TEST BANK
Foundations for Population Health in Community/Public Health
Nursing
Marcia Stanhope and Jeanette Lancaster
5th Edition
,Table70of70Contents
Chapter700170Community-and70Prevention-Oriented70Practice70to70Improve70Population70Health 2
Chapter700270The70History70of70Public70Health70and70Public70and70Community70Health70Nursing 8
Chapter700370The70Changing70U.S.70Health70and70Public70Health70Care70Systems 15
Chapter700470Ethics70in70Public70and70Community70Health70Nursing70Practice 21
Chapter700570Cultural70Influences70in70Nursing70in70Community70Health 29
Chapter700670Environmental70Health 38
Chapter700770Government,70the70Law,70and70Policy70Activism 45
Chapter700870Economic70Influences 53
Chapter700970Epidemiological70Applications 62
Chapter701070Evidence-Based70Practice 75
Chapter701170Using70Health70Education70and70Groups70in70the70Community 82
Chapter701270Community70Assessment70and70Evaluation 90
Chapter701370Case70Management 99
Chapter701470Disaster70Management 106
Chapter701570Surveillance70and70Outbreak70Investigation 114
Chapter701670Program70Management 119
Chapter701770Managing70Quality70and70Safety 126
Chapter701870Family70Development70and70Family70Nursing70Assessment 135
Chapter701970Family70Health70Risks 144
Chapter702070Health70Risks70Across70the70Life70Span 155
Chapter702170Vulnerability70and70Vulnerable70Populations70An70Overview 167
Chapter702270Rural70Health70and70Migrant70Health 173
Chapter702370Poverty,70Homelessness,70Teen70Pregnancy,70and70Mental70Illness 179
Chapter702470Alcohol,70Tobacco,70and70Other70Drug70Problems70in70the70Community 188
Chapter702570Violence70and70Human70Abuse 197
Chapter702670Infectious70Disease70Prevention70and70Control 204
Chapter702770HIV70Infection,70Hepatitis,70Tuberculosis,70and70Sexually70Transmitted70Diseases 214
Chapter702870Nursing70Practice70at70the70Local,70State,70and70National70Levels70in70Public70Health 224
Chapter702970The70Faith70Community70Nurse 232
Chapter703070The70Nurse70in70Home70Health70and70Hospice 239
Chapter703170The70Nurse70in70the70Schools 249
Chapter703270The70Nurse70in70Occupational70Health 261
,Test70Bank70-
70Foundations70for70Population70Health70in70Community/Public70Health70Nursing,705e70(Stanhope,70
Chapter7001:70Community-70and70Prevention-
2018)
Oriented70Practice70to70Improve70Population70Health
Stanhope:70Foundations70for70Population70Health70in70Community/Public70Health70Nu
rsing,705th70Edition
MULTIPLE7 0 CHOICE
1. Which70 of70 the70 following70 best70 describes70 community-based70 nursing?
a. A70 practice70in70 which70 care70 is70provided70 for70 individuals70 and70 families
b. Providing70 care70 with70 a70 focus70on70 the70 group’s70 needs
c. Giving70care70 with70 a70 focus70 on70 the70 aggregate’s70 needs
d. A70 value70 system70 in70 which70 all70 clients70 receive70 optimal70 care
ANS:7 0 A
By70definition,70community-based70nursing70is70a70setting-
specific70practice70in70which70care70is70provided70for70“sick”70individuals70and70families70
where70they70live,70work,70and70attend70school.70The70emphasis70is70on70acute70and70chroni
c70care70and70the70provision70of70comprehensive,70coordinated,70and70continuous70care.70Th
ese70nurses70may70be70generalists70or70specialists70in70maternal–
infant,70pediatric,70adult,70or70psychiatric70mental70health70nursing.70Community-
based70nursing70emphasizes70acute70and70chronic70care70to70individuals70and70families,70rat
her70than70focusing70on70groups,70aggregates,70or70systems.
2. Which70 of70 the70 following70 best70 describes70 community-oriented70 nursing?
a. Focusing70 on70 the70 provision70 of70 care70 to70 individuals70 and70 families
b. Providing70 care70to70 manage70 acute70 or70 chronic70 conditions
c. Giving70 direct70 care70to70 ill70 individuals70 within70their70 family70 setting
d. Having70 the70 goal70 of70 health70 promotion70 and70 disease70 prevention
ANS:7 0 D
By70definition,70community-
oriented70nursing70has70the70goal70of70preserving,70protecting,70or70maintaining70health70an
d70preventing70disease70to70promote70the70quality70of70life.70All70nurses70may70focus70on70in
dividuals70and70families,70give70direct70care70to70ill70persons70within70their70family70setting,
70and70help70manage70acute70or70chronic70conditions.70These70definitions70are70not70specific
70to70community-oriented70nursing.
3. Which70 of70 the70 following70is70 the70 primary70focus70 of70 public70health70 nursing?
a. Families70 and70 groups
b. Illness-oriented70 care
c. Individuals70 within70 the70 family70 unit
d. Health70 care70 of70 communities70 and70 populations
ANS:7 0 D
In7 0 public70health70nursing7 0 the70primary70focus7 0 is70on7 0 the70health7 0 care70of70commun
ities7 0 and70populations70rather70than70on70individuals,70groups,70and70families.70The70goal70i
s70to70prevent70disease70and70preserve,70promote,70restore,70and70protect70health70for70the70c
ommunity70and70the70population70within70it.70Community-
based70nurses70deal70primarily70with70illness-
oriented70care70of70individuals70and70families70acorss70the70life70span.70The70aim70is70to70a
manage70acute70and70chronic70health70conditions70in70the70community,70and70the70focus70of7
0practice70is70on70individual70or70family-centered70illness70care.
170|70P70a70
g70e
, Test70Bank70-
70Foundations70for70Population70Health70in70Community/Public70Health70Nursing,705e70(Stanhope,70
2018) 4. Which70of70the70following70is70responsible70for70the70dramatic70increase70in70life70expecta
ncy70during70the7020th70century?
a. Technology70 increases70in70 the70 field70 of70 medical70laboratory70 research
b. Advances70in70 surgical70techniques70 and70 procedures
c. Sanitation70 and70 other70 population-based70 prevention70 programs
d. Use70of70 antibiotics70to70fight70infections
ANS:7 0 C
Improvements70in70control70of70infectious70diseases70through70immunizations,70sanitation,70
and70other70population-
based70prevention70programs70led70to70the70increase70in70life70expectancy70from70less70than7
05070years70in70190070to70more70than707870years70in702013.70Although70people70are70excited
70when70a70new70drug70is70discovered70that70cures70a70disease70or70when70a70new70way70to
70transplant70organs70is70perfected,70it70is70important70to70know70about70the70significant70ga
ins70in70the70health70of70populations70that70have70come70largely70from70public70health70acc
omplishments.
5. A70nurse70is70developing70a70plan70to70decrease70the70number70of70premature70deaths70in7
0the70community.70Which70of70the70following70interventions70would70most70likely70be70i
mplemented70by70the70nurse?
a. Increase70the70 community’s70 knowledge70 about70 hospice70 care.
b. Promote70 healthy70 lifestyle70 behavior70 choices70 among70 the70 community70 members.
c. Encourage70employers70 to70 have70 wellness70 centers70 at70 each70industrial70 site.
d. Ensure70timely70and70effective70medical70intervention70and70treatment70for70c
ommunity70members.
ANS:7 0 B
Public70health70approaches70could70help70prevent70premature70deaths70by70influencing70the70
way70people70eat,70drink,70drive,70engage70in70exercise,70and70treat70the70environment.70Inc
reasing70knowledge70of70hospice70care,70encouraging70on-
site70wellness70centers,70and70ensuring70timely70treatment70of70medical70conditions70do70not
70address70the70focus70of70improving70overall70health70through70health70promotion70strategi
es.70This70is70the70major70method70that70is70suggested70to70decrease70the70incidence70of70pr
emature70death.
6. Which70 of70 the70following70is70 a70 basic70 assumption70 of70 public70 health70 efforts?
a. Health70 disparities70 among70 any70 groups70 are70 morally70 and70 legally70 wrong.
b. Health70 care70 is70 the70 most70 important70 priority70 in70 government70 planning70 and70 funding.
c. The70health70of70 individuals70 cannot70 be70 separated70 from70 the70 health70 of70 the70 community.
d. The70 government70 is70 responsible70 for70 lengthening70 the70 life70span70 of70 Americans.
ANS:7 0 C
Public70health70practice70focuses70on70the70community70as70a70whole,70and70the70effect70of7
0the70community’s70health70status70(resources)70on70the70health70of70individuals,70families,70
and70groups.70The
goal7 0 is7 0 to70 prevent7 0 disease7 0 and7 0 disability7 0 and7 0 promote70and70 protect7 0 the7 0 health7 0
of7 0 the7 0 community70as70a70whole.70Public70health70can70be70described70as70what70society70c
ollectively70does70to70ensure70that70conditions70exist70in70which70people70can70be70healthy.70T
he70basic70assumptions70of70public70health70do70not70judge70the70morality70of70health70disparit
ies.70The70focus70is70on70prevention70of70illness70not70on70spending70more70on70illness70care.7
0Additionally,70individual70responsibility70for70making70healthy70choices70is70the70directive70f
or70lengthening70life70span70not70the70role70of70the70government.
7. Which70 of70 the70 following70 actions70 would70 most70 likely70 be70 performed70 by70a70 public70 health70 nurs
e?
a. Asking70 community70 leaders70 what70 interventions70 should70 be70 chosen
b. Assessing70 the70 community70 and70 deciding70 on70 appropriate70 interventions
c. Using70 data70 from70 the70 main70 health70 care70 institutions70 in70 the70 community70to70 determine
270|70P70a70
g70e
Foundations for Population Health in Community/Public Health
Nursing
Marcia Stanhope and Jeanette Lancaster
5th Edition
,Table70of70Contents
Chapter700170Community-and70Prevention-Oriented70Practice70to70Improve70Population70Health 2
Chapter700270The70History70of70Public70Health70and70Public70and70Community70Health70Nursing 8
Chapter700370The70Changing70U.S.70Health70and70Public70Health70Care70Systems 15
Chapter700470Ethics70in70Public70and70Community70Health70Nursing70Practice 21
Chapter700570Cultural70Influences70in70Nursing70in70Community70Health 29
Chapter700670Environmental70Health 38
Chapter700770Government,70the70Law,70and70Policy70Activism 45
Chapter700870Economic70Influences 53
Chapter700970Epidemiological70Applications 62
Chapter701070Evidence-Based70Practice 75
Chapter701170Using70Health70Education70and70Groups70in70the70Community 82
Chapter701270Community70Assessment70and70Evaluation 90
Chapter701370Case70Management 99
Chapter701470Disaster70Management 106
Chapter701570Surveillance70and70Outbreak70Investigation 114
Chapter701670Program70Management 119
Chapter701770Managing70Quality70and70Safety 126
Chapter701870Family70Development70and70Family70Nursing70Assessment 135
Chapter701970Family70Health70Risks 144
Chapter702070Health70Risks70Across70the70Life70Span 155
Chapter702170Vulnerability70and70Vulnerable70Populations70An70Overview 167
Chapter702270Rural70Health70and70Migrant70Health 173
Chapter702370Poverty,70Homelessness,70Teen70Pregnancy,70and70Mental70Illness 179
Chapter702470Alcohol,70Tobacco,70and70Other70Drug70Problems70in70the70Community 188
Chapter702570Violence70and70Human70Abuse 197
Chapter702670Infectious70Disease70Prevention70and70Control 204
Chapter702770HIV70Infection,70Hepatitis,70Tuberculosis,70and70Sexually70Transmitted70Diseases 214
Chapter702870Nursing70Practice70at70the70Local,70State,70and70National70Levels70in70Public70Health 224
Chapter702970The70Faith70Community70Nurse 232
Chapter703070The70Nurse70in70Home70Health70and70Hospice 239
Chapter703170The70Nurse70in70the70Schools 249
Chapter703270The70Nurse70in70Occupational70Health 261
,Test70Bank70-
70Foundations70for70Population70Health70in70Community/Public70Health70Nursing,705e70(Stanhope,70
Chapter7001:70Community-70and70Prevention-
2018)
Oriented70Practice70to70Improve70Population70Health
Stanhope:70Foundations70for70Population70Health70in70Community/Public70Health70Nu
rsing,705th70Edition
MULTIPLE7 0 CHOICE
1. Which70 of70 the70 following70 best70 describes70 community-based70 nursing?
a. A70 practice70in70 which70 care70 is70provided70 for70 individuals70 and70 families
b. Providing70 care70 with70 a70 focus70on70 the70 group’s70 needs
c. Giving70care70 with70 a70 focus70 on70 the70 aggregate’s70 needs
d. A70 value70 system70 in70 which70 all70 clients70 receive70 optimal70 care
ANS:7 0 A
By70definition,70community-based70nursing70is70a70setting-
specific70practice70in70which70care70is70provided70for70“sick”70individuals70and70families70
where70they70live,70work,70and70attend70school.70The70emphasis70is70on70acute70and70chroni
c70care70and70the70provision70of70comprehensive,70coordinated,70and70continuous70care.70Th
ese70nurses70may70be70generalists70or70specialists70in70maternal–
infant,70pediatric,70adult,70or70psychiatric70mental70health70nursing.70Community-
based70nursing70emphasizes70acute70and70chronic70care70to70individuals70and70families,70rat
her70than70focusing70on70groups,70aggregates,70or70systems.
2. Which70 of70 the70 following70 best70 describes70 community-oriented70 nursing?
a. Focusing70 on70 the70 provision70 of70 care70 to70 individuals70 and70 families
b. Providing70 care70to70 manage70 acute70 or70 chronic70 conditions
c. Giving70 direct70 care70to70 ill70 individuals70 within70their70 family70 setting
d. Having70 the70 goal70 of70 health70 promotion70 and70 disease70 prevention
ANS:7 0 D
By70definition,70community-
oriented70nursing70has70the70goal70of70preserving,70protecting,70or70maintaining70health70an
d70preventing70disease70to70promote70the70quality70of70life.70All70nurses70may70focus70on70in
dividuals70and70families,70give70direct70care70to70ill70persons70within70their70family70setting,
70and70help70manage70acute70or70chronic70conditions.70These70definitions70are70not70specific
70to70community-oriented70nursing.
3. Which70 of70 the70 following70is70 the70 primary70focus70 of70 public70health70 nursing?
a. Families70 and70 groups
b. Illness-oriented70 care
c. Individuals70 within70 the70 family70 unit
d. Health70 care70 of70 communities70 and70 populations
ANS:7 0 D
In7 0 public70health70nursing7 0 the70primary70focus7 0 is70on7 0 the70health7 0 care70of70commun
ities7 0 and70populations70rather70than70on70individuals,70groups,70and70families.70The70goal70i
s70to70prevent70disease70and70preserve,70promote,70restore,70and70protect70health70for70the70c
ommunity70and70the70population70within70it.70Community-
based70nurses70deal70primarily70with70illness-
oriented70care70of70individuals70and70families70acorss70the70life70span.70The70aim70is70to70a
manage70acute70and70chronic70health70conditions70in70the70community,70and70the70focus70of7
0practice70is70on70individual70or70family-centered70illness70care.
170|70P70a70
g70e
, Test70Bank70-
70Foundations70for70Population70Health70in70Community/Public70Health70Nursing,705e70(Stanhope,70
2018) 4. Which70of70the70following70is70responsible70for70the70dramatic70increase70in70life70expecta
ncy70during70the7020th70century?
a. Technology70 increases70in70 the70 field70 of70 medical70laboratory70 research
b. Advances70in70 surgical70techniques70 and70 procedures
c. Sanitation70 and70 other70 population-based70 prevention70 programs
d. Use70of70 antibiotics70to70fight70infections
ANS:7 0 C
Improvements70in70control70of70infectious70diseases70through70immunizations,70sanitation,70
and70other70population-
based70prevention70programs70led70to70the70increase70in70life70expectancy70from70less70than7
05070years70in70190070to70more70than707870years70in702013.70Although70people70are70excited
70when70a70new70drug70is70discovered70that70cures70a70disease70or70when70a70new70way70to
70transplant70organs70is70perfected,70it70is70important70to70know70about70the70significant70ga
ins70in70the70health70of70populations70that70have70come70largely70from70public70health70acc
omplishments.
5. A70nurse70is70developing70a70plan70to70decrease70the70number70of70premature70deaths70in7
0the70community.70Which70of70the70following70interventions70would70most70likely70be70i
mplemented70by70the70nurse?
a. Increase70the70 community’s70 knowledge70 about70 hospice70 care.
b. Promote70 healthy70 lifestyle70 behavior70 choices70 among70 the70 community70 members.
c. Encourage70employers70 to70 have70 wellness70 centers70 at70 each70industrial70 site.
d. Ensure70timely70and70effective70medical70intervention70and70treatment70for70c
ommunity70members.
ANS:7 0 B
Public70health70approaches70could70help70prevent70premature70deaths70by70influencing70the70
way70people70eat,70drink,70drive,70engage70in70exercise,70and70treat70the70environment.70Inc
reasing70knowledge70of70hospice70care,70encouraging70on-
site70wellness70centers,70and70ensuring70timely70treatment70of70medical70conditions70do70not
70address70the70focus70of70improving70overall70health70through70health70promotion70strategi
es.70This70is70the70major70method70that70is70suggested70to70decrease70the70incidence70of70pr
emature70death.
6. Which70 of70 the70following70is70 a70 basic70 assumption70 of70 public70 health70 efforts?
a. Health70 disparities70 among70 any70 groups70 are70 morally70 and70 legally70 wrong.
b. Health70 care70 is70 the70 most70 important70 priority70 in70 government70 planning70 and70 funding.
c. The70health70of70 individuals70 cannot70 be70 separated70 from70 the70 health70 of70 the70 community.
d. The70 government70 is70 responsible70 for70 lengthening70 the70 life70span70 of70 Americans.
ANS:7 0 C
Public70health70practice70focuses70on70the70community70as70a70whole,70and70the70effect70of7
0the70community’s70health70status70(resources)70on70the70health70of70individuals,70families,70
and70groups.70The
goal7 0 is7 0 to70 prevent7 0 disease7 0 and7 0 disability7 0 and7 0 promote70and70 protect7 0 the7 0 health7 0
of7 0 the7 0 community70as70a70whole.70Public70health70can70be70described70as70what70society70c
ollectively70does70to70ensure70that70conditions70exist70in70which70people70can70be70healthy.70T
he70basic70assumptions70of70public70health70do70not70judge70the70morality70of70health70disparit
ies.70The70focus70is70on70prevention70of70illness70not70on70spending70more70on70illness70care.7
0Additionally,70individual70responsibility70for70making70healthy70choices70is70the70directive70f
or70lengthening70life70span70not70the70role70of70the70government.
7. Which70 of70 the70 following70 actions70 would70 most70 likely70 be70 performed70 by70a70 public70 health70 nurs
e?
a. Asking70 community70 leaders70 what70 interventions70 should70 be70 chosen
b. Assessing70 the70 community70 and70 deciding70 on70 appropriate70 interventions
c. Using70 data70 from70 the70 main70 health70 care70 institutions70 in70 the70 community70to70 determine
270|70P70a70
g70e
