TEST BANK FOR FOUNDATION OF POPULATION HEALTH FOR
COMMUNITY/PUBLIC HEALTH NURSING 5TH EDITION MARCIA STANHOPE
HARVARD UNIVERSITY NURSING 10.
,Contents
Chapter 01: Community- and Prevention-Oriented Practice to Improve Population Health .................. 3
Chapter 02: The History of Public Health and Public and Community Health Nursing .......................... 10
Chapter 03: The Changing U.S. Health and Public Health Care Systems ................................................ 17
Chapter 04: Ethics in Public and Community Health Nursing Practice ................................................... 24
Chapter 05: Cultural Influences in Nursing in Community Health .......................................................... 33
Chapter 06: Environmental Health ......................................................................................................... 43
Chapter 07: Government, the Law, and Policy Activism ........................................................................ 51
Chapter 08: Economic Influences ........................................................................................................... 59
Chapter 09: Epidemiological Applications .............................................................................................. 70
Chapter 10: Evidence-Based Practice ..................................................................................................... 84
Chapter 11: Using Health Education and Groups in the Community ..................................................... 91
Chapter 12: Community Assessment and Evaluation ........................................................................... 100
Chapter 13: Case Management ............................................................................................................ 109
Chapter 14: Disaster Management ....................................................................................................... 117
Chapter 15: Surveillance and Outbreak Investigation .......................................................................... 125
Chapter 16: Program Management ...................................................................................................... 131
Chapter 17: Managing Quality and Safety ............................................................................................ 139
Chapter 18: Family Development and Family Nursing Assessment ..................................................... 149
Chapter 19: Family Health Risks............................................................................................................ 158
Chapter 20: Health Risks Across the Life Span...................................................................................... 171
Chapter 21: Vulnerability and Vulnerable Populations: An Overview .................................................. 184
Chapter 22: Rural Health and Migrant Health ...................................................................................... 191
Chapter 23: Poverty, Homelessness, Teen Pregnancy, and Mental Illness .......................................... 198
Chapter 24: Alcohol, Tobacco, and Other Drug Problems in the Community ...................................... 208
Chapter 25: Violence and Human Abuse .............................................................................................. 217
Chapter 26: Infectious Disease Prevention and Control ....................................................................... 225
Chapter 27: HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases ..................... 236
Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health ....................... 247
Chapter 29: The Faith Community Nurse ............................................................................................. 255
Chapter 30: The Nurse in Home Health and Hospice ........................................................................... 264
Chapter 31: The Nurse in the Schools................................................................................................... 275
Chapter 32: The Nurse in Occupational Health .................................................................................... 288
,Chapter 01: Community- and Prevention-Oriented Practice to Improve Population Health
MULTIPLE CHOICE
1. Which of the following best describes community-based nursing?
a. A practice in which care is provided for individuals and families
b. Providing care with a focus on the group’s needs
c. Giving care with a focus on the aggregate’s needs
d. A value system in which all clients receive optimal care
ANS:A
By definition, community-based nursing is a setting-specific practice in which care is provided for ―sick‖
individuals and families where they live, work, and attend school. The emphasis is on acute and chronic
care and the provision of comprehensive, coordinated, and continuous care. These nurses may be
generalists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing.
Community-based nursing emphasizes acute and chronic care to individuals and families, rather than
focusing on groups, aggregates, or systems.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill individuals disease with prevention in their family setting
d. Having the goal of health promotion
S
ANS:D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health
and preventing disease to promote the quality of life. All nurses may focus on individuals and families,
give direct care to ill persons within their family setting, and help manage acute or chronic conditions.
These definitions are not specific to community-oriented nursing.
3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
,c. Individuals within the family unit
d. Health care of communities and populations
ANS:D
In public health nursing the primary focus is on the health care of communities and populations rather
than on individuals, groups, and families. The goal is to prevent disease and preserve, promote, restore,
and protect health for the community and the population within it. Community-based nurses deal
primarily with illness-oriented care of individuals and families across the life span. The aim is to manage
acute and chronic health conditions in the community, and the focus of practice is on individual or
family-centered illness care.
Harvard University NURSING 10 TEST BANK FOR FOUNDATION OF
POPULATION HEALTH FOR COMMUNITY/PUBLIC HEALTH NURSING 5TH EDITION STANHOPE
4. Which of the following is responsible for the dramatic increase in life expectancy during the 20th
century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other population-based prevention programs
d. Use of antibiotics to fight infections
ANS:C
Improvements in control of infectious diseases through immunizations, sanitation, and other
population-based prevention programs led to the increase in life expectancy from less than 50 years in
1900 to more than 78 years in 2013. Although people are excited when a new drug is discovered that
cures a disease or when a new way to transplant organs is perfected, it is important to know about the
significant gains in the health of populations that have come largely from public health
accomplishments.
5. A nurse is developing a plan to decrease the number of premature deaths in the community.
Which of the following interventions would most likely be implemented by the nurse? a. Increase the
community’s knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for community members.
ANS:B
Public health approaches could help prevent premature deaths by influencing the way people eat, drink,
drive, engage in exercise, and treat the environment. Increasing knowledge of
,hospice care, encouraging on-site wellness centers, and ensuring timely treatment of medical conditions
do not address theNfUocRusSoIfNimGpTroBv.inCg OovMerall health through health promotion
strategies. This is the major method that is suggested to decrease the incidence of premature death.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans.
ANS:C
Public health practice focuses on the community as a whole, and the effect of the community’s health
status (resources) on the health of individuals, families, and groups. The goal is to prevent disease and
disability and promote and protect the health of the community as a whole. Public health can be
described as what society collectively does to ensure that conditions exist in which people can be
healthy. The basic assumptions of public health do not judge the morality of health disparities. The focus
is on prevention of illness not on spending more on illness care. Additionally, individual responsibility for
making healthy choices is the directive for lengthening life span not the role of the government.
7. Which of the following actions would most likely be performed by a public health nurse?
a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine
needed health services
d. Working with community groups to create policies to improve the environment
ANS:D
Although the public health nurse might engage in any of the tasks listed, he or she works primarily with
members of the community to carry out core public health functions, including assessment of the
population as a whole and engaging in promoting health and improving the environment. The
interventions of asking community leaders which interventions should be chosen, asessing the
community and deciding on appropriate interventions, and using data from health care institutions do
not demonstrate the engagement of the community when making decisions about what the community
actually wants and needs.
8. Which of the following public health nurses most clearly fulfills the responsibilities of this role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
, d. The nurse who watched the city council meeting on local cable television
ANS:B
Any of these descriptions might represent a nurse communicating, cooperating, or collaborating with
community residents or groups about health concerns. However, the nurse who spent the day attending
meetings of various health agencies is the most representative, because in public health, concerns are
addressed from a broader perspective. In public health, broad concerns of the community should be
addressed. Concerns are broader than recreation, individual concerns are not as important as aggregate
priorities, and watching television (a one-way form of communication) is less effective than interacting
with others.
NU RS IN GT B.CO M
9. Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A collection of people who share one or more characteristics
d. Another name for demographic group
ANS:C
An aggregate is defined a collection of people who share one or more personal or environmental
characteristics. Members of a community can be defined in terms of either geography (e.g., a county, a
group of counties, or a state) or a special interest (e.g., children attending a particular school). These
members make up a population. The term population may be used interchangeably with the term
aggregate. A large group of persons, a collection of individuals and families, and another name for
demograhpic group are not accurate definitions of the term aggregate.
10. A registered nurse was just employed as a public health nurse. Which question would be the most
relevant for the nurse to ask?
a. ―Which groups are at the greatest risk for problems?‖
b. ―Which patients should I see first as I begin my day?‖
c. ―With which physicians will I be most closely collaborating?‖
d. ―With which nursing assistants will I partner the most?‖
ANS:A
Asking which groups are at greatest risk reflects a community-oriented perspective. The incorrect
responses reflect a focus on individuals rather than a community-oriented perspective.
11. Making sure that essential community-oriented health services are available defines which of the
core public health functions? a. Policy development
b. Assessment
COMMUNITY/PUBLIC HEALTH NURSING 5TH EDITION MARCIA STANHOPE
HARVARD UNIVERSITY NURSING 10.
,Contents
Chapter 01: Community- and Prevention-Oriented Practice to Improve Population Health .................. 3
Chapter 02: The History of Public Health and Public and Community Health Nursing .......................... 10
Chapter 03: The Changing U.S. Health and Public Health Care Systems ................................................ 17
Chapter 04: Ethics in Public and Community Health Nursing Practice ................................................... 24
Chapter 05: Cultural Influences in Nursing in Community Health .......................................................... 33
Chapter 06: Environmental Health ......................................................................................................... 43
Chapter 07: Government, the Law, and Policy Activism ........................................................................ 51
Chapter 08: Economic Influences ........................................................................................................... 59
Chapter 09: Epidemiological Applications .............................................................................................. 70
Chapter 10: Evidence-Based Practice ..................................................................................................... 84
Chapter 11: Using Health Education and Groups in the Community ..................................................... 91
Chapter 12: Community Assessment and Evaluation ........................................................................... 100
Chapter 13: Case Management ............................................................................................................ 109
Chapter 14: Disaster Management ....................................................................................................... 117
Chapter 15: Surveillance and Outbreak Investigation .......................................................................... 125
Chapter 16: Program Management ...................................................................................................... 131
Chapter 17: Managing Quality and Safety ............................................................................................ 139
Chapter 18: Family Development and Family Nursing Assessment ..................................................... 149
Chapter 19: Family Health Risks............................................................................................................ 158
Chapter 20: Health Risks Across the Life Span...................................................................................... 171
Chapter 21: Vulnerability and Vulnerable Populations: An Overview .................................................. 184
Chapter 22: Rural Health and Migrant Health ...................................................................................... 191
Chapter 23: Poverty, Homelessness, Teen Pregnancy, and Mental Illness .......................................... 198
Chapter 24: Alcohol, Tobacco, and Other Drug Problems in the Community ...................................... 208
Chapter 25: Violence and Human Abuse .............................................................................................. 217
Chapter 26: Infectious Disease Prevention and Control ....................................................................... 225
Chapter 27: HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases ..................... 236
Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health ....................... 247
Chapter 29: The Faith Community Nurse ............................................................................................. 255
Chapter 30: The Nurse in Home Health and Hospice ........................................................................... 264
Chapter 31: The Nurse in the Schools................................................................................................... 275
Chapter 32: The Nurse in Occupational Health .................................................................................... 288
,Chapter 01: Community- and Prevention-Oriented Practice to Improve Population Health
MULTIPLE CHOICE
1. Which of the following best describes community-based nursing?
a. A practice in which care is provided for individuals and families
b. Providing care with a focus on the group’s needs
c. Giving care with a focus on the aggregate’s needs
d. A value system in which all clients receive optimal care
ANS:A
By definition, community-based nursing is a setting-specific practice in which care is provided for ―sick‖
individuals and families where they live, work, and attend school. The emphasis is on acute and chronic
care and the provision of comprehensive, coordinated, and continuous care. These nurses may be
generalists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing.
Community-based nursing emphasizes acute and chronic care to individuals and families, rather than
focusing on groups, aggregates, or systems.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill individuals disease with prevention in their family setting
d. Having the goal of health promotion
S
ANS:D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health
and preventing disease to promote the quality of life. All nurses may focus on individuals and families,
give direct care to ill persons within their family setting, and help manage acute or chronic conditions.
These definitions are not specific to community-oriented nursing.
3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
,c. Individuals within the family unit
d. Health care of communities and populations
ANS:D
In public health nursing the primary focus is on the health care of communities and populations rather
than on individuals, groups, and families. The goal is to prevent disease and preserve, promote, restore,
and protect health for the community and the population within it. Community-based nurses deal
primarily with illness-oriented care of individuals and families across the life span. The aim is to manage
acute and chronic health conditions in the community, and the focus of practice is on individual or
family-centered illness care.
Harvard University NURSING 10 TEST BANK FOR FOUNDATION OF
POPULATION HEALTH FOR COMMUNITY/PUBLIC HEALTH NURSING 5TH EDITION STANHOPE
4. Which of the following is responsible for the dramatic increase in life expectancy during the 20th
century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other population-based prevention programs
d. Use of antibiotics to fight infections
ANS:C
Improvements in control of infectious diseases through immunizations, sanitation, and other
population-based prevention programs led to the increase in life expectancy from less than 50 years in
1900 to more than 78 years in 2013. Although people are excited when a new drug is discovered that
cures a disease or when a new way to transplant organs is perfected, it is important to know about the
significant gains in the health of populations that have come largely from public health
accomplishments.
5. A nurse is developing a plan to decrease the number of premature deaths in the community.
Which of the following interventions would most likely be implemented by the nurse? a. Increase the
community’s knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for community members.
ANS:B
Public health approaches could help prevent premature deaths by influencing the way people eat, drink,
drive, engage in exercise, and treat the environment. Increasing knowledge of
,hospice care, encouraging on-site wellness centers, and ensuring timely treatment of medical conditions
do not address theNfUocRusSoIfNimGpTroBv.inCg OovMerall health through health promotion
strategies. This is the major method that is suggested to decrease the incidence of premature death.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans.
ANS:C
Public health practice focuses on the community as a whole, and the effect of the community’s health
status (resources) on the health of individuals, families, and groups. The goal is to prevent disease and
disability and promote and protect the health of the community as a whole. Public health can be
described as what society collectively does to ensure that conditions exist in which people can be
healthy. The basic assumptions of public health do not judge the morality of health disparities. The focus
is on prevention of illness not on spending more on illness care. Additionally, individual responsibility for
making healthy choices is the directive for lengthening life span not the role of the government.
7. Which of the following actions would most likely be performed by a public health nurse?
a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine
needed health services
d. Working with community groups to create policies to improve the environment
ANS:D
Although the public health nurse might engage in any of the tasks listed, he or she works primarily with
members of the community to carry out core public health functions, including assessment of the
population as a whole and engaging in promoting health and improving the environment. The
interventions of asking community leaders which interventions should be chosen, asessing the
community and deciding on appropriate interventions, and using data from health care institutions do
not demonstrate the engagement of the community when making decisions about what the community
actually wants and needs.
8. Which of the following public health nurses most clearly fulfills the responsibilities of this role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
, d. The nurse who watched the city council meeting on local cable television
ANS:B
Any of these descriptions might represent a nurse communicating, cooperating, or collaborating with
community residents or groups about health concerns. However, the nurse who spent the day attending
meetings of various health agencies is the most representative, because in public health, concerns are
addressed from a broader perspective. In public health, broad concerns of the community should be
addressed. Concerns are broader than recreation, individual concerns are not as important as aggregate
priorities, and watching television (a one-way form of communication) is less effective than interacting
with others.
NU RS IN GT B.CO M
9. Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A collection of people who share one or more characteristics
d. Another name for demographic group
ANS:C
An aggregate is defined a collection of people who share one or more personal or environmental
characteristics. Members of a community can be defined in terms of either geography (e.g., a county, a
group of counties, or a state) or a special interest (e.g., children attending a particular school). These
members make up a population. The term population may be used interchangeably with the term
aggregate. A large group of persons, a collection of individuals and families, and another name for
demograhpic group are not accurate definitions of the term aggregate.
10. A registered nurse was just employed as a public health nurse. Which question would be the most
relevant for the nurse to ask?
a. ―Which groups are at the greatest risk for problems?‖
b. ―Which patients should I see first as I begin my day?‖
c. ―With which physicians will I be most closely collaborating?‖
d. ―With which nursing assistants will I partner the most?‖
ANS:A
Asking which groups are at greatest risk reflects a community-oriented perspective. The incorrect
responses reflect a focus on individuals rather than a community-oriented perspective.
11. Making sure that essential community-oriented health services are available defines which of the
core public health functions? a. Policy development
b. Assessment
