,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
Chapter 01: Community- and Prevention-Oriented Practice to Improve
L FT L FT L FT L FT L FT L FT L FT L
PopulationHealth
F T T
L
F
MULTIPLE CHOICE L FT
1. Which of the following best describes community-based nursing?
L FT L FT L FT L FT L FT L FT L FT
a. A practice in which care is provided for individuals and families
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT
b. Providing care with a focus on the group’s needs L FT LFT L FT L FT L FT L FT L FT LFT
c. Giving care with a focus on the aggregate’s needs LFT LFT L FT L FT L FT L FT L FT LFT
d. A value system in which all clients receive optimal care
L FT L FT L FT L FT L FT L FT L FT L FT L FT
ANS: L F T A
By definition, community-based nursing is a setting-specific practice in which care is
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
provided for “sick” individuals and families where they live, work, and attend school.
T
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
The emphasis is on acute and chronic care and the provision of comprehensive,
T
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
coordinated, andcontinuous care. These nurses may be generalists or specialists in
T
F L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L
T
Fmaternal–infant, pediatric,adult, or psychiatric mental health nursing. Community- L FT T
L
F L FT L FT L FT L FT L FT L FT
based nursing emphasizes acute andchronic care to individuals and families, rather
L FT L FT L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L
than focusing on groups, aggregates, or systems.
T
F L FT L FT L FT L FT L FT L FT
2. Which of the following best describes community-oriented nursing?
L FT L FT L FT L FT L FT L FT LFT
a. Focusing on the provision of care to individuals and families L FT L FT L FT L FT L FT L FT L FT L FT LFT
b. Providing care to manage acute or chronic conditions L FT L FT L FT L FT L FT L FT LFT
c. Giving direct care to ill inNdivR Ils TwGithB
in.thCeir M
U SiduaN L FTfamily setting
d. Having the goal of health promotion and disease prevention
L FT L FT
L FT
L FT
L FT
L FT
L FT L FT
L FT
L FT
L FT L FT LFT
L FT
ANS: L F T D
By definition, community-oriented nursing has the goal of preserving, protecting, or
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
maintaining health and preventing disease to promote the quality of life. All nurses
T
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
may focuson individuals and families, give direct care to ill persons within their family
T
F LFT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
setting, and helpmanage acute or chronic conditions. These definitions are not specific
T
F L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L
to community-orientednursing.
T
F L FT T
L
F
3. Which of the following is the primary focus of public health nursing?
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT
a. Families and groups LFT LFT
b. Illness-oriented care LFT
c. Individuals within the family unit L FT L FT L FT L FT
d. Health care of communities and populations L FT LFT L FT L FT L FT
ANS: L F T D
In public health nursing the primary focus is on the health care of communities and
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
T
Fpopulations rather than on individuals, groups, and families. The goal is to prevent
L FT LFT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
T
Fdisease andpreserve, promote, restore, and protect health for the community and the
L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
T
Fpopulation within it. Community-based nurses deal primarily with illness-oriented care
L FT L FT L FT L FT L FT L FT L FT L FT L FT L
T
Fof individuals and families acorss the life span. The aim is to amanage acute and
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
T
Fchronic health conditions in the community, and the focus of practice is on individual
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
T
For family-centered illness care.
L FT L FT L FT
,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
4. Which of the following is responsible for the dramatic increase in life expectancy
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT LFT L
Fduring the20th century?
T L FT T
L
F L FT
a. Technology increases in the field of medical laboratory research L FT L FT L FT L FT L FT L FT L FT L FT
b. Advances in surgical techniques and procedures L FT L FT L FT L FT L FT
c. Sanitation and other population-based prevention programs L FT L FT L FT L FT LFT
d. Use of antibiotics to fight infections
LFT L FT L FT L FT L FT
ANS: C L FT
Improvements in control of infectious diseases through immunizations, sanitation, and
L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fother population-based prevention programs led to the increase in life expectancy from
T L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fless than 50years in 1900 to more than 78 years in 2013. Although people are excited
T L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fwhen a new drug isdiscovered that cures a disease or when a new way to transplant
T L FT L FT L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Forgans is perfected, it is important to know about the significant gains in the health
T L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fof populations that have come largely from public health accomplishments.
T L FT L FT L FT L FT L FT L FT L FT L FT L FT
5. A nurse is developing a plan to decrease the number of premature deaths in the
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
community. Which of the following interventions would most likely be implemented
FT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fby the nurse?
T L FT LFT
a. Increase the community’s knowledge about hospice care. LFT L FT L FT L FT L FT L FT
b. Promote healthy lifestyle behavior choices among the community members.
L FT L FT L FT L FT L FT L FT L FT L FT
c. Encourage employers to have wellness centers at each industrial site. LFT L FT L FT L FT L FT L FT L FT L FT L FT
d. Ensure timely and effective medical intervention and treatment for
L FT L FT L FT L FT L FT L FT L FT L FT L
communitymembers.
T
F T
L
F
ANS: B L FT
Public health approaches could help prevent premature deaths by influencing the way
L FT L FT L FT L FT L FT L FT LFT L FT L FT L FT L FT L
Fpeopleeat, drink, drive, engage in exercise, and treat the environment. Increasing
T T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fknowledge of hospice care, encouraging on-site wellness centers, and ensuring timely
T L FT L FT LFT L FT L FT L FT L FT L FT L FT L FT L
Ftreatment of medical
T L FT L FT
conditions do not address theNfUocR
usSoIf NGpTroBv.
im inCo vMerall health through health promotion
gO
L FT L FT L FT L FT L
T
F L FT L FT L FT L FT
strategies. This is the major method that is suggested to decrease the incidence of
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fpremature
T
death.
6. Which of the following is a basic assumption of public health efforts?
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT
a. Health disparities among any groups are morally and legally wrong.
L FT L FT L FT L FT L FT LFT L FT L FT L FT
b. Health care is the most important priority in government planning and funding.
L FT LFT L FT L FT L FT L FT L FT L FT L FT L FT LFT
c. The health of individuals cannot be separated from the health of the community.
LFT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT LFT
d. The government is responsible for lengthening the life span of Americans.
LFT L FT L FT L FT L FT L FT L FT LFT L FT LFT
ANS: C L FT
Public health practice focuses on the community as a whole, and the effect of the
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
community’s health status (resources) on the health of individuals, families, and groups.
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
The goal is to prevent disease and disability and promote and protect the health of the
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
community as a whole. Public health can be described as what society collectively
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
does to ensure that conditions exist in which people can be healthy. The basic
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT LFT L
assumptions of public health do notjudge the morality of health disparities. The focus
FT L FT L FT L FT L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L
is on prevention of illness not on spending more on illness care. Additionally,
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
individual responsibility for making healthy choices is the directive for lengthening life
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
span not the role of the government.
FT L FT L FT L FT L FT L FT L FT
7. Which of the following actions would most likely be performed by a public health nurse?
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT LFT
a. Asking community leaders what interventions should be chosen
L FT L FT L FT L FT L FT L FT L FT
b. Assessing the community and deciding on appropriate interventions L FT L FT L FT L FT L FT L FT L FT
c. Using data from the main health care institutions in the community to determine
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT
, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
needed health services L FT L FT
d. Working with community groups to create policies to improve the environment
L FT L FT L FT L FT L FT L FT L FT L FT L FT LFT
ANS: D L FT
Although the public health nurse might engage in any of the tasks listed, he or she
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
works primarily with members of the community to carry out core public health
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
functions, includingassessment of the population as a whole and engaging in promoting
FT L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
health and improving theenvironment. The interventions of asking community leaders
FT L FT L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L
which interventions should be chosen, asessing the community and deciding on
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
appropriate interventions, and using data from health care institutions do not
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
demonstrate the engagement of the community when making decisions about what the
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
community actually wants and needs.
FT L FT L FT L FT L FT
8. Which of the following public health nurses most clearly fulfills the responsibilities
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fof thisrole?
T L FT T
L
F
a. The nurse LFT L FT who L FT met with several groups to discuss community recreation issues
L FT L FT L FT L FT L FT L FT L FT LFT
b. The nurse LFT L FT who L FT spent the day attending meetings of various health agencies
L FT L FT L FT L FT L FT L FT L FT LFT
c. The nurse LFT L FT who L FT talked to several people about their particular health concerns
L FT L FT L FT L FT L FT L FT L FT LFT
d. The nurse LFT L FT who L FT watched the city council meeting on local cable television
L FT L FT L FT L FT L FT L FT L FT LFT
ANS: B L FT
Any of these descriptions might represent a nurse communicating, cooperating, or
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
collaborating with community residents or groups about health concerns. However, the
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
nursewho spent the day attending meetings of various health agencies is the most
FT T
L
F L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
representative, because in public health, concerns are addressed from a broader
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
perspective. In public health,broad concerns of the community should be addressed.
FT L FT L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L
Concerns are broader than recreation, individual concerns are not as important as
FT L FT L FT L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L
aggregate priorities, and watching television (a one-way form of communication) is
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
less effective than interacting with others.
FT L FT L FT L FT L FT L FT
NURSINGTB.COM
9. Which of the following best defines aggregate?
L FT L FT L FT L FT L FT L FT
a. A large group of persons
L FT L FT L FT LFT
b. A collection of individuals and families
L FT L FT L FT L FT L FT
c. A collection of people who share one or more characteristics
L FT L FT L FT L FT L FT L FT L FT L FT L FT
d. Another name for demographic group L FT L FT LFT L FT
ANS: C L FT
An aggregate is defined a collection of people who share one or more personal or
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
environmental characteristics. Members of a community can be defined in terms of
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
either geography (e.g., a county, a group of counties, or a state) or a special interest
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
(e.g., children attending a particular school). These members make up a population.
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
The term population may be used interchangeably with the term aggregate. A large
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
group of persons, a collectiono f individuals and families, and another name for
FT L FT L FT L FT L FT T
L
F L FT L FT L FT L FT L FT L FT L FT L
demograhpic group are not accurate definitions of the term aggregate.
FT L FT L FT L FT L FT L FT L FT L FT L FT L FT
10. A registered nurse was just employed as a public health nurse. Which question would
L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L FT L
Fbe themost relevant for the nurse to ask?
T LFT T
L
F L FT L FT L FT L FT L FT L FT
a. “Which groups are at the greatest risk for problems?”
L FT L FT L FT L FT L FT L FT L FT L FT
b. “Which patients should I see first as I begin my day?”
L FT L FT L FT L FT L FT L FT L FT LFT L FT L FT
c. “With which physicians will I be most closely collaborating?”
L FT L FT L FT L FT LFT L FT L FT L FT
d. “With which nursing assistants will I partner the most?”
L FT L FT LFT L FT L FT L FT L FT LFT
ANS: A L FT