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ChapterC 01:C PublicC HealthC NursingC andC PopulationC Health
Stanhope:CFoundationsCforCPopulationC HealthCinC Community/PublicCHealthC Nursing,C6thC Edition
MULTIPLEC CHOICE
1. WhichC statementC bestC describesC community-basedC nursing?
a. ACpractice CinCwhich CcareCisCprovidedCforCindividualsCandCfamilies.
b. ProvidingCcareCwith CaCfocusConCtheCgroup’sCneeds.
c. GivingCcareC with CaC focusConCtheCaggregate’sC needs.
d. ACvalueCsystemC inC whichCallCclientsC receiveC optimal Ccare.
ANS:C A
ByCdefinition, Ccommunity-basedCnursingCisCaCsetting-
specificCpracticeCinCwhich CcareCisCprovidedCforC“sick” CindividualsCandCfamilieCwhereCtheyClive,Cwork,CandCattendCschool.C
TheCemphasisCisConCacuteCandCchronicCcareCandCtheCprovisionCofCcomprehensive,Ccoordinated, C andC continuousC care.C Thes
eC nursesC mayC beC generalistsC orC specialistsC inC maternal–
infant,C pediatric,C adult,C orC psychiatriCmentalChealthCnursing.CCommunity-
basedCnursingCemphasizesCacuteCandCchronicCcareCtoCindividualsCandCfamilies,CratherCthanCfocusingConCgroups,Caggreg
ates,CorCsystems.
2. WhichC statementC best C describesC theC goalC ofC community-orientedC nursing?
a. ProvidingCcareCtoCindividualsCandCfamilies
b. ProvidingCcareCtoCmanageCacuteCorCchronicCconditions
c. GivingCdirectCcareCtoCillCindividualsCwithinCtheirCfamilyCsetting
d. ToC preserve,C protect, C promote,C orC maintainC healthC andC preventC disease
ANS:C D
ByCdefinition,Ccommunity-
orientedCnursingChasCtheCgoalCofCpreserving,Cprotecting,CorCmaintainingChealthCandCpreventingCdiseaseCtoCpromoteCtheCqu
alityCofClife.C AllCnursesCmayCfocusConCindividualsCandCfamilies,CgiveCdirectCcareCtoCillCpersonsCwithinCtheirCfamily Csetting
,CandChelpCmanageCacuteCorCchronicCconditions.CTheseCdefinitionsCareCnotCspecificCtoCcommunity-orientedCnursing.
3. WhichCofCtheCfollowingCisCtheC primary CfocusCofCpublicC health Cnursing?
a. FamiliesCandCgroups
b. Illness-orientedC care
c. IndividualsCwithinCtheCfamilyCunit
d. HealthCcareCofCcommunitiesCandCpopulations
ANS:C D
InCpublicChealthCnursing,CtheCprimary CfocusCisConCtheChealth CcareCofCcommunitiesCandCpopulationsCratherCthanConCindivid
uals,CgroupCandCfamilies.CTheCgoalCisCtoCpreventCdiseaseCandCpreserve,Cpromote,Crestore,CandCprotectChealthCforCtheCcomm
unity CandCtheCpopulatiCwithinCit.CCommunity-basedCnursesCdealCprimarilyCwithCillness-
orientedCcareCofCindividualsCandCfamiliesCacrossCtheClifeCspan.CTheCaimCisCtoCmanageCacuteCandCchronicChealthCconditi
onsCinCtheCcommunity,CandCtheCfocusCofCpracticeCisConCindividualCor
family-centeredCillnessCcare.
4. WhichCofCtheCfollowingCisCresponsible CforCtheCdramaticCincreaseCinClifeCexpectancyCduringCtheC20thCcentury?
a. TechnologyCincreasesCinCtheCfieldCofCmedicalClaboratoryCresearch
b. AdvancesCinCsurgicalCtechniquesCandCprocedures
c. SanitationC andC otherC population-basedC preventionC programs
d. UseCofCantibioticsCtoCfightCinfections
ANS:C C
ThereChasCtoCbeCindisputableCevidenceCcollectedCoverCtimeCthatCpublicChealthCpoliciesCandCprogramsCwereCprimarilyCrespo
nsibleCforCincreasingCtheCaverageClifeCspanCfromC47CinC1900CtoC78.6CyearsCinC2017,CanCincreaseCofCapproximatelyC60%Ci
nCjustCoverCaCcenturyCplCthroughCimprovementsCinC(1)Csanitation,C(2)CcleanCwaterCsupplies,C(3)CmakingCworkplacesCsafer,C
(4)CimprovingCfoodCandCdrugCsafet
(5)CimmunizingCchildren,CandC(6)CimprovingCnutrition,Chygiene,CandChousing.CAlthoughCpeopleCareCexcitedCwhenCaCnew
CdrugCisCdiscoveredCthatCcuresCaCdiseaseCorCwhenCaCnewCwayCtoCtransplant CorgansCisCperfected,CitCisCimportantCtoCknow
CaboutCtheCsignificantCgainsCinCtheChealthCofCpopulationsCthatChaveCcomeClargelyCfromCpublicChealthCaccomplishmen
ts.
5. ACnurseCisCdevelopingCaCplanCtoCdecreaseCtheCnumberCofCprematureCdeathsCinCtheCcommunity.CWhichCofCtheCfollowingCin
terventionsCwouldCmostClikelyCbeCimplementedCbyCtheCnurse?
a. ProvideCfreeChealth CcareCtoCallCcitizens
b. ToCincreaseCtheCnumberCofCindividualsCwithCaccessCtoCeffectiveChealthCcareCbenefits
c. LowerCtheCcostCofChealthCcareCtoCtheCAmericanCpopulation
d. ToClessenCtheCgovernmentalCburdenCofCprovidingChealthCcareCtoCAmericans
ANS:C B
TheCcentralCfeatureCinCtheCPatientCProtectionCandCAffordableCCareCActC(ACA)CofC2010CareCtheCmechanismsCtoCincreaseCt
heCnumberCpeopleCwithChealthCinsurance.CTheCcareCprovidedCisCnotCnecessarilyCfree.CWhileCtheCcostCofChealthCcareCandCt
heCburdenCitCplacesConCtCAmericanCgovernmentCareCseriousCconcerns,CtheyCareCnotCtheCprimaryCfocusCofCACA.
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CopyrightC ©C 2022,C ElsevierCInc.C AllC rightsC rese 1
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6. WhatCisCtheCbasicCassumptionCstatedCbyCHealthyCPeopleC2010CasCitCrelatesCtoCpublic Chealth Cefforts?
a. HealthCdisparitiesCamongCanyCgroupsCareCmorallyCandClegally Cwrong.
b. HealthCcareCisCtheCmostCimportant CpriorityCinCgovernmentCplanningCandCfunding.
c. TheChealthCofCindividualsCcannotCbeCseparatedCfromCtheChealthCofCtheCcommunity.
d. TheCgovernmentCisCresponsibleCforClengtheningCtheClifeCspanCofCAmericans.
ANS:C C
TheCmajorCpremiseCofCHealthyCPeopleC2010CwasCthatCtheChealthCofCtheCindividualCcannotCbeCentirelyCseparateCfromCtheC
healthCofCtheClargerCcommunity.CPublic ChealthCpracticeCfocusesConCtheCcommunity CasCaCwhole,CandCtheCeffectCofCtheCcom
munity’sChealthCstatusC(resources)ConCtheChealthCofCindividuals, Cfamilies,CandCgroups.CTheCgoalCisCtoCpreventCdiseaseCand
CdisabilityCandCpromoteCandCproteCtheChealthCofCtheCcommunityCasCaCwhole.CPublicChealthCcanCbeCdescribedCasCwhatCsoc
ietyCcollectivelyCdoesCtoCensureCthatCconditionsCexistCinCwhichCpeopleCcanCbeChealthy.CTheCbasicCassumptionsCofCpublicCh
ealthCdoCnotCjudgeCtheCmoralityCofChealthCdisparities.CTheCfocusCisConCpreventionCofCillnessCnotConCspendingCmoreConCil
lnessCcare.CAdditionally,CindividualCresponsibilityCforCmakingChealthyCchoicesCisCtheCdirectiveCforClengtheningClifeCspan
CnotCtheCroleCofCtheCgovernment.
7. WhichCofCtheCfollowingCactionsCwouldCmostClikelyCbeCperformed CbyCaCpublic ChealthCnurse?
a. AskingCcommunityCleadersCwhatCinterventionsCshouldCbeCchosen
b. AssessingC theC communityC andC decidingC onC appropriateC interventions
c. UsingC dataC fromC theC mainC healthC careC institutionsC inC theC communityC toC det
ermineCneededChealthCservices
d. WorkingCwithCcommunityCgroupsCtoCcreateCpoliciesCtoCimproveCtheCenvironment
ANS:C D
AlthoughCtheCpublicChealthCnurseCmightCengageCinCanyCofCtheCtasksClisted,CheCorCsheCworksCprimarilyCwithCmembersCofCt
heCcommunCtoCcarryCoutCcoreCpublicChealthCfunctions,CincludingCassessmentCofCtheCpopulationCasCaCwholeCandCengagingCi
nCpromotingChealthCandCimprovingCtheCenvironment.CTheCinterventionsCofCaskingCcommunityCleadersCwhichCinterventions
CshouldCbeCchosen,CassessingCtheCcommunityCandCdecidingConCappropriateCinterventions,CandCusingCdataCfromChealthCcare
CinstitutionsCdoCnotCdemonstrateCtheCengagementCofCtheCcommunityCwhenCmakingCdecisionsCaboutCwhatCtheCcommun
ityCactuallyCwantsCandCneeds.
8. WhichCpublicChealthC nurseCmostCclearlyCfulfillsCtheCresponsibilitiesCofCthisCrole?
a. TheC nurseC whoC metC withC severalC groupsC toC discussC communityC recreationC issues
b. TheCnurseCwhoCspentCtheCdayCattendingCmeetingsCofCvariousChealth Cagencies
c. TheC nurseC whoC talkedC toC severalC peopleC aboutC theirC particularC healthC concerns
d. TheCnurseCwhoC watchedCtheCcityCcouncilCmeetingConClocalCcableCtelevision
ANS:C B
AnyCofCtheseCdescriptionsCmightCrepresentCaCnurseCcommunicating,Ccooperating,CorCcollaboratingCwithCcommunityCreside
ntsCorCgroupsCaboutChealthCconcerns.CACmajorCchallenge CforCtheCfutureCisCtheCneedCforCpublic ChealthCnursingCspecialists
CtoCbeCmoreCaggressiveCinCworkingCcollaborativelyCwithCvariousCgroupsCinCtheCcommunity CasCwellCasCprofessionalCcollea
guesCinCinstitutional CsettingsCtoCdealCwithCbarriersCtoChealth.CHowever,CtheCnurseCwhoCspentCtheCdayCattendingCmeetingsC
ofCvariousChealthCagenciesCisCtheCmostC representative,C becauseC inC publicC health,C concernsC areC addressedC fromC aC broaderC p
erspective.C InC publicC health,C broadC concernCofC theC communityC shouldC beC addressed.C ConcernsC areC broaderC thanC recreation,
C individualC concernsC areC notC asC importantC asC aggregaCpriorities, CandCwatchingCtelevisionC(a Cone-
wayCformCofCcommunication)CisClessCeffectiveCthanCinteractingCwithCothers.
9. WhichC ofC theC followingC bestC definesC aggregate?
a. AClargeCgroupCofCpersons
b. AC collectionC ofC individualsC andC families
c. ACcollectionCofCpeopleCwhoCshareConeCorCmoreCcharacteristics
d. AnotherCnameCforCdemographic Cgroup
ANS:C C
AnCaggregateCisCdefinedCaCcollectionCofCpeopleCwhoCshareConeCorCmoreCpersonalCorCenvironmentalCcharacteristics.CMem
bersCofCaCcommunity CcanCbeCdefinedCinCtermsCofCeitherCgeography C(e.g.,CaCcounty,CaCgroupCofCcounties,CorCaCstate)CorC
aCspecialCinterestC(e.g.,CchildrenC attendingC aC particularC school).C TheseC membersC makeC upC aC population.C TheC term C populat
ionC mayC beC usedC interchangeablyCwithCtheCtermCaggregate.CAClargeCgroupCofCpersons, CaCcollectionCofCindividualsCandCfa
milies,CandCanotherCnameCforCdemographic CgroupCareCnotCaccurateCdefinitionsCofCtheCtermCaggregate.
10. WhichCquestionCaskedCby CaCnoviceCnurseCwouldCbeCtheCmostCreflective CofCanCunderstandingCofCtheCroleCofCaCpublicChealthC
nurse?
a. “WhichCgroupsCareCatCtheCgreatestCriskCforCproblems?”
b. “WhichC patientsC shouldC IC seeCfirstCasCICbeginC myCday?”
c. “WithC whichC physiciansC willC IC beC mostC closely C collaborating?”
d. “WithCwhichCnursingCassistantsCwillCICpartnerCtheCmost?”
ANS:C A
AskingCwhichCgroupsCareCatCgreatestCriskCreflectsCaCcommunity-
orientedCperspective.CTheCincorrectCresponsesCreflectCaCfocusConCindividualsCratherCthanCaCcommunity-
orientedCperspective.
11. MakingC sureC that C essential C community-
orientedC healthC servicesC areC availableC definesC whichC ofC theC coreC publicC healthC funcCtions?
a. PolicyCdevelopment
b. Assessment
c. Assurance
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ScientificCknowledge-based Ccare
ANS:C C
AssuranceCincludesCmakingCsureCthatCessentialCcommunity-
orientedChealthCservicesCareCavailableCinCtheCcommunity.CTheCdefinitionCdoesC notC fitC theC termsC assessment,CpolicyCdevelop
ment.C ScientificC knowledge-basedC careC isC notC aC coreC functionC ofC publicC health.
AssessmentCisCsystematicCdataCcollectionConCtheCpopulation,CmonitoringCtheCpopulation’sChealth Cstatus,CandCmakingCinformati
on
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