&sc &sc &sc &sc
&sc Population Health in&sc &sc
&sc Community/Public Health Nursing &sc &sc
&sc 6th Edition by Marcia Stanhope.
&sc &sc &sc &sc
,Stanhope: Foundations for Population Health in Community/Public Health
Nursing, 6th Edition
Chapter 01: Community- and Prevention-Oriented Practice to Improve Population
Health
MULTIPLE CHOICE
1. Which of the following best describes community-based nursing?
a. A practice in which care is provided for individuals and families
b. Providing care with a focus on the group’s needs
c. Giving care with a focus on the aggregate’s needs
d. A value system in which all clients receive optimal care
ANS: A
By definition, community-based nursing is a setting-specific practice in which care is
provided for “sick” individuals and families where they live, work, and attend school.
The emphasis is on acute and chronic care and the provision of comprehensive,
coordinated, and continuous care. These nurses may be generalists or specialists in
maternal–infant, pediatric, adult, or psychiatric mental health nursing. Community-based
nursing emphasizes acute and chronic care to individuals and families, rather than
focusing on groups, aggregates, or systems.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill inNdivR
iduaIls wGithB
i n.thCeir M
family setting
U S N
d. Having the goal of health promotion and disease prevention
ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or
maintaining health and preventing disease to promote the quality of life. All nurses may
focus on individuals and families, give direct care to ill persons within their family
setting, and help manage acute or chronic conditions. These definitions are not specific to
community-oriented nursing.
3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals within the family unit
d. Health care of communities and populations
ANS: D
In public health nursing the primary focus is on the health care of communities and
populations rather than on individuals, groups, and families. The goal is to prevent disease
and preserve, promote, restore, and protect health for the community and the population
within it. Community-based nurses deal primarily with illness-oriented care of individuals
and families acorss the life span. The aim is to amanage acute and chronic health
conditions in the community, and the focus of practice is on individual or family-centered
illness care.
,4. Which &scof &scthe &scfollowing &scis &scresponsible &scfor &scthe &scdramatic &scincrease &scin &sclife
expectancy &scduring &scthe &sc20th &sccentury?
&sc
a. Technology &scincreases &scin &scthe &scfield &scof &scmedical &sclaboratory &scresearch
b. Advances &scin &scsurgical &sctechniques &scand &scprocedures
c. Sanitation &scand &scother &scpopulation-based &scprevention &scprograms
d. Use &scof &scantibiotics &scto &scfight &scinfections
ANS: & s c C
Improvements &scin &sccontrol &scof &scinfectious &scdiseases &scthrough &scimmunizations, &scsanitation,
&scand &scother &scpopulation-based &scprevention &scprograms &scled &scto &scthe &scincrease &scin &sclife
&scexpectancy &scfrom &scless &scthan &sc50 &scyears &scin &sc1900 &scto &scmore &scthan &sc78 &scyears &scin &sc2013.
&scAlthough &scpeople &scare &scexcited &scwhen &sca &scnew &scdrug &scis &scdiscovered &scthat &sccures &sca
&scdisease &scor &scwhen &sca &scnew &scway &scto &sctransplant &scorgans &scis &scperfected, &scit &scis
&scimportant &scto &scknow &scabout &scthe &scsignificant &scgains &scin &scthe &schealth &scof &scpopulations
&scthat &schave &sccome &sclargely &scfrom &scpublic &schealth &scaccomplishments.
5. A &scnurse &scis &scdeveloping &sca &scplan &scto &scdecrease &scthe &scnumber &scof &scpremature &scdeaths &scin
the &sccommunity. &scWhich &scof &scthe &scfollowing &scinterventions &scwould &scmost &sclikely &scbe
&sc
implemented &scby &scthe &scnurse?
&sc
a. Increase &scthe &sccommunity’s &scknowledge &scabout &schospice &sccare.
b. Promote &schealthy &sclifestyle &scbehavior &scchoices &scamong &scthe &sccommunity &scmembers.
c. Encourage &scemployers &scto &schave &scwellness &sccenters &scat &sceach &scindustrial &scsite.
d. Ensure &sctimely &scand &sceffective &scmedical &scintervention &scand &sctreatment &scfor
&sccommunity &scmembers.
ANS: & s c B
Public &schealth &scapproaches &sccould &schelp &scprevent &scpremature &scdeaths &scby &scinfluencing &scthe
&scway &scpeople &sceat, &scdrink, &scdrive, &scengage &scin &scexercise, &scand &sctreat &scthe &scenvironment.
&scIncreasing &scknowledge &scof &schospice &sccare, &scencouraging &scon-site &scwellness &sccenters, &scand
&scensuring &sctimely &sctreatment &scof &scmedical
conditions &scdo &scnot &scaddress &sctheNfU
ocRusSoIf N
imGpT
roBv.inC o vMe r a l l &schealth &scthrough &schealth
g&scO
&scpromotion &scstrategies. &scThis &scis &scthe &scmajor &scmethod &scthat &scis &scsuggested &scto &scdecrease
&scthe &scincidence &scof &scpremature
death.
6. Which &scof &scthe &scfollowing &scis &sca &scbasic &scassumption &scof &scpublic &schealth &scefforts?
a. Health &scdisparities &scamong &scany &scgroups &scare &scmorally &scand &sclegally &scwrong.
b. Health &sccare &scis &scthe &scmost &scimportant &scpriority &scin &scgovernment &scplanning &scand &scfunding.
c. The &schealth &scof &scindividuals &sccannot &scbe &scseparated &scfrom &scthe &schealth &scof &scthe &sccommunity.
d. The &scgovernment &scis &scresponsible &scfor &sclengthening &scthe &sclife &scspan &scof &scAmericans.
ANS: & s c C
Public &schealth &scpractice &scfocuses &scon &scthe &sccommunity &scas &sca &scwhole, &scand &scthe &sceffect
& s c of &scthe &sccommunity’s &schealth &scstatus &sc(resources) &scon &scthe &schealth &scof &scindividuals,
&scfamilies, &scand &scgroups. &scThe &scgoal &scis &scto &scprevent &scdisease &scand &scdisability &scand
&scpromote &scand &scprotect &scthe &schealth &scof &scthe &sccommunity &scas &sca &scwhole. &scPublic &schealth
&sccan &scbe &scdescribed &scas &scwhat &scsociety &sccollectively &scdoes &scto &scensure &scthat &scconditions
&scexist &scin &scwhich &scpeople &sccan &scbe &schealthy. &scThe &scbasic &scassumptions &scof &scpublic &schealth
&scdo &scnot &scjudge &scthe &scmorality &scof &schealth &scdisparities. &scThe &scfocus &scis &scon &scprevention
&scof &scillness &scnot &scon &scspending &scmore &scon &scillness &sccare. &scAdditionally, &scindividual
&scresponsibility &scfor &scmaking &schealthy &scchoices &scis &scthe &scdirective &scfor &sclengthening &sclife
&scspan &scnot &scthe &scrole &scof &scthe &scgovernment.
, 7. Which &scof &scthe &scfollowing &scactions &scwould &scmost &sclikely &scbe &scperformed &scby &sca &scpublic &schealth
&sc nurse?
a. Asking &sccommunity &scleaders &scwhat &scinterventions &scshould &scbe &scchosen
b. Assessing &scthe &sccommunity &scand &scdeciding &scon &scappropriate &scinterventions
c. Using &scdata &scfrom &scthe &scmain &schealth &sccare &scinstitutions &scin &scthe &sccommunity &scto &scdetermine