nk
Chapter 01: Community- and Prevention-
p p p p
Oriented Practice to Improve Population Health
p p p p p
Stanhope: Foundations for Population Health in Community/Public He
p p p p p p p
alth Nursing, 5th Edition
p p p
MULTIPLEpCHOICE
1. Whichpofpthepfollowingpbestpdescribespcommunity-basedpnursing?
a. Appracticepinpwhichpcarepispprovidedpforpindividualspandpfamilies
b. Providingpcarepwithpapfocusponpthepgroup’spneeds
c. Givingpcarepwithpapfocusponpthepaggregate’spneeds
d. Apvaluepsystempinpwhichpallpclientspreceivepoptimalpcare
ANS:pA
Bypdefinition,pcommunity-basedpnursingpispapsetting-
specificppracticepinpwhichpcarepispprovidedpforp“sick”pindividualspandpfamiliespwhereptheyplive,p
work,pandpattendpschool.pThepemphasispisponpacutepandpchronicpcarepandpthepprovisionpofpcompr
ehensive,pcoordinated,pandpcontinuouspcare.pThesepnursespmaypbepgeneralistsporpspecialistspinpm
aternal–infant,ppediatric,padult,porppsychiatricpmentalphealthpnursing.pCommunity-
basedpnursingpemphasizespacutepandpchronicpcareptopindividualspandpfamilies,pratherpthanpfocusi
ngponpgroups,paggregates,porpsystems.
2. Whichpofpthepfollowingpbestpdescribespcommunity-orientedpnursing?
a. Focusingponpthepprovisionpofpcareptopindividualspandpfamilies
b. Providingpcareptopmanagepacuteporpchronicpconditions
c. GivingpdirectpcareptopillpindividualspwithinptheirpfamilypsettingNURSINGTB.COM
d. Havingpthepgoalpofphealthppromotionpandpdiseasepprevention
ANS:pD
Bypdefinition,pcommunity-
orientedpnursingphaspthepgoalpofppreserving,pprotecting,porpmaintainingphealthpandppreventingpdi
seaseptoppromotepthepqualitypofplife.pAllpnursespmaypfocusponpindividualspandpfamilies,pgivepdire
ctpcareptopillppersonspwithinptheirpfamilypsetting,pandphelppmanagepacuteporpchronicpconditions.pT
hesepdefinitionsparepnotpspecificptopcommunity-orientedpnursing.
3. Whichpofpthepfollowingpispthepprimarypfocuspofppublicphealthpnursing?
a. Familiespandpgroups
b. Illness-orientedpcare
c. Individualspwithinpthepfamilypunit
d. Healthpcarepofpcommunitiespandppopulations
ANS:pD
NURSINGTB.COM
,FoundationspforpPopulationpHealthpinpCommunitypPublicpHealthpNursingp5thpEditionpStanhopepTestpBa
nk
Inppublicphealthpnursingpthepprimarypfocuspisponpthephealthpcarepofpcommunitiespandppopulations
pratherpthanponpindividuals,pgroups,pandpfamilies.pThepgoalpisptoppreventpdiseasep andppreserve,ppr
omote,prestore,pandpprotectphealthpforpthepcommunitypandptheppopulationpwithinpit.pCommunity-
basedpnursespdealpprimarilypwithpillness-
orientedpcarepofpindividualspandpfamiliespacorssptheplifepspan.pThepaimpisptopamanagepacutepandpc
hronicphealthpconditionspinpthepcommunity,pandpthepfocuspofppracticepisponpindividualporpfamily-
centeredpillnesspcare.
4. Whichpofpthepfollowingpispresponsiblepforpthepdramaticpincreasepinplifepexpectancypduringpthep20thpc
entury?
a. Technologypincreasespinpthepfieldpofpmedicalplaboratorypresearch
b. Advancespinpsurgicalptechniquespandpprocedures
c. Sanitationpandpotherppopulation-basedppreventionpprograms
d. Usepofpantibioticsptopfightpinfections
ANS:pC
Improvementspinpcontrolpofpinfectiouspdiseasespthroughpimmunizations,psanitation,pandpotherpp
opulation-
basedppreventionpprogramspledptopthepincreasepinplifepexpectancypfromplesspthanp50pyearspinp190
0ptopmorepthanp78pyearspinp2013.pAlthoughppeopleparepexcitedpwhenpapnewpdrugpispdiscoveredpth
atpcurespapdiseaseporpwhenpapnewpwayptoptransplantporganspispperfected,pitpispimportantptopknowp
aboutpthepsignificantpgainspinpthephealthpofppopulationspthatphavepcomeplargelypfromppublicpheal
thpaccomplishments.
5. Apnursepispdevelopingpapplanptopdecreasepthepnumberpofpprematurepdeathspinpthepcommunity.p
Whichpofpthepfollowingpinterventionspwouldpmostplikelypbepimplementedpbypthepnurse?pa.pI
ncreasepthepcommunity’spknowledgepaboutphospicepcare.
b. Promotephealthyplifestylepbehaviorpchoicespamongpthepcommunitypmembers.
c. Encouragepemployersptophavepwellnesspcenterspatpeachpindustrialpsite.
d. Ensureptimelypandpeffectivepmedicalpinterventionpandptreatmentpforpcommunitypmembers.
ANS:pB
Publicphealthpapproachespcouldphelpppreventpprematurepdeathspbypinfluencingpthepwayppeoplepe
at,pdrink,pdrive,pengagepinpexercise,pandptreatpthepenvironment.pIncreasingpknowledgepofphospic
epcare,pencouragingpon-
sitepwellnesspcenters,pandpensuringptimelyptreatmentpofpmedicalpconditionspdopnotpaddresspthepf
N R I G B.C M
ocuspofpimprovingpoverallphealthpthroughphealthppromotionp U S N T O strategi
p
es.pThispispthepmajorpmethodpthatpispsuggestedptopdecreasepthepincidencepofpprematurepdeath.
6. Whichpofpthepfollowingpispapbasicpassumptionpofppublicphealthpefforts?
a. Healthpdisparitiespamongpanypgroupsparepmorallypandplegallypwrong.
b. Healthpcarepispthepmostpimportantpprioritypinpgovernmentpplanningpandpfunding.
c. Thephealthpofpindividualspcannotpbepseparatedpfrompthephealthpofpthepcommunity.
d. ThepgovernmentpispresponsiblepforplengtheningptheplifepspanpofpAmericans.
ANS:pC
NURSINGTB.COM
,FoundationspforpPopulationpHealthpinpCommunitypPublicpHealthpNursingp5thpEditionpStanhopepTestpBa
nk
Publicphealthppracticepfocusesponpthepcommunitypaspapwhole,pandpthepeffectpofpthep community’sp
healthpstatusp(resources)ponpthephealthpofpindividuals,pfamilies,pandpgroups.pThepgoalpisptoppreve
ntpdiseasepandpdisabilitypandppromotepandpprotectpthephealthpofpthepcommunitypaspapwhole.pPubli
cphealthpcanpbepdescribedpaspwhatpsocietypcollectivelypdoesptopensurepthatpconditionspexistpinpwhi
chppeoplepcanpbephealthy.pThepbasicpassumptionspofppublicphealthpdopnotpjudgepthepmoralitypofph
ealthpdisparities.pThepfocuspisponppreventionpofpillnesspnotponpspendingpmoreponpillnesspcare.pAd
ditionally,pindividualpresponsibilitypforpmakingphealthypchoicespispthepdirectivepforplengtheningp
lifepspanpnotptheprolepofpthepgovernment.
7. Whichpofpthepfollowingpactionspwouldpmostplikelypbepperformedpbypappublicphealthpnurse?
a. Askingpcommunitypleaderspwhatpinterventionspshouldpbepchosen
b. Assessingpthepcommunitypandpdecidingponpappropriatepinterventions
c. Usingpdatapfrompthepmainphealthpcarepinstitutionspinpthepcommunityptopdeterminep
neededphealthpservices
d. Workingpwithpcommunitypgroupsptopcreateppoliciesptopimprovepthepenvironment
ANS:pD
Althoughptheppublicphealthpnursepmightpengagepinpanypofptheptasksplisted,pheporpshepworkspprimar
ilypwithpmemberspofpthepcommunityptopcarrypoutpcoreppublicphealthpfunctions,pincludingpassessm
entpofptheppopulationpaspapwholepandpengagingpinppromotingphealthpandpimprovingpthepenvironm
ent.pThepinterventionspofpaskingpcommunitypleaderspwhichpinterventionspshouldpbepchosen,pases
singpthepcommunitypandpdecidingponpappropriatepinterventions,pandpusingpdatapfromphealthpcarepi
nstitutionspdopnotpdemonstratepthepengagementpofpthepcommunitypwhenpmakingpdecisionspaboutp
whatpthepcommunitypactuallypwantspandpneeds.
8. Whichpofpthepfollowingppublicphealthpnursespmostpclearlypfulfillspthepresponsibilitiespofpthisprole?
a. Thepnursepwhopmetpwithpseveralpgroupsptopdiscusspcommunityprecreationpissues
b. Thepnursepwhopspentpthepdaypattendingpmeetingspofpvariousphealthpagencies
c. Thepnursepwhoptalkedptopseveralppeoplepaboutptheirpparticularphealthpconcerns
d. Thepnursepwhopwatchedpthepcitypcouncilpmeetingponplocalpcableptelevision
ANS:pB
Anypofpthesepdescriptionspmightprepresentpapnursepcommunicating,pcooperating,porpcollaboratin
gpwithpcommunitypresidentsporpgroupspaboutphealthpconcerns.pHowever,pthepnursepwhopspentpth
epdaypattendingpmeetingspofpvariousphealthpagenciespispthepmostprepresentative,pbecausepinppubl
icphealth,pconcernsparepaddressedpfrompapbroaderpperspective.pInppublicphealth,pbroadpconcernsp
ofpthepcommunitypshouldpbepaddressed.pConcernsparepbroaderpthanprecreation,pindividualpconce
rnsparepnotpaspimportantpaspaggregateppriorities,pandpwatchingptelevisionp(apone-
waypformpofpcommunication)pisplesspeffectivepthanpinteractingpwithpothers.
NURSINGTB.COM
9. Whichpofpthepfollowingpbestpdefinespaggregate?
a. Aplargepgrouppofppersons
b. Apcollectionpofpindividualspandpfamilies
c. Apcollectionpofppeoplepwhopshareponeporpmorepcharacteristics
d. Anotherpnamepforpdemographicpgroup
NURSINGTB.COM
, FoundationspforpPopulationpHealthpinpCommunitypPublicpHealthpNursingp5thpEditionpStanhopepTestpBa
nk
ANS:pC
Anpaggregatepispdefinedpapcollectionpofppeoplepwhopshareponeporpmoreppersonalporpenvironment
alpcharacteristics.pMemberspofpapcommunitypcanpbepdefinedpinptermspofpeitherpgeographyp(e.g.,p
apcounty,papgrouppofpcounties,porpapstate)porpapspecialpinterestp(e.g.,pchildrenpattendingpapparticul
arpschool).pThesepmemberspmakepuppappopulation.pTheptermppopulationpmaypbepusedpinterchan
geablypwithptheptermpaggregate.pAplargepgrouppofppersons,papcollectionpofpindividualspandpfamil
ies,pandpanotherpnamepforpdemograhpicpgroupparepnotpaccuratepdefinitionspofptheptermpaggregat
e.
10. Apregisteredpnursepwaspjustpemployedpaspappublicphealthpnurse.pWhichpquestionpwouldpbepthep
mostprelevantpforpthepnurseptopask?
a. “Whichpgroupsparepatpthepgreatestpriskpforpproblems?”
b. “WhichppatientspshouldpIpseepfirstpaspIpbeginpmypday?”
c. “WithpwhichpphysicianspwillpIpbepmostpcloselypcollaborating?”
d. “WithpwhichpnursingpassistantspwillpIppartnerpthepmost?”
ANS:pA
Askingpwhichpgroupsparepatpgreatestpriskpreflectspapcommunity-
orientedpperspective.pThepincorrectpresponsespreflectpapfocusponpindividualspratherpthanpapcomm
unity-orientedpperspective.
11. Makingpsurepthatpessentialpcommunity-
orientedphealthpservicesparepavailablepdefinespwhichpofpthepcoreppublicphealthpfunctions?pa.pPoli
cypdevelopment
b. Assessment
c. Assurance
d. Scientificpknowledge-basedpcare
ANS:pC
Assurancepincludespmakingpsurepthatpessentialpcommunity-
orientedphealthpservicesparepavailablepinpthepcommunity.pThepdefinitionpdoespnotpfitptheptermspas
sessment,p policypdevelopment.pScientificpknowledge-
basedpcarepispnotpapcorepfunctionpofppublicphealth.pAssessmentpispsystematicpdatapcollectionponpth
eppopulation,pmonitoringptheppopulation’sphealthpstatus,pandpmakingpinformationpavailablepabout
pthephealthpofpthepcommunity.pPolicypdevelopmentprefersptopeffortsptopdevelopppoliciespthatpsupp
ortpthephealthpofptheppopulation,pincludingpusingpapscientificpknowledgepbaseptopmakeppolicypdec
isions.
12. Whenptalkingptopapwomen’spgrouppatpthepseniorpcitizens’pcenter,pthepnursepremindedpthempthatpt
heponlypwaypthepcenterpwouldpbepableptopaffordptopprovideptransportationpservicespforpthempwou
ldpbepforpthemptopcontinueptopwriteplettersptoptheirplocalpcitypcouncilprepresentativesprequestingpf
undingpforpsuchpapservice.pWhatpwaspthepnurseptryingptopaccomplishpthroughpthispaction?
a. Ensurepthatpthepwomenpdidpnotpexpectpthepnurseptopsolveptheirpproblem.
b. c.p Demonstratepthatpthepnursepunderstoodpthepwomen’spconcernspandpneeds.Expressp
empathy,psupport,pandpconcern.pNURSINGTBp.COM
d.pHelppthepwomenpengagepinppoliticalpaction.
NURSINGTB.COM