FOUNDATIONSFORPOPULATIONHEALTHIN
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COMMUNITY/PUBLIC HEALTH NURSING
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byMarciaStanhope,Jeanette Lancaster
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6T
, Table of Contents ss ss
Chapter01: PublicHealthNursing and Population Health
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Chapter 02: The History of Public Health and Public and Community Health Nursing
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Chapter 03: US and Global Health Care
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Chapter 04: Government,the Law, and Policy Activism
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Chapter 05: Economics of US Health Care Delivery
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Chapter06: Ethics in Publicand Community Health Nursing Practice
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Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health
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Chapter 09: Evidence-Based Practice
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ss Chapter 10: Epidemiological
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ss Applications
Chapter 11: Infectious Disease Prevention and Control
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ss Chapter12: Communicable and Infection Disease Risks
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ss Chapter 13: Community Assessment and Evaluation
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ss Chapter 14: Health Education in the Community
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ss Chapter 15: Case Management
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Chapter 16: Disaster Management
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Chapter17: PublicHealthSurveillance and Outbreak Investigation
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Chapter 18: Program Management
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Chapter19: Healthcare Improvement in the Community
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Chapter20: Family Development, Family Nursing Assessment, and Genomics
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Chapter 21: Family Health Risks
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Chapter 22: Health Risks Across the Life Span
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Chapter23: Health Equity and CareofVulnerable Populations Chapter
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24: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
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ss Chapter 26: Alcohol, Tobacco, and Other Drug Problems in the Community
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ss Chapter 27: Violence and Human Abuse
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Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health
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Chapter 29: The Faith Community Nurse
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Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice Chapter
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31: The Nurse in the Schools
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Chapter 32: The Nurse in Occupational Health
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, Chapter 01: Public Health Nursing and Population Health ss ss ss ss ss ss ss
Stanhope: Foundations for Population Health in Community/Public Health Nursin ss ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
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. ss s s s s ss s s s s s s s s
c. Giving care with a focus on the aggregate‘s needs. ss ss s s s s s s s s ss s s
d. A value system in WHICH all clients receive optimal care.
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ANS A
By definition, community-based nursing is a setting-specific practice in WHICH care is provided for
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families where they live, work, and attend school. The emphasis is on acute and chr
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provision of comprehensive, coordinated, and continuous care. These Nurses may be ge
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maternal–infant, pediatric, adult, or psychiatric mental health nursing. Community-based n
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and chronic care to individuals and families, rather than focusing on groups, aggregate
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2. WHICH statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families ss ss s s s s s s
b. Providing care to manage acute or chronic conditions s s s s s s s s s s s s s s
c. Giving direct care to ill individuals within their family setting
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d. To preserve, protect, promote, or maintain health and prevent disease
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ANS D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintain
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disease to promote the quality of life. All Nurses may focus on individuals and famili
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ill persons within their family setting, and help manage acute or chronic conditions. T
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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 ss ss
b. Illness-oriented care ss
c. Individuals within the family unit s s ss ss s s
d. Health care of communities and populations ss ss s s s s s s
ANS D
In public health nursing, the primary focus is on the health care of communities and po
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individuals, groups, and families. The goal is to prevent disease and preserve, promote, restore
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the community and the population within it. Community-based Nurses deal primarily with
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individuals and families across the life
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the community, and the focus of practice is on individual or
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family-centered illness care. ss ss
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during
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a. Technology increases in the field of medical laboratory research ss s s s s s s s s s s s s s s
b. Advances in surgical techniques and procedures ss ss s s ss ss
c. Sanitation and other population-based prevention programs ss s s s s s s s s
d. Use of antibiotics to fight infections
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ANS C
There has to be indisputable evidence collected over time that public health policies an
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s sresponsible for increasing the average life span from 47 in 1900 to 78.6 years in 2017, a
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60% in just over a century plus through improvements in (1) sanitation, (2) clean water su
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workplaces safer, (4) improving food and drug safety,
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although peo
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a new drug is discovered that cures a disease or when a new way to transplant organs
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important to know about the significant gains in the health of populations that have co
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s shealth accomplishments. s s
, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health
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a. Health disparities among any groups are morally and legally wrong.
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b. Health care is the most important priority in government planning and funding.
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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
The major premise of Healthy People 2010 was that the health of the individual cannot
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from the health of the larger community. Public health practice focuses on the commu
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the effect of the community‘s health status (resources) on the health of individuals, fam
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goal is to prevent disease and disability and promote and protect the health of the comm
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Public health can be described as what society collectively does to ensure that conditi
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people can be healthy. The basic assumptions of public health do not judge the moralit
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The focus is on prevention of illness not on spending more on illness care. Addition
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responsibility for making healthy choices is the directive for lengthening life span not
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government.
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7. WHICH of the Following actions would most likely be performed by a public health Nur
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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 ss s s s s s s s s s s s s
c. Using data from the main health care institutions in the community to
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determine needed health services
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d. Working with community groups to create policies to improve the environment
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ANS D
Although the public health Nurse might engage in any of the tasks listed, he or she w
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members of the community to carry out core public health functions, including assessm
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as a whole and engaging in promoting health and improving the environment. The int
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community leaders WHICH interventions should be chosen, assessing the community and
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interventions, and using data from health care institutions do not demonstrate the engag
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when making decisions about what the community actually wants and needs.
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8. WHICH public ss s s health Nurse most clearly fulfills the responsibilities of this role?
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a. The Nurse ss s s who met with several groups to discuss community recreation issues
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b. The Nurse ss s s who spent the day attending meetings of various health agencies
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c. The Nurse ss s s who talked to several people about their particular health concerns
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d. The Nurse ss s s who watched the city council meeting on local cable television
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ANS B
Any of these descriptions might represent a Nurse communicating, cooperating, or collab
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residents or groups about health concerns. A major challenge for the future is the nee
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nursing specialists to be more aggressive in working collaboratively with various groups
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well as professional colleagues in institutional settings to deal with barriers to health.
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who spent the day attending meetings of various health agencies is the most representa
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health, concerns are addressed from a broader perspective. In public health, broad conce
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should be addressed. Concerns are broader than recreation, individual concerns are not as imp
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priorities, and watching television (a one-way form of communication) is less effective
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others.
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9. WHICH of the Following best defines aggregate?
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a. A large group of persons
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b. A collection of individuals and families
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c. A collection of people who share one or more characteristics
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d. Another name for demographic group s s s s s s s s
ANS C
An aggregate is defined a collection of people who share one or
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characteristics. Members of a community can be defined in terms
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group of counties, or a state) or a special interest (e.g., children
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make up a population. The term population may be used interchangeably
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