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FOUNDATIONSFORPOPULATIONHEALTHIN
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COMMUNITY/PUBLIC HEALTH NURSING
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byMarcia Stanhope, Jeanette Lancaster
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, TableofContents
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Chapter01:PublicHealthNursingandPopulationHealth ij ij
Chapter02:TheHistoryofPublicHealthandPublicandCommunityHealthNursing Stanhope: Chapter ij w e we
03: US and Global Health Care
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Chapter04:Government,theLaw,andPolicyActivism ij e
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Chapter05: Economics ofUS Health CareDelivery
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Chapter06:EthicsinPublicandCommunityHealthNursingPractice ij
Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapter
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09: Evidence-Based Practice
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Chapter10:EpidemiologicalApplications
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Chapter 11: Infectious Disease Prevention and Control
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Chapter12:CommunicableandInfectionDiseaseRisks
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Chapter 13: Community Assessment and Evaluation
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we Chapter14:HealthEducationintheCommunityChapter 15:
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Case Management
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Chapter16:DisasterManagement
Chapter17:PublicHealthSurveillanceandOutbreakInvestigation
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Chapter 18: Program Management
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Chapter19:HealthcareImprovement intheCommunity ij
Chapter20:FamilyDevelopment,FamilyNursingAssessment,andGenomics
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Chapter 21: Family Health Risks
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Chapter22:HealthRisksAcrosstheLifeSpan
Chapter23:HealthEquityandCareofVulnerablePopulationsChapter
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24: Rural Health and Migrant Health
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Chapter25:Poverty,Homelessness,TeenPregnancy,andMentalIllnessChapter
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we 26:Alcohol,Tobacco,andOtherDrug ProblemsintheCommunity Chapter 27: ij ij we we
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Chapter28:NursingPracticeattheLocal,State,andNationalLevelsinPublicHealth Chapter e
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29: The Faith Community Nurse
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Chapter30:TheNurseinPublicHealth,HomeHealth,PalliativeCare,andHospice Chapter 31: e
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The Nurse in the Schools
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Chapter32:TheNurseinOccupationalHealth e
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, Chapter01:PublicHealthNursingandPopulationHealth e
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Stanhope:FoundationsforPopulationHealthinCommunity/PublicHealthNursing,6thE w
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MULTIPLECHOICE
1. WHICHstatementbest describes community-based nursing? we we we
a. ApracticeinWHICHcareisprovidedforindividualsandfamilies. e
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b. Providingcarewithafocusonthegroup‘sneeds. e
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c. Givingcarewithafocus ontheaggregate‘s needs. we w
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d. AvaluesysteminWHICHallclientsreceiveoptimalcare. e
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ANS A
Bydefinition,community-basednursingisasetting-specificpracticeinWHICHcareis providedfor―sick‖ind
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theylive, work, and attend school. The emphasis is on acute and chronic careand the provision of comprehens
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continuouscare.TheseNursesmaybegeneralistsorspecialistsinmaternal–infant,pediatric,adult,orpsychiat
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Community-based nursing emphasizes acute and chronic care to individuals and families, rather than focusi
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systems.
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2. WHICHstatement bestdescribesthegoal ofcommunity-oriented nursing?
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a. Providingcaretoindividuals and families we we we
b. Providingcaretomanageacuteorchronicconditions e
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c. Givingdirectcaretoillindividualswithintheirfamilysetting w
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d. Topreserve,protect,promote,ormaintainhealthandprevent disease e
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ANS D
Bydefinition, community-orientednursinghasthegoalofpreserving, protecting, ormaintaininghealthan we we we
promote the quality of life. All Nurses may focus on individuals and families, give direct care to ill persons with
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and help manage acute or chronic conditions. These definitions are not specific to community-oriented nurs
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3. WHICHoftheFollowingistheprimaryfocusofpublichealthnursing?
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a. Familiesandgroups e
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b. Illness-orientedcare
c. Individuals withinthefamily unit we w e
d. Healthcareofcommunities andpopulations e
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ANS D
Inpublichealthnursing,theprimaryfocusisonthehealthcareofcommunitiesandpopulationsratherthanonind
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Thegoalis topreventdiseaseand preserve, promote,restore, andprotecthealthforthe communityandthepopu
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based Nursesdeal primarilywith illness-oriented care of individuals and families across thelife span.The a
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chronic health conditions in the community, and the focusof practice is on individual or
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family-centeredillnesscare.
4. WHICHoftheFollowingisresponsibleforthedramaticincreaseinlifeexpectancyduringthe20th century?
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a. Technologyincreasesinthefieldofmedicallaboratoryresearch e
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b. Advancesinsurgicaltechniquesandprocedures e
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c. Sanitationandotherpopulation-basedprevention programs e
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d. Useofantibioticstofight infections e
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ANS C
Therehas to be indisputable evidence collected over time that public health policies and programs were prima
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averagelifespanfrom47in1900to78.6yearsin2017, anincreaseofapproximately60% injustoveracenturyplu
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sanitation,(2)clean watersupplies, (3)makingworkplaces safer,(4)improvingfoodand drug safety,
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(5) immunizing children, and (6) improving nutrition,hygiene, and housing. Although people are excited whe
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thatcuresadiseaseorwhen anewway totransplantorgansisperfected,itisimportanttoknowaboutthesignifica
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populations that have come largely from public health accomplishments.
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5. ANurseisdevelopinga plantodecrease thenumberofprematuredeaths inthecommunity.WHICHoftheFollow we we we w
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interventions would most likely be implemented by the Nurse?
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a. Providefreehealthcaretoall citizens e
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, 6. WhatisthebasicassumptionstatedbyHealthyPeople2010asitrelatestopublichealthefforts?
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a. Health disparitiesamong anygroupsaremorallyandlegallywrong. ij e
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b. Health careis themost important priority in government planning and funding. ij e
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c. Thehealthofindividualscannotbeseparatedfrom thehealthofthecommunity. e
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d. Thegovernmentisresponsibleforlengtheningthelifespanof Americans. e
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ANS C
Themajorpremise of Healthy People 2010 wasthatthe health of theindividual cannot be entirelyseparate from
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community. Publichealth practice focuses on the communityas awhole, and the effect ofthe community‘s he
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thehealth ofindividuals, families, andgroups.Thegoal istoprevent diseaseanddisability and promoteandpro
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communityasawhole.Publichealthcanbedescribedaswhatsocietycollectivelydoestoensurethatconditions
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healthy.Thebasicassumptionsofpublichealthdonotjudgethemoralityofhealthdisparities.The focusison pre
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spending more on illness care. Additionally, individualresponsibility for making healthychoices isthe direc
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not the role of the government.
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7. WHICHoftheFollowingactionswouldmostlikelybeperformedbyapublichealthNurse?
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a. Askingcommunityleaderswhatinterventionsshouldbechosen e
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b. Assessingthecommunityanddecidingonappropriateinterventions e
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c. Usingdatafromthemainhealthcareinstitutionsinthecommunitytodetermine e
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needed health services
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d. Workingwithcommunitygroupstocreatepoliciestoimprovetheenvironment e
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ANS D
Although thepublichealthNurse mightengagein anyofthetasks listed,he orshe worksprimarilywithmember
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corepublichealth functions, including assessment ofthe populationas a whole and engaging in promotinghea
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environment. The interventions of asking community leaders WHICH interventions should be chosen, asse
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decidingonappropriateinterventions,andusingdatafromhealthcareinstitutionsdonotdemonstratetheengag
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when making decisions about what the community actually wants and needs.
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8. WHICHpublichealthNursemostclearlyfulfillstheresponsibilitiesofthisrole? e
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a. TheNursewhometwithseveralgroupstodiscusscommunityrecreationissues e
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b. TheNursewhospentthedayattendingmeetingsofvarioushealthagencies e
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c. TheNursewhotalkedtoseveralpeopleabouttheirparticularhealth concerns e
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d. TheNursewhowatchedthecitycouncilmeetingonlocalcabletelevision e
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ANS B
AnyofthesedescriptionsmightrepresentaNursecommunicating,cooperating,orcollaboratingwithcommun
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health concerns. A major challengefor the futureis the need for public health nursingspecialists to be moreagg
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collaborativelywithvariousgroupsinthecommunityaswellasprofessionalcolleaguesininstitutionalsettings
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However, the Nursewho spent thedayattending meetingsof various health agencies isthe most representativ
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concerns areaddressed from a broader perspective. In publichealth, broad concerns ofthecommunity should
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arebroaderthanrecreation, individualconcernsare notasimportant as aggregate priorities, and watching tele
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communication) is less effective than interacting with others.
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9. WHICHoftheFollowing best defines aggregate? e
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a. Alargegroupofpersons e
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b. Acollection ofindividuals and families we we we
c. Acollectionofpeoplewhoshareoneormore characteristics w
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d. Anothernamefordemographic group e
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ANS C
An aggregate is defined a collection of people who share one or more personal or environmental characteristic
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can bedefinedin terms ofeither geography(e.g., a county, a groupof counties, or a state) oraspecialinterest (e.g
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aparticularschool). These membersmakeup apopulation. Theterm population maybeusedinterchangeably
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largegroupofpersons,acollectionofindividualsandfamilies,andanothernamefordemographicgroupare not
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term aggregate.
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10. WHICHquestionaskedbyanoviceNursewouldbethemostreflectiveofan understandingoftheroleofapublich
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a. ―WHICHgroupsareat the greatest risk forproblems?‖ e
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b. ―WHICHpatientsshouldIseefirst as Ibeginmyday?‖ e
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