,Chapter 01: Community- and Prevention-Oriented Practice to Improve
Population Health
Stanhope: Foundations for Population Health in Community/Public
Health Nursing, 6th
Edition
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
inNdivRiduaIlswGithBin.thCeirMfamily setting
d.Having the goal of health promotion and disease
prevention U S N
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 of the following is responsible for the dramatic increase in life
expectancy during the 20th century?
a.Technology increases in the field of medical
laboratory research b.Advances in surgical techniques
and procedures
c.Sanitation and other population-based prevention
programs d.Use of antibiotics to fight infections
ANS: C
Improvements in control of infectious diseases through immunizations,
sanitation, and other population-based prevention programs led to the
increase in life expectancy from less than 50 years in 1900 to more than
78 years in 2013. Although people are excited when a new drug is
discovered that cures a disease or when a new way to transplant organs is
perfected, it is important to know about the significant gains in the health
of populations that have come largely from public health accomplishments.
5.A nurse is developing a plan to decrease the number of premature deaths
in the community. Which of the following interventions would most likely
be implemented by the nurse? a.Increase the community’s knowledge
about hospice care.
b.Promote healthy lifestyle behavior choices among the
community members. c.Encourage employers to have wellness
centers at each industrial site.
d.Ensure timely and effective medical intervention and treatment
for community members.
ANS: B
Public health approaches could help prevent premature deaths by
influencing the way people eat, drink, drive, engage in exercise, and treat
the environment. Increasing knowledge of hospice care, encouraging on-
site wellness centers, and ensuring timely treatment of medical conditions
do not address theNfUocRusSoIfNimGpTroBv.inCg OovMerall health
through health promotion strategies. This is the major method that is
suggested to decrease the incidence of premature death.
6.Which of the following is a basic assumption of public health efforts?
a.Health disparities among any groups are morally and legally wrong.
b.Health care is the most important priority in government
planning and funding. c.The health of individuals cannot be
separated from the health of the community.
d.The government is responsible for lengthening the life span of Americans.
ANS: C
Public health practice focuses on the community as a whole, and the effect
of the
community’s health status (resources) on the health of individuals,
families, and groups. The goal is to prevent disease and disability and
promote and protect the health of the community as a whole. Public health
can be described as what society collectively does to ensure that
conditions exist in which people can be healthy. The basic assumptions of
public health do not judge the morality of health disparities. The focus is on
prevention of illness not on spending more on illness care. Additionally,
Population Health
Stanhope: Foundations for Population Health in Community/Public
Health Nursing, 6th
Edition
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
inNdivRiduaIlswGithBin.thCeirMfamily setting
d.Having the goal of health promotion and disease
prevention U S N
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 of the following is responsible for the dramatic increase in life
expectancy during the 20th century?
a.Technology increases in the field of medical
laboratory research b.Advances in surgical techniques
and procedures
c.Sanitation and other population-based prevention
programs d.Use of antibiotics to fight infections
ANS: C
Improvements in control of infectious diseases through immunizations,
sanitation, and other population-based prevention programs led to the
increase in life expectancy from less than 50 years in 1900 to more than
78 years in 2013. Although people are excited when a new drug is
discovered that cures a disease or when a new way to transplant organs is
perfected, it is important to know about the significant gains in the health
of populations that have come largely from public health accomplishments.
5.A nurse is developing a plan to decrease the number of premature deaths
in the community. Which of the following interventions would most likely
be implemented by the nurse? a.Increase the community’s knowledge
about hospice care.
b.Promote healthy lifestyle behavior choices among the
community members. c.Encourage employers to have wellness
centers at each industrial site.
d.Ensure timely and effective medical intervention and treatment
for community members.
ANS: B
Public health approaches could help prevent premature deaths by
influencing the way people eat, drink, drive, engage in exercise, and treat
the environment. Increasing knowledge of hospice care, encouraging on-
site wellness centers, and ensuring timely treatment of medical conditions
do not address theNfUocRusSoIfNimGpTroBv.inCg OovMerall health
through health promotion strategies. This is the major method that is
suggested to decrease the incidence of premature death.
6.Which of the following is a basic assumption of public health efforts?
a.Health disparities among any groups are morally and legally wrong.
b.Health care is the most important priority in government
planning and funding. c.The health of individuals cannot be
separated from the health of the community.
d.The government is responsible for lengthening the life span of Americans.
ANS: C
Public health practice focuses on the community as a whole, and the effect
of the
community’s health status (resources) on the health of individuals,
families, and groups. The goal is to prevent disease and disability and
promote and protect the health of the community as a whole. Public health
can be described as what society collectively does to ensure that
conditions exist in which people can be healthy. The basic assumptions of
public health do not judge the morality of health disparities. The focus is on
prevention of illness not on spending more on illness care. Additionally,
