Exam (elaborations) FOUNDATIONS FOR POPULATION HEALTH IN COMMUNITY/PUB Foundations for Population Health in Community/Public Health Nursing - E-Book

TEST BANKr




FOUNDATIONSFORPOPULATIONHEALTHIN COMMU
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r HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6

, Table of Contents r r


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 Stanhope: Chapter 0
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r US and Global Health Care
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Chapter 04: Government, the Law, and Policy Activism Ch
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apter 05: Economics of US Health Care Delivery
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Chapter 06: Ethics in Public and Community Health Nursing Practice Ch
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apter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapter
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09: Evidence-
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Based Practice Chapter 10: Epidemiologica
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l Applications
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Chapter 11: Infectious Disease Prevention and Control Ch
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apter 12: Communicable and Infection Disease Risks Chap
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ter 13: Community Assessment and Evaluation Chapter 1
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4: Health Education in the Community Chapter 15: Case
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Management
Chapter 16: Disaster Management r r r



Chapter 17: Public Health Surveillance and Outbreak Investigation Chap
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ter 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 Cha
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pter 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 Chapter 2
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4: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapter 2
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6: Alcohol, Tobacco, and Other Drug Problems in the Community Chapter 27: Viole
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nce and Human Abuse
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Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health Chapter 2
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9: The Faith Community Nurse
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Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice Chapter 31
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: The Nurse in the Schools
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Chapter 32: The Nurse in Occupational Health
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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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MULTIPLErCHOICE

1. WHICHrstatementrbestrdescribesrcommunity-basedrnursing?
a. ArpracticerinrWHICHrcarerisrprovidedrforrindividualsrandrfamilies.
b. Providingrcarerwithrarfocusronrthergroup’srneeds.
c. Givingrcarerwithrarfocusronrtheraggregate’srneeds.
d. ArvaluersystemrinrWHICHrallrclientsrreceiveroptimalrcare.
ANSr A
Byrdefinition,rcommunity-basedrnursingrisrarsetting-
specificrpracticerinrWHICHrcarerisrprovidedrforr“sick”rindividualsrandrfamiliesrwherertheyrlive,rwork,randra
ronracuterandrchronicrcarerandrtherprovisionrofrcomprehensive,rcoordinated,randrcontinuousrcare.rTheserNu

ecialistsrinrmaternal–infant,rpediatric,radult,rorrpsychiatricrmentalrhealthrnursing.rCommunity-
basedrnursingremphasizesracuterandrchronicrcarertorindividualsrandrfamilies,rratherrthanrfocusingronrgroup

2. WHICHrstatementrbestrdescribesrthergoalrofrcommunity-orientedrnursing?
a. Providingrcarertorindividualsrandrfamilies
b. Providingrcarertormanageracuterorrchronicrconditions
c. Givingrdirectrcarertorillrindividualsrwithinrtheirrfamilyrsetting
d. Torpreserve,rprotect,rpromote,rorrmaintainrhealthrandrpreventrdisease
ANSr D
Byrdefinition,rcommunity-
orientedrnursingrhasrthergoalrofrpreserving,rprotecting,rorrmaintainingrhealthrandrpreventingrdiseasertorprom
rsesrmayrfocusronrindividualsrandrfamilies,rgiverdirectrcarertorillrpersonsrwithinrtheirrfamilyrsetting,randrhel
nditions.rTheserdefinitionsrarernotrspecificrtorcommunity-orientedrnursing.

3. WHICHrofrtherFollowingrisrtherprimaryrfocusrofrpublicrhealthrnursing?
a. Familiesrandrgroups
b. Illness-orientedrcare
c. Individualsrwithinrtherfamilyrunit
d. Healthrcarerofrcommunitiesrandrpopulations
ANSr D
Inrpublicrhealthrnursing,rtherprimaryrfocusrisronrtherhealthrcarerofrcommunitiesrandrpopulationsrratherrthanr
milies.rThergoalrisrtorpreventrdiseaserandrpreserve,rpromote,rrestore,randrprotectrhealthrforrthercommunityran
mmunity-basedrNursesrdealrprimarilyrwithrillness-
orientedrcarerofrindividualsrandrfamiliesracrossrtherlifer span.rTheraimrisrtormanageracuterandrchronicrhealth
,randrtherfocusrofrpracticerisronrindividualror
family-centeredrillnessrcare.

4. WHICHrofrtherFollowingrisrresponsiblerforrtherdramaticrincreaserinrliferexpectancyrduringrther20thrcentury
a. Technologyrincreasesrinrtherfieldrofrmedicalrlaboratoryrresearch
b. Advancesrinrsurgicalrtechniquesrandrprocedures
c. Sanitationrandrotherrpopulation-basedrpreventionrprograms
d. Userofrantibioticsrtorfightrinfections
ANSr C
Thererhasrtorberindisputablerevidencercollectedroverrtimerthatrpublicrhealthrpoliciesrandrprogramsrwererpri
heraveragerliferspanrfromr47rinr1900rtor78.6ryearsrinr2017,ranrincreaserofrapproximatelyr60%rinrjustroverrarce
inr(1)rsanitation,r(2)rcleanrwaterrsupplies,r(3)rmakingrworkplacesrsafer,r(4)rimprovingrfoodrandrdrugrsafety,
(5)rimmunizingrchildren,randr(6)rimprovingrnutrition,rhygiene,randrhousing.rAlthoughrpeoplerarerexcitedrw
rthatrcuresrardiseaserorrwhenrarnewrwayrtortransplantrorgansrisrperfected,ritrisrimportantrtorknowraboutrthersig

populationsrthatrhavercomerlargelyrfromrpublicrhealthraccomplishments.

5. ArNurserisrdevelopingrarplanrtordecreaserthernumberrofrprematurerdeathsrinrthercommunity.rWHICHrofrtherF

, 6. WhatrisrtherbasicrassumptionrstatedrbyrHealthyrPeopler2010rasritrrelatesrtorpublicrhealthrefforts?
a. Healthrdisparitiesramongranyrgroupsrarermorallyrandrlegallyrwrong.
b. Healthrcarerisrthermostrimportantrpriorityrinrgovernmentrplanningrandrfunding.
c. Therhealthrofrindividualsrcannotrberseparatedrfromrtherhealthrofrthercommunity.
d. ThergovernmentrisrresponsiblerforrlengtheningrtherliferspanrofrAmericans.
ANSr C
ThermajorrpremiserofrHealthyrPeopler2010rwasrthatrtherhealthrofrtherindividualrcannotrberentirelyrseparate
ommunity.rPublicrhealthrpracticerfocusesronrthercommunityrasrarwhole,randrthereffectrofrthercommunity’srh
erhealthrofrindividuals,rfamilies,randrgroups.rThergoalrisrtorpreventrdiseaserandrdisabilityrandrpromoterandrpr
nityrasrarwhole.rPublicrhealthrcanrberdescribedrasrwhatrsocietyrcollectivelyrdoesrtorensurerthatrconditionsrex
ealthy.rTherbasicrassumptionsrofrpublicrhealthrdornotrjudgerthermoralityrofrhealthrdisparities.rTherfocusrisro
spendingrmoreronrillnessrcare.rAdditionally,rindividualrresponsibilityrforrmakingrhealthyrchoicesrisrtherdir
nrnotrtherrolerofrthergovernment.

7. WHICHrofrtherFollowingractionsrwouldrmostrlikelyrberperformedrbyrarpublicrhealthrNurse?
a. Askingrcommunityrleadersrwhatrinterventionsrshouldrberchosen
b. Assessingrthercommunityrandrdecidingronrappropriaterinterventions
c. Usingrdatarfromrthermainrhealthrcarerinstitutionsrinrthercommunityrtordeterminerne
ededrhealthrservices
d. Workingrwithrcommunityrgroupsrtorcreaterpoliciesrtorimprovertherenvironment
ANSr D
AlthoughrtherpublicrhealthrNursermightrengagerinranyrofrthertasksrlisted,rherorrsherworksrprimarilyrwithrme
rryroutrcorerpublicrhealthrfunctions,rincludingrassessmentrofrtherpopulationrasrarwholerandrengagingrinrprom
therenvironment.rTherinterventionsrofraskingrcommunityrleadersrWHICHrinterventionsrshouldrberchosen,r
decidingronrappropriaterinterventions,randrusingrdatarfromrhealthrcarerinstitutionsrdornotrdemonstraterthere
whenrmakingrdecisionsraboutrwhatrthercommunityractuallyrwantsrandrneeds.

8. WHICHrpublicrhealthrNursermostrclearlyrfulfillsrtherresponsibilitiesrofrthisrrole?
a. TherNurserwhormetrwithrseveralrgroupsrtordiscussrcommunityrrecreationrissues
b. TherNurserwhorspentrtherdayrattendingrmeetingsrofrvariousrhealthragencies
c. TherNurserwhortalkedrtorseveralrpeopleraboutrtheirrparticularrhealthrconcerns
d. TherNurserwhorwatchedrthercityrcouncilrmeetingronrlocalrcablertelevision
ANSr B
AnyrofrtheserdescriptionsrmightrrepresentrarNursercommunicating,rcooperating,rorrcollaboratingrwithrcom
outrhealthrconcerns.rArmajorrchallengerforrtherfuturerisrtherneedrforrpublicrhealthrnursingrspecialistsrtorberm
llaborativelyrwithrvariousrgroupsrinrthercommunityrasrwellrasrprofessionalrcolleaguesrinrinstitutionalrsettin
lth.rHowever,rtherNurserwhorspentrtherdayrattendingrmeetingsrofrvariousrhealthragenciesrisrthermostrreprese
alth,rconcernsrareraddressedrfromrarbroaderrperspective.rInrpublicrhealth,rbroadrconcernsrofrthercommunity
nsrarerbroaderrthanrrecreation,rindividualrconcernsrarernotrasrimportantrasraggregaterpriorities,randrwatching
wayrformrofrcommunication)risrlessreffectiverthanrinteractingrwithrothers.

9. WHICHrofrtherFollowingrbestrdefinesraggregate?
a. Arlargergrouprofrpersons
b. Arcollectionrofrindividualsrandrfamilies
c. Arcollectionrofrpeoplerwhorshareronerorrmorercharacteristics
d. Anotherrnamerforrdemographicrgroup
ANSr C
Anraggregaterisrdefinedrarcollectionrofrpeoplerwhorshareronerorrmorerpersonalrorrenvironmentalrcharacteris
tyrcanrberdefinedrinrtermsrofreitherrgeographyr(e.g.,rarcounty,rargrouprofrcounties,rorrarstate)rorrarspecialrinte
rparticularrschool).rThesermembersrmakeruprarpopulation.rThertermrpopulationrmayrberusedrinterchangeably

argergrouprofrpersons,rarcollectionrofrindividualsrandrfamilies,randranotherrnamerforrdemographicrgrouprar
hertermraggregate.

10. WHICHrquestionraskedrbyrarnovicerNurserwouldrberthermostrreflectiverofranrunderstandingrofrtherrolerofrarp
a. “WHICHrgroupsrareratrthergreatestrriskrforrproblems?”

b. “WHICHrpatientsrshouldrIrseerfirstrasrIrbeginrmyrday?”