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FOUNDATIONSFORPOPULATIONHEALTHIN
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COMMUNITY/PUBLIC HEALTH NURSING
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byMarcia Stanhope, Jeanette Lancaster
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6
, TableofContentso
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Chapter01:PublicHealthNursingandPopulationHealth ij ij
Chapter02:TheHistoryofPublicHealthandPublicandCommunityHealthNursing Stanhope: Chapter ij u o uo
03: US and Global Health Care
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Chapter04:Government,theLaw,andPolicyActivism ij uo
Chapter05: Economics ofUSHealth CareDelivery
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Chapter06:EthicsinPublicandCommunityHealthNursingPractice ij
Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapter
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09: Evidence-Based Practice
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Chapter10:EpidemiologicalApplications
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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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uo Chapter14:HealthEducationintheCommunityChapter 15:
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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
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24: Rural Health and Migrant Health
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Chapter25:Poverty,Homelessness,TeenPregnancy,andMentalIllnessChapter
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uo 26:Alcohol,Tobacco,andOtherDrug ProblemsintheCommunity Chapter 27: ij ij uo uo
uo Violence and Human Abuse uo uo uo
Chapter28:NursingPracticeattheLocal,State,andNationalLevelsinPublicHealth Chapter uo uo ij uo uo
29: The Faith Community Nurse
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Chapter30:TheNurseinPublicHealth,HomeHealth,PalliativeCare,andHospice Chapter 31: uo uo
The Nurse in the Schools
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Chapter32:TheNurseinOccupationalHealth uo uo
, Chapter01:PublicHealthNursingandPopulationHealth o
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Stanhope:FoundationsforPopulationHealthinCommunity/PublicHealthNursing,6thE o
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MULTIPLECHOICE
1. WHICHstatementbest describes community-based nursing? uo uo uo
a. ApracticeinWHICH careisprovidedforindividualsandfamilies. uo uo uo uo uo uo uo uo uo
b. Providingcarewithafocusonthegroup‘sneeds. uo uo uo uo uo uo uo
c. Givingcarewithafocus ontheaggregate‘s needs. uo uo u o uo uo
d. AvaluesysteminWHICHallclientsreceiveoptimalcare. uo uo uo uo uo uo uo uo
ANS A
Bydefinition,community-basednursingisasetting-specificpracticeinWHICHcareis providedfor―sick‖ind uo uo uo uo uo uo uo uo uo uo
theylive, work, and attend school. The emphasis is on acute and chroniccareand the provision of comprehensi
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continuouscare.TheseNursesmaybegeneralistsorspecialistsinmaternal–infant,pediatric,adult,orpsychiat
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Community-based nursing emphasizes acute and chronic care to individuals and families, rather than focusi
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systems.
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2. WHICHstatement bestdescribesthegoal ofcommunity-oriented nursing?
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a. Providingcaretoindividuals and families uo uo uo
b. Providingcaretomanageacuteorchronicconditions uo uo uo uo uo uo uo
c. Givingdirectcaretoillindividualswithintheirfamilysetting uo uo uo uo uo uo uo uo
d. Topreserve,protect,promote,ormaintainhealthandprevent disease uo uo uo uo uo uo uo uo
ANS D
Bydefinition, community-orientednursinghasthegoalofpreserving, protecting, ormaintaininghealthan uo uo uo
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 definitions are not specific to community-oriented nursi
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3. WHICHoftheFollowingistheprimaryfocusofpublichealthnursing? uo uo uo uo uo uo uo uo uo uo
a. Familiesandgroups uo
b. Illness-orientedcare
c. Individuals withinthefamily unit uo uo
d. Healthcareofcommunities andpopulations uo uo uo
ANS D
Inpublichealthnursing,theprimaryfocusisonthehealthcareofcommunitiesandpopulationsratherthanonind
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Thegoalis topreventdiseaseand preserve, promote,restore, andprotecthealthforthe communityandthepopu
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based Nursesdeal primarilywith illness-oriented care ofindividuals and families across thelife span.Theai
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chronic health conditions in the community, and the focusof practice is on individualor
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family-centeredillnesscare.
4. WHICHoftheFollowingisresponsibleforthedramaticincreaseinlifeexpectancyduringthe20th century?
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a. Technologyincreasesinthefieldofmedicallaboratoryresearch uo uo uo uo uo uo uo
b. Advancesinsurgicaltechniquesandprocedures uo uo uo
c. Sanitationandotherpopulation-basedprevention programs uo uo uo uo
d. Useofantibioticstofight infections uo uo uo uo
ANS C
Therehas to be indisputable evidence collected over time that public health policies and programs were primar
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averagelifespanfrom47in1900to78.6yearsin2017, anincreaseofapproximately60% injustoveracenturyplu
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sanitation,(2)clean watersupplies, (3)making workplaces safer,(4)improvingfoodand drug safety,
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(5) immunizing children, and (6) improvingnutrition,hygiene, and housing. Although people are excited whe
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curesadiseaseorwhen anewway totransplantorgansisperfected,itisimportanttoknowaboutthesignificant ga
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populations that have come largely from public health accomplishments.
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5. ANurseisdevelopinga plantodecrease thenumberofprematuredeaths inthecommunity.WHICHoftheFollow uo uo uo uo uo uo
interventions would most likely be implemented by the Nurse?
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a. Providefreehealthcaretoall citizens uo uo uo uo uo uo
, 6. WhatisthebasicassumptionstatedbyHealthyPeople2010asitrelatestopublichealthefforts?
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a. Health disparitiesamong anygroupsaremorallyandlegallywrong. ij uo uo uo uo uo uo uo
b. Health careis themost important priorityin government planningand funding. ij uo uo uo uo uo uo uo uo uo uo
c. Thehealthofindividualscannotbeseparatedfrom thehealthofthecommunity. uo uo uo uo uo uo uo uo uo uo uo
d. Thegovernmentisresponsibleforlengtheningthelifespanof Americans. uo uo uo uo uo uo uo uo uo
ANS C
Themajorpremise of Healthy People 2010 wasthatthe health of theindividual cannot be entirelyseparate from
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community. Publichealth practice focuseson the communityas awhole, and the effect ofthe community‘s hea
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thehealth ofindividuals, families, andgroups.Thegoal istoprevent diseaseand disability and promoteandpro
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communityasawhole.Publichealthcanbedescribedaswhatsocietycollectivelydoestoensurethatconditions
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healthy.Thebasicassumptionsofpublichealthdonotjudgethemoralityofhealthdisparities.The focusison pre
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spendingmoreon illness care. Additionally, individualresponsibilityfor making healthychoices isthe direct
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not the role of the government.
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7. WHICHoftheFollowingactionswouldmostlikelybeperformedbyapublichealthNurse?
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a. Askingcommunityleaderswhatinterventionsshouldbechosen uo uo uo uo uo
b. Assessingthecommunityanddecidingonappropriateinterventions uo uo uo uo uo uo
c. Usingdatafromthemainhealthcareinstitutionsinthecommunitytodetermine uo
needed health services
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d. Workingwithcommunitygroupstocreatepoliciestoimprovetheenvironment uo uo uo uo uo uo uo uo uo
ANS D
AlthoughthepublichealthNursemightengageinanyof thetasks listed,heorsheworksprimarilywithmembers
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corepublichealth functions, including assessment ofthe populationas a whole and engaging in promotinghea
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environment. The interventions of asking community leaders WHICH interventions should be chosen, asses
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decidingonappropriateinterventions,andusingdatafromhealthcareinstitutionsdonotdemonstratetheengag
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when making decisions about what the community actuallywants and needs.
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8. WHICHpublichealthNursemostclearlyfulfillstheresponsibilitiesofthisrole? uo uo uo uo uo uo uo uo uo uo
a. TheNursewhometwithseveralgroupstodiscusscommunityrecreationissues uo uo uo uo uo uo uo uo uo uo
b. TheNursewhospentthedayattendingmeetingsofvarioushealthagencies uo uo uo uo uo uo uo uo uo uo
c. TheNursewhotalkedtoseveralpeopleabouttheirparticularhealth concerns uo uo uo uo uo uo uo uo uo uo
d. TheNursewhowatchedthecitycouncilmeetingonlocalcabletelevision uo uo uo uo uo uo uo uo uo uo
ANS B
AnyofthesedescriptionsmightrepresentaNursecommunicating,cooperating,orcollaboratingwithcommun
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health concerns. A major challengefor thefuture is theneed for public health nursingspecialists tobe moreagg
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collaborativelywithvariousgroupsinthecommunityaswellasprofessionalcolleaguesininstitutionalsettings
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However, the Nursewho spent thedayattending meetings of various health agencies isthe most representative
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concerns areaddressed from a broader perspective. In publichealth, broad concerns ofthecommunity should
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arebroaderthanrecreation, individualconcernsare notasimportant as aggregate priorities, and watching tele
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communication) is less effective than interacting with others.
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9. WHICHoftheFollowing best defines aggregate? uo uo uo uo uo uo
a. Alargegroupofpersons uo uo uo uo
b. Acollection ofindividuals and families uo uo uo
c. Acollectionofpeoplewhoshareoneormore characteristics uo uo uo uo uo uo uo uo
d. Anothernamefordemographic group uo uo uo uo
ANS C
An aggregate is defined a collection ofpeople who shareone or morepersonalor environmental characteristics
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can bedefinedintermsofeither geography(e.g., acounty, a groupofcounties, or astate) oraspecialinterest (e.g
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aparticularschool). These membersmakeup apopulation. Theterm population maybeusedinterchangeably
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largegroupofpersons,acollectionofindividualsandfamilies,andanothernamefordemographicgroupare not
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term aggregate.
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10. WHICHquestionaskedbyanoviceNursewouldbethemostreflectiveofan understandingoftheroleofapublich
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a. ―WHICHgroupsareat the greatest risk forproblems?‖ uo uo uo uo uo uo uo uo
b. ―WHICHpatientsshouldIseefirstas Ibeginmyday?‖ uo uo uo uo uo uo uo uo