FOUNDATIONSFORPOPULATIONHEALTHIN
.Y
COMMUNITY/PUBLICHEALTHNURSING
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byMarciaStanhope,JeanetteLancaster
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l #
l
6T
, TableofContents
Chapter01:PublicHealthNursingandPopulationHealth ij
Chapter02:TheHistoryofPublicHealthand PublicandCommunityHealthNursing Stanhope: #
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l# Chapter 03: US and Global Health Care
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Chapter04:Government,theLaw,andPolicyActivism ij
l# Chapter05:Economics ofUS HealthCareDelivery l# l#
Chapter06:EthicsinPublicandCommunityHealthNursingPractice ij
l# Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health
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l# Chapter 09: Evidence-Based
l# l#
l# Practice
l# Chapter10:EpidemiologicalApplica
tions
Chapter 11: Infectious Disease Prevention and
l# l# l# l# l#
l# Control
l# Chapter12:CommunicableandInfectionDiseaseRisks ji ji
l# Chapter 13: Community Assessment and
l# l# l# l#
l# Evaluation
l# Chapter14:Health EducationintheCommunityChapter .Y .Y
l# 15:
Case Management
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l# Chapter16:DisasterManagement
Chapter17:PublicHealthSurveillanceandOutbreakInvestigation ji
Chapter 18: Program Management
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l# Chapter19:HealthcareImprovementintheCommunity
Chapter20:FamilyDevelopment,FamilyNursingAssessment,andGen ji
omics Chapter 21: Family Health Risks
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l# Chapter22:HealthRisksAcrosstheLifeSpan
l# Chapter23:HealthEquityandCareofVulnerablePopulationsChapter ij
24: Rural Health and Migrant Health
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l# Chapter25:Poverty,Homelessness,TeenPregnancy,andMentalIllness .Y .Y
Chapter
l# 26:Alcohol,Tobacco,andOtherDrugProblemsintheCommunity ij
, Chapter01:PublicHealthNursingandPopulationHealth
Stanhope:FoundationsforPopulationHealthinC .Y l # l # ommunity/Public Health Nursin
.Y .Y
MULTIPLECHOICE
1. WHICHstatementbest describes l # community-basednursing?
.Y
a. Apracticein WHICHcareisprovidedl#forindividuals and families.
.Y .Y .Y
b. Providingcarewithafocusonthegroup‘sneeds.
c. Givingcarewith a focus l # ontheaggregate‘s l # needs.
.Y
d. Avaluesystem in WHICHallclientsreceiveoptimalcare.
.Y .Y .Y .Y
ANS A
Bydefinition,community-based nursingis asetting-specificpracticein#lWHICHcareis .Y
l#provided for―sick‖individualsandfamilies l# wheretheylive, l#work, l#and l#attend l#school. l#The l#e
.Y
l#chronic l#care l#and l#the l#provision l#of l#comprehensive,
l#coordinated,and continuouscare.TheseNursesmaybe generalistsorspecialistsinmaternal–
.Y .Y
infant,pediatric,adult,orpsychiatric l#mental l # health l#nursing. l#Community-based l#nursing l#em
l#chronic l#care l#to l#individuals l#and l#families, l#rather l#than l#focusing l#on l#groups, l#aggregates, l#o
2. WHICHstatement l#best describes thegoal l#of community-oriented l#nursing?
.Y .Y .Y
a. Providingcaretoindividuals l#and l#families
b. Providingcaretomanage acute orchronic l#conditions .Y .Y
c. Givingdirectcaretoillindividuals withintheirfamilysetting .Y
d. Topreserve,protect, promote,ormaintain health l#andprevent l# disease .Y
ANS D
Bydefinition, l#community-orientednursinghasthegoalofpreserving,
l#ormaintaininghealthandpreventingdiseaseto l#promote l#the l#quality l#of l#life. l#All l#Nurse
l#individuals l#and l#families, l#give l#direct l#care l#to l#ill l#persons l#within l#their l#family l#setting, l#and l#
l#or l#chronic l#conditions. l#These l#definitions l#are l#not l#specific l#to l#community-oriented l#nursing.
3. WHICHoftheFollowing istheprimaryfocusofpublichealth nursing?
.Y .Y .Y
a. Familiesandgroups
b. Illness-orientedcare
c. Individuals l#withinthefamily l#unit
d. Healthcareofcommunities l#and populations .Y
ANS D
Inpublichealthnursing,theprimaryfocusis onthehealthcareofcommunitiesand populationsrathert
.Y .Y .Y .Y .Y
ps,and l # l # families.Thel#goalistopreventdiseaseand l#preserve, l#promote,restore, l#andprote
l#communityandthepopulation l#within l#it. l#Community-based l#Nursesdeal l#primarilywith l#ill
l#individuals l#and l#families l#across l#thelife
l#to l#manage l#acute l#and l#chronic l#health l#conditions l#in l#the l#community, l#and l#the l#focus l#of l#prac
family-centeredillnesscare.
4. WHICHoftheFollowingisresponsibleforthedramaticincreaseinlifeexpectancyduringthe20th .Y l #
a. Technologyincreasesin thefield ofmedicallaboratoryresearch .Y .Y
b. Advancesinsurgicaltechniquesandprocedures
c. Sanitationand otherpopulation-based prevention l # programs
.Y .Y
d. Useofantibioticstofight l#infections
ANS C
Therehas l#to l#be l#indisputable l#evidence l#collected l#over l#time l#that l#public l#health l#policies l#and l#p
l#primarilyresponsible l#for l#increasingthe averagelifespan from 47in1900to 78.6yearsin2017,# l ani n .Y .Y .Y .Y
lin justoveracenturyplus l#through l#improvements l#in(1)sanitation, l#(2)clean l#watersupplies,(3)m
# .Y
, 6. WhatisthebasicassumptionstatedbyHealthyPeople2010asit relates t l # l # opublichealthefforts? .Y .Y
a. Health disparitiesamong l#anygroupsaremorallyandlegallywrong.
i .Y
b. Healthcareis l#themost l#important l#priorityin l#government l#planningand l#funding.
c. Thehealth ofindividualscannot beseparatedfrom l # thehealthofthe community.
.Y .Y .Y .Y
d. Thegovernment isresponsibleforlengthening thelifespan of l # Americans.
.Y .Y .Y
ANS C
Themajorpremise l#of l#Healthy l#People l#2010 l#wasthat l#the l#health l#of l#theindividual l#cannot l#be l#e .
l#thehealth l#ofthe l#larger l#community.l#Publichealth l#practice l#focuses# l onthe l#community#
las l#a#
l who
l#community‘s l#healthl#status l#(resources)# lon l#thehealth l#ofindividuals, l#families, l#andgroups.Th
l#diseaseanddisability l#andpromoteandprotect l#the
l#healthofthecommunityasawhole.Public health canbedescribedas whatsocietycollectivelydoestoe .Y .Y .Y
n l# l#
l # WHICHpeoplecanbehealthy.Thebasic assumptionsofpublichealthdonotjudgethemoralityofh .Y .Y
l # focusison l # prevention l#of l#illness l#not l#onspendingmoreon l#illness l#care. l#Additionally,
l#individualresponsibilityfor l#making l#healthychoices l#is l#the l#directive l#for l#lengthening l#life
l#the l#government.
7. WHICHoftheFollowingactionswould most likelybeperformedbyapublichealthNurse? .Y .Y .Y
a. Askingcommunityleaderswhatinterventionsshouldbechosen
b. Assessingthecommunity anddeciding on appropriateinterventions .Y .Y
c. Usingdatafromthemainhealthcareinstitutionsinthecommunitytode
termine l#needed l#health l#services
d. Workingwith communitygroupstocreatepoliciestoimprovetheenvironment
.Y
ANS D
Although thepublic healthNurse l#mightengagein l#anyofthetasks l#listed, he l#orsheworks l#primari
.Y .Y
l#community l#to l#carryout l#corepublichealth l#functions, l#including l#assessment l#ofthe l#popula
l#engaging l#in l#promoting health l# and l#improvingl#the l#environment.l#The l#interventions l#of l#askin
.Y
l#WHICH l#interventions l#shouldl#be l#chosen, l#assessing the .Y
l# communityand d eciding onappropriateinterventions,and usingdatafromhealth careinstitutions
.Y .Y .Y .Y
engagement l#of l#the l#community l#when l#making l#decisions l#about l#what l#the l#community l#ac
l#needs.
8. WHICHpublichealth Nursemost clearlyfulfillstheresponsibilitiesofthisrole?
.Y .Y .Y
a. TheNursewhometwithseveralgroupstodiscusscommunityrecreationissues
b. TheNursewho spent the l#dayattending meetings ofvarioushealth l#agencies
.Y .Y .Y .Y .Y
c. TheNursew ho talked to#lseveralpeopleabouttheirparticularhealth l#concerns
.Y .Y .Y
d. TheNursewhowatched l#thecitycouncilmeeting onlocalcable l#television
.Y .Y
ANS B
Anyofthesedescriptions mightrepresentaNurse communicating,cooperating,orcollaboratingwith
.Y .Y .Y .Y
orgroups l # l # about l#health l#concerns. l#A l#major l#challenge l#forthe l#futureis l#the need for l#p .Y
l#nursing specialists l# tobe l#moreaggressive l#in
.Y
l#workingcollaborativelywithvariousgroups inthecommunityas wellasprofessionalcolleaguesinin .Y .Y
ealwith l # l # l # barriers l#to l#health. l#However, l#the l#Nursewho l#spent l#thedayattending me .Y
l#health l#agencies l#is the l#most l#representative, l#becausein l#public l#health, l#concerns l#areaddresse
.Y
l#perspective. l#In l#public health, l#broad l#concerns l#ofthecommunity l#shouldbeaddressed. l#Con
.Y
l#arebroaderthanrecreation, l#individualconcernsare l#not l#as important l# as l#aggregate l#priorities .Y
l#television l#(a l#one-way l#form l#of l#communication) l#is l#less l#effective l#than l#interacting l#with l#ot
9. WHICHoftheFollowing l#best l#defines l#aggregate?
.Y
a. Alargegroupof#lpersons
b. Acollection l#ofindividuals l#and l#families
c. Acollection ofpeoplewhoshareoneormore
.Y l # characteristics
d. Anothernamefordemographicgroup