FOUNDATIONS FOR POPULATION HEALTH IN
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COMMUNITY/PUBLIC HEALTH NURSING 6TH EDITION BY
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MARCIA STANHOPE
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,CH: 01: Community- and Prevention-Oriented Practice to Improve Population Health
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Stanhope: Foundations for Population Health in Community/Public Health Nursing,
li li li li li li li li li
6TH Edition
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MULTIPLE CHOICE li
1. Which of the following best describes community-based nursing?
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a. A practice in which care is provided for individuals and families
li li li li li li li li li li
b. Providing care with a focus on the group’s needs li li li li li li li li
c. Giving care with a focus on the aggregate’s needs li li li li li li li li
d. A value system in which all hospital clients receive optimal care
li li li li li li li li li li
PRECISE CHOICE:-A li
Reasoning:->>>By definition, community-based nursing is a setting-specific practice in li li li li li li li li
which care is provided for ―sick‖ individuals and families where they live, work, and
li li li li li li li li li li li li li li
attend school. The emphasis is on acute and chronic care and the provision of
li li li li li li li li li li li li li li
comprehensive, coordinated, and continuous care. These nursing attendants may be
li li li li li li li li li li
generalists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health
li li li li li li li li li li li
nursing. Community-based nursing emphasizes acute and chronic care to individuals and
li li li li li li li li li li li
families, rather than focusing on groups, aggregates, or systems.
li li li li li li li li li
2. Which of the following best describes community-oriented nursing?
li li li li li li li
a. Focusing on the provision of care to individuals and families li li li li li li li li li
b. Providing care to manage acute or chronic conditions li li li li li li li
c. Giving direct care to il inNdiv
U Ridua
S INls wGithBin.thCeirMfamily seting
li li li li li li li
d. Having the goal of health promotion and disease prevention li li li li li li li li
PRECISE CHOICE:-D li
Reasoning:->>>By definition, community-oriented nursing has the goal of preserving, li li li li li li li li
protecting, or maintaining health and preventing disease to promote the quality of life. All
li li li li li li li li li li li li li li
nursing attendants may focus on individuals and families, give direct care to sick persons
li li li li li li li li li li li li li li
within their family setting, and help manage acute or chronic conditions. These definitions
li li li li li li li li li li li li li
are not specific to community-oriented nursing.
li li li li li li
3. Which of the following is the primary focus of public health nursing?
li li li li li li li li li li li
a. Families and groups li li
b. Sickness-oriented care li
c. Individuals within the family unit li li li li
d. Health care of communities and populations li li li li li
PRECISE CHOICE:-D li
Reasoning:->>>In public health nursing the primary focus is on the health care of li li li li li li li li li li li li
communities and populations rather than on individuals, groups, and families. The goal is to
li li li li li li li li li li li li li li
prevent disease and preserve, promote, restore, and protect health for the community and
li li l i li li li li li li li li li li
the population within it. Community-based nursing attendants deal primarily with sickness-
li li li li li li li li li li li
oriented care of individuals and families acorss the life span. The aim is to amanage acute and
li li li li li li li li li li li li li li li li li
chronic health conditions in the community, and the focus of practice is on individual or
li li li li li li li li li li li li li li li
family-centered sickness care.
li li li
,4. Which of the following is responsible for the dramatic increase in life expectancy during
li li li li li li li li li li li li li
the 20th century?
li li li
a. Technology increases in the field of medical laboratory research li li li li li li li li
b. Advances in surgical techniques and procedures li li li li li
c. Sanitation and other population-based prevention programs li li li li li
d. Use of antibiotics to fight infections
li li li li li
PRECISE CHOICE:-C li
Reasoning:->>>Improvements in control of infectious diseases through immunizations, li li li li li li li
sanitation, and other population-based prevention programs led to the increase in life
li li li li li li li li li li li li
expectancy from less than 50 years in 1900 to more than 78 years in 2013. Although
li li li li l i li li li li li li li li li li li
people are excited when a new drug is discovered that cures a disease or when a new way to
li li li li li li li li li li li li li li li li li li li
transplant organs is perfected, it is important to know about the significant gains in the health
li li li li li li li li li li li li li li li li
of populations that have come largely from public health accomplishments.
li li li li li li li li li li
5. A nursing attendant is developing a plan to reduce the number of premature deaths in the
li li li li li li li li li li li li li li li
community. Which of the following interventions would most likely be implemented by
li li li li li li li li li li li li
the nursing attendant?
li li li
a. Increase the community’s knowledge about clinic care. li li li li li li
b. Promote healthy lifestyle behavior choices among the community members.
li li li li li li li li
c. Encourage employers to have wellness centers at each industrial site. li li li li li li li li li
d. Ensure timely and effective medical intervention and treatment for community
li li li li li li li li li
members. li
PRECISE CHOICE:-B li
Reasoning:->>>Public health approaches could help prevent premature deaths by influencing li li li li li li li li li
the way people eat, drink, drive, engage in exercise, and treat the environment. Increasing
li li li li li li li li li li li li li li
knowledge of clinic care, encouraging on-site wellness centers, and ensuring timely
li li li li li li li li li li li
treatment of medical
li li li
conditions do not address theNfUocRusSoIfNimGpTroBv.inCg Oo vMerall health through
li li li li li li li li li l i li
health promotion
li li
strategies. This is the major method that is suggested to reduce the incidence of premature
li li li li li li li li li li li li li li
death.
li
6. Which of the following is a basic assumption of public health efforts?
li li li li li li li li li li li
a. Health disparities among any groups are morally and legally wrong.
li li li li li li li li li
b. Health care is the most important priority in government planning and funding.
li li li li li li li li li li li
c. The health of individuals cannot be separated from the health of the community.
li li li li li li li li li li li li
d. The government is responsible for lengthening the life span of Americans.
li li li li li li li li li li
PRECISE CHOICE:-C li
Reasoning:->>>Public health practice focuses on the community as a whole, and the effect of li li li li li li li li li li li li li
the community’s health status (resources) on the health of individuals, families, and groups.
li l i li li li li li li li li li li li
The goal is to prevent disease and disability and promote and protect the health of the
li li li li li li li li li li li li li li li li
community as a whole. Public health can be described as what society collectively does to
li li li li li li li li li li li li li li li
ensure that conditions exist in which people can be healthy. The basic assumptions of public
li li li li li li li li li li li li li li li
health do not judge the morality of health disparities. The focus is on prevention of sickness
li li li li li li li li li li li li li li li li
not on spending more on sickness care. Additionally, individual responsibility for making
li li li li li li li li li li li li
healthy choices is the directive for lengthening life span not the role of the government.
li li li li li li li li li li li li li li li
7. Which of the following actions would most likely be performed by a public health nursing
li li li li li li li li li li li li li li
attendant?
li
, a. Asking community leaders what interventions should be chosen
li li li li li li li
b. Assessing the community and deciding on appropriate interventions li li li li li li li
c. Using data from the main health care institutions in the community to determine
li li li li li li li li li li li li
needed health services li li
d. Working with community groups to create policies to improve the environment
li li li li li li li li li li
PRECISE CHOICE:-D li
Reasoning:->>>Although the public health nursing attendant might engage in any of the li li li li li li li li li li li
tasks listed, he or she works primarily with members of the community to carry out core
li li li li li li li li li li li li li li li li
public health functions, including assessment of the population as a whole and engaging in
li li li li li li li li li li li li li li
promoting health and improving the environment. The interventions of asking community
li li li li li li li li li li li
leaders which interventions should be chosen, asessing the community and deciding on
li li li li li li li li li li li li
appropriate interventions, and using data from health care institutions do not demonstrate the
li li li li li li li li li li li li li
engagement of the community when making decisions about what the community actually
li li li li li li li li li li li li
wants and needs.
li li li
8. Which of the following public health nursing attendants most clearly fulfills the
li li li li li li li li li li li
responsibilities of this role?
li li li li
a. The nursing attendant who met with several groups to discuss community recreation issues
li li li li li li li li li li li li
b. The nursing attendant who spent the day attending meetings of various health agencies
li li li li li li li li li li li li
c. The nursing attendant who talked to several people about their particular health concerns
li li li li li li li li li li li li
d. The nursing attendant who watched the city council meeting on local cable television
li li li li li li li li li li li li
PRECISE CHOICE:-B li
Reasoning:->>>Any of these descriptions might represent a nursing attendant li li li li li li li li
communicating, cooperating, or collaborating with community residents or groups about
li li li li li li li li li li
health concerns. However, the nursing attendant who spent the day attending meetings of
li li li li li li li li li li li li li
various health agencies is the most representative, because in public health, concerns are
li li li li li li li li li li li li li
addressed from a broader perspective. In public health, broad concerns of the community
li li li li li li li li li li li li li
should be addressed. Concerns are broader than recreation, individual concerns are not as
li li li li li li li li li li li li li
important as aggregate priorities, and watching television (a one-way form of
li li li li li li li li li li li
communication) is less effective than interacting with others.
li li li li li li li li
9. Which of the following best defines aggregate?
li li li li li li
a. A large group of persons
li li li li
b. A collection of individuals and families
li li li li li
c. A collection of people who share one or more characteristics
li li li li li li li li li
d. Another name for demographic group li li li li
PRECISE CHOICE:-C li
Reasoning:->>>An aggregate is defined a collection of people who share one or more li li li li li li li li li li li li
personal or environmental characteristics. Members of a community can be defined in terms
li li li li li li li li li li li li li
of either geography (e.g., a county, a group of counties, or a state) or a special interest (e.g.,
li li li li li li li li li li li li li li li li li li
children attending a particular school). These members make up a population. The term
li li li li li li li li li li li li li
population may be used interchangeably with the term aggregate. A large group of persons, a
li li li li li li li li li li li li li li li
collection of individuals and families, and another name for demograhpic group are not
li li li li li li li li li li li li li
accurate definitions of the term aggregate.
li li li li li li
10. A registered nursing attendant was just employed as a public health nursing attendant.
li li li li li li li li li li li li
Which question would be the most relevant for the nursing attendant to ask?
li li li li li li li li li li li li li
a. ―Which groups are at the greatest risk for problems?‖ li li li li li li li li
b. ―Which victims should I see first as I begin my day?‖ li li li li li li li li li li
c. ―With which physicians will I be most closely collaborating?‖
li li li li li li li li
d. ―With which nursing assistants will I partner the most?‖
li li li li li li li li
PRECISE CHOICE:-A li
li li li li
COMMUNITY/PUBLIC HEALTH NURSING 6TH EDITION BY
li li li li li li
MARCIA STANHOPE
li li
,CH: 01: Community- and Prevention-Oriented Practice to Improve Population Health
li li li li li li li li li
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
li li li li li li li li li
6TH Edition
li li
MULTIPLE CHOICE li
1. Which of the following best describes community-based nursing?
li li li li li li li
a. A practice in which care is provided for individuals and families
li li li li li li li li li li
b. Providing care with a focus on the group’s needs li li li li li li li li
c. Giving care with a focus on the aggregate’s needs li li li li li li li li
d. A value system in which all hospital clients receive optimal care
li li li li li li li li li li
PRECISE CHOICE:-A li
Reasoning:->>>By definition, community-based nursing is a setting-specific practice in li li li li li li li li
which care is provided for ―sick‖ individuals and families where they live, work, and
li li li li li li li li li li li li li li
attend school. The emphasis is on acute and chronic care and the provision of
li li li li li li li li li li li li li li
comprehensive, coordinated, and continuous care. These nursing attendants may be
li li li li li li li li li li
generalists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health
li li li li li li li li li li li
nursing. Community-based nursing emphasizes acute and chronic care to individuals and
li li li li li li li li li li li
families, rather than focusing on groups, aggregates, or systems.
li li li li li li li li li
2. Which of the following best describes community-oriented nursing?
li li li li li li li
a. Focusing on the provision of care to individuals and families li li li li li li li li li
b. Providing care to manage acute or chronic conditions li li li li li li li
c. Giving direct care to il inNdiv
U Ridua
S INls wGithBin.thCeirMfamily seting
li li li li li li li
d. Having the goal of health promotion and disease prevention li li li li li li li li
PRECISE CHOICE:-D li
Reasoning:->>>By definition, community-oriented nursing has the goal of preserving, li li li li li li li li
protecting, or maintaining health and preventing disease to promote the quality of life. All
li li li li li li li li li li li li li li
nursing attendants may focus on individuals and families, give direct care to sick persons
li li li li li li li li li li li li li li
within their family setting, and help manage acute or chronic conditions. These definitions
li li li li li li li li li li li li li
are not specific to community-oriented nursing.
li li li li li li
3. Which of the following is the primary focus of public health nursing?
li li li li li li li li li li li
a. Families and groups li li
b. Sickness-oriented care li
c. Individuals within the family unit li li li li
d. Health care of communities and populations li li li li li
PRECISE CHOICE:-D li
Reasoning:->>>In public health nursing the primary focus is on the health care of li li li li li li li li li li li li
communities and populations rather than on individuals, groups, and families. The goal is to
li li li li li li li li li li li li li li
prevent disease and preserve, promote, restore, and protect health for the community and
li li l i li li li li li li li li li li
the population within it. Community-based nursing attendants deal primarily with sickness-
li li li li li li li li li li li
oriented care of individuals and families acorss the life span. The aim is to amanage acute and
li li li li li li li li li li li li li li li li li
chronic health conditions in the community, and the focus of practice is on individual or
li li li li li li li li li li li li li li li
family-centered sickness care.
li li li
,4. Which of the following is responsible for the dramatic increase in life expectancy during
li li li li li li li li li li li li li
the 20th century?
li li li
a. Technology increases in the field of medical laboratory research li li li li li li li li
b. Advances in surgical techniques and procedures li li li li li
c. Sanitation and other population-based prevention programs li li li li li
d. Use of antibiotics to fight infections
li li li li li
PRECISE CHOICE:-C li
Reasoning:->>>Improvements in control of infectious diseases through immunizations, li li li li li li li
sanitation, and other population-based prevention programs led to the increase in life
li li li li li li li li li li li li
expectancy from less than 50 years in 1900 to more than 78 years in 2013. Although
li li li li l i li li li li li li li li li li li
people are excited when a new drug is discovered that cures a disease or when a new way to
li li li li li li li li li li li li li li li li li li li
transplant organs is perfected, it is important to know about the significant gains in the health
li li li li li li li li li li li li li li li li
of populations that have come largely from public health accomplishments.
li li li li li li li li li li
5. A nursing attendant is developing a plan to reduce the number of premature deaths in the
li li li li li li li li li li li li li li li
community. Which of the following interventions would most likely be implemented by
li li li li li li li li li li li li
the nursing attendant?
li li li
a. Increase the community’s knowledge about clinic care. li li li li li li
b. Promote healthy lifestyle behavior choices among the community members.
li li li li li li li li
c. Encourage employers to have wellness centers at each industrial site. li li li li li li li li li
d. Ensure timely and effective medical intervention and treatment for community
li li li li li li li li li
members. li
PRECISE CHOICE:-B li
Reasoning:->>>Public health approaches could help prevent premature deaths by influencing li li li li li li li li li
the way people eat, drink, drive, engage in exercise, and treat the environment. Increasing
li li li li li li li li li li li li li li
knowledge of clinic care, encouraging on-site wellness centers, and ensuring timely
li li li li li li li li li li li
treatment of medical
li li li
conditions do not address theNfUocRusSoIfNimGpTroBv.inCg Oo vMerall health through
li li li li li li li li li l i li
health promotion
li li
strategies. This is the major method that is suggested to reduce the incidence of premature
li li li li li li li li li li li li li li
death.
li
6. Which of the following is a basic assumption of public health efforts?
li li li li li li li li li li li
a. Health disparities among any groups are morally and legally wrong.
li li li li li li li li li
b. Health care is the most important priority in government planning and funding.
li li li li li li li li li li li
c. The health of individuals cannot be separated from the health of the community.
li li li li li li li li li li li li
d. The government is responsible for lengthening the life span of Americans.
li li li li li li li li li li
PRECISE CHOICE:-C li
Reasoning:->>>Public health practice focuses on the community as a whole, and the effect of li li li li li li li li li li li li li
the community’s health status (resources) on the health of individuals, families, and groups.
li l i li li li li li li li li li li li
The goal is to prevent disease and disability and promote and protect the health of the
li li li li li li li li li li li li li li li li
community as a whole. Public health can be described as what society collectively does to
li li li li li li li li li li li li li li li
ensure that conditions exist in which people can be healthy. The basic assumptions of public
li li li li li li li li li li li li li li li
health do not judge the morality of health disparities. The focus is on prevention of sickness
li li li li li li li li li li li li li li li li
not on spending more on sickness care. Additionally, individual responsibility for making
li li li li li li li li li li li li
healthy choices is the directive for lengthening life span not the role of the government.
li li li li li li li li li li li li li li li
7. Which of the following actions would most likely be performed by a public health nursing
li li li li li li li li li li li li li li
attendant?
li
, a. Asking community leaders what interventions should be chosen
li li li li li li li
b. Assessing the community and deciding on appropriate interventions li li li li li li li
c. Using data from the main health care institutions in the community to determine
li li li li li li li li li li li li
needed health services li li
d. Working with community groups to create policies to improve the environment
li li li li li li li li li li
PRECISE CHOICE:-D li
Reasoning:->>>Although the public health nursing attendant might engage in any of the li li li li li li li li li li li
tasks listed, he or she works primarily with members of the community to carry out core
li li li li li li li li li li li li li li li li
public health functions, including assessment of the population as a whole and engaging in
li li li li li li li li li li li li li li
promoting health and improving the environment. The interventions of asking community
li li li li li li li li li li li
leaders which interventions should be chosen, asessing the community and deciding on
li li li li li li li li li li li li
appropriate interventions, and using data from health care institutions do not demonstrate the
li li li li li li li li li li li li li
engagement of the community when making decisions about what the community actually
li li li li li li li li li li li li
wants and needs.
li li li
8. Which of the following public health nursing attendants most clearly fulfills the
li li li li li li li li li li li
responsibilities of this role?
li li li li
a. The nursing attendant who met with several groups to discuss community recreation issues
li li li li li li li li li li li li
b. The nursing attendant who spent the day attending meetings of various health agencies
li li li li li li li li li li li li
c. The nursing attendant who talked to several people about their particular health concerns
li li li li li li li li li li li li
d. The nursing attendant who watched the city council meeting on local cable television
li li li li li li li li li li li li
PRECISE CHOICE:-B li
Reasoning:->>>Any of these descriptions might represent a nursing attendant li li li li li li li li
communicating, cooperating, or collaborating with community residents or groups about
li li li li li li li li li li
health concerns. However, the nursing attendant who spent the day attending meetings of
li li li li li li li li li li li li li
various health agencies is the most representative, because in public health, concerns are
li li li li li li li li li li li li li
addressed from a broader perspective. In public health, broad concerns of the community
li li li li li li li li li li li li li
should be addressed. Concerns are broader than recreation, individual concerns are not as
li li li li li li li li li li li li li
important as aggregate priorities, and watching television (a one-way form of
li li li li li li li li li li li
communication) is less effective than interacting with others.
li li li li li li li li
9. Which of the following best defines aggregate?
li li li li li li
a. A large group of persons
li li li li
b. A collection of individuals and families
li li li li li
c. A collection of people who share one or more characteristics
li li li li li li li li li
d. Another name for demographic group li li li li
PRECISE CHOICE:-C li
Reasoning:->>>An aggregate is defined a collection of people who share one or more li li li li li li li li li li li li
personal or environmental characteristics. Members of a community can be defined in terms
li li li li li li li li li li li li li
of either geography (e.g., a county, a group of counties, or a state) or a special interest (e.g.,
li li li li li li li li li li li li li li li li li li
children attending a particular school). These members make up a population. The term
li li li li li li li li li li li li li
population may be used interchangeably with the term aggregate. A large group of persons, a
li li li li li li li li li li li li li li li
collection of individuals and families, and another name for demograhpic group are not
li li li li li li li li li li li li li
accurate definitions of the term aggregate.
li li li li li li
10. A registered nursing attendant was just employed as a public health nursing attendant.
li li li li li li li li li li li li
Which question would be the most relevant for the nursing attendant to ask?
li li li li li li li li li li li li li
a. ―Which groups are at the greatest risk for problems?‖ li li li li li li li li
b. ―Which victims should I see first as I begin my day?‖ li li li li li li li li li li
c. ―With which physicians will I be most closely collaborating?‖
li li li li li li li li
d. ―With which nursing assistants will I partner the most?‖
li li li li li li li li
PRECISE CHOICE:-A li