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/f Health inCommunityPublic Health Nursing 6th Edition by
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Stanhope
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Chapter 01: Public Health Nursing and Population Health
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Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6
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MULTIPLE
CHOICE
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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. /f / f / f / f / f / f / f / f
c. Giving care with a focus on the aggregate‘s needs. /f / f / f / f / f / f / f / f
d. A value system in which all clients receive optimal care.
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ANS: / f A
By definition, community-based nursing is a setting-specific practice in which care is prov
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individuals and familieswhere they live, work, and attend school. The emphasis is on
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and the provision of comprehensive, coordinated, and continuous care. These nurses m
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specialists in maternal–infant, pediatric, adult, or psychiatricmental health nursing. Comm
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emphasizes acute and chronic care to individuals and families, rather than focusing on
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systems.
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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 /f / f / f / f / f
b. Providing care to manage acute or chronic conditions /f / f / f / f / f / f / f
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: / f D
By definition, community-oriented nursing has the goal of preserving, protecting, or ma
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preventing disease to promote the quality of life. All nurses may focus on individuals
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direct care to ill persons within their family setting, and help manage acute or chron
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definitions are not 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 /f / f
b. Illness-oriented care / f
c. Individuals within the family unit / f / f / f / f
d. Health care of communities and populations /f / f / f / f / f
ANS: / f D
In public health nursing, the primary focus is on the health care of communities and
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on individuals, groups, and families. The goal is to prevent disease and preserve, pro
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protect health for the community and the population within it. Community-based nurses
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illness-oriented care of individuals and families across the life span. The aim is to
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chronic health conditions in the community, and the focus of practice is on individu
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family-centered illness care. / f / f
4. Which of the following is responsible for the dramatic increase in life expectancy duri
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a. Technology increases in the field of medical laboratory research / f / f / f / f / f / f / f / f
b. Advances in surgical techniques and procedures /f / f / f / f / f
c. Sanitation and other population-based prevention programs /f / f / f / f / f
d. Use of antibiotics to fight infections / f / f / f / f / f
ANS: / f C
There has to be indisputable evidence collected over time that public health policies a
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primarily responsible for increasing the average life span from 47 in 1900 to 78.6
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increase of approximately 60% in just over a century plusthrough improvements in (1
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water supplies, (3) making workplaces safer, (4) improving food and drug safety,
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although p
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when a new drug is discovered that cures a disease or when a new way to transp
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6. What is the basic assumption stated by Healthy People 2010 as it relates to public h
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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: / f C
The major premise of Healthy People 2010 was that the health of the individual cann
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from the health of the larger community. Public health practice focuses on the comm
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the effect of the community‘s health status (resources) on the health of individuals, fa
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goal is to prevent disease and disability and promote and protectthe health of the co
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Public health can be described as what society collectively does to ensure that condi
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people can be healthy. The basic assumptions of public health do not judge the mor
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disparities. The focus is on prevention of illness not on spending more on illness c
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individual responsibility for making healthy choices is the directive for lengthening lif
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the government.
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7. Which of the following actions would most likely be performed by a public health nu
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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
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c. Using data from the main health care institutions in the
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community to 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: / f D
Although the public health nurse might engage in any of the tasks listed, he or she
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members of the communityto carry out core public health functions, including assessm
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a whole and engaging in promoting health and improving the environment. The interve
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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 enga
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community when making decisions about what the community actually wants and nee
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8. Which public / f / f health nurse most clearly fulfills the responsibilities of this role?
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a. The nurse / f / f who met with several groups to discuss community recreation issues
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b. The nurse / f / f who spent the day attending meetings of various health agencies
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c. The nurse / f / f who talked to several people about their particular health concerns
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d. The nurse / f / f who watched the city council meeting on local cable television
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ANS: / f B
Any of these descriptions might represent a nurse communicating, cooperating, or collab
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community residents or groups about health concerns. A major challenge for the futur
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public health nursing specialists to be more aggressive in working collaboratively with
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community as well as professional colleagues in institutional settings to deal with bar
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However, the nurse who spent the day attending meetings of various health agencies
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representative, because in public health, concerns are addressed from a broader perspe
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broad concerns of the community should be addressed. Concerns are broader than re
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concerns are not as important as aggregatepriorities, and watching television (a one-w
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communication) is less effective than interacting with 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 /f / f / f / f
ANS: / f C
An aggregate is defined a collection of people who share one or more personal or e
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characteristics. Members of a community can be defined in terms of either geography
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group of counties, or a state) or a special interest (e.g., children attending a particul
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members make up a population. The term population may be used interchangeablywith
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