Foundations for Population Health in Community/Public Health
Nursing
Marcia Stanhope PhD RN FAAN, & Jeanette Lancaster PhD RN FAAN
6th Edition
,Table of Contents
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Chapter 01 Public Health Nursing and Population Health
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Chapter 02 The History of Public Health and Public and Community Health Nursing
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Chapter 03 US and Global Health Care
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Chapter 04 Government, the Law, and Policy Activism
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Chapter 05 Economics of US Health Care Delivery
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Chapter 06 Ethics in Public and Community Health Nursing Practice
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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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Chapter 10 Epidemiological Applications
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Chapter 11 Infectious Disease Prevention and Control
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Chapter 12 Communicable and Infection Disease Risks
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Chapter 13 Community Assessment and Evaluation
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Chapter 14 Health Education in the Community
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Chapter 15 Case Management
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Chapter 16 Disaster Management
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Chapter 17 Public Health Surveillance and Outbreak Investigation
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Chapter 18 Program Management
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Chapter 19 Healthcare Improvement in the Community
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Chapter 20 Family Development, Family Nursing Assessment, and Genomics
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Chapter 21 Family Health Risks
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Chapter 22 Health Risks Across the Life Span
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Chapter 23 Health Equity and Care of Vulnerable Populations
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Chapter 24 Rural Health and Migrant Health
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Chapter 25 Poverty, Homelessness, Teen Pregnancy, and Mental Illness
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Chapter 26 Alcohol, Tobacco, and Other Drug Problems in the Community
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Chapter 27 Violence and Human Abuse
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Chapter 28 Nursing Practice at the Local, State, and National Levels in Public Health
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Chapter 29 The Faith Community Nurse
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Chapter 30 The Nurse in Public Health, Home Health, Palliative Care, and Hospice
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Chapter 31 The Nurse in the Schools
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Chapter 32 The Nurse in Occupational Health
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,Test Bank - Foundations for Population Health in Community/Public Health Nursing, 6th Edition (Stanhope, 2022)
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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,
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6th Edition
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MULTIPLE CHOICE b-g
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. b-g b-g b-g b-g b-g b-g b-g b-g
c. Giving care with a focus on the aggregate‗s needs. b-g b-g b-g b-g b-g b-g b-g b-g
d. A value system in which all clients receive optimal care.
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ANS: A b - g
By definition, community-based nursing is a setting-specific practice in which care is
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provided for ―sick‖ individuals and families where they live, work, and attend school.
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The emphasis is on acute and chronic care and the provision of comprehensive,
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coordinated, and continuous care. These nurses may be generalists or specialists in maternal–
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infant, pediatric, adult, or psychiatric mental health nursing. Community-based nursing
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emphasizes acute and chronic care to individuals and families, rather than focusing on
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groups, aggregates, or 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 b-g b-g b-g b-g b-g
b. Providing care to manage acute or chronic conditions b-g b-g b-g b-g b-g b-g b-g
c. Giving direct care to ill individuals within their family setting b-g b-g b-g b-g b-g b-g b-g b-g b-g
d. To preserve, protect, promote, or maintain health and prevent disease
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ANS: D b - g
By definition, community-oriented nursing has the goal of preserving, protecting, or
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maintaining health and preventing disease to promote the quality of life. All nurses may
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focus on individuals and families, give direct care to ill persons within their family setting,
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and help manage acute or chronic conditions. These definitions are not specific to
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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 b-g b-g
b. Illness-oriented care b - g
c. Individuals within the family unit b-g b-g b-g b-g
d. Health care of communities and populations b-g b-g b-g b-g b-g
ANS: D b - g
In public health nursing, the primary focus is on the health care of communities and
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populations rather than on individuals, groups, and families. The goal is to prevent disease
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and preserve, promote, restore, and protect health for the community and the population
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within it. Community-based nurses deal primarily with illness-oriented care of individuals
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and families across the life span. The aim is to manage acute and chronic health conditions
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in the community, and the focus of practice is on individual or family-centered illness care.
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1|Page b-g b-g b-g b-g b-g
, 4. Which of the following is responsible for the dramatic increase in life expectancy during the
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20th century?
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a. Technology increases in the field of medical laboratory research b-g b-g b-g b-g b-g b-g b-g b-g
b. Advances in surgical techniques and procedures b-g b-g b-g b-g b-g
c. Sanitation and other population-based prevention programs b-g b-g b-g b-g b-g
d. Use of antibiotics to fight infections b-g b-g b-g b-g b-g
ANS: C b - g
There has to be indisputable evidence collected over time that public health policies and
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programs were primarily responsible for increasing the average life span from 47 in 1900 to
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78.6 years in 2017, an increase of approximately 60% in just over a century plus through
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improvements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4)
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improving food and drug safety, (5) immunizing children, and (6) improving nutrition,
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hygiene, and housing. Although people are excited when a new drug is discovered that cures
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a disease or when a new way to transplant organs is perfected, it is important to know
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about the significant gains in the health of populations that have come largely from
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public health accomplishments.
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5. A nurse is developing a plan to decrease the number of premature deaths in the community.
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Which of the following interventions would most likely be implemented by the nurse?
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a. Provide free health care to all citizens b-g b-g b-g b-g b-g b-g
b. To increase the number of individuals with access to effective health care benefits
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c. Lower the cost of health care to the American population b-g b-g b-g b-g b-g b-g b-g b-g b-g
d. To lessen the governmental burden of providing health care to Americans
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ANS: B b - g
ThecentralfeatureintheP atienfftoPrrdoatbelcetiConaraenAdcAt (ACA)of2010arethe
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mechanismstoincreasethenumbearltohfipnesoupralencwei.thThe careprovidedis
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not necessarily free. While the cost of health care and the burden it places on the American
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government are serious concerns, they are not the primary focus of ACA.
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6. What is the basic assumption stated by Healthy People 2010 as it relates to public health
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efforts?
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a. Health disparities among any groups are morally and legally wrong. b-g b-g b-g b-g b-g b-g b-g b-g b-g
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 b - g
The major premise of Healthy People 2010 was that the health of the individual cannot be
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entirely separate from the health of the larger community. Public health practice focuses on
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the community as a whole, and the effect of the community‗s health status (resources) on
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the health of individuals, families, and groups. The goal is to prevent disease and disability
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and promote and protect the health of the community as a whole. Public health can be
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described as what society collectively does to ensure that conditions exist in which
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people can be healthy. The basic assumptions of public health do not judge the morality
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of health disparities. The focus is on prevention of illness not on spending more on
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illness care.
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Additionally, individual responsibility for making healthy choices is the directive for b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-
lengthening life span not the role of the government.
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