Foundations forPopulationHealthinCommunity/PublicHealthNursing
l# l# l# l# l# l# l#
6th Edition
l#
,Tableof Contents
l#
Chapterl#01l#Publicl#Healthl#Nursingandl#PopulationHealth 1
Chapter02The l#Historyof l#Public l#Healthand Publicand l#CommunityHealth Nursing a a 7
Chapter03l#USl#and GlobalHealthCare
a 14
Chapterl#04l#Government,l#the l#Law, andl#PolicyActivism a 20
Chapter05Economicsofl#USl#HealthCareDelivery 28
Chapterl#06l#Ethicsl#inl#Publicand CommunityHealth Nursing Practice
a a a 38
Chapter07CultureofPopulationsl#inl#Communities 47
Chapter l#08 l#Environmental l#Health 56
Chapter l#09l#Evidence-Based l#Practice 64
Chapter l#10 l#Epidemiological l#Applications 71
Chapter l#11 l#Infectious Disease l#Prevention and Control
a a a 84
Chapter l#12 l#Communicable and Infection Disease l#Risks
a a a 94
Chapterl#13l#CommunityAssessment and Evaluation a a 104
Chapter14 HealthEducationintheCommunity
a 113
Chapter15CaseManagement 121
Chapter l#16l#Disasterl#Management 128
Chapterl#17 l#Public l#Health l#Surveillance l#and Outbreak l#Investigation a 136
Chapterl#18l#Program Management
a 142
Chapterl#19l#Healthcare l#Improvement l#inl#the l#Community 149
Chapter l#20 l#Familyl#Development, Familyl#Nursing l#Assessment, l#and l#Genomics
a 159
Chapterl#21l#FamilyHealth l#Risks 168
Chapter22 HealthRisksAcrosstheLifeSpan
a 179
Chapter23HealthEquityandCareofVulnerablePopulations 191
Chapter24 RuralHealthandMigrantHealth
a 198
Chapterl#25 l#Poverty, l#Homelessness, l#Teenl#Pregnancy, and Mental l#Illness a a 205
Chapter26l#Alcohol,l#Tobacco,l#andl#Otherl#Drug Problemsinthel#Community a 214
Chapter27ViolenceandHuman Abuse a 223
Chapter28l#Nursing Practiceatthel#Local,l#State,l#andl#Nationall#Levelsinl#Publicl#Health
a 230
Chapter29TheFaithCommunityNurse 238
Chapter30Thel#Nurseinl#Publicl#Health,l#Homel#Health,l#Palliativel#Care,l#and Hospice a 245
Chapter31TheNurse intheSchools a 255
Chapter32TheNurseinOccupationalHealth 267
,Test l#Bank l#- l#Foundations l#for l#Population l#Health l#in l#Community/PublicaHealth l#Nursing, l#6th l#Edition l#(Stanhope, l#2022)
Chapter l#01: l#Public l#Health l#Nursing l#and l#Population l#Health
Stanhope:l#Foundationsl#forl#Populationl#Healthl#inl#Community/Publicl#Healthl#Nursing,l#6th
l#Edition
MULTIPLE l#CHOICE
1. Which l#statement l#best l#describes l#community-based l#nursing?
a. Apracticeinwhichcareisprovidedforindividualsandfamilies.
b. Providingcarewith afocusonthegroup‗s l#needs. a
c. Giving carewithafocusontheaggregate‗sl#needs.
a
d. Avaluesystemin whichallclientsreceiveoptimalcare. a
ANS: l # A
By l#definition, l#community-based l#nursing l#is a l#setting- a
specific l#practicel#in l#whichl#carel#is provided l#forl#―sick‖l#individuals l#and families l#where l#they
a a
l#live, l#work, l#andl#attend school. l#The l#emphasisl#is on acutel#and chroniccarel#andl#the
a a a a
l#provision ofcompre l#hensive, l#coordinated, l#and l#continuouscare.
a
l#Thesenursesmaybegeneralists orspecialistsin mat l#ernal–infant, l#pediatric, l#adult,
a a
l#orpsychiatric l#mentalhealth l#nursing. l#Community-
basednursing emphasizesacute and chronicl#care l#to individuals l#andl#families, l#rather l#thanl#focusi
a a a a
l#ng l#on l#groups, l#aggregates, l#or l#systems.
2. Which l#statement l#best l#describes the l#goal l#of l#community-oriented l#nursing?
a
a. Providingcare to individuals l# andfamilies a a
b. Providingcaretomanageacuteorchronicconditions
c. Giving directcaretoillindividualswithin theirfamilysetting
a a
d. To preserve,l#protect,l#promote,l#ormaintainhealthandpreventdisease
a
ANS: l # D
By l#definition, l#community-
oriented nursing hasl#the l#goal l#ofl#preserving, l#protecting, l#orl#maintaining l#health l#and preventing
a a a
l#disease l#to l#promote l#the l#quality l#of l#life. l#All l#nurses l#may l#focus onindividualsl#andfamilies,l#gived a
l#irectl#care l#tol#ill l#persons within l#theirl#familysetting, l#and help l#manage acute l#or l#chronic l#conditio
a a a
l#ns. l#These l#definitions l#are l#not l#specific l#to l#community-oriented nursing. a
3. Whichofthe following is theprimaryfocusofpublichealthnursing?
a a a
a. Families andgroups a
b. Illness-oriented l # care
c. Individuals withinthefamilyunit a
d. Healthcareofcommunitiesandpopulations
ANS: l # D
In l#public l#health l#nursing, l#the l#primary l#focus l#is l#on l#the l#health l#care l#of l#communities and a
l#populatio l#ns l#rather l#than l#on l#individuals, l#groups, l#and families. l#The l#goal l#is to l#prevent a a
l#disease l#and preserve, l#promote, l#restore, l#and l#protect l#health l#for l#the l#community l#and the
a a
l#population l#within it. l#Communi l#ty-based l#nurses l#deal l#primarily l#with l#illness-
a
oriented care l#of l#individuals l#and l#families l#across the l#life l#span. l#The l#aim l#is l#to manage
a a a
l#acute and ch l#ronic l#health l#conditions l#inthecommunity,
a a
l#and thefocusof practiceisonindividualorfamily- l#centered illnesscare.
a a a
1 l#| l#P l#a l#g l#e
, 4. Which l#ofthe l#followingisresponsible l#for l#thedramaticincreasein l#life l#expectancyduringthe
l#20t l#hl#century?
a. Technologyincreasesinthefieldofmedicallaboratoryresearch
b. Advancesinsurgicaltechniquesandprocedures
c. Sanitation l#and l#other l#population-based l#prevention l#programs
d. Usel#ofantibioticstofightinfections
ANS: l # C
There has l#to l#be l#indisputable l#evidence l#collected l#over l#time l#that public l#health l#policies l#and
a a
l#programsw l#ereprimarilyresponsible l#for l#increasingtheaverage l#life l#spanfrom l#47 l#in l#1900 l#to
78.6 l#years l#in 2017, l#an l#increase l#of approximately l#60% in just l#over l#a l#century l#plus l#through
a a a a
l#impro l#vements l#in l#(1) l#sanitation, l#(2) l#clean l#water l#supplies, l#(3) l#making l#workplaces l#safer,
l#(4) l#improving l#food and l#drug l#safety, l#(5) l#immunizing children, l#and (6) l#improving l#nutrition,
a a a
l#hygiene, l#and hous l#ing. l#Although l#peopleare l#excited whenanewdrugisdiscovered thatcures
a a a
l#a l#disease or l#when a l#n l#ew l#way l#to l#transplant l#organs l#is l#perfected, l#it l#is l#important l#to
a a
l#know l#about the l#significant l#gains l#in th l#e l#health l#of l#populations that l#have l#come l#largely
a a a
l#from l#public l#health l#accomplishments.
5. Anurseisdevelopinga l#plan to l#decreasethenumberofpremature l#deathsin l#thecommunity. a
l#Wh l#ich l#of l#the l#following interventions l#would l#most l#likely l#be implemented by a a a
l#the nurse?
a
a. Providefreehealthcaretoallcitizens
b. To increase thenumberofindividualswithaccessto effectivehealthcarebenefits
a a a
c. Lowerthecostofhealthcaretothe l # l # Americanpopulation
d. To lessenthegovernmentalburdenofproviding healthcareto l#Americans
a a
ANS: l # B
ThecentralfeatureinthePatienfftoPrrdoatbelcetiConaraenAd cAt l # (ACA)of2010arethemec
a a a a a a a a a a a a
l#hanismsto increase thenumbearltohf ipnesoupral en cwei.t hThe l#care provided is
a a a a a a a a a
not necessarilyl#free.l#Whilethecostl#ofhealth carel#andthel#burdenl#itl#placesl#onl#thel#American l#governme
a a
l#nt l#are l#serious l#concerns, l#they l#are l#not l#the l#primary l#focus l#of l#ACA.
6. Whatl#is thel#basicassumptionl#statedbyl#Healthyl#Peoplel#2010l#as itl#relatesl#tol#publicl#health l#eff
a a
l#orts?
a. Health disparitiesamong anygroups aremorallyand legallywrong.
a a a a
b. Health careis themostimportantpriorityingovernmentplanningand funding.
a a a
c. Thehealthofindividualscannotbeseparatedfromthehealthofthecommunity.
d. Thegovernmentisresponsibleforlengtheningthe lifespanof l # l # Americans. a
ANS: l # C
The major l#premisel#ofl#Healthy l#People l#2010 l#wasl#that l#the health ofl#thel#individual l#cannot l#be
a a a
l#entir l#elyseparate l#from thehealth ofthelarger l#community. l#Publichealthpractice
a a
l#focuses on the l#com l#munity l#as a whole, l#and l#the l#effect l#of l#the l#community‗s l#health l#status
a a a a
l#(resources) l#on l#the l#health ofl#i l#ndividuals, l#families, l#andl#groups.l#The l#goall#isl#to preventl#disease
a a
l#andl#disability l#and l#promote l#and l#protect l#the l#health l#of l#the l#community l#as l#a l#whole. l#Public
l#health l#can be l#described l#asl#what l#society l#collectivelyl#doesl#to l#ensure l#that l#conditions existl#in
a a
l#which l#people l#canl#be healthy. l#The l#basic l#assu l#mptionsl#ofl#public l#health dol#not l#judgel#the
a a
l#moralityl#ofl#health l#disparities. l#The l#focusl#isl#on prevent l#ion l#of l#illness l#not on l#spending l#more a a
l#on l#illness l#care.
Additionally,l#individualresponsibilityformakinghealthychoicesisthedirectivefor l#length
l#ening l#life l#span l#not l#the role l#of l#the l#government. a