Foundationsl#forl#Populationl#Healthl#inl#CommunityPublicrHealthl#Nursingr5thl#Editionl#Stanhopel#Testl#Bank
Chapter 01: Community- and Prevention-
l# l# r l#
Oriented Practice to Improve Population Health
l# l# l# l# l# l#
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 5th
l# l# l# l# l# l# l# l# l#
Edition
l#
MULTIPLE l#CHOICE
1. Whichrofthel#followingrbestrdescribes l#community-based l#nursing?
a. A l#practice l#in l#which l#carerisl#provided l#for l#individuals l#and l#families
b. Providing l#carerwithra l#focus l#onrthe l#group’s l#needs
c. Givingl#care l#with l#a l#focus l#onrthe l#aggregate’s l#needs
d. A l#value l#system l#in l#which l#all l#clients l#receiveroptimal l#care
ANS: l # A
Bydefinition,l#community-basedrnursingl#isl#al#setting-specificrpracticel#inl#which l#careris
provided l#for l#―sick‖ l#individualsrand l#families l#where l#they l#live, l#work, l#and l#attend l#school.
l#Therempha l#sis l#is l#on l#acuterand l#chronic l#carerand l#the l#provision l#of l#comprehensive, l#coordinated,
l#and l#continuous l#care. l#Thesernursesrmaybergeneralists l#or l#specialists l#in l#maternal–
infant,l#pediatric,l#adult,l#orpsychiatricl#mentalrhealthrnursing.l#Community-
based l#nursingremphasizes l#acute l#and l#chronicrcare l#to l#individuals l#and l#families,rrather
l#thanrfocusing l#on l#groups, l#aggregates, l#or l#systems.
2. Whichrofthel#followingrbestrdescribes l#community-oriented l#nursing?
a. Focusingron l#therprovisionrof l#carertorindividualsrandrfamilies
b. Providing l#carerto l#manage l#acute l#or l#chronicrconditions
c. Givingr l#directr l#carerl#tor l#illr l#inNdivR
iduaIls r l#wGit hB
in.t hCei r l#M
family l # setting
U S
l NT
# l
# l
#
d. Having l#the l#goal l#of l#health l#promotionrandrdisease l#prevention
ANS: l # D
Bydefinition, l#community-
oriented l#nursingrhas l#thergoal l#ofrpreserving, l#protecting, l#or l#maintaininghealthand
l#preventingrdise l#ase l#torpromote l#therqualityof l#life. l#Allnurses l#mayfocus l#onindividualsrand
l#families, l#give l#direct l#car l#e l#torill l#persons l#withinrtheir l#familysetting, l#andrhelprmanage l#acute
l#or l#chronicrconditions. l#Theserdef l#initionsrare l#not l#specificrtorcommunity-oriented l#nursing.
3. Whichrofl#therfollowingl#isl#therprimaryfocus l#ofl#publicl#health l#nursing?
a. Families l#and l#groups
b. Illness-oriented l#care
c. Individuals l#within l#the l#familyunit
d. Healthrcare l#of l#communities l#and l#populations
ANS: l # D
In l#public l#health l#nursing l#the l#primaryfocus l#is l#on l#the l#health l#care l#of l#communities l#and
l#populations l#rat l#her l#than l#onrindividuals, l#groups, l#andrfamilies. l#The l#goal l#isrto l#prevent l#disease
l#andrpreserve, l#promote, l#restore, l#and l#protect l#health l#for l#the l#communityand
l#therpopulationrwithin l#it. l#Community-
based l#nurses l#deal l#primarily l#with l#illness-
oriented l#carerof l#individuals l#and l#familiesracorss l#therlife l#span. l#Theraim l#isrtoramanage l#acute l#and
l#chro l#nic l#health l#conditions l#in l#the l#community, l#andrthe l#focusrof l#practice l#isron l#individual l#or
l#family- l#centeredl#illnessrcare.
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,Foundationsl#forl#Populationl#Healthl#inl#CommunityPublicrHealthl#Nursingr5thl#Editionl#Stanhopel#Testl#Bank
4. Whichrofthel#followingisl#responsiblel#forl#therdramaticl#increasel#inrlifel#expectancyduringl#the l#20t
l# hrcentury?
a. Technologyincreasesl#in l#thel#fieldrofl#medicall#laboratoryresearch
b. Advances l#in l#surgical l#techniques l#and l#procedures
c. Sanitation l#and l#other l#population-based l#preventionrprograms
d. Use l#of l#antibioticsrto l#fight l#infections
ANS: l # C
Improvements l#in l#control l#of l#infectious l#diseases l#through l#immunizations, l#sanitation, l#androther
l#pop l#ulation-
basedl#preventionl#programsrledl#torthel#increaserinl#lifel#expectancyfroml#lessrthanl#50l#yearsl#inl#1900l#to
l#morel#thanl#78l#yearsl#inl#2013.l#Althoughl#peoplerarerexcited l#whenrarnewl#drugrisl#discoveredrthatrcure
l#sl#al#diseaserorl#whenl#al#newl#wayto l#transplantl#organsl#isrperfected,l#itl#isl#importantl#tol#knowl#aboutl#thel#s
l#ignificant l#gains l#inrthel#health l#ofl#populationsl#thatl#have l#comel#largelyl#from
l#publicrhealthraccomplis l#hments.
5. Al#nurseisl#developingl#al#planl#todecreaserthel#numberl#ofl#prematurerdeathsrinrthecommunity. l#Whi
ch l#of l#the l#following l#interventionsrwould l#most l#likelybe l#implementedrbythernurse?
l#
a. Increaserthercommunity’s l#knowledgerabout l#hospicecare.
b. Promote l#healthy l#lifestyle l#behavior l#choicesramong l#the l#communitymembers.
c. Encourage l#employers l#to l#haverwellness l#centers l#at l#each l#industrial l#site.
d. Ensuretimelyandreffectivemedicall#interventionl#andl#treatmentrforl#communityl#m
l#embers.
ANS: l # B
Publichealth l#approaches l#could l#help l#prevent l#prematurerdeaths l#byinfluencing l#the l#waypeople l#eat,
l#drink, l#drive, l#engage l#in l#exercise, l#and l#treat l#the l#environment. l#Increasing l#knowledgerof
l#hospicercare
, l#encouraging l#on-siterwellness l#centers, l#and l#ensuringrtimelytreatmentrof l#medical
l#conditionsrdol#notl#addressthe fU
NocRusSoIf NimGpTroBv. inC
gO ol#vMel#rl#al#ll l#healththroughrhealthrpromotion
l#strategies. l#This l#isrthe l#major l#method l#thatris l#suggested l#to l#decrease l#therincidence l#ofrpremature
l#death.
6. Whichrofl#the l#followingris l#a l#basicrassumption l#of l#public l#health l#efforts?
a. Healthrdisparitiesramongl#anyl#groups l#arermorallyandl#legallywrong.
b. Healthrcare l#isrthe l#most l#important l#priority l#inrgovernmentrplanning l#and l#funding.
c. The l#health l#ofrindividualsrcannot l#be l#separated l#from l#therhealthrof l#the l#community.
d. Thel#government l#isrresponsible l#for l#lengthening l#the l#life l#span l#of l#Americans.
ANS: l # C
Public l#healthl#practicerfocuses l#onl#thel#communityl#as l#a l#whole, l#and l#the l#effect l#of l#the
community’s l#health l#status l#(resources) l#onrthe l#healthl#of l#individuals,rfamilies, l#and l#groups.
l#Thergoal l#isrtorpreventl#diseaserandl#disabilityl#andl#promoterandl#protectl#thel#healthl#ofl#thel#community
l#asl#al#whol
e. Public l#health l#canrberdescribed l#as l#what l#societycollectivelydoes l#to l#ensure l#thatrconditions
l#existri l#nrwhichrpeoplel#canl#bel#healthy.l#Thel#basicl#assumptionsl#ofl#publicl#healthrdol#notl#judge
l#thermoralityof l#health l#disparities. l#The l#focus l#isron l#prevention l#of l#illness l#notl#on l#spending l#more l#on
l#illness l#care. l#Addit l#ionally, l#individuall#responsibilityl#forl#makingrhealthyl#choicesl#isl#thel#directive
l#forl#lengtheningl#lifers l#pan l#not l#the l#rolerof l#thergovernment.
7. Whichrofl#thel#followingractionsl#wouldl#mostl#likelybel#performedl#bya l#publicl#healthl#nurse?
a. Asking l#community l#leaders l#what l#interventions l#should l#be l#chosen
b. Assessingrthe l#community l#and l#deciding l#on l#appropriate l#interventions
c. Usingl#datal#froml#thel#mainl#healthl#carel#institutionsl#inrthel#communitytol#determine
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neededrhealth l#services
d. Working l#with l#community l#groups l#torcreate l#policies l#to l#improverthe l#environment
ANS: l # D
Although l#the l#public l#health l#nursermight l#engage l#in l#anyof l#the l#tasksrlisted, l#heror
l#sherworksrprimaril l#ywith l#members l#ofthe l#communitytorcarryoutrcorepublic l#health l#functions,
l#including l#assessment l#ofl#thel#populationl#asrarwholerandrengagingl#inl#promotingl#healthl#and
l#improvingrthel#environment.l#T l#hel#interventionsl#ofl#askingl#communityleadersl#whichl#interventions
l#shouldl#bel#chosen,l#asessingrthe l#communityand l#deciding l#onrappropriate l#interventions, l#and
l#using l#datarfromrhealthrcare l#institutio l#nsl#dol#notl#demonstratel#therengagementl#ofl#the
l#communitywhenl#makingl#decisionsl#aboutl#whatl#thel#c l#ommunityactuallywants l#and l#needs.
8. Whichrofthel#followingl#publicl#healthrnursesl#mostl#clearlyfulfillsl#therresponsibilitiesrofl#thisl#rol
l# e?
a. Thel#nurserwhol#metl#withl#severall#groupsl#tol#discussrcommunityrecreation l#issues
b. Thel#nurserwhol#spentl#thel#dayattendingrmeetings l#ofl#variousl#healthl#agencies
c. Thel#nurserwho l#talked l#to l#several l#people l#aboutrtheir l#particular l#healthrconcerns
d. Thel#nurserwho l#watchedrthe l#city l#council l#meetingron l#local l#cable l#television
ANS: l # B
Anyofl#thesel#descriptionsl#mightl#representl#al#nursel#communicating,l#cooperating,l#orl#collaborating
l#withl#communityresidentsl#orl#groupsl#aboutl#healthl#concerns. l#However,l#thel#nursel#whorspentrthel#da
l#yl#attendingl#meetingsl#ofl#variousrhealthragenciesl#isl#thermostrrepresentative,l#becausel#inpublicl#heal
l#th, l#concernsl#areaddressedl#froml#arbroaderl#perspective. l#Inl#publicl#health, l#broad l#concerns l#ofl#thel#co
l#mmunityshouldl#beraddressed. l#Concernsl#arerbroaderl#thanl#recreation,l#individuall#concernsl#arernot
l#asrimportant l#asraggregate l#priorities, l#and l#watchingrtelevision l#(a l#one-
wayformrofl#communication) l#isl#lessl#effectiverthanl#interactingl#withl#others.
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9. Which l#of l#therfollowing l#best l#defines l#aggregate?
a. A l#largel#group l#ofl#persons
b. A l#collection l#of l#individuals l#and l#families
c. A l#collection l#of l#people l#whorshareroneror l#more l#characteristics
d. Another l#namerfor l#demographic l#group
ANS: l # C
Anl#aggregatel#isl#definedl#al#collectionl#ofl#peoplel#whorsharel#onel#orl#morel#personall#orl#environmentall#c
l#haracteristics. l#Membersl#ofl#al#communityl#canl#bel#definedl#inl#termsl#ofl#eitherl#geography(e.g.,l#al#count
l#y,l#argroupl#ofl#counties,l#orl#al#state)l#orl#arspeciall#interestr(e.g., l#childrenl#attendingl#al#particularl#school).
l#These l#members l#makerup l#a l#population. l#Therterm l#population l#maybel#used l#interchangeablywith
l#th l#el#termraggregate.l#Al#largel#grouprofl#persons, l#acollection l#ofrindividualsrandrfamilies, l#and
l#anotherl#n l#ame l#for l#demograhpic l#group l#arernotraccurate l#definitions l#of l#the l#term l#aggregate.
10. Al#registeredl#nurserwasrjustl#employedl#asl#al#publichealthl#nurse.l#Whichl#questionwouldl#berthermos
l# t l#relevant l#for l#the l#nurse l#to l#ask?
a. ―Whichl#groupsl#areratrthel#greatestl#riskrforl#problems?‖
b. ―Whichl#patientsl#shouldrIseel#firstl#asrIrbegin l#myday?‖
c. ―Withl#whichl#physicians l#will l#Ibel#mostrcloselycollaborating?‖
d. ―Withl#whichl#nursingrassistants l#will l#Ipartner l#the l#most?‖
ANS: l # A
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Askingwhichl#groupsl#arel#atrgreatestl#riskl#reflectsl#al#community-
oriented l#perspective. l#The l#incorrectrresponses l#reflect l#a l#focus l#onrindividualsrrather
l#thanrarcommun l#ity-orientedl#perspective.
11. Makingsurethat l#essential l#community-
orientedl#healthrservicesl#arel#availablel#definesl#whichofl#thercorel#publicrhealthrfunctions?
a. Policydevelopment
b. Assessment
c. Assurance
d. Scientificrknowledge-based l # care
ANS: l # C
Assurancerincludesmakingsurethat l # essential l#community-
oriented l#healthrservicesrare l#available l#in l#the l#community. l#The l#definition l#does l#not l#fit l#therterms
l#asses l#sment, l # policy l#development. l#Scientific l#knowledge-
based l#careris l#not l#a l#corerfunction l#of l#publicrhealth.
Assessment l#is l#systematic l#data l#collection l#onrtherpopulation, l#monitoringtherpopulation’s
l#healthrsta l#tus, l#andrmaking l#informationravailablerabout l#the l#health l#of l#the l#community. l#Policy
l#developmentrref l#ersrtorefforts l#tordevelop l#policies l#that l#supportrthe l#health l#of l#the l#population,
l#including l#usingrarscienti l#fic l#knowledgerbasertormake l#policydecisions.
12. When l#talking l#to l#awomen’s l#group l#at l#thesenior l#citizens’ l#center, l#the l#nurserreminded
l#themthatrthe l#onlywaythe l#center l#would l#berable l#to l#afford l#to l#providertransportation l#services
l#for l#themrwould l#be l#for l#them l#to l#continue l#to l#writerlettersrtortheir l#local l#city l#council
l#representatives l#requesting l#funding l#for l#such l#a l#service. l#What l#was l#the l#nurse l#trying l#to
l#accomplish l#through l#thisraction?
a. Ensurel#that l#the l#women l#did l#not l#expect l#the l#nursertorsolvertheir l#problem.
b. Demonstraterl#thatr l#ther nursNe l#u R
n l#dl#el#rIsl#tol#oGd l # thBe.wComM
en’s l#concernsr l#andr l#needs.
c. Expressrempathy, l#support, l#U S
and
l
# l N
# T
l#concern.
l
#
d. Help l#thel#women l#engage l#inrpoliticalraction.
ANS: l # D
Public l#health l#nursesrengage l#themselves l#and l#others l#in l#policydevelopment l#and l#encouragerand
l#assi l#strpersons l#torcommunicate l#their l#needs l#tothose l#withthe l#power l#totakeraction.
l#Thernurseisrdemonst l#ratingrthe l#role l#of l#advocate l#through l#this l#action, l#itrgoes l#beyond
l#merelyunderstanidng l#the l#women’s l#concern, l#and l#instead l#mobilizesrthem l#to l#take l#action. l#This
l#action l#doesrnotrdemonstrate l#the l#nurse l#sh l#owingrempathyrather l#thernurse l#is
l#empoweringrthese l#women.
13. The l#publicrhealthrnurse l#has l#arclear l#visionof l#what l#needs l#to l#be l#done l#andrwherertobegin l#to
l#impr l#ove l#the l#health l#of l#the l#community. l#Whywould l#thernurse l#spend l#time l#meeting l#with
l#community l#groups l#to l#discussrthe l#most l#important l#task l#to l#be l#addressed l#first?
a. To l#increase l#thel#group’s l#self-esteem
b. To l#maintainrcommunication l#links l#with l#the l#groups
c. Tol#makerthe l#groups l#feel l#good l#about l#their l#contribution
d. To l#work l#with l#thergroups,rnot l#forl#thergroups
ANS: l # D
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Chapter 01: Community- and Prevention-
l# l# r l#
Oriented Practice to Improve Population Health
l# l# l# l# l# l#
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 5th
l# l# l# l# l# l# l# l# l#
Edition
l#
MULTIPLE l#CHOICE
1. Whichrofthel#followingrbestrdescribes l#community-based l#nursing?
a. A l#practice l#in l#which l#carerisl#provided l#for l#individuals l#and l#families
b. Providing l#carerwithra l#focus l#onrthe l#group’s l#needs
c. Givingl#care l#with l#a l#focus l#onrthe l#aggregate’s l#needs
d. A l#value l#system l#in l#which l#all l#clients l#receiveroptimal l#care
ANS: l # A
Bydefinition,l#community-basedrnursingl#isl#al#setting-specificrpracticel#inl#which l#careris
provided l#for l#―sick‖ l#individualsrand l#families l#where l#they l#live, l#work, l#and l#attend l#school.
l#Therempha l#sis l#is l#on l#acuterand l#chronic l#carerand l#the l#provision l#of l#comprehensive, l#coordinated,
l#and l#continuous l#care. l#Thesernursesrmaybergeneralists l#or l#specialists l#in l#maternal–
infant,l#pediatric,l#adult,l#orpsychiatricl#mentalrhealthrnursing.l#Community-
based l#nursingremphasizes l#acute l#and l#chronicrcare l#to l#individuals l#and l#families,rrather
l#thanrfocusing l#on l#groups, l#aggregates, l#or l#systems.
2. Whichrofthel#followingrbestrdescribes l#community-oriented l#nursing?
a. Focusingron l#therprovisionrof l#carertorindividualsrandrfamilies
b. Providing l#carerto l#manage l#acute l#or l#chronicrconditions
c. Givingr l#directr l#carerl#tor l#illr l#inNdivR
iduaIls r l#wGit hB
in.t hCei r l#M
family l # setting
U S
l NT
# l
# l
#
d. Having l#the l#goal l#of l#health l#promotionrandrdisease l#prevention
ANS: l # D
Bydefinition, l#community-
oriented l#nursingrhas l#thergoal l#ofrpreserving, l#protecting, l#or l#maintaininghealthand
l#preventingrdise l#ase l#torpromote l#therqualityof l#life. l#Allnurses l#mayfocus l#onindividualsrand
l#families, l#give l#direct l#car l#e l#torill l#persons l#withinrtheir l#familysetting, l#andrhelprmanage l#acute
l#or l#chronicrconditions. l#Theserdef l#initionsrare l#not l#specificrtorcommunity-oriented l#nursing.
3. Whichrofl#therfollowingl#isl#therprimaryfocus l#ofl#publicl#health l#nursing?
a. Families l#and l#groups
b. Illness-oriented l#care
c. Individuals l#within l#the l#familyunit
d. Healthrcare l#of l#communities l#and l#populations
ANS: l # D
In l#public l#health l#nursing l#the l#primaryfocus l#is l#on l#the l#health l#care l#of l#communities l#and
l#populations l#rat l#her l#than l#onrindividuals, l#groups, l#andrfamilies. l#The l#goal l#isrto l#prevent l#disease
l#andrpreserve, l#promote, l#restore, l#and l#protect l#health l#for l#the l#communityand
l#therpopulationrwithin l#it. l#Community-
based l#nurses l#deal l#primarily l#with l#illness-
oriented l#carerof l#individuals l#and l#familiesracorss l#therlife l#span. l#Theraim l#isrtoramanage l#acute l#and
l#chro l#nic l#health l#conditions l#in l#the l#community, l#andrthe l#focusrof l#practice l#isron l#individual l#or
l#family- l#centeredl#illnessrcare.
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,Foundationsl#forl#Populationl#Healthl#inl#CommunityPublicrHealthl#Nursingr5thl#Editionl#Stanhopel#Testl#Bank
4. Whichrofthel#followingisl#responsiblel#forl#therdramaticl#increasel#inrlifel#expectancyduringl#the l#20t
l# hrcentury?
a. Technologyincreasesl#in l#thel#fieldrofl#medicall#laboratoryresearch
b. Advances l#in l#surgical l#techniques l#and l#procedures
c. Sanitation l#and l#other l#population-based l#preventionrprograms
d. Use l#of l#antibioticsrto l#fight l#infections
ANS: l # C
Improvements l#in l#control l#of l#infectious l#diseases l#through l#immunizations, l#sanitation, l#androther
l#pop l#ulation-
basedl#preventionl#programsrledl#torthel#increaserinl#lifel#expectancyfroml#lessrthanl#50l#yearsl#inl#1900l#to
l#morel#thanl#78l#yearsl#inl#2013.l#Althoughl#peoplerarerexcited l#whenrarnewl#drugrisl#discoveredrthatrcure
l#sl#al#diseaserorl#whenl#al#newl#wayto l#transplantl#organsl#isrperfected,l#itl#isl#importantl#tol#knowl#aboutl#thel#s
l#ignificant l#gains l#inrthel#health l#ofl#populationsl#thatl#have l#comel#largelyl#from
l#publicrhealthraccomplis l#hments.
5. Al#nurseisl#developingl#al#planl#todecreaserthel#numberl#ofl#prematurerdeathsrinrthecommunity. l#Whi
ch l#of l#the l#following l#interventionsrwould l#most l#likelybe l#implementedrbythernurse?
l#
a. Increaserthercommunity’s l#knowledgerabout l#hospicecare.
b. Promote l#healthy l#lifestyle l#behavior l#choicesramong l#the l#communitymembers.
c. Encourage l#employers l#to l#haverwellness l#centers l#at l#each l#industrial l#site.
d. Ensuretimelyandreffectivemedicall#interventionl#andl#treatmentrforl#communityl#m
l#embers.
ANS: l # B
Publichealth l#approaches l#could l#help l#prevent l#prematurerdeaths l#byinfluencing l#the l#waypeople l#eat,
l#drink, l#drive, l#engage l#in l#exercise, l#and l#treat l#the l#environment. l#Increasing l#knowledgerof
l#hospicercare
, l#encouraging l#on-siterwellness l#centers, l#and l#ensuringrtimelytreatmentrof l#medical
l#conditionsrdol#notl#addressthe fU
NocRusSoIf NimGpTroBv. inC
gO ol#vMel#rl#al#ll l#healththroughrhealthrpromotion
l#strategies. l#This l#isrthe l#major l#method l#thatris l#suggested l#to l#decrease l#therincidence l#ofrpremature
l#death.
6. Whichrofl#the l#followingris l#a l#basicrassumption l#of l#public l#health l#efforts?
a. Healthrdisparitiesramongl#anyl#groups l#arermorallyandl#legallywrong.
b. Healthrcare l#isrthe l#most l#important l#priority l#inrgovernmentrplanning l#and l#funding.
c. The l#health l#ofrindividualsrcannot l#be l#separated l#from l#therhealthrof l#the l#community.
d. Thel#government l#isrresponsible l#for l#lengthening l#the l#life l#span l#of l#Americans.
ANS: l # C
Public l#healthl#practicerfocuses l#onl#thel#communityl#as l#a l#whole, l#and l#the l#effect l#of l#the
community’s l#health l#status l#(resources) l#onrthe l#healthl#of l#individuals,rfamilies, l#and l#groups.
l#Thergoal l#isrtorpreventl#diseaserandl#disabilityl#andl#promoterandl#protectl#thel#healthl#ofl#thel#community
l#asl#al#whol
e. Public l#health l#canrberdescribed l#as l#what l#societycollectivelydoes l#to l#ensure l#thatrconditions
l#existri l#nrwhichrpeoplel#canl#bel#healthy.l#Thel#basicl#assumptionsl#ofl#publicl#healthrdol#notl#judge
l#thermoralityof l#health l#disparities. l#The l#focus l#isron l#prevention l#of l#illness l#notl#on l#spending l#more l#on
l#illness l#care. l#Addit l#ionally, l#individuall#responsibilityl#forl#makingrhealthyl#choicesl#isl#thel#directive
l#forl#lengtheningl#lifers l#pan l#not l#the l#rolerof l#thergovernment.
7. Whichrofl#thel#followingractionsl#wouldl#mostl#likelybel#performedl#bya l#publicl#healthl#nurse?
a. Asking l#community l#leaders l#what l#interventions l#should l#be l#chosen
b. Assessingrthe l#community l#and l#deciding l#on l#appropriate l#interventions
c. Usingl#datal#froml#thel#mainl#healthl#carel#institutionsl#inrthel#communitytol#determine
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,Foundationsl#forl#Populationl#Healthl#inl#CommunityPublicrHealthl#Nursingr5thl#Editionl#Stanhopel#Testl#Bank
neededrhealth l#services
d. Working l#with l#community l#groups l#torcreate l#policies l#to l#improverthe l#environment
ANS: l # D
Although l#the l#public l#health l#nursermight l#engage l#in l#anyof l#the l#tasksrlisted, l#heror
l#sherworksrprimaril l#ywith l#members l#ofthe l#communitytorcarryoutrcorepublic l#health l#functions,
l#including l#assessment l#ofl#thel#populationl#asrarwholerandrengagingl#inl#promotingl#healthl#and
l#improvingrthel#environment.l#T l#hel#interventionsl#ofl#askingl#communityleadersl#whichl#interventions
l#shouldl#bel#chosen,l#asessingrthe l#communityand l#deciding l#onrappropriate l#interventions, l#and
l#using l#datarfromrhealthrcare l#institutio l#nsl#dol#notl#demonstratel#therengagementl#ofl#the
l#communitywhenl#makingl#decisionsl#aboutl#whatl#thel#c l#ommunityactuallywants l#and l#needs.
8. Whichrofthel#followingl#publicl#healthrnursesl#mostl#clearlyfulfillsl#therresponsibilitiesrofl#thisl#rol
l# e?
a. Thel#nurserwhol#metl#withl#severall#groupsl#tol#discussrcommunityrecreation l#issues
b. Thel#nurserwhol#spentl#thel#dayattendingrmeetings l#ofl#variousl#healthl#agencies
c. Thel#nurserwho l#talked l#to l#several l#people l#aboutrtheir l#particular l#healthrconcerns
d. Thel#nurserwho l#watchedrthe l#city l#council l#meetingron l#local l#cable l#television
ANS: l # B
Anyofl#thesel#descriptionsl#mightl#representl#al#nursel#communicating,l#cooperating,l#orl#collaborating
l#withl#communityresidentsl#orl#groupsl#aboutl#healthl#concerns. l#However,l#thel#nursel#whorspentrthel#da
l#yl#attendingl#meetingsl#ofl#variousrhealthragenciesl#isl#thermostrrepresentative,l#becausel#inpublicl#heal
l#th, l#concernsl#areaddressedl#froml#arbroaderl#perspective. l#Inl#publicl#health, l#broad l#concerns l#ofl#thel#co
l#mmunityshouldl#beraddressed. l#Concernsl#arerbroaderl#thanl#recreation,l#individuall#concernsl#arernot
l#asrimportant l#asraggregate l#priorities, l#and l#watchingrtelevision l#(a l#one-
wayformrofl#communication) l#isl#lessl#effectiverthanl#interactingl#withl#others.
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9. Which l#of l#therfollowing l#best l#defines l#aggregate?
a. A l#largel#group l#ofl#persons
b. A l#collection l#of l#individuals l#and l#families
c. A l#collection l#of l#people l#whorshareroneror l#more l#characteristics
d. Another l#namerfor l#demographic l#group
ANS: l # C
Anl#aggregatel#isl#definedl#al#collectionl#ofl#peoplel#whorsharel#onel#orl#morel#personall#orl#environmentall#c
l#haracteristics. l#Membersl#ofl#al#communityl#canl#bel#definedl#inl#termsl#ofl#eitherl#geography(e.g.,l#al#count
l#y,l#argroupl#ofl#counties,l#orl#al#state)l#orl#arspeciall#interestr(e.g., l#childrenl#attendingl#al#particularl#school).
l#These l#members l#makerup l#a l#population. l#Therterm l#population l#maybel#used l#interchangeablywith
l#th l#el#termraggregate.l#Al#largel#grouprofl#persons, l#acollection l#ofrindividualsrandrfamilies, l#and
l#anotherl#n l#ame l#for l#demograhpic l#group l#arernotraccurate l#definitions l#of l#the l#term l#aggregate.
10. Al#registeredl#nurserwasrjustl#employedl#asl#al#publichealthl#nurse.l#Whichl#questionwouldl#berthermos
l# t l#relevant l#for l#the l#nurse l#to l#ask?
a. ―Whichl#groupsl#areratrthel#greatestl#riskrforl#problems?‖
b. ―Whichl#patientsl#shouldrIseel#firstl#asrIrbegin l#myday?‖
c. ―Withl#whichl#physicians l#will l#Ibel#mostrcloselycollaborating?‖
d. ―Withl#whichl#nursingrassistants l#will l#Ipartner l#the l#most?‖
ANS: l # A
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, Foundationsl#forl#Populationl#Healthl#inl#CommunityPublicrHealthl#Nursingr5thl#Editionl#Stanhopel#Testl#Bank
Askingwhichl#groupsl#arel#atrgreatestl#riskl#reflectsl#al#community-
oriented l#perspective. l#The l#incorrectrresponses l#reflect l#a l#focus l#onrindividualsrrather
l#thanrarcommun l#ity-orientedl#perspective.
11. Makingsurethat l#essential l#community-
orientedl#healthrservicesl#arel#availablel#definesl#whichofl#thercorel#publicrhealthrfunctions?
a. Policydevelopment
b. Assessment
c. Assurance
d. Scientificrknowledge-based l # care
ANS: l # C
Assurancerincludesmakingsurethat l # essential l#community-
oriented l#healthrservicesrare l#available l#in l#the l#community. l#The l#definition l#does l#not l#fit l#therterms
l#asses l#sment, l # policy l#development. l#Scientific l#knowledge-
based l#careris l#not l#a l#corerfunction l#of l#publicrhealth.
Assessment l#is l#systematic l#data l#collection l#onrtherpopulation, l#monitoringtherpopulation’s
l#healthrsta l#tus, l#andrmaking l#informationravailablerabout l#the l#health l#of l#the l#community. l#Policy
l#developmentrref l#ersrtorefforts l#tordevelop l#policies l#that l#supportrthe l#health l#of l#the l#population,
l#including l#usingrarscienti l#fic l#knowledgerbasertormake l#policydecisions.
12. When l#talking l#to l#awomen’s l#group l#at l#thesenior l#citizens’ l#center, l#the l#nurserreminded
l#themthatrthe l#onlywaythe l#center l#would l#berable l#to l#afford l#to l#providertransportation l#services
l#for l#themrwould l#be l#for l#them l#to l#continue l#to l#writerlettersrtortheir l#local l#city l#council
l#representatives l#requesting l#funding l#for l#such l#a l#service. l#What l#was l#the l#nurse l#trying l#to
l#accomplish l#through l#thisraction?
a. Ensurel#that l#the l#women l#did l#not l#expect l#the l#nursertorsolvertheir l#problem.
b. Demonstraterl#thatr l#ther nursNe l#u R
n l#dl#el#rIsl#tol#oGd l # thBe.wComM
en’s l#concernsr l#andr l#needs.
c. Expressrempathy, l#support, l#U S
and
l
# l N
# T
l#concern.
l
#
d. Help l#thel#women l#engage l#inrpoliticalraction.
ANS: l # D
Public l#health l#nursesrengage l#themselves l#and l#others l#in l#policydevelopment l#and l#encouragerand
l#assi l#strpersons l#torcommunicate l#their l#needs l#tothose l#withthe l#power l#totakeraction.
l#Thernurseisrdemonst l#ratingrthe l#role l#of l#advocate l#through l#this l#action, l#itrgoes l#beyond
l#merelyunderstanidng l#the l#women’s l#concern, l#and l#instead l#mobilizesrthem l#to l#take l#action. l#This
l#action l#doesrnotrdemonstrate l#the l#nurse l#sh l#owingrempathyrather l#thernurse l#is
l#empoweringrthese l#women.
13. The l#publicrhealthrnurse l#has l#arclear l#visionof l#what l#needs l#to l#be l#done l#andrwherertobegin l#to
l#impr l#ove l#the l#health l#of l#the l#community. l#Whywould l#thernurse l#spend l#time l#meeting l#with
l#community l#groups l#to l#discussrthe l#most l#important l#task l#to l#be l#addressed l#first?
a. To l#increase l#thel#group’s l#self-esteem
b. To l#maintainrcommunication l#links l#with l#the l#groups
c. Tol#makerthe l#groups l#feel l#good l#about l#their l#contribution
d. To l#work l#with l#thergroups,rnot l#forl#thergroups
ANS: l # D
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