56
FOUNDATIONS FOR POPULATION HEALTH IN COMM
56 56 56 56 56
IC HEALTH NURSING
56 56
by Marcia Stanhope, Jeanette Lancaster
56 56 56 56 56
6T
, Table of Contents
56 56
Chapter5601:56Public56Health56Nursing56and56Population56Health
Chapter5602:56The56History56of56Public56Health56and56Public56and56Community56Health56Nursing5 6 Stanhop
56Chapter5603:56US56and56Global56Health56Care
Chapter5604:56Government,56the56Law,56and56Policy56Activi
sm56Chapter5605:56Economics56of56US56Health56Care56Deli
very
Chapter5606:56Ethics56in56Public56and56Community56Health56Nursing56Pra
ctice56Chapter5607:56Culture56of56Populations56in56Communities
Chapter5608:56Environmental56Health56Cha
pter5609:56Evidence-
Based56Practice56Chapter5610:56Epidemiolo
gical56Applications
Chapter5611:56Infectious56Disease56Prevention56and56Cont
rol56Chapter5612:56Communicable56and56Infection56Disease5
6Risks56Chapter5613:56Community56Assessment56and56Eva
luation56Chapter5614:56Health56Education56in56the56Comm
unity56Chapter5615:56Case56Management
Chapter5616:56Disaster56Management
Chapter5617:56Public56Health56Surveillance56and56Outbreak56Investigation
56Chapter5618:56Program56Management
Chapter5619:56Healthcare56Improvement56in56the56Community
Chapter5620:56Family56Development,56Family56Nursing56Assessment,56and56Genomi
cs56Chapter5621:56Family56Health56Risks
Chapter5622:56Health56Risks56Across56the56Life56Span
Chapter5623:56Health56Equity56and56Care56of56Vulnerable56Populations56C
hapter5624:56Rural56Health56and56Migrant56Health
Chapter5625:56Poverty,56Homelessness,56Teen56Pregnancy,56and56Mental56Illness56
Chapter5626:56Alcohol,56Tobacco,56and56Other56Drug56Problems56in56the56Community
56 Chapter5627:56Violence56and56Human56Abuse
Chapter5628:56Nursing56Practice56at56the56Local,56State,56and56National56Levels56in56Public56Heal
th56Chapter5629:56The56Faith56Community56Nurse
Chapter5630:56The56Nurse56in56Public56Health,56Home56Health,56Palliative56Care,56and56Hospice5
Chapter5631:56The56Nurse56in56the56Schools
6
Chapter5632:56The56Nurse56in56Occupational56Health
, Chapter5601:56Public56Health56Nursing56and56Population56Health
Stanhope:56Foundations56for56Population56Health56in56Community/Public56Health56N
MULTIPLE56CHOICE
1. WHICH56statement56best56describes56community-based56nursing?
a. A56practice56in56WHICH56care56is56provided56for56individuals56and56families.
b. Providing56care56with56a56focus56on56the56group‘s56needs.
c. Giving56care56with56a56focus56on56the56aggregate‘s56needs.
d. A56value56system56in56WHICH56all56clients56receive56optimal56care.
ANS5 6 A
By56definition,56community-based56nursing56is56a56setting-
specific56practice56in56WHICH56care56is56provided56for56―sick‖56individuals56and56families56where56they56l
ool.56The56emphasis56is56on56acute56and56chronic56care56and56the56provision56of56comprehensive,56coordi
e.56These56Nurses56may56be56generalists56or56specialists56in56maternal–
infant,56pediatric,56adult,56or56psychiatric56mental56health56nursing.56Community-
based56nursing56emphasizes56acute56and56chronic56care56to56individuals56and56families,56rather56than56foc
es,56or56systems.
2. WHICH56statement56best56describes56the56goal56of56community-oriented56nursing?
a. Providing56care56to56individuals56and56families
b. Providing56care56to56manage56acute56or56chronic56conditions
c. Giving56direct56care56to56ill56individuals56within56their56family56setting
d. To56preserve,56protect,56promote,56or56maintain56health56and56prevent56disease
ANS5 6 D
By56definition,56community-
oriented56nursing56has56the56goal56of56preserving,56protecting,56or56maintaining56health56and56preventing56d
ality56of56life.56All56Nurses56may56focus56on56individuals56and56families,56give56direct56care56to56ill56perso
ting,56and56help56manage56acute56or56chronic56conditions.56These56definitions56are56not56specific56to56com
3. WHICH56of56the56Following56is56the56primary56focus56of56public56health56nursing?
a. Families56and56groups
b. Illness-oriented56care
c. Individuals56within56the56family56unit
d. Health56care56of56communities56and56populations
ANS5 6 D
In56public56health56nursing,56the56primary56focus56is56on56the56health56care56of56communities56and56popula
iduals,56groups,56and56families.56The56goal56is56to56prevent56disease56and56preserve,56promote,56restore,56an
ommunity56and56the56population56within56it.56Community-based56Nurses56deal56primarily56with56illness-
oriented56care56of56individuals56and56families56across56the56life5 6 span.56The56aim56is56to56manage56acute5
ions56in56the56community,56and56the56focus56of56practice56is56on56individual56or
family-centered56illness56care.
4. WHICH56of56the56Following56is56responsible56for56the56dramatic56increase56in56life56expectancy56during56t
a. Technology56increases56in56the56field56of56medical56laboratory56research
b. Advances56in56surgical56techniques56and56procedures
c. Sanitation56and56other56population-based56prevention56programs
d. Use56of56antibiotics56to56fight56infections
ANS5 6 C
There56has56to56be56indisputable56evidence56collected56over56time56that56public56health56policies56and56pr
sible56for56increasing56the56average56life56span56from564756in56190056to5678.656years56in562017,56an56increase
st56over56a56century56plus56through56improvements56in56(1)56sanitation,56(2)56clean56water56supplies,56(3)56
improving56food56and56drug56safety,
(5)56immunizing56children,56and56(6)56improving56nutrition,56hygiene,56and56housing.56Although56people
56drug56is56discovered56that56cures56a56disease56or56when56a56new56way56to56transplant56organs56is56perfecte
, 6. What56is56the56basic56assumption56stated56by56Healthy56People56201056as56it56relates56to56public56health56e
a. Health56disparities56among56any56groups56are56morally56and56legally56wrong.
b. Health56care56is56the56most56important56priority56in56government56planning56and56funding.
c. The56health56of56individuals56cannot56be56separated56from56the56health56of56the56community.
d. The56government56is56responsible56for56lengthening56the56life56span56of56Americans.
ANS5 6 C
The56major56premise56of56Healthy56People56201056was56that56the56health56of56the56individual56cannot56be
e56health56of56the56larger56community.56Public56health56practice56focuses56on56the56community56as56a56wh
e56community‘s56health56status56(resources)56on56the56health56of56individuals,56families,56and56groups.56Th
se56and56disability56and56promote56and56protect56the56health56of56the56community56as56a56whole.56Public56h
56what56society56collectively56does56to56ensure56that56conditions56exist56in56WHICH56people56can56be56hea
ns56of56public56health56do56not56judge56the56morality56of56health56disparities.56The56focus56is56on56preventi
nding56more56on56illness56care.56Additionally,56individual56responsibility56for56making56healthy56choices
hening56life56span56not56the56role56of56the56government.
7. WHICH56of56the56Following56actions56would56most56likely56be56performed56by56a56public56health56Nurse?
a. Asking56community56leaders56what56interventions56should56be56chosen
b. Assessing56the56community56and56deciding56on56appropriate56interventions
c. Using56data56from56the56main56health56care56institutions56in56the56community56to56d
etermine56needed56health56services
d. Working56with56community56groups56to56create56policies56to56improve56the56environment
ANS5 6 D
Although56the56public56health56Nurse56might56engage56in56any56of56the56tasks56listed,56he56or56she56works
of56the56community56to56carry56out56core56public56health56functions,56including56assessment56of56the56pop
ngaging56in56promoting56health56and56improving56the56environment.56The56interventions56of56asking56com
interventions56should56be56chosen,56assessing56the56community56and56deciding56on56appropriate56interven
m56health56care56institutions56do56not56demonstrate56the56engagement56of56the56community56when56makin
he56community56actually56wants56and56needs.
8. WHICH56public56health56Nurse56most56clearly56fulfills56the56responsibilities56of56this56role?
a. The56Nurse56who56met56with56several56groups56to56discuss56community56recreation56issues
b. The56Nurse56who56spent56the56day56attending56meetings56of56various56health56agencies
c. The56Nurse56who56talked56to56several56people56about56their56particular56health56concerns
d. The56Nurse56who56watched56the56city56council56meeting56on56local56cable56television
ANS5 6 B
Any56of56these56descriptions56might56represent56a56Nurse56communicating,56cooperating,56or56collaborati
ents56or56groups56about56health56concerns.56A56major56challenge56for56the56future56is56the56need56for56pub
sts56to56be56more56aggressive56in56working56collaboratively56with56various56groups56in56the56community5
olleagues56in56institutional56settings56to56deal56with56barriers56to56health.56However,56the56Nurse56who56sp
etings56of56various56health56agencies56is56the56most56representative,56because56in56public56health,56concer
broader56perspective.56In56public56health,56broad56concerns56of56the56community56should56be56addressed.5
n56recreation,56individual56concerns56are56not56as56important56as56aggregate56priorities,56and56watching56te
way56form56of56communication)56is56less56effective56than56interacting56with56others.
9. WHICH56of56the56Following56best56defines56aggregate?
a. A56large56group56of56persons
b. A56collection56of56individuals56and56families
c. A56collection56of56people56who56share56one56or56more56characteristics
d. Another56name56for56demographic56group
ANS5 6 C
An56aggregate56is56defined56a56collection56of56people56who56share56one56or56more56personal56or56environm
mbers56of56a56community56can56be56defined56in56terms56of56either56geography56(e.g.,56a56county,56a56group
6or56a56special56interest56(e.g.,56children56attending56a56particular56school).56These56members56make56up56a
ulation56may56be56used56interchangeably56with56the56term56aggregate.56A56large56group56of56persons,56a56
nd56families,56and56another56name56for56demographic56group56are56not56accurate56definitions56of56the56ter