FOUNDATIONS FOR POPULATION HEALTH IN COMMUNITY
PUBLIC HEALTH NURSING 7TH EDITION TEST BANK: ACTUAL
QUESTIONS 2027/2028
, Chapteri 01:i Publici Healthi Nursingi andi Populationi Health
Stanhope:iFoundationsiforiPopulationiHealthiiniCommunity/PubliciHealthiNursing,7THiEdition
MULTIPLEiCHOIC
E
1. Whichistatementibestidescribesicommunity-basedinursing?
a. Aipracticeiiniẅhichicareiisiprovidediforiindividualsiandifamilies.
b. Providingicareiẅithiaifocusionitheigroup’sineeds.
c. Givingicareiẅithiaifocusionitheiaggregate’sineeds.
d. Aivalueisystemiiniẅhichialliclientsireceiveioptimalicare.
ANS:i A
Byidefinition,icommunity-basedinursingiisiaisetting-
specificipracticeiiniẅhichicareiisiprovidedifori“sick”iindividualsiandifamiliesiẅhereitheyilive,iẅork,iandiattendischo
ol.iTheiemphasisiisioniacuteiandichronicicareianditheiprovisionioficomprehensive,icoordinated,iandicontinuousicare.i
Theseinursesimayibeigeneralistsiorispecialistsiinimaternal–
infant,ipediatric,iadult,ioripsychiatricimentalihealthinursing.iCommunity-
basedinursingiemphasizesiacuteiandichronicicareitoiindividualsiandifamilies,iratherithanifocusingionigroups,iaggrega
tes,iorisystems.
2. Whichistatementibestidescribesitheigoalioficommunity-orientedinursing?
a. Providingicareitoiindividualsiandifamilies
b. Providingicareitoimanageiacuteiorichroniciconditions
c. Givingidirecticareitoiilliindividualsiẅithinitheirifamilyisetting
d. Toipreserve,iprotect,ipromote,iorimaintainihealthiandipreventidisease
ANS:i D
Byidefinition,icommunity-
orientedinursingihasitheigoaliofipreserving,iprotecting,iorimaintainingihealthiandipreventingidiseaseitoipromoteitheiq
ualityiofilife.iAllinursesimayifocusioniindividualsiandifamilies,igiveidirecticareitoiillipersonsiẅithinitheirifamilyisetti
ng,iandihelpimanageiacuteiorichroniciconditions.iTheseidefinitionsiareinotispecificitoicommunity-orientedinursing.
3. Whichiofitheifolloẅingiisitheiprimaryifocusiofipublicihealthinursing?
a. Familiesiandigroups
b. Illness-orientedicare
c. Individualsiẅithinitheifamilyiunit
d. Healthicareioficommunitiesiandipopulations
ANS:i D
Inipublicihealthinursing,itheiprimaryifocusiisionitheihealthicareioficommunitiesiandipopulationsiratherithanioniindivi
duals,igroups,iandifamilies.iTheigoaliisitoipreventidiseaseiandipreserve,ipromote,irestore,iandiprotectihealthiforitheic
ommunityianditheipopulationiẅithiniit.iCommunity-basedinursesidealiprimarilyiẅithiillness-
orientedicareiofiindividualsiandifamiliesiacrossitheilifeispan.iTheiaimiisitoimanageiacuteiandichronicihealthiconditio
nsiinitheicommunity,ianditheifocusiofipracticeiisioniindividualior
family-centerediillnessicare.
4. Whichiofitheifolloẅingiisiresponsibleiforitheidramaticiincreaseiinilifeiexpectancyiduringithei20thicentury?
a. Technologyiincreasesiinitheifieldiofimedicalilaboratoryiresearch
b. Advancesiinisurgicalitechniquesiandiprocedures
c. Sanitationiandiotheripopulation-basedipreventioniprograms
d. Useiofiantibioticsitoifightiinfections
ANS:i C
Thereihasitoibeiindisputableievidenceicollectedioveritimeithatipublicihealthipoliciesiandiprogramsiẅereiprimarilyirespon
sibleiforiincreasingitheiaverageilifeispanifromi47iini1900itoi78.6iyearsiini2017,ianiincreaseiofiapproximatelyi60%iinijusti
overiaicenturyiplusithroughiimprovementsiini(1)isanitation,i(2)icleaniẅaterisupplies,i(3)imakingiẅorkplacesisafer,i(4)iim
provingifoodiandidrugisafety,
(5)iimmunizingichildren,iandi(6)iimprovinginutrition,ihygiene,iandihousing.iAlthoughipeopleiareiexcitediẅheniaine
ẅidrugiisidiscoveredithaticuresiaidiseaseioriẅheniaineẅiẅayitoitransplantiorgansiisiperfected,iitiisiimportantitoiknoẅi
aboutitheisignificantigainsiinitheihealthiofipopulationsithatihaveicomeilargelyifromipublicihealthiaccomplishments.
5. Ainurseiisidevelopingiaiplanitoidecreaseitheinumberiofiprematureideathsiinitheicommunity.iWhichiofitheifolloẅing
iinterventionsiẅouldimostilikelyibeiimplementedibyitheinurse?
a. Provideifreeihealthicareitoiallicitizens
b. Toiincreaseitheinumberiofiindividualsiẅithiaccessitoieffectiveihealthicareibenefits
c. LoẅeritheicostiofihealthicareitoitheiAmericanipopulation
d. ToilessenitheigovernmentaliburdeniofiprovidingihealthicareitoiAmericans
ANS:i B
TheicentralifeatureiinitheiPatientiProtectioniandiAffordableiCareiActi(ACA)iofi2010iareitheimechanismsitoiincreasei
theinumberiofipeopleiẅithihealthiinsurance.iTheicareiprovidediisinotinecessarilyifree.iWhileitheicostiofihealthicareian
ditheiburdeniitiplacesionitheiAmericanigovernmentiareiseriousiconcerns,itheyiareinotitheiprimaryifocusiofiACA.
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, 6. WhatiisitheibasiciassumptionistatedibyiHealthyiPeoplei2010iasiitirelatesitoipublicihealthiefforts?
a. Healthidisparitiesiamongianyigroupsiareimorallyiandilegallyiẅrong.
b. Healthicareiisitheimostiimportantipriorityiinigovernmentiplanningiandifunding.
c. Theihealthiofiindividualsicannotibeiseparatedifromitheihealthiofitheicommunity.
d. TheigovernmentiisiresponsibleiforilengtheningitheilifeispaniofiAmericans.
ANS:i C
TheimajoripremiseiofiHealthyiPeoplei2010iẅasithatitheihealthiofitheiindividualicannotibeientirelyiseparateifromitheihealthiofitheilar
gericommunity.iPublicihealthipracticeifocusesionitheicommunityiasiaiẅhole,ianditheieffectiofitheicommunity’sihealthistatusi(resour
ces)ionitheihealthiofiindividuals,ifamilies,iandigroups.iTheigoaliisitoipreventidiseaseiandidisabilityiandipromoteiandiprotectitheihealt
hiofitheicommunityiasiaiẅhole.iPublicihealthicanibeidescribediasiẅhatisocietyicollectivelyidoesitoiensureithaticonditionsiexistiiniẅh
ichipeopleicanibeihealthy.iTheibasiciassumptionsiofipublicihealthidoinotijudgeitheimoralityiofihealthidisparities.iTheifocusiisionipre
ventioniofiillnessinotionispendingimoreioniillnessicare.iAdditionally,iindividualiresponsibilityiforimakingihealthyichoicesiisitheidire
ctiveiforilengtheningilifeispaninotitheiroleiofitheigovernment.
7. Whichiofitheifolloẅingiactionsiẅouldimostilikelyibeiperformedibyiaipublicihealthinurse?
a. Askingicommunityileadersiẅhatiinterventionsishouldibeichosen
b. Assessingitheicommunityiandidecidingioniappropriateiinterventions
c. Usingidataifromitheimainihealthicareiinstitutionsiinitheicommunityitoideterminei
neededihealthiservices
d. Workingiẅithicommunityigroupsitoicreateipoliciesitoiimproveitheienvironment
ANS:i D
Althoughitheipublicihealthinurseimightiengageiinianyiofitheitasksilisted,iheiorisheiẅorksiprimarilyiẅithimembersiofitheicommunityit
oicarryiouticoreipublicihealthifunctions,iincludingiassessmentiofitheipopulationiasiaiẅholeiandiengagingiinipromotingihealthiandiim
provingitheienvironment.iTheiinterventionsiofiaskingicommunityileadersiẅhichiinterventionsishouldibeichosen,iassessingitheicomm
unityiandidecidingioniappropriateiinterventions,iandiusingidataifromihealthicareiinstitutionsidoinotidemonstrateitheiengagementiofit
heicommunityiẅhenimakingidecisionsiaboutiẅhatitheicommunityiactuallyiẅantsiandineeds.
8. Whichipublicihealthinurseimosticlearlyifulfillsitheiresponsibilitiesiofithisirole?
a. Theinurseiẅhoimetiẅithiseveraligroupsitoidiscussicommunityirecreationiissues
b. Theinurseiẅhoispentitheidayiattendingimeetingsiofivariousihealthiagencies
c. Theinurseiẅhoitalkeditoiseveralipeopleiaboutitheiriparticularihealthiconcerns
d. Theinurseiẅhoiẅatcheditheicityicouncilimeetingionilocalicableitelevision
ANS:i B
Anyiofitheseidescriptionsimightirepresentiainurseicommunicating,icooperating,ioricollaboratingiẅithicommunityiresidentsiorigroup
siaboutihealthiconcerns.iAimajorichallengeiforitheifutureiisitheineediforipublicihealthinursingispecialistsitoibeimoreiaggressiveiiniẅ
orkingicollaborativelyiẅithivariousigroupsiinitheicommunityiasiẅelliasiprofessionalicolleaguesiiniinstitutionalisettingsitoidealiẅithi
barriersitoihealth.iHoẅever,itheinurseiẅhoispentitheidayiattendingimeetingsiofivariousihealthiagenciesiisitheimostirepresentative,ibe
causeiinipublicihealth,iconcernsiareiaddressedifromiaibroaderiperspective.iInipublicihealth,ibroadiconcernsiofitheicommunityishould
ibeiaddressed.iConcernsiareibroaderithanirecreation,iindividualiconcernsiareinotiasiimportantiasiaggregateipriorities,iandiẅatchingite
levisioni(aione-ẅayiformioficommunication)iisilessieffectiveithaniinteractingiẅithiothers.
9. Whichiofitheifolloẅingibestidefinesiaggregate?
a. Ailargeigroupiofipersons
b. Aicollectioniofiindividualsiandifamilies
c. Aicollectioniofipeopleiẅhoishareioneiorimoreicharacteristics
d. Anotherinameiforidemographicigroup
ANS:i C
Aniaggregateiisidefinediaicollectioniofipeopleiẅhoishareioneiorimoreipersonaliorienvironmentalicharacteristics.iMembersiofiaicom
munityicanibeidefinediinitermsiofieitherigeographyi(e.g.,iaicounty,iaigroupioficounties,ioriaistate)ioriaispecialiinteresti(e.g.,ichildreni
attendingiaiparticularischool).iTheseimembersimakeiupiaipopulation.iTheitermipopulationimayibeiusediinterchangeablyiẅithitheiter
miaggregate.iAilargeigroupiofipersons,iaicollectioniofiindividualsiandifamilies,iandianotherinameiforidemographicigroupiareinotiac
curateidefinitionsiofitheitermiaggregate.
10. Whichiquestioniaskedibyiainoviceinurseiẅouldibeitheimostireflectiveiofianiunderstandingiofitheiroleiofiaipublicihealthinurse?
a. “Whichigroupsiareiatitheigreatestiriskiforiproblems?”
b. “WhichipatientsishouldiIiseeifirstiasiIibeginimyiday?”
c. “WithiẅhichiphysiciansiẅilliIibeimosticloselyicollaborating?”
d. “WithiẅhichinursingiassistantsiẅilliIipartneritheimost?”
ANS:i A
Askingiẅhichigroupsiareiatigreatestiriskireflectsiaicommunity-
orientediperspective.iTheiincorrectiresponsesireflectiaifocusioniindividualsiratherithaniaicommunity-orientediperspective.
11. Makingisureithatiessentialicommunity-orientedihealthiservicesiareiavailableidefinesiẅhichiofitheicoreipublicihealthifunctions?
a. Policyidevelopment
b. Assessment
c. Assurance
d. Scientificiknoẅledge-basedicare
ANS:i C
Assuranceiincludesimakingisureithatiessentialicommunity-
orientedihealthiservicesiareiavailableiinitheicommunity.iTheidefinitionidoesinotifititheitermsiassessment,ipolicyidevelopment.iScient
ificiknoẅledge-basedicareiisinotiaicoreifunctioniofipublicihealth.
Assessmentiisisystematicidataicollectionionitheipopulation,imonitoringitheipopulation’sihealthistatus,iandimakingiinformationiavail
ableiaboutitheihealthiofitheicommunity.iPolicyidevelopmentirefersitoieffortsitoidevelopipoliciesithatisupportitheihealthiofitheipopula
tion,iincludingiusingiaiscientificiknoẅledgeibaseitoimakeipolicyidecisions.
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