HEALTH IN COMMUNITY/PUBLIC HEALTH
NURSING 6TH EDITION
,TABLE OF CONTENTS
Chapter 01: Public Health Nursing and Population Health
Chapter 02: The History of Public Health and Public and Community
Health Nursing Stanhope:
Chapter 03: US and Global Health Care
Chapter 04: Government, the Law, and Policy Activism
Chapter 05: Economics of US Health Care Delivery
Chapter 06: Ethics in Public and Community Health Nursing Practice
Chapter 07: Culture of Populations in Communities
Chapter 08: Environmental Health
Chapter 09: Evidence-Based Practice
Chapter 10: Epidemiological Applications
Chapter 11: Infectious Disease Prevention and Control
Chapter 12: Communicable and Infection Disease Risks
Chapter 13: Community Assessment and Evaluation
Chapter 14: Health Education in the Community
Chapter 15: Case Management
Chapter 16: Disaster Management
Chapter 17: Public Health Surveillance and Outbreak Investigation
Chapter 18: Program Management
Chapter 19: Healthcare Improvement in the Community
Chapter 20: Family Development, Family Nursing Assessment, and
Genomics
Chapter 21: Family Health Risks
Chapter 22: Health Risks Across the Life Span
Chapter 23: Health Equity and Care of Vulnerable Populations
Chapter 24: Rural Health and Migrant Health
Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
Chapter 26: Alcohol, Tobacco, and Other Drug Problems in the
Community
Chapter 27: Violence and Human Abuse
Chapter 28: Nursing Practice at the Local, State, and National Levels in
Public Health
Chapter 29: The Faith Community NuRse
Chapter 30: The NuRse in Public Health, Home Health, Palliative Care,
and Hospice
Chapter 31: The Nurse in the Schools
Chapter 32: The Nurse in Occupational Health
,Chapter 01: Community and Prevention Oriented Practice
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to Improve Population Health
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MULTIPLE CHOICE T
1. Which of the following 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 T T T T T T T T
c. Giving care with a focus on the aggregate’s needs
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d. A value system in which all clients receive optimal care
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ANS: A T T
By definition, community-based nursing is a setting-specific practice in which care is
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Tprovided for “sick” individuals and families where they live, work, and attend
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school. The emphasis is on acute and chronic care and the provision of
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comprehensive, coordinated, andcontinuous care. These nurses may be generalists
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or specialists in maternal–infant, pediatric,adult, or psychiatric mental health
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nursing. Community- based nursing emphasizes acute andchronic care to
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individuals and families, rather than focusing on groups, aggregates, or systems.
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2. Which of the following best describes community-oriented nursing?
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a. Focusing on the provision of care to individuals and families
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b. Providing care to manage acute or chronic conditions T T T T T T T
c. Giving direct care to ill individuals within their family setting
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d. Having the goal of health promotion and disease prevention
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ANS: D T T
By definition, community-oriented nursing has the goal of preserving, protecting, or
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Tmaintaining health and preventing disease to promote the quality of life. All nurses
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may focuson individuals and families, give direct care to ill persons within their
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family setting, and helpmanage acute or chronic conditions. These definitions are
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not specific to community-orientednursing.
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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 T T
b. Illness-oriented care T
c. Individuals within the family unit T T T T
d. Health care of communities and populations
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ANS: D T
In public health nursing the primary focus is on the health care of communities and
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T populations rather than on individuals, groups, and families. The goal is to prevent
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T disease andpreserve, promote, restore, and protect health for the community and the
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T population within it. Community-based nurses deal primarily with illness-oriented
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Tcare of individuals and families acorss the life span. The aim is to amanage acute and
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Tchronic health conditions in the community, and the focus of practice is on individual
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Tor family- centered illness care.
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, 4. Which of the following is responsible for the dramatic increase in life expectancy
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Tduring the20th century? T T
a. Technology increases in the field of medical laboratory research T T T T T T T T
b. Advances in surgical techniques and procedures T T T T T
c. Sanitation and other population-based prevention programs T T T T T
d. Use of antibiotics to fight infections
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ANS: C T
Improvements in control of infectious diseases through immunizations, sanitation, and
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T other population-based prevention programs led to the increase in life expectancy
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Tfrom less than 50years in 1900 to more than 78 years in 2013. Although people are
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Texcited when a new drug isdiscovered that cures a disease or when a new way to
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Ttransplant organs is perfected, it is important to know about the significant gains in
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Tthe health of populations that have come largely from public health accomplishments.
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5. A nurse is developing a plan to decrease the number of premature deaths in the
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Tcommunity.Which of the following interventions would most likely be T T T T T T T T
implemented by the nurse?
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a. Increase the community’s knowledge about hospice care.
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b. Promote healthy lifestyle behavior choices among the community members.
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c. Encourage employers to have wellness centers at each industrial site.T T T T T T T T T
d. Ensure timely and effective medical intervention and treatment
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for communitymembers.
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ANS: B T
Public health approaches could help prevent premature deaths by influencing the way
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Tpeopleeat, drink, drive, engage in exercise, and treat the environment. Increasing
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Tknowledge of hospice care, encouraging on-site wellness centers, and ensuring timely
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Ttreatment of medicalconditions do not address the focus of improving overall health
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Tthrough health promotion strategies. This is the major method that is suggested to
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Tdecrease the incidence of premature death. T T T T T
6. Which of the following is a basic assumption of public health efforts?
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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 T
Public health practice focuses on the community as a whole, and the effect of the
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Tcommunity’s health status (resources) on the health of individuals, families, and
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groups. The goal is to prevent disease and disability and promote and protect the
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health of the community as a whole. Public health can be described as what society
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collectively does to ensure that conditions exist in which people can be healthy. The
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basic assumptions of public health do notjudge the morality of health disparities. The
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focus is on prevention of illness not on spending more on illness care. Additionally,
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individual responsibility for making healthy choices is the directive for lengthening
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life span not the role of the government.
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7. Which of the following actions would most likely be performed by a public health nurse?
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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 interventionsT T T T T T T
c. Using data from the main health care institutions in the community to determine
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