FOUNDATIONSFORPOPULATIONHEALTHIN
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,p COMMUNITY/PUBLIC HEALTH NURSING,p ,p
byMarcia Stanhope, Jeanette Lancaster
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6
, TableofContentsp
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Chapter01:PublicHealthNursingandPopulationHealth ij ij
Chapter02:TheHistoryofPublicHealthandPublicandCommunityHealth Nursing Stanhope: Chapter ij , p ,p
03: US and Global Health Care
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Chapter04:Government,theLaw,andPolicyActivism ij ,p
Chapter05:EconomicsofUSHealthCareDelivery
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Chapter06:EthicsinPublicandCommunityHealthNursingPractice ij
Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapter,p ,p ,p ,p
09: Evidence-Based Practice
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,p Chapter10:EpidemiologicalApplications
Chapter 11: Infectious Disease Prevention and Control
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Chapter12:CommunicableandInfectionDiseaseRisks
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Chapter 13: Community Assessment and Evaluation
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,p Chapter14:HealthEducationintheCommunityChapter 15:
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,p Case Management
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Chapter16:DisasterManagement
Chapter17:PublicHealthSurveillanceandOutbreakInvestigation
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Chapter 18: Program Management
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Chapter19:HealthcareImprovement intheCommunity ij
Chapter20:FamilyDevelopment,FamilyNursingAssessment,andGenomics
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Chapter 21: Family Health Risks
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Chapter22:HealthRisksAcrosstheLifeSpan
Chapter23:HealthEquityandCareofVulnerablePopulationsChapter 24:
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Rural Health and Migrant Health
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Chapter25:Poverty,Homelessness,TeenPregnancy,andMentalIllnessChapter
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,p 26:Alcohol,Tobacco,andOtherDrug ProblemsintheCommunity Chapter 27: ij ij ,p ,p
,p Violence and Human Abuse ,p ,p ,p
Chapter28:NursingPracticeattheLocal,State,andNationalLevelsinPublicHealth Chapter 29: ,p ,p ij ,p ,p ,p
The Faith Community Nurse
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Chapter30:TheNurseinPublicHealth,HomeHealth,PalliativeCare,andHospiceChapter 31: ,p ,p
,p The Nurse in the Schools
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Chapter32:TheNurseinOccupationalHealth ,p ,p
, Chapter01:PublicHealthNursingandPopulationHealth p
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Stanhope:FoundationsforPopulationHealthinCommunity/PublicHealthNursing,6thE ,p ,p ,p ,p ,p ,p ,p ,p ,p
MULTIPLECHOICE
1. WHICHstatementbestdescribes community-based nursing? ,p ,p ,p
a. ApracticeinWHICHcareisprovidedforindividualsandfamilies. ,p ,p ,p ,p ,p ,p ,p ,p ,p
b. Providingcarewithafocusonthegroup‘sneeds. ,p ,p ,p ,p ,p ,p ,p
c. Givingcarewithafocus ontheaggregate‘s needs. ,p ,p ,p ,p ,p
d. AvaluesysteminWHICHallclientsreceiveoptimalcare. ,p ,p ,p ,p ,p ,p ,p ,p
ANS A
Bydefinition,community-basednursingisasetting-specificpracticeinWHICHcareis providedfor―sick‖ind ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
wheretheylive, work, and attend school.The emphasisison acute and chroniccareand theprovision of compre
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coordinated,andcontinuouscare.TheseNursesmaybegeneralistsorspecialistsinmaternal–infant,pediatric,
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health nursing. Community-based nursing emphasizes acute and chroniccare to individuals andfamilies, rath
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aggregates, or systems.
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2. WHICHstatement bestdescribesthegoal ofcommunity-oriented nursing?
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a. Providingcaretoindividualsand families ,p ,p ,p
b. Providingcaretomanageacuteorchronicconditions ,p ,p ,p ,p ,p ,p ,p
c. Givingdirectcaretoillindividualswithintheirfamilysetting ,p ,p ,p ,p ,p ,p ,p ,p
d. Topreserve,protect,promote,ormaintainhealthandprevent disease ,p ,p ,p ,p ,p ,p ,p ,p
ANS D
Bydefinition, community-orientednursinghasthegoalofpreserving, protecting, ormaintaininghealthan ,p ,p ,p
promote the quality of life. All Nurses may focus on individuals and families, give direct care to ill persons with
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and help manage acute or chronic conditions.These definitionsare notspecific to community-oriented nursin
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3. WHICHoftheFollowingistheprimaryfocusofpublichealthnursing? ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
a. Familiesandgroups ,p
b. Illness-orientedcare
c. Individuals withinthefamily unit ,p ,p
d. Healthcareofcommunities andpopulations ,p ,p ,p
ANS D
Inpublichealthnursing,theprimaryfocusisonthehealthcareofcommunitiesandpopulationsratherthanonind
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families.Thegoalistopreventdiseaseand preserve, promote,restore, andprotecthealthforthe communityand
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Community-basedNursesdeal primarilywithillness-orientedcareofindividualsandfamiliesacross thelife
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manageacuteand chronichealth conditions in the community, and the focusof practiceis on individualor
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family-centeredillnesscare.
4. WHICHoftheFollowingisresponsibleforthedramaticincreaseinlifeexpectancyduringthe20th century?
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a. Technologyincreasesinthefieldofmedicallaboratoryresearch ,p ,p ,p ,p ,p ,p ,p
b. Advancesinsurgicaltechniquesandprocedures ,p ,p ,p
c. Sanitationandotherpopulation-basedprevention programs ,p ,p ,p ,p
d. Useofantibioticstofightinfections ,p ,p ,p ,p
ANS C
Therehas to beindisputableevidence collectedovertimethat publichealth policies and programs wereprimari
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increasingtheaveragelifespanfrom47in1900to78.6yearsin2017,anincreaseofapproximately60% injustov
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improvementsin(1)sanitation,(2)clean watersupplies,(3)makingworkplacessafer,(4)improvingfoodandd
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(5)immunizingchildren, and (6)improvingnutrition, hygiene, and housing. Although people areexcited when
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discoveredthatcuresadiseaseorwhenanewwaytotransplantorgansisperfected,itisimportanttoknowaboutth
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health of populations that have come largely from public health accomplishments.
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5. ANurseisdevelopingaplantodecrease thenumberofprematuredeaths inthecommunity.WHICHoftheFollow ,p ,p ,p ,p ,p ,p
interventions would most likely be implemented by the Nurse?
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a. Providefreehealthcaretoallcitizens ,p ,p ,p ,p ,p ,p
, 6. WhatisthebasicassumptionstatedbyHealthyPeople2010asitrelatestopublichealthefforts?
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a. Health disparitiesamong anygroupsaremorallyandlegallywrong. ij ,p ,p ,p ,p ,p ,p ,p
b. Health careisthemost important priorityin government planningandfunding. ij ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
c. Thehealthofindividualscannotbeseparatedfromthehealthofthecommunity. ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
d. Thegovernmentisresponsibleforlengtheningthelifespanof Americans. ,p ,p ,p ,p ,p ,p ,p ,p ,p
ANS C
Themajorpremise ofHealthy People 2010wasthatthe healthoftheindividualcannotbeentirelyseparate from
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community.Publichealth practice focusesonthe communityasawhole,andthe effectofthecommunity‘s hea
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(resources)onthehealth ofindividuals,families, and groups.Thegoal istoprevent diseaseanddisability andpr
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healthofthecommunityasawhole.Publichealthcanbedescribedaswhatsocietycollectivelydoestoensuretha
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WHICHpeoplecanbehealthy.Thebasicassumptionsofpublichealthdonotjudgethemoralityofhealthdispari
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prevention ofillness not onspendingmoreon illness care. Additionally, individualresponsibilityformaking h
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for lengthening life span not the role of the government.
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7. WHICHoftheFollowingactionswouldmostlikelybeperformedbyapublichealthNurse? ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
a. Askingcommunityleaderswhatinterventionsshouldbechosen ,p ,p ,p ,p ,p
b. Assessingthecommunityanddecidingonappropriateinterventions ,p ,p ,p ,p ,p ,p
c. Usingdatafromthemainhealthcareinstitutionsinthecommunitytodetermine ,p
needed health services
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d. Workingwithcommunitygroupstocreatepoliciestoimprovetheenvironment ,p ,p ,p ,p ,p ,p ,p ,p ,p
ANS D
AlthoughthepublichealthNursemightengageinanyofthetaskslisted,heorsheworksprimarilywithmembers ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
corepublichealth functions, includingassessment ofthepopulationas awhole and engagingin promotingheal
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environment. The interventions of asking communityleaders WHICH interventionsshould be chosen, assess
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communityanddecidingonappropriateinterventions,andusingdatafromhealthcareinstitutionsdonotdemon
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community when making decisions about what the community actuallywants and needs.
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8. WHICHpublichealthNursemostclearlyfulfillstheresponsibilitiesofthisrole? ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
a. TheNursewhometwithseveralgroupstodiscusscommunityrecreationissues ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
b. TheNursewhospentthedayattendingmeetingsofvarioushealthagencies ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
c. TheNursewhotalkedtoseveralpeopleabouttheirparticularhealth concerns ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
d. TheNursewhowatchedthecitycouncilmeetingonlocalcabletelevision ,p ,p ,p ,p ,p ,p ,p ,p ,p ,p
ANS B
AnyofthesedescriptionsmightrepresentaNursecommunicating,cooperating,orcollaboratingwithcommun
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abouthealthconcerns.A majorchallengeforthefutureistheneedforpublichealth nursingspecialists tobemor
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workingcollaborativelywithvariousgroupsinthecommunityaswellasprofessionalcolleaguesininstitutiona
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tohealth. However,theNursewhospent thedayattendingmeetingsof various healthagencies isthe mostrepres
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health, concerns areaddressed from abroader perspective. In publichealth, broad concerns ofthecommunity s
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Concerns arebroaderthanrecreation,individualconcernsare notasimportant as aggregate priorities, and wat
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form of communication)is less effective thaninteracting with others.
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9. WHICHoftheFollowingbestdefines aggregate? ,p ,p ,p ,p ,p ,p
a. Alargegroupofpersons ,p ,p ,p ,p
b. Acollection ofindividuals and families ,p ,p ,p
c. Acollectionofpeoplewhoshareoneormore characteristics ,p ,p ,p ,p ,p ,p ,p ,p
d. Anothernamefordemographicgroup ,p ,p ,p ,p
ANS C
Anaggregateisdefineda collectionofpeople whoshareoneormorepersonalorenvironmentalcharacteristics.
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communitycan bedefinedintermsofeither geography(e.g., acounty, agroupofcounties,orastate)oraspeciali
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childrenattending aparticularschool). Thesemembersmakeup apopulation. Theterm population maybeuse
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thetermaggregate.Alargegroupofpersons,acollectionofindividualsandfamilies,andanothernamefordemo
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accurate definitions of the term aggregate.
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10. WHICHquestionaskedbyanoviceNursewouldbethemostreflectiveofanunderstandingoftheroleofapublich
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a. ―WHICHgroupsareatthe greatest riskforproblems?‖ ,p ,p ,p ,p ,p ,p ,p ,p
b. ―WHICHpatientsshouldIseefirstas Ibeginmyday?‖ ,p ,p ,p ,p ,p ,p ,p ,p