h h h h h h
1.hInhthehpast,hwhathtermhwashusedhtohiden fyhpopula on-centeredhnurses?
a.hDistricthnurses
b.hAlmshousehnurses
c.hSoldierhnurses
d.hSisters
ANS:hA
Inhthehpast,hpopula on-
centeredhnurseshhavehbeenhcalledhpublichhealthhnursesh(PHNs),hdistricthnurses,hvisi nghnurses,hschoolhnur
ses,hoccupa onalhhealthhnurses,handhhomehhealthhnurses.hManyhwomenhwhohperformedhnursinghfunc o
nshinhalmshouseshandhearlyhhospitalshinhGreathBritainhwerehpoorlyheducated,huntrained,handho enhundepe
ndable.hThehoriginalhsoldierhnurseshworkedhwithhFlorencehNigh ngalehathScutari.hVarioushgroupshofh"sister
s"hhavehbeenhusedhthroughouthhistoryhtohcarehforhthehpoor.
2.hAhnursehishworkinghinhahpublichhealthhnursinghse ng.hWhichhstatementhbesthdescribeshwhyhthishspecialt
yhishappealinghtohnurses?
a.hInterac onshwithhwealthyhcontributorshtohsecurehfunding
b.hAutonomyhandhindependencehofhprac ce
c.hAbilityhtohlocatehthehsourcehofhdiseaseshandhcurehpa ents
d.hOpportuni eshtohmeethahvarietyhofhpeople
ANS:hB
Communityhhealthhnurseshhavehahlonghhistoryhofhautonomoushprac ce,hproblemhsolving,handhdecisionhma
king.hCommunityhhealthhcarehnurseshengagehinhthehotherhac vi eshashwell,hbuthoverall,htheyhhavehbeenhbe
sthknownhforhautonomyhofhprac ce.
3.hWhatharehthehnewesththreatshtohhealthhinhthehUnitedhStateshthathcommunityhhealthhnurseshdealhwith?
a.hDiphtheria,hcholera,handhhepa s
b.hHIV,hinfluenza,handhbioterrorism
c.hAvianhflu,htuberculosish(TB),handhradia on
d.hPollutedhwaterhandhair
ANS:hB
ThehnewesththreatshtohhealthhthathPHNsharehinvolvedhinharehHIV,hH1N1hinfluenza,handhbioterrorism.hHepat
i shishalsohahcurrenththreat,hbuthdiphtheriahandhcholeraharehnothconcernshinhthehUnitedhStates.hAvianhfluhm
ayhbehahthreat,hbuthradia onhandhTBharehongoing.hEnvironmentalhpollu onhhashbeenhreduced;hhowever,ht
hereharehpollu onhissueshthathdohraisehconcerns.
4.hAhnursehishworkinghtohreformhahprogramhthathwashbasedhonhthehElizabethanhPoorhLawhofh1601.hWhichho
fhthehfollowinghprogramshishthehnursehmosthlikelyhworkinghon?
a.hWelfare
b.hFoodhStamps
, c.hMedicaid
d.hMedicare
ANS:hC
ThehPoorhLawhguaranteedhmedicalhcarehforhpoor,hblind,handh"lame"hindividuals,hmakinghithmosthsimilarhtoh
Medicaidhsincehthishprogramhprovideshmedicalhinsurancehtohthesehtypeshofhindividuals.hWelfarehprovidesh
morehthanhhealthhcare.hFoodhstampshdohnothprovidehmedicalhcare.hThehMedicarehprogramhprovideshmedic
alhcarehtohthehelderlyhpopula on.
5.hInhearlyhcolonialhNorthhAmerica,hahcolonisthworkedhinhthehpublichhealthhsector.hWhich
ac vityhwouldhhavehmosthlikelyhbeenhthehfocus?
a.hEstablishinghschoolshofhnursing
b.hDevelopinghvaccineshtohadministerhtohlargehnumbershofhpeople
c.hCollec nghvitalhsta s cshandhimprovinghsanita on
d.hDevelopinghpublichhousinghandhalmshouses
ANS:hC
Thehearlyhcolonialhpublichhealthheffortshincludedhthehcollec onhofhvitalhsta s cs,himprovementshtohsanita
onhsystems,handhcontrolhofhcommunicablehdiseasehintroducedhthroughhseaports.hEstablishinghschoolshofhn
ursing,hdevelopinghvaccines,handhdevelopinghpublichhousingharehallheventshthathhappenedha erhthehcoloni
alhperiod.
6.hAhnursehwashemployedhbyhthehMarinehHospitalhService.hWhichhofhthehfollowinghtaskshwouldhhavehmosthl
ikelyhbeenhthehresponsibilityhofhthehnurse?
a.hSe nghpolicyhonhquaran nehlegisla onhforhimmigrants
b.hEstablishinghhospital-basedhprogramshtohcarehforhthehsickhathhome
c.hIden fyinghandhimprovinghenvironmentalhcondi ons
d.hProvidinghhealthhcarehforhmerchanthseamen
ANS:hD
Providinghhealthhcarehtohseamenhwashanhearlyhefforthbyhthehfederalhgovernmenthtohimprovehpublichhealth.
hThehpurposehofhthehMarinehHospitalhServicehwashtohsecurehitshmari mehtradehandhseacoasthci es.hMarine
hHospitalhServicehnurseshdidhnothestablishhpolicieshorhhospitalhprograms.hTheyhalsohdidhnothiden fyhandhim
provehenvironmentalhcondi onshashFlorencehNigh ngalehdid.hTheirhsolehpurposehwashtohprovidehcarehforht
hishpopula on.
7.hWhathwashFlorencehNigh ngale'shcontribu onshtohpublichhealth?
a.hCaringhforhthehsick,hpoor,handhneglectedhinhins tu onshandhathhome
b.hUsinghahpopula on-basedhapproachhthathledhtohimprovedhenvironmentalhcondi ons
c.hWri nghthehElizabethanhPoorhLawhtohguaranteehmedicalhcarehforhall
d.hFoundinghofhthehdistricthnursinghassocia onhtohprovidehhealthhcarehtohneedyhpeople
ANS:hB
DuringhthehCrimeanhWar,hNigh ngalehprogressivelyhimprovedhthehsoldiers'hhealthhbyhadop nghahpopula o
n-
basedhapproachhthathusedhsimplehepidemiologicalhmeasureshandhgreatlyhdecreasedhmortality.hThehfocusho
fhherhcarehwashonhwoundedhsoldiers,hnoththosehwhohwerehsick,hpoor,handhneglectedhathhomeshandhins tut