FOUNDATIONSFOR POPULATIONHEALTH INCOMMU
s s s s s
HEALTH NURSING
s s
by Marcia Stanhope, Jeanette Lancaster
s s s s s
6T
, Table of Contents s s
Chapter 01: Public Health Nursing and Population Health
s s s s s s s
Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope:Chapter 0
s s s s s s s s s s s s s s s
: US and Global Health Care
s s s s s
Chapter 04: Government, the Law, and Policy ActivismCh
s s s s s s s s
apter 05: Economics of US Health Care Delivery
s s s s s s s
Chapter 06: Ethics in Public and Community Health Nursing PracticeCh
s s s s s s s s s s
apter 07: Culture of Populations in Communities
s s s s s s
Chapter 08: Environmental Health Chapter
s s s s
09: Evidence-
s s
Based Practice Chapter 10: Epidemiologica
s s s s
l Applications
s
Chapter 11: Infectious Disease Prevention and Control Ch
s s s s s s s
apter 12: Communicable and Infection Disease RisksChap
s s s s s s s
ter 13: Community Assessment and Evaluation Chapter 1
s s s s s s s
4: Health Education in the Community Chapter 15: Case
s s s s s s s s s
Management
Chapter 16: Disaster Management s s s
Chapter 17: Public Health Surveillance and Outbreak InvestigationChap
s s s s s s s s
ter 18: Program Management
s s s
Chapter 19: Healthcare Improvement in the Community
s s s s s s
Chapter 20: Family Development, Family Nursing Assessment, and GenomicsCha
s s s s s s s s s
pter 21: Family Health Risks
s s s s
Chapter 22: Health Risks Across the Life Span
s s s s s s s
Chapter 23: Health Equity and Care of Vulnerable PopulationsChapter 2
s s s s s s s s s s
4: Rural Health and Migrant Health
s s s s s
Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapter 2
s s s s s s s s s s
6: Alcohol, Tobacco, and Other Drug Problems in the CommunityChapter 27: Viole
s s s s s s s s s s s s
nce and Human Abuse
s s s
Chapter 28: Nursing Practice at the Local, State, and National Levels in Public HealthChapter 2
s s s s s s s s s s s s s s s
9: The Faith Community Nurse
s s s s
Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and HospiceChapter 31
s s s s s s s s s s s s s s
: The Nurse in the Schools
s s s s s
Chapter 32: The Nurse in Occupational Health
s s s s s s
, Chapter 01: Public Health Nursing and Population Health
s s s s s s s
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
s s s s s s s s s
MULTIPLEsCHOICE
1. WHICHsstatementsbestsdescribesscommunity-basedsnursing?
a. AspracticesinsWHICHscaresissprovidedsforsindividualssandsfamilies.
b. Providingscareswithsasfocussonsthesgroup’ssneeds.
c. Givingscareswithsasfocussonsthesaggregate’ssneeds.
d. AsvaluessystemsinsWHICHsallsclientssreceivesoptimalscare.
ANSs A
Bysdefinition,scommunity-basedsnursingsissassetting-
specificspracticesinsWHICHscaresissprovidedsfors“sick”sindividualssandsfamiliesswherestheyslive,swork,sands
ssonsacutesandschronicscaresandsthesprovisionsofscomprehensive,scoordinated,sandscontinuousscare.sThesesN
specialistssinsmaternal–infant,spediatric,sadult,sorspsychiatricsmentalshealthsnursing.sCommunity-
basedsnursingsemphasizessacutesandschronicscarestosindividualssandsfamilies,srathersthansfocusingsonsgrou
2. WHICHsstatementsbestsdescribessthesgoalsofscommunity-orientedsnursing?
a. Providingscarestosindividualssandsfamilies
b. Providingscarestosmanagesacutesorschronicsconditions
c. Givingsdirectscarestosillsindividualsswithinstheirsfamilyssetting
d. Tospreserve,sprotect,spromote,sorsmaintainshealthsandspreventsdisease
ANSs D
Bysdefinition,scommunity-
orientedsnursingshassthesgoalsofspreserving,sprotecting,sorsmaintainingshealthsandspreventingsdiseasestosprom
ursessmaysfocussonsindividualssandsfamilies,sgivesdirectscarestosillspersonsswithinstheirsfamilyssetting,sandsh
conditions.sThesesdefinitionssaresnotsspecificstoscommunity-orientedsnursing.
3. WHICHsofsthesFollowingsissthesprimarysfocussofspublicshealthsnursing?
a. Familiessandsgroups
b. Illness-orientedscare
c. Individualsswithinsthesfamilysunit
d. Healthscaresofscommunitiessandspopulations
ANSs D
Inspublicshealthsnursing,sthesprimarysfocussissonstheshealthscaresofscommunitiessandspopulationssrathersthan
amilies.sThesgoalsisstospreventsdiseasesandspreserve,spromote,srestore,sandsprotectshealthsforsthescommunity
Community-basedsNursessdealsprimarilyswithsillness-
orientedscaresofsindividualssandsfamiliessacrossstheslifesspan.sThesaimsisstosmanagesacutesandschronicshealt
y,sandsthesfocussofspracticesissonsindividualsor
family-centeredsillnessscare.
4. WHICHsofsthesFollowingsissresponsiblesforsthesdramaticsincreasesinslifesexpectancysduringsthes20thscentury
a. Technologysincreasessinsthesfieldsofsmedicalslaboratorysresearch
b. Advancessinssurgicalstechniquessandsprocedures
c. Sanitationsandsotherspopulation-basedspreventionsprograms
d. Usesofsantibioticsstosfightsinfections
ANSs C
Thereshasstosbesindisputablesevidencescollectedsoverstimesthatspublicshealthspoliciessandsprogramsswerespr
sthesaverageslifesspansfroms47sins1900stos78.6syearssins2017,sansincreasesofsapproximatelys60%sinsjustsoversa
tssins(1)ssanitation,s(2)scleanswaterssupplies,s(3)smakingsworkplacesssafer,s(4)simprovingsfoodsandsdrugssafe
(5)simmunizingschildren,sands(6)simprovingsnutrition,shygiene,sandshousing.sAlthoughspeoplesaresexciteds
dsthatscuressasdiseasesorswhensasnewswaystostransplantsorganssissperfected,sitsissimportantstosknowsaboutsthes
ofspopulationssthatshavescomeslargelysfromspublicshealthsaccomplishments.
5. AsNursesissdevelopingsasplanstosdecreasesthesnumbersofsprematuresdeathssinsthescommunity.sWHICHsofsthes
, 6. WhatsissthesbasicsassumptionsstatedsbysHealthysPeoples2010sassitsrelatesstospublicshealthsefforts?
a. Healthsdisparitiessamongsanysgroupssaresmorallysandslegallyswrong.
b. Healthscaresissthesmostsimportantsprioritysinsgovernmentsplanningsandsfunding.
c. Theshealthsofsindividualsscannotsbesseparatedsfromstheshealthsofsthescommunity.
d. ThesgovernmentsissresponsiblesforslengtheningstheslifesspansofsAmericans.
ANSs C
ThesmajorspremisesofsHealthysPeoples2010swassthatstheshealthsofsthesindividualscannotsbesentirelysseparate
rscommunity.sPublicshealthspracticesfocusessonsthescommunitysassaswhole,sandstheseffectsofsthescommunity
onstheshealthsofsindividuals,sfamilies,sandsgroups.sThesgoalsisstospreventsdiseasesandsdisabilitysandspromote
communitysassaswhole.sPublicshealthscansbesdescribedsasswhatssocietyscollectivelysdoesstosensuresthatscond
lescansbeshealthy.sThesbasicsassumptionssofspublicshealthsdosnotsjudgesthesmoralitysofshealthsdisparities.sTh
llnesssnotsonsspendingsmoresonsillnessscare.sAdditionally,sindividualsresponsibilitysforsmakingshealthyscho
theningslifesspansnotsthesrolesofsthesgovernment.
7. WHICHsofsthesFollowingsactionsswouldsmostslikelysbesperformedsbysaspublicshealthsNurse?
a. Askingscommunitysleadersswhatsinterventionssshouldsbeschosen
b. Assessingsthescommunitysandsdecidingsonsappropriatesinterventions
c. Usingsdatasfromsthesmainshealthscaresinstitutionssinsthescommunitystosdeterminesne
ededshealthsservices
d. Workingswithscommunitysgroupsstoscreatespoliciesstosimprovesthesenvironment
ANSs D
AlthoughsthespublicshealthsNursesmightsengagesinsanysofsthestasksslisted,shesorsshesworkssprimarilyswithsm
carrysoutscorespublicshealthsfunctions,sincludingsassessmentsofsthespopulationsassaswholesandsengagingsinsp
ngsthesenvironment.sThesinterventionssofsaskingscommunitysleaderssWHICHsinterventionssshouldsbeschos
andsdecidingsonsappropriatesinterventions,sandsusingsdatasfromshealthscaresinstitutionssdosnotsdemonstrate
unityswhensmakingsdecisionssaboutswhatsthescommunitysactuallyswantssandsneeds.
8. WHICHspublicshealthsNursesmostsclearlysfulfillssthesresponsibilitiessofsthissrole?
a. ThesNurseswhosmetswithsseveralsgroupsstosdiscussscommunitysrecreationsissues
b. ThesNurseswhosspentsthesdaysattendingsmeetingssofsvariousshealthsagencies
c. ThesNurseswhostalkedstosseveralspeoplesaboutstheirsparticularshealthsconcerns
d. ThesNurseswhoswatchedsthescityscouncilsmeetingsonslocalscablestelevision
ANSs B
AnysofsthesesdescriptionssmightsrepresentsasNursescommunicating,scooperating,sorscollaboratingswithscom
boutshealthsconcerns.sAsmajorschallengesforsthesfuturesissthesneedsforspublicshealthsnursingsspecialistsstosbe
collaborativelyswithsvarioussgroupssinsthescommunitysasswellsassprofessionalscolleaguessinsinstitutionalsse
health.sHowever,sthesNurseswhosspentsthesdaysattendingsmeetingssofsvariousshealthsagenciessissthesmostsrep
cshealth,sconcernssaresaddressedsfromsasbroadersperspective.sInspublicshealth,sbroadsconcernssofsthescommu
ncernssaresbroadersthansrecreation,sindividualsconcernssaresnotsassimportantsassaggregatespriorities,sandswat
waysformsofscommunication)sisslessseffectivesthansinteractingswithsothers.
9. WHICHsofsthesFollowingsbestsdefinessaggregate?
a. Aslargesgroupsofspersons
b. Ascollectionsofsindividualssandsfamilies
c. Ascollectionsofspeopleswhossharesonesorsmorescharacteristics
d. Anothersnamesforsdemographicsgroup
ANSs C
Ansaggregatesissdefinedsascollectionsofspeopleswhossharesonesorsmorespersonalsorsenvironmentalscharacter
ityscansbesdefinedsinstermssofseithersgeographys(e.g.,sascounty,sasgroupsofscounties,sorsasstate)sorsasspecialsin
gsasparticularsschool).sThesesmemberssmakesupsaspopulation.sThestermspopulationsmaysbesusedsinterchange
.sAslargesgroupsofspersons,sascollectionsofsindividualssandsfamilies,sandsanothersnamesforsdemographicsgro
ssofsthestermsaggregate.
10. WHICHsquestionsaskedsbysasnovicesNurseswouldsbesthesmostsreflectivesofsansunderstandingsofsthesrolesofsa
a. “WHICHsgroupssaresatsthesgreatestsrisksforsproblems?”
b. “WHICHspatientssshouldsIsseesfirstsassIsbeginsmysday?”