdramaticvincreasevinvlifevexpectancyvduringvthev20thvcentur
a. Technologyvincreasesvinvthevfieldvofvmedicalvlaboratoryvresearch
b. Advancesvinvsurgicalvtechniquesvandvprocedures
c. Sanitationvandvothervpopulation-basedvpreventionvprograms
d. Usevofvantibioticsvtovfightvinfections
ANS:v C
Therevhasvtovbevindisputablevevidencevcollectedvovervtimevthatvpublicvhealthvpoliciesvandvprogramsvwerev
ngvthevaveragevlifevspanvfromv47vinv1900vtov78.6vyearsvinv2017,vanvincreasevofvapproximatelyv60%vinvjustvo
vementsvinv(1)vsanitation,v(2)vcleanvwatervsupplies,v(3)vmakingvworkplacesvsafer,v(4)vimprovingvfoodvand
(5)vimmunizingvchildren,vandv(6)vimprovingvnutrition,vhygiene,vandvhousing.vAlthoughvpeoplevarevexcite
redvthatvcuresvavdiseasevorvwhenvavnewvwayvtovtransplantvorgansvisvperfected,vitvisvimportantvtovknowvabou
ealthvofvpopulationsvthatvhavevcomevlargelyvfromvpublicvhealthvaccomplishments.
5. Avnursevisvdevelopingvavplanvtovdecreasevthevnumbervofvprematurevdeathsvinvthevcommunity.vWhichvofvthe
, 6. WhatvisvthevbasicvassumptionvstatedvbyvHealthyvPeoplev2010vasvitvrelatesvtovpublicvhealthvefforts?
a. Healthvdisparitiesvamongvanyvgroupsvarevmorallyvandvlegallyvwrong.
b. Healthvcarevisvthevmostvimportantvpriorityvinvgovernmentvplanningvandvfunding.
c. Thevhealthvofvindividualsvcannotvbevseparatedvfromvthevhealthvofvthevcommunity.
d. ThevgovernmentvisvresponsiblevforvlengtheningvthevlifevspanvofvAmericans.
ANS:v C
ThevmajorvpremisevofvHealthyvPeoplev2010vwasvthatvthevhealthvofvthevindividualvcannotvbeventirelyvsepara
ervcommunity.vPublicvhealthvpracticevfocusesvonvthevcommunityvasvavwhole,vandvtheveffectvofvthevcommu
s)vonvthevhealthvofvindividuals,vfamilies,vandvgroups.vThevgoalvisvtovpreventvdiseasevandvdisabilityvandvpro
fvthevcommunityvasvavwhole.vPublicvhealthvcanvbevdescribedvasvwhatvsocietyvcollectivelyvdoesvtovensurevth
peoplevcanvbevhealthy.vThevbasicvassumptionsvofvpublicvhealthvdovnotvjudgevthevmoralityvofvhealthvdispari
onvofvillnessvnotvonvspendingvmorevonvillnessvcare.vAdditionally,vindividualvresponsibilityvforvmakingvhea
orvlengtheningvlifevspanvnotvthevrolevofvthevgovernment.
7. Whichvofvthevfollowingvactionsvwouldvmostvlikelyvbevperformedvbyvavpublicvhealthvnurse?
a. Askingvcommunityvleadersvwhatvinterventionsvshouldvbevchosen
b. Assessingvthevcommunityvandvdecidingvonvappropriatevinterventions
c. Usingvdatavfromvthevmainvhealthvcarevinstitutionsvinvthevcommunityvtovdeterminev
neededvhealthvservices
d. Workingvwithvcommunityvgroupsvtovcreatevpoliciesvtovimprovevthevenvironment
ANS:v D
Althoughvthevpublicvhealthvnursevmightvengagevinvanyvofvthevtasksvlisted,vhevorvshevworksvprimarilyvwithvm
vcarryvoutvcorevpublicvhealthvfunctions,vincludingvassessmentvofvthevpopulationvasvavwholevandvengagingvi
ovingvthevenvironment.vThevinterventionsvofvaskingvcommunityvleadersvwhichvinterventionsvshouldvbevch
tyvandvdecidingvonvappropriatevinterventions,vandvusingvdatavfromvhealthvcarevinstitutionsvdovnotvdemons
ommunityvwhenvmakingvdecisionsvaboutvwhatvthevcommunityvactuallyvwantsvandvneeds.
8. Whichvpublicvhealthvnursevmostvclearlyvfulfillsvthevresponsibilitiesvofvthisvrole?
a. Thevnursevwhovmetvwithvseveralvgroupsvtovdiscussvcommunityvrecreationvissues
b. Thevnursevwhovspentvthevdayvattendingvmeetingsvofvvariousvhealthvagencies
c. Thevnursevwhovtalkedvtovseveralvpeoplevaboutvtheirvparticularvhealthvconcerns
d. Thevnursevwhovwatchedvthevcityvcouncilvmeetingvonvlocalvcablevtelevision
ANS:v B
Anyvofvthesevdescriptionsvmightvrepresentvavnursevcommunicating,vcooperating,vorvcollaboratingvwithvco
aboutvhealthvconcerns.vAvmajorvchallengevforvthevfuturevisvthevneedvforvpublicvhealthvnursingvspecialistsvto
ingvcollaborativelyvwithvvariousvgroupsvinvthevcommunityvasvwellvasvprofessionalvcolleaguesvinvinstitutio
ersvtovhealth.vHowever,vthevnursevwhovspentvthevdayvattendingvmeetingsvofvvariousvhealthvagenciesvisvthev
invpublicvhealth,vconcernsvarevaddressedvfromvavbroadervperspective.vInvpublicvhealth,vbroadvconcernsvofvt
ressed.vConcernsvarevbroadervthanvrecreation,vindividualvconcernsvarevnotvasvimportantvasvaggregatevprior
v(avone-wayvformvofvcommunication)visvlessveffectivevthanvinteractingvwithvothers.
9. Whichvofvthevfollowingvbestvdefinesvaggregate?
a. Avlargevgroupvofvpersons
b. Avcollectionvofvindividualsvandvfamilies
c. Avcollectionvofvpeoplevwhovsharevonevorvmorevcharacteristics
d. Anothervnamevforvdemographicvgroup
ANS:v C
Anvaggregatevisvdefinedvavcollectionvofvpeoplevwhovsharevonevorvmorevpersonalvorvenvironmentalvcharact
unityvcanvbevdefinedvinvtermsvofveithervgeographyv(e.g.,vavcounty,vavgroupvofvcounties,vorvavstate)vorvavspec
endingvavparticularvschool).vThesevmembersvmakevupvavpopulation.vThevtermvpopulationvmayvbevusedvinte
ggregate.vAvlargevgroupvofvpersons,vavcollectionvofvindividualsvandvfamilies,vandvanothervnamevforvdemog
evdefinitionsvofvthevtermvaggregate.
10. Whichvquestionvaskedvbyvavnovicevnursevwouldvbevthevmostvreflectivevofvanvunderstandingvofvthevrolevofva
a. “Whichvgroupsvarevatvthevgreatestvriskvforvproblems?”
b. “WhichvpatientsvshouldvIvseevfirstvasvIvbeginvmyvday?”
,12. Whenvtalkingvtovavwomen’svgroupvatvthevseniorvcitizens’vcenter,vthevnursevremindedvthemvthatvthevonlyvwa
affordvtovprovidevtransportationvservicesvforvthemvwouldvbevforvthemvtovcontinuevtovwritevlettersvtovtheirvl
v
vesvrequestingvfundingvforvsuchvavservice.vWhatvwasvthevnursevtryingvtovaccomplishvthroughvthisvaction?
a. Ensurevthatvthevwomenvdidvnotvexpectvthevnursevtovsolvevtheirvproblem.
b. Demonstratevthatvthevnursevunderstoodvthevwomen’svconcernsvandvneeds.
c. Expressvempathy,vsupport,vandvconcern.
d. Helpvthevwomenvengagevinvpoliticalvaction.
ANS:v D
Publicvhealthvnursesvengagevthemselvesvandvothersvinvpolicyvdevelopmentvandvencouragevandvassistvperso
dsvtovthosevwithvthevpowervtovtakevaction.vThevnursevisvdemonstratingvthevrolevofvadvocatevthroughvthisvac
nderstandingvthevwomen’svconcern,vandvinsteadvmobilizesvthemvtovtakevaction.vThisvactionvdoesvnotvdemo
mpathyvrathervthevnursevisvempoweringvthesevwomen.
13. Thevpublicvhealthvnursevhasvavclearvvisionvofvwhatvneedsvtovbevdonevandvwherevtovbeginvtovimprovevthevhea
hyvwouldvthevnursevspendvtimevmeetingvwithvcommunityvgroupsvtovdiscussvthevmostvimportantvtaskvtovbev
a. Tovincreasevthevgroup’svself-esteem
b. Tovmaintainvcommunicationvlinksvwithvthevgroups
c. Tovmakevthevgroupsvfeelvgoodvaboutvtheirvcontribution
d. Tovworkvwithvthevgroups,vnotvforvthevgroups
ANS:v D
Historically,vhealthvcarevprovidersvhavevbeenvaccusedvofvprovidingvcarevforvorvtovpeoplevwithoutvactuallyv
evdecisions.vPublicvhealthvnursingvisvav“withvthevpeople”—notvav“tovthevpeople”vorv“forvthevpeople”—
approachvtovplanning.vTherevisvanvimperativevtovworkvwithvmembersvofvthevcommunityvtovcarryvoutvcorevp
urposevofvmeetingvwithvcommunityvgroupsvisvnotvtovincreasevtheirvself-
esteemvorvmakevthemvfeelvgoodvaboutvtheirvcontribution,vrathervitvisvtovallowvthemvtovactvforvthemselvesvto
facing.vThevfirstvtaskvofvworkingvwithvthevgroupvshouldvoccurvbeforevaddressingvmaintainingvcommunica
14. Thevnursevoftenvhasvtovmakevresourcevallocationvdecisions.vWhichvofvthevfollowingvbestvdescribesvthevcrit
suchvcases?
v
a. Thevspecificvmoralvorvethicalvprinciplevrelatedvtovthevsituation
b. Thevcheapest,vmostveconomicalvapproach
c. Thevmostvrationalvprobablevoutcome
d. Thevneedsvofvthevaggregatevrathervthanvavfewvindividuals
ANS:v D
Thevdominantvneedsvofvthevpopulationvoutweighvthevexpressedvneedsvofvonevorvavfewvpeople.vAllvofvthevch
vofvavdecisionvthatvthevnursevmightvconsidervinvdeterminingvthevneeds vofvthevaggregate.
15. Whichvofvthevfollowingvactionsvbestvrepresentsvpublicvhealthvnursing?
a. Assessingvtheveffectivenessvofvthevhighvschoolvhealthvclinic
b. Caringvforvclientsvinvtheirvhomevfollowingvtheirvoutpatientvsurgeries
c. Providingvcarevtovchildrenvandvtheirvfamiliesvatvthevschoolvclinic
d. Administeringvfollow-upvcarevforvpediatricvclientsvatvanvoutpatientvclinic
ANS:v A
Avpublicvhealthvorvpopulation-
focusedvapproachvwouldvlookvatvtheventirevgroupvofvchildrenvbeingvservedvtovdeterminevwhethervavailable
evingvthevgoalvofvimprovingvthevhealthvofvthevschoolvpopulation.vCaringvforvclientsvandvtheirvfamiliesvfocu
esvandvnotvonvtheventirevpopulation.vPublicvhealthvfocusesvonvcarevofvpopulations.
16. Twovnursesvplanvtovwalkvundervavhugevdowntownvbridgevwherevvariousvhomelessvpersonsvlive.vWhyvwou
nsafevarea?
a. Tovassessvthevneedsvofvthevhomelessvwhovlivevthere
b. Tovdemonstratevtheirvcouragevandvcommitment
c. Tovdistributevsomevofvtheirvownvsurplusvclothesvtovthosevwhovcanvusevthem
d. Tovsharevwithvvariousvchurchesvandvothervcharitiesvwhatvisvneeded
ANS:v A
, 2. Whichvofvthevfollowingvactionsvdemonstrateveffectivevpublicvhealthvnursingvpracticevinvthevcommunity? v(
a. Epidemiologicvinvestigationsvexaminevthevenvironmentvforvhealthvhazards.
b. Newvservicesvarevorganizedvwherevparticularvvulnerablevpopulationsvlive.
c. Partnershipsvarevestablishedvwithvcommunityvcoalitions.
d. Staffvmembersvatvthevpublicvhealthvagencyvcontinuevtovincreasevinvnumber.
e. Staffingvwalkvinvclinicsvforvlowvincomevfamilies
ANS:v A,vB,vC
Evidencevthatvpublicvhealthvnursesvarevpracticingveffectivelyvinvthevcommunityvwouldvincludevorganizing
vwork,vplay,vandvlearn;vworkingvinvpartnershipsvandvwithvcoalitions;vandvparticipatingvinvepidemiologicvst
evnumbervofvstaffvnorvactingvasvstaffvinvthevdeliveryvofvacutevand/orvchronicvcarevhasvavrelationshipvtovtheve
hvnursingvpractice.
3. Whyvarevnursesvincreasinglyvprovidingvcarevinvclients’vhomesvrathervthanvinvhospitals?v(Selectvallvthatvapp
a. Homevcarevisvlessvexpensive.
b. Itvisvmuchvmorevefficientvtovgivevcarevinvthevhome.
c. Nursesvprefervtovgivevhomevcarevwithvindividualvattention.
d. Peoplevprefervtovreceivevcarevinvtheirvhomesvrathervthanvinvhospitals.
ANS:v A,vD
Anvincreasingvnumbervofvclientsvarevreceivingvcarevinvthevhomevbecausevitvisvlessvexpensivevandvclientsvpr
arvandvcomfortablevsettings.vItvisvnotvmorevefficientvnorvmorevconvenient,vsincevtravelvtimevhasvtovbevconsi
irvpreferredvemploymentvsetting.
v v v v v v v
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Edition
v v v v v v v v v v
MULTIPLEvCHOICE
1. Whichvstatementvbestvdescribesvcommunity-basedvnursing?
a. Avpracticevinvwhichvcarevisvprovidedvforvindividualsvandvfamilies.
b. Providingvcarevwithvavfocusvonvthevgroup’svneeds.
c. Givingvcarevwithvavfocusvonvthevaggregate’svneeds.
d. Avvaluevsystemvinvwhichvallvclientsvreceivevoptimalvcare.
ANS:v A
Byvdefinition,vcommunity-basedvnursingvisvavsetting-
specificvpracticevinvwhichvcarevisvprovidedvforv“sick”vindividualsvandvfamiliesvwherevtheyvlive,vwork,vand
visvonvacutevandvchronicvcarevandvthevprovisionvofvcomprehensive,vcoordinated,vandvcontinuousvcare.vThe
orvspecialistsvinvmaternal–infant,vpediatric,vadult,vorvpsychiatricvmentalvhealthvnursing.vCommunity-
basedvnursingvemphasizesvacutevandvchronicvcarevtovindividualsvandvfamilies,vrathervthanvfocusingvonvgro
2. Whichvstatementvbestvdescribesvthevgoalvofvcommunity-orientedvnursing?
a. Providingvcarevtovindividualsvandvfamilies
b. Providingvcarevtovmanagevacutevorvchronicvconditions
c. Givingvdirectvcarevtovillvindividualsvwithinvtheirvfamilyvsetting
d. Tovpreserve,vprotect,vpromote,vorvmaintainvhealthvandvpreventvdisease
ANS:v D
Byvdefinition,vcommunity-
orientedvnursingvhasvthevgoalvofvpreserving,vprotecting,vorvmaintainingvhealthvandvpreventingvdiseasevtovp
vnursesvmayvfocusvonvindividualsvandvfamilies,vgivevdirectvcarevtovillvpersonsvwithinvtheirvfamilyvsetting, va
onicvconditions.vThesevdefinitionsvarevnotvspecificvtovcommunity-orientedvnursing.
3. Whichvofvthevfollowingvisvthevprimaryvfocusvofvpublicvhealthvnursing?
a. Familiesvandvgroups
b. Illness-orientedvcare
c. Individualsvwithinvthevfamilyvunit
d. Healthvcarevofvcommunitiesvandvpopulations
ANS:v D
Invpublicvhealthvnursing,vthevprimaryvfocusvisvonvthevhealthvcarevofvcommunitiesvandvpopulationsvrathervth
ndvfamilies.vThevgoalvisvtovpreventvdiseasevandvpreserve,vpromote,vrestore,vandvprotectvhealthvforvthevcomm
thinvit.vCommunity-basedvnursesvdealvprimarilyvwithvillness-
orientedvcarevofvindividualsvandvfamiliesvacrossvthevlifev span.vThevaimvisvtovmanagevacutevandvchronicvhe
nity,vandvthevfocusvofvpracticevisvonvindividualvor
family-centeredvillnessvcare.
4. Whichvofvthevfollowingvisvresponsiblevforvthevdramaticvincreasevinvlifevexpectancyvduringvthev20thvcentur
a. Technologyvincreasesvinvthevfieldvofvmedicalvlaboratoryvresearch
b. Advancesvinvsurgicalvtechniquesvandvprocedures
c. Sanitationvandvothervpopulation-basedvpreventionvprograms
d. Usevofvantibioticsvtovfightvinfections
ANS:v C
Therevhasvtovbevindisputablevevidencevcollectedvovervtimevthatvpublicvhealthvpoliciesvandvprogramsvwerev
ngvthevaveragevlifevspanvfromv47vinv1900vtov78.6vyearsvinv2017,vanvincreasevofvapproximatelyv60%vinvjustvo
vementsvinv(1)vsanitation,v(2)vcleanvwatervsupplies,v(3)vmakingvworkplacesvsafer,v(4)vimprovingvfoodvand
(5)vimmunizingvchildren,vandv(6)vimprovingvnutrition,vhygiene,vandvhousing.vAlthoughvpeoplevarevexcite
redvthatvcuresvavdiseasevorvwhenvavnewvwayvtovtransplantvorgansvisvperfected,vitvisvimportantvtovknowvabou
ealthvofvpopulationsvthatvhavevcomevlargelyvfromvpublicvhealthvaccomplishments.
5. Avnursevisvdevelopingvavplanvtovdecreasevthevnumbervofvprematurevdeathsvinvthevcommunity.vWhichvofvthe
, 6. WhatvisvthevbasicvassumptionvstatedvbyvHealthyvPeoplev2010vasvitvrelatesvtovpublicvhealthvefforts?
a. Healthvdisparitiesvamongvanyvgroupsvarevmorallyvandvlegallyvwrong.
b. Healthvcarevisvthevmostvimportantvpriorityvinvgovernmentvplanningvandvfunding.
c. Thevhealthvofvindividualsvcannotvbevseparatedvfromvthevhealthvofvthevcommunity.
d. ThevgovernmentvisvresponsiblevforvlengtheningvthevlifevspanvofvAmericans.
ANS:v C
ThevmajorvpremisevofvHealthyvPeoplev2010vwasvthatvthevhealthvofvthevindividualvcannotvbeventirelyvsepara
ervcommunity.vPublicvhealthvpracticevfocusesvonvthevcommunityvasvavwhole,vandvtheveffectvofvthevcommu
s)vonvthevhealthvofvindividuals,vfamilies,vandvgroups.vThevgoalvisvtovpreventvdiseasevandvdisabilityvandvpro
fvthevcommunityvasvavwhole.vPublicvhealthvcanvbevdescribedvasvwhatvsocietyvcollectivelyvdoesvtovensurevth
peoplevcanvbevhealthy.vThevbasicvassumptionsvofvpublicvhealthvdovnotvjudgevthevmoralityvofvhealthvdispari
onvofvillnessvnotvonvspendingvmorevonvillnessvcare.vAdditionally,vindividualvresponsibilityvforvmakingvhea
orvlengtheningvlifevspanvnotvthevrolevofvthevgovernment.
7. Whichvofvthevfollowingvactionsvwouldvmostvlikelyvbevperformedvbyvavpublicvhealthvnurse?
a. Askingvcommunityvleadersvwhatvinterventionsvshouldvbevchosen
b. Assessingvthevcommunityvandvdecidingvonvappropriatevinterventions
c. Usingvdatavfromvthevmainvhealthvcarevinstitutionsvinvthevcommunityvtovdeterminev
neededvhealthvservices
d. Workingvwithvcommunityvgroupsvtovcreatevpoliciesvtovimprovevthevenvironment
ANS:v D
Althoughvthevpublicvhealthvnursevmightvengagevinvanyvofvthevtasksvlisted,vhevorvshevworksvprimarilyvwithvm
vcarryvoutvcorevpublicvhealthvfunctions,vincludingvassessmentvofvthevpopulationvasvavwholevandvengagingvi
ovingvthevenvironment.vThevinterventionsvofvaskingvcommunityvleadersvwhichvinterventionsvshouldvbevch
tyvandvdecidingvonvappropriatevinterventions,vandvusingvdatavfromvhealthvcarevinstitutionsvdovnotvdemons
ommunityvwhenvmakingvdecisionsvaboutvwhatvthevcommunityvactuallyvwantsvandvneeds.
8. Whichvpublicvhealthvnursevmostvclearlyvfulfillsvthevresponsibilitiesvofvthisvrole?
a. Thevnursevwhovmetvwithvseveralvgroupsvtovdiscussvcommunityvrecreationvissues
b. Thevnursevwhovspentvthevdayvattendingvmeetingsvofvvariousvhealthvagencies
c. Thevnursevwhovtalkedvtovseveralvpeoplevaboutvtheirvparticularvhealthvconcerns
d. Thevnursevwhovwatchedvthevcityvcouncilvmeetingvonvlocalvcablevtelevision
ANS:v B
Anyvofvthesevdescriptionsvmightvrepresentvavnursevcommunicating,vcooperating,vorvcollaboratingvwithvco
aboutvhealthvconcerns.vAvmajorvchallengevforvthevfuturevisvthevneedvforvpublicvhealthvnursingvspecialistsvto
ingvcollaborativelyvwithvvariousvgroupsvinvthevcommunityvasvwellvasvprofessionalvcolleaguesvinvinstitutio
ersvtovhealth.vHowever,vthevnursevwhovspentvthevdayvattendingvmeetingsvofvvariousvhealthvagenciesvisvthev
invpublicvhealth,vconcernsvarevaddressedvfromvavbroadervperspective.vInvpublicvhealth,vbroadvconcernsvofvt
ressed.vConcernsvarevbroadervthanvrecreation,vindividualvconcernsvarevnotvasvimportantvasvaggregatevprior
v(avone-wayvformvofvcommunication)visvlessveffectivevthanvinteractingvwithvothers.
9. Whichvofvthevfollowingvbestvdefinesvaggregate?
a. Avlargevgroupvofvpersons
b. Avcollectionvofvindividualsvandvfamilies
c. Avcollectionvofvpeoplevwhovsharevonevorvmorevcharacteristics
d. Anothervnamevforvdemographicvgroup
ANS:v C
Anvaggregatevisvdefinedvavcollectionvofvpeoplevwhovsharevonevorvmorevpersonalvorvenvironmentalvcharact
unityvcanvbevdefinedvinvtermsvofveithervgeographyv(e.g.,vavcounty,vavgroupvofvcounties,vorvavstate)vorvavspec
endingvavparticularvschool).vThesevmembersvmakevupvavpopulation.vThevtermvpopulationvmayvbevusedvinte
ggregate.vAvlargevgroupvofvpersons,vavcollectionvofvindividualsvandvfamilies,vandvanothervnamevforvdemog
evdefinitionsvofvthevtermvaggregate.
10. Whichvquestionvaskedvbyvavnovicevnursevwouldvbevthevmostvreflectivevofvanvunderstandingvofvthevrolevofva
a. “Whichvgroupsvarevatvthevgreatestvriskvforvproblems?”
b. “WhichvpatientsvshouldvIvseevfirstvasvIvbeginvmyvday?”
,12. Whenvtalkingvtovavwomen’svgroupvatvthevseniorvcitizens’vcenter,vthevnursevremindedvthemvthatvthevonlyvwa
affordvtovprovidevtransportationvservicesvforvthemvwouldvbevforvthemvtovcontinuevtovwritevlettersvtovtheirvl
v
vesvrequestingvfundingvforvsuchvavservice.vWhatvwasvthevnursevtryingvtovaccomplishvthroughvthisvaction?
a. Ensurevthatvthevwomenvdidvnotvexpectvthevnursevtovsolvevtheirvproblem.
b. Demonstratevthatvthevnursevunderstoodvthevwomen’svconcernsvandvneeds.
c. Expressvempathy,vsupport,vandvconcern.
d. Helpvthevwomenvengagevinvpoliticalvaction.
ANS:v D
Publicvhealthvnursesvengagevthemselvesvandvothersvinvpolicyvdevelopmentvandvencouragevandvassistvperso
dsvtovthosevwithvthevpowervtovtakevaction.vThevnursevisvdemonstratingvthevrolevofvadvocatevthroughvthisvac
nderstandingvthevwomen’svconcern,vandvinsteadvmobilizesvthemvtovtakevaction.vThisvactionvdoesvnotvdemo
mpathyvrathervthevnursevisvempoweringvthesevwomen.
13. Thevpublicvhealthvnursevhasvavclearvvisionvofvwhatvneedsvtovbevdonevandvwherevtovbeginvtovimprovevthevhea
hyvwouldvthevnursevspendvtimevmeetingvwithvcommunityvgroupsvtovdiscussvthevmostvimportantvtaskvtovbev
a. Tovincreasevthevgroup’svself-esteem
b. Tovmaintainvcommunicationvlinksvwithvthevgroups
c. Tovmakevthevgroupsvfeelvgoodvaboutvtheirvcontribution
d. Tovworkvwithvthevgroups,vnotvforvthevgroups
ANS:v D
Historically,vhealthvcarevprovidersvhavevbeenvaccusedvofvprovidingvcarevforvorvtovpeoplevwithoutvactuallyv
evdecisions.vPublicvhealthvnursingvisvav“withvthevpeople”—notvav“tovthevpeople”vorv“forvthevpeople”—
approachvtovplanning.vTherevisvanvimperativevtovworkvwithvmembersvofvthevcommunityvtovcarryvoutvcorevp
urposevofvmeetingvwithvcommunityvgroupsvisvnotvtovincreasevtheirvself-
esteemvorvmakevthemvfeelvgoodvaboutvtheirvcontribution,vrathervitvisvtovallowvthemvtovactvforvthemselvesvto
facing.vThevfirstvtaskvofvworkingvwithvthevgroupvshouldvoccurvbeforevaddressingvmaintainingvcommunica
14. Thevnursevoftenvhasvtovmakevresourcevallocationvdecisions.vWhichvofvthevfollowingvbestvdescribesvthevcrit
suchvcases?
v
a. Thevspecificvmoralvorvethicalvprinciplevrelatedvtovthevsituation
b. Thevcheapest,vmostveconomicalvapproach
c. Thevmostvrationalvprobablevoutcome
d. Thevneedsvofvthevaggregatevrathervthanvavfewvindividuals
ANS:v D
Thevdominantvneedsvofvthevpopulationvoutweighvthevexpressedvneedsvofvonevorvavfewvpeople.vAllvofvthevch
vofvavdecisionvthatvthevnursevmightvconsidervinvdeterminingvthevneeds vofvthevaggregate.
15. Whichvofvthevfollowingvactionsvbestvrepresentsvpublicvhealthvnursing?
a. Assessingvtheveffectivenessvofvthevhighvschoolvhealthvclinic
b. Caringvforvclientsvinvtheirvhomevfollowingvtheirvoutpatientvsurgeries
c. Providingvcarevtovchildrenvandvtheirvfamiliesvatvthevschoolvclinic
d. Administeringvfollow-upvcarevforvpediatricvclientsvatvanvoutpatientvclinic
ANS:v A
Avpublicvhealthvorvpopulation-
focusedvapproachvwouldvlookvatvtheventirevgroupvofvchildrenvbeingvservedvtovdeterminevwhethervavailable
evingvthevgoalvofvimprovingvthevhealthvofvthevschoolvpopulation.vCaringvforvclientsvandvtheirvfamiliesvfocu
esvandvnotvonvtheventirevpopulation.vPublicvhealthvfocusesvonvcarevofvpopulations.
16. Twovnursesvplanvtovwalkvundervavhugevdowntownvbridgevwherevvariousvhomelessvpersonsvlive.vWhyvwou
nsafevarea?
a. Tovassessvthevneedsvofvthevhomelessvwhovlivevthere
b. Tovdemonstratevtheirvcouragevandvcommitment
c. Tovdistributevsomevofvtheirvownvsurplusvclothesvtovthosevwhovcanvusevthem
d. Tovsharevwithvvariousvchurchesvandvothervcharitiesvwhatvisvneeded
ANS:v A
, 2. Whichvofvthevfollowingvactionsvdemonstrateveffectivevpublicvhealthvnursingvpracticevinvthevcommunity? v(
a. Epidemiologicvinvestigationsvexaminevthevenvironmentvforvhealthvhazards.
b. Newvservicesvarevorganizedvwherevparticularvvulnerablevpopulationsvlive.
c. Partnershipsvarevestablishedvwithvcommunityvcoalitions.
d. Staffvmembersvatvthevpublicvhealthvagencyvcontinuevtovincreasevinvnumber.
e. Staffingvwalkvinvclinicsvforvlowvincomevfamilies
ANS:v A,vB,vC
Evidencevthatvpublicvhealthvnursesvarevpracticingveffectivelyvinvthevcommunityvwouldvincludevorganizing
vwork,vplay,vandvlearn;vworkingvinvpartnershipsvandvwithvcoalitions;vandvparticipatingvinvepidemiologicvst
evnumbervofvstaffvnorvactingvasvstaffvinvthevdeliveryvofvacutevand/orvchronicvcarevhasvavrelationshipvtovtheve
hvnursingvpractice.
3. Whyvarevnursesvincreasinglyvprovidingvcarevinvclients’vhomesvrathervthanvinvhospitals?v(Selectvallvthatvapp
a. Homevcarevisvlessvexpensive.
b. Itvisvmuchvmorevefficientvtovgivevcarevinvthevhome.
c. Nursesvprefervtovgivevhomevcarevwithvindividualvattention.
d. Peoplevprefervtovreceivevcarevinvtheirvhomesvrathervthanvinvhospitals.
ANS:v A,vD
Anvincreasingvnumbervofvclientsvarevreceivingvcarevinvthevhomevbecausevitvisvlessvexpensivevandvclientsvpr
arvandvcomfortablevsettings.vItvisvnotvmorevefficientvnorvmorevconvenient,vsincevtravelvtimevhasvtovbevconsi
irvpreferredvemploymentvsetting.
