FOUNDATIONSFORPOPULATIONHEALTHIN
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cnCOMMUNITY/PUBLIC HEALTH NURSING cn cn
by Marcia Stanhope, Jeanette Lancaster
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6
, TableofContentscn cn
Chapter01:PublicHealthNursingandPopulationHealth ij ij
Chapter02:TheHistoryofPublicHealthandPublicandCommunityHealthNursing ij c n Stanhope: Chapter
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03: US and Global Health Care
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Chapter04:Government,theLaw,andPolicyActivism ij cn
Chapter 05: Economics of US Health Care Delivery
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Chapter06:EthicsinPublicandCommunityHealthNursingPractice ij
Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health
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Chapter 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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cn Chapter 13: Community Assessment and Evaluation
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cn 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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cn 26:Alcohol,Tobacco,andOtherDrug ProblemsintheCommunity Chapter 27: ij ij cn cn
cn Violence and Human Abuse cn cn cn
Chapter28:NursingPracticeattheLocal,State,andNationalLevelsinPublicHealth Chapter cn cn ij cn cn
29: The Faith Community Nurse
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Chapter30:TheNurseinPublicHealth,HomeHealth,PalliativeCare,andHospice Chapter cn
31: The Nurse in the Schools
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Chapter32:TheNurseinOccupationalHealth cn cn
, Chapter01:PublicHealthNursingandPopulationHealth cn
Stanhope:Foundations for PopulationHealthinCommunity/PublicHealthNursing, 6th cn cn cn cn cn cn cn cn
MULTIPLECHOICE
1. WHICHstatementbest describes community-based nursing? cn cn cn
a. Apracticein WHICH careisprovided forindividualsand families. cn cn cn cn cn cn cn cn cn
b. Providingcarewith afocuson the group‘s needs. cn cn cn cn cn cn cn
c. Givingcarewith a focus on theaggregate‘s needs. cn cn cn cn cn
d. Avaluesystem in WHICH all clientsreceiveoptimal care. cn cn cn cn cn cn cn cn
ANS A
Bydefinition, community-based nursingisasetting-specificpracticein WHICH careis providedfor ―sick‖in
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they live, work, and attend school. The emphasis is on acute and chronic care and the provision of compreh
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continuouscare.These Nurses maybegeneralistsorspecialistsinmaternal–infant, pediatric,adult,or psychia
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Community-based nursing emphasizes acute and chronic care to individuals and families, rather than foc
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or systems.
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2. WHICHstatement best describes the goal ofcommunity-oriented nursing?
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a. Providingcareto individuals and families cn cn cn
b. Providingcaretomanage acuteorchronic conditions cn cn cn cn cn cn cn
c. Givingdirect careto illindividualswithin theirfamilysetting cn cn cn cn cn cn cn cn
d. Topreserve,protect, promote,ormaintainhealth andprevent disease cn cn cn cn cn cn cn cn
ANS D
Bydefinition, community-orientednursinghasthegoalofpreserving, protecting, ormaintaininghealthan
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promotethe qualityof life. All Nurses mayfocus onindividuals and families,give direct careto illpersonswith
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and help manage acute or chronic conditions. These definitions are not specific to community-oriented nu
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3. WHICHoftheFollowing isthe primaryfocus ofpublichealth nursing?
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a. Familiesandgroups cn
b. Illness-orientedcare
c. Individuals withinthefamily unit cn cn
d. Healthcareofcommunities and populations cn cn cn
ANS D
Inpublichealthnursing,theprimaryfocusisonthehealthcareofcommunitiesandpopulationsratherthanonind
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families. The goalis topreventdiseaseand preserve, promote,restore, andprotecthealthforthe communitya
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Community-based Nurses deal primarily with illness-oriented care of individuals and families across the l
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manage acute and chronic health conditions in the community, and the focus of practice is on individual o
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family-centeredillnesscare.
4. WHICHoftheFollowing is responsible forthedramaticincreasein lifeexpectancyduringthe20th century?
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a. Technologyincreasesinthefieldofmedicallaboratoryresearch cn cn cn cn cn cn cn
b. Advances insurgical techniquesand procedures cn cn cn
c. Sanitationandotherpopulation-based prevention programs cn cn cn cn
d. Useofantibioticstofight infections cn cn cn cn
ANS C
There has to be indisputable evidence collected over time that public health policies and programs were pri
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increasingthe averagelifespanfrom47in1900to78.6yearsin2017, anincreaseofapproximately 60% injusto
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improvements in(1)sanitation, (2) clean watersupplies, (3)making workplaces safer, (4)improving food an
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excited w
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discoveredthatcures adiseaseorwhen anewway totransplantorgansisperfected,itisimportanttoknowabout
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health of populations that have come largely from public health accomplishments.
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5. ANurseisdevelopinga plantodecrease thenumberofprematuredeaths inthecommunity. WHICH oftheFollo cn cn cn cn cn cn
interventions would most likely be implemented by the Nurse?
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a. Providefreehealthcareto all citizens cn cn cn cn cn cn
, 6. WhatisthebasicassumptionstatedbyHealthyPeople 2010asit relatestopublichealth efforts?
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a. Health disparitiesamong anygroupsaremorallyandlegally wrong. ij cn cn cn cn cn cn cn
b. Health careis the most important priority in government planning and funding. ij cn cn cn cn cn cn cn cn cn cn
c. Thehealth ofindividualscannot beseparatedfrom thehealth ofthe community. cn cn cn cn cn cn cn cn cn cn cn
d. Thegovernment is responsible forlengthening thelifespanof Americans. cn cn cn cn cn cn cn cn cn
ANS C
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely separate f
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community. Public health practice focuses on the community as a whole, and the effect of the community‘
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thehealth ofindividuals, families, and groups.Thegoal istoprevent disease and disability and promoteandp
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communityasawhole. Publichealth can bedescribed as what societycollectivelydoes to ensurethat condition
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behealthy. Thebasic assumptions of publichealthdo notjudgethe moralityofhealthdisparities.The focus is o
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spending more on illness care. Additionally, individual responsibility for making healthy choices is the di
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span not the role of the government.
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7. WHICHoftheFollowing actionswouldmost likelybeperformedbyapublichealthNurse?
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a. Askingcommunityleaderswhatinterventions shouldbechosen cn cn cn cn cn
b. Assessingthecommunity anddeciding on appropriateinterventions cn cn cn cn cn cn
c. Usingdatafromthemainhealthcareinstitutionsinthecommunitytodetermine cn
needed health services
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d. Workingwithcommunity groupstocreatepoliciestoimprovetheenvironment cn cn cn cn cn cn cn cn cn
ANS D
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily with memb
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carry out core public health functions, including assessment of the population as a whole and engaging in p
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improving the environment. The interventions of asking community leaders WHICH interventions shoul
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communityanddecidingonappropriateinterventions,andusingdatafromhealthcareinstitutionsdonotdemo
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community when making decisions about what the community actually wants and needs.
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8. WHICHpublichealthNursemost clearlyfulfillsthe responsibilitiesofthisrole? cn cn cn cn cn cn cn cn cn cn
a. TheNursewhometwith several groupsto discuss communityrecreation issues cn cn cn cn cn cn cn cn cn cn
b. TheNursewhospentthe day attendingmeetingsofvarioushealth agencies cn cn cn cn cn cn cn cn cn cn
c. TheNursewhotalked to several peopleabout theirparticularhealth concerns cn cn cn cn cn cn cn cn cn cn
d. TheNursewho watched thecitycouncil meetingonlocal cable television cn cn cn cn cn cn cn cn cn cn
ANS B
Anyofthesedescriptions might representa Nurse communicating, cooperating,or collaboratingwith commu
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health concerns. A major challenge for the future is the need for public health nursing specialists to be more
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collaborativelywith various groups in the communityas well as professional colleagues in institutional settin
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health. However, the Nurse who spent the day attending meetings of various health agencies is the most rep
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public health, concerns are addressed from a broader perspective. In public health, broad concerns ofthec
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shouldbeaddressed. Concerns arebroaderthanrecreation, individualconcernsare not as important as aggre
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television (a one-way form of communication) is less effective than interacting with others.
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9. WHICHofthe Following best defines aggregate? cn cn cn cn cn cn
a. Alarge group of persons cn cn cn cn
b. Acollection ofindividuals and families cn cn cn
c. Acollection of people who shareoneor more characteristics cn cn cn cn cn cn cn cn
d. Anothernamefordemographic group cn cn cn cn
ANS C
An aggregate is defined a collection of people who share one or more personal or environmental characteris
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community can be defined in terms of either geography (e.g., a county, a group of counties, or a state) or a sp
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childrenattending aparticularschool). These membersmakeup apopulation. Theterm population maybeu
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thetermaggregate. A large group of persons, acollectionof individuals and families,and anothername fordem
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accurate definitions of the term aggregate.
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10. WHICHquestionasked by anoviceNursewouldbethe most reflectiveofan understandingoftherole ofapublic
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a. ―WHICHgroupsareat the greatest risk forproblems?‖ cn cn cn cn cn cn cn cn
b. ―WHICHpatientsshould Isee first as Ibegin my day?‖ cn cn cn cn cn cn cn cn