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 f t ft
03: US and Global Health Care
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Chapter04:Government,theLaw,andPolicyActivism ij ft
Chapter05:EconomicsofUSHealthCareDelivery
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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 Chapter
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14:HealthEducationintheCommunityChapter 15: Case
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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 24:
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Rural Health and Migrant Health
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Chapter25:Poverty,Homelessness,TeenPregnancy,andMentalIllnessChapter
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ft 26:Alcohol,Tobacco,andOtherDrug ProblemsintheCommunity Chapter 27: ij ij ft ft
ft Violence and Human Abuse ft ft ft
Chapter28:NursingPracticeattheLocal,State,andNationalLevelsinPublicHealth Chapter 29: ft ft ij ft ft ft
The Faith Community Nurse
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Chapter30:TheNurseinPublicHealth,HomeHealth,PalliativeCare,andHospice Chapter 31: ft ft
The Nurse in the Schools
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Chapter32:TheNurseinOccupationalHealth ft ft
, Chapter01:PublicHealthNursingandPopulationHealth ft
Stanhope:FoundationsforPopulationHealthinCommunity/PublicHealthNursing,6thE ft ft ft ft ft ft ft ft ft
MULTIPLECHOICE
1. WHICHstatementbestdescribes community-basednursing? ft ft ft
a. ApracticeinWHICHcareisprovidedforindividualsandfamilies. ft ft ft ft ft ft ft ft ft
b. Providingcarewithafocusonthegroup‘sneeds. ft ft ft ft ft ft ft
c. Givingcarewithafocus ontheaggregate‘s needs. ft ft f t ft ft
d. AvaluesysteminWHICHallclientsreceiveoptimalcare. ft ft ft ft ft ft ft ft
ANS A
Bydefinition,community-basednursingisasetting-specificpracticeinWHICHcareisprovidedfor―sick‖ind ft ft ft ft ft ft ft ft ft ft
theylive,work, andattendschool.Theemphasisison acute andchroniccareandtheprovisionofcomprehensiv
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continuouscare.TheseNursesmaybegeneralistsorspecialistsinmaternal–infant,pediatric,adult,orpsychiat
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Community-basednursing emphasizesacute andchroniccaretoindividuals andfamilies, ratherthan focusin
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systems.
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2. WHICHstatement bestdescribesthegoal ofcommunity-oriented nursing?
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a. Providingcaretoindividualsandfamilies ft ft ft
b. Providingcaretomanageacuteorchronicconditions ft ft ft ft ft ft ft
c. Givingdirectcaretoillindividualswithintheirfamilysetting ft ft ft ft ft ft ft ft
d. Topreserve,protect,promote,ormaintainhealthandpreventdisease ft ft ft ft ft ft ft ft
ANS D
Bydefinition, community-orientednursinghasthegoalofpreserving, protecting, ormaintaininghealthan ft ft ft
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 acuteor chronic conditions.Thesedefinitionsare notspecificto community-orientednursin
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3. WHICHoftheFollowingistheprimaryfocusofpublichealthnursing? ft ft ft ft ft ft ft ft ft ft
a. Familiesandgroups ft
b. Illness-orientedcare
c. Individuals withinthefamily unit ft f t
d. Healthcareofcommunitiesandpopulations ft ft ft
ANS D
Inpublichealthnursing,theprimaryfocusisonthehealthcareofcommunitiesandpopulationsratherthanonind
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Thegoalistopreventdiseaseandpreserve, promote,restore, andprotecthealthforthe communityandthepopul
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basedNursesdealprimarilywithillness-orientedcareofindividualsandfamiliesacross thelife span.Theaim
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chronichealthconditions in the community,andthe focusofpracticeison individualor
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family-centeredillnesscare.
4. WHICHoftheFollowingisresponsibleforthedramaticincreaseinlifeexpectancyduringthe20thcentury?
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a. Technologyincreasesinthefieldofmedicallaboratoryresearch ft ft ft ft ft ft ft
b. Advancesinsurgicaltechniquesandprocedures ft ft ft
c. Sanitationandotherpopulation-basedprevention programs ft ft ft ft
d. Useofantibioticstofightinfections ft ft ft ft
ANS C
Therehastobeindisputableevidencecollectedovertimethatpublichealthpoliciesandprograms wereprimaril
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averagelifespanfrom47in1900to78.6yearsin2017,anincreaseofapproximately60% injustoveracenturyplu
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sanitation,(2)clean watersupplies,(3)makingworkplacessafer,(4)improvingfoodanddrug safety,
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(5)immunizingchildren,and(6)improvingnutrition,hygiene,andhousing.Althoughpeopleareexcitedwhen
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curesadiseaseorwhenanewwaytotransplantorgansisperfected,itisimportanttoknowaboutthesignificant ga
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populations thathave come largely from public health accomplishments.
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5. ANurseisdevelopingaplantodecrease thenumberofprematuredeaths inthecommunity.WHICHoftheFollow ft ft ft ft ft ft
interventions would most likely be implemented by the Nurse?
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a. Providefreehealthcaretoallcitizens ft ft ft ft ft ft
, 6. WhatisthebasicassumptionstatedbyHealthyPeople2010asitrelatestopublichealthefforts?
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a. Health disparitiesamong anygroupsaremorallyandlegallywrong. ij ft ft ft ft ft ft ft
b. Health careisthemost important priorityin governmentplanningandfunding. ij ft ft ft ft ft ft ft ft ft ft
c. Thehealthofindividualscannotbeseparatedfromthehealthofthecommunity. ft ft ft ft ft ft ft ft ft ft ft
d. Thegovernmentisresponsibleforlengtheningthelifespanof Americans. ft ft ft ft ft ft ft ft ft
ANS C
ThemajorpremiseofHealthyPeople2010wasthatthehealthoftheindividualcannotbeentirelyseparatefromt
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community.Publichealthpracticefocusesonthecommunityasawhole,andtheeffectofthecommunity‘s heal
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thehealth ofindividuals,families, andgroups.Thegoalistoprevent diseaseanddisability andpromoteandprot
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communityasawhole.Publichealthcanbedescribedaswhatsocietycollectivelydoestoensurethatconditions
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healthy.Thebasicassumptionsofpublichealthdonotjudgethemoralityofhealthdisparities.Thefocusison pre
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spendingmoreonillness care. Additionally,individualresponsibilityformakinghealthychoices isthe directi
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not the role of the government.
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7. WHICHoftheFollowingactionswouldmostlikelybeperformedbyapublichealthNurse? ft ft ft ft ft ft ft ft ft ft ft ft ft ft
a. Askingcommunityleaderswhatinterventionsshouldbechosen ft ft ft ft ft
b. Assessingthecommunityanddecidingonappropriateinterventions ft ft ft ft ft ft
c. Usingdatafromthemainhealthcareinstitutionsinthecommunitytodetermine ft
needed health services
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d. Workingwithcommunitygroupstocreatepoliciestoimprovetheenvironment ft ft ft ft ft ft ft ft ft
ANS D
AlthoughthepublichealthNursemightengageinanyofthetaskslisted,heorsheworksprimarilywithmemberso ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft ft
corepublichealthfunctions,includingassessmentofthepopulationasawhole andengaginginpromotingheal
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environment.The interventionsof askingcommunityleaders WHICH interventionsshouldbe chosen, assess
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decidingonappropriateinterventions,andusingdatafromhealthcareinstitutionsdonotdemonstratetheengag
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when making decisions about what the communityactuallywants and needs.
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8. WHICHpublichealthNursemostclearlyfulfillstheresponsibilitiesofthisrole? ft ft ft ft ft ft ft ft ft ft
a. TheNursewhometwithseveralgroupstodiscusscommunityrecreationissues ft ft ft ft ft ft ft ft ft ft
b. TheNursewhospentthedayattendingmeetingsofvarioushealthagencies ft ft ft ft ft ft ft ft ft ft
c. TheNursewhotalkedtoseveralpeopleabouttheirparticularhealth concerns ft ft ft ft ft ft ft ft ft ft
d. TheNursewhowatchedthecitycouncilmeetingonlocalcabletelevision ft ft ft ft ft ft ft ft ft ft
ANS B
AnyofthesedescriptionsmightrepresentaNursecommunicating,cooperating,orcollaboratingwithcommun
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healthconcerns.A majorchallengeforthefutureistheneedforpublichealthnursingspecialiststobemoreaggre
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collaborativelywithvariousgroupsinthecommunityaswellasprofessionalcolleaguesininstitutionalsettings
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However,theNursewhospentthedayattendingmeetingsofvarioushealthagenciesisthe mostrepresentative,
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concerns areaddressed fromabroader perspective. In publichealth,broadconcerns ofthecommunity shouldb
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arebroaderthanrecreation,individualconcernsare notasimportant as aggregate priorities, and watching telev
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communication)is less effective thaninteractingwith others.
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9. WHICHoftheFollowingbestdefines aggregate? ft ft ft ft ft ft
a. Alargegroupofpersons ft ft ft ft
b. Acollectionofindividualsand families ft ft ft
c. Acollectionofpeoplewhoshareoneormorecharacteristics ft ft ft ft ft ft ft ft
d. Anothernamefordemographicgroup ft ft ft ft
ANS C
Anaggregateisdefineda collectionofpeople whoshareoneormorepersonalorenvironmentalcharacteristics.
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canbedefinedintermsofeithergeography(e.g.,acounty,agroupofcounties,orastate)oraspecialinterest(e.g.,
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aparticularschool). Thesemembersmakeup apopulation. Theterm population maybeusedinterchangeably w
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largegroupofpersons,acollectionofindividualsandfamilies,andanothernamefordemographicgroupare not
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term aggregate.
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10. WHICHquestionaskedbyanoviceNursewouldbethemostreflectiveofanunderstandingoftheroleofapublich
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a. ―WHICHgroupsareatthe greatest riskforproblems?‖ ft ft ft ft ft ft ft ft
b. ―WHICHpatientsshouldIseefirstas Ibeginmyday?‖ ft ft ft ft ft ft ft ft