FOUNDATIONSFOR POPULATIONHEALTH IN COMM
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C HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6T
, Table of Contents
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Chapter./01:./Public./Health./Nursing./and./Population./Health
Chapter./02:./The./History./of./Public./Health./and./Public./and./Community./Health./Nursing. / Stanhope:./Chap
r./03:./US./and./Global./Health./Care
Chapter./04:./Government,./the./Law,./and./Policy./Activism./
Chapter./05:./Economics./of./US./Health./Care./Delivery
Chapter./06:./Ethics./in./Public./and./Community./Health./Nursing./Practice./
Chapter./07:./Culture./of./Populations./in./Communities
Chapter./08:./Environmental./Health./Chapt
er./09:./Evidence-
Based./Practice./Chapter./10:./Epidemiologi
cal./Applications
Chapter./11:./Infectious./Disease./Prevention./and./Control./
Chapter./12:./Communicable./and./Infection./Disease./Risks./
Chapter./13:./Community./Assessment./and./Evaluation./Ch
apter./14:./Health./Education./in./the./Community./Chapter./
15:./Case./Management
Chapter./16:./Disaster./Management
Chapter./17:./Public./Health./Surveillance./and./Outbreak./Investigation./Ch
apter./18:./Program./Management
Chapter./19:./Healthcare./Improvement./in./the./Community
Chapter./20:./Family./Development,./Family./Nursing./Assessment,./and./Genomics./C
hapter./21:./Family./Health./Risks
Chapter./22:./Health./Risks./Across./the./Life./Span
Chapter./23:./Health./Equity./and./Care./of./Vulnerable./Populations./Chapte
r./24:./Rural./Health./and./Migrant./Health
Chapter./25:./Poverty,./Homelessness,./Teen./Pregnancy,./and./Mental./Illness./Chapt
er./26:./Alcohol,./Tobacco,./and./Other./Drug./Problems./in./the./Community./Chapter./27
:./Violence./and./Human./Abuse
Chapter./28:./Nursing./Practice./at./the./Local,./State,./and./National./Levels./in./Public./Health./Chap
ter./29:./The./Faith./Community./Nurse
Chapter./30:./The./Nurse./in./Public./Health,./Home./Health,./Palliative./Care,./and./Hospice./Chapte
r./31:./The./Nurse./in./the./Schools
Chapter./32:./The./Nurse./in./Occupational./Health
, Chapter./01:./Public./Health./Nursing./and./Population./Health
Stanhope:./Foundations./for./Population./Health./in./Community/Public./Health./Nursin
MULTIPLE./CHOICE
1. WHICH./statement./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
phasis./is./on./acute./and./chronic./care./and./the./provision./of./comprehensive,./coordinated,./and./continuous
/generalists./or./specialists./in./maternal–infant,./pediatric,./adult,./or./psychiatric./mental./health./nursing../Co
based./nursing./emphasizes./acute./and./chronic./care./to./individuals./and./families,./rather./than./focusing./on
ms.
2. WHICH./statement./best./describes./the./goal./of./community-oriented./nursing?
a. Providing./care./to./individuals./and./families
b. Providing./care./to./manage./acute./or./chronic./conditions
c. Giving./direct./care./to./ill./individuals./within./their./family./setting
d. To./preserve,./protect,./promote,./or./maintain./health./and./prevent./disease
ANS. / D
By./definition,./community-
oriented./nursing./has./the./goal./of./preserving,./protecting,./or./maintaining./health./and./preventing./disease./to
/All./Nurses./may./focus./on./individuals./and./families,./give./direct./care./to./ill./persons./within./their./family./
ute./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./rathe
s,./and./families../The./goal./is./to./prevent./disease./and./preserve,./promote,./restore,./and./protect./health./for./the
ion./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./chron
ommunity,./and./the./focus./of./practice./is./on./individual./or
family-centered./illness./care.
4. WHICH./of./the./Following./is./responsible./for./the./dramatic./increase./in./life./expectancy./during./the./20th./c
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
There./has./to./be./indisputable./evidence./collected./over./time./that./public./health./policies./and./programs./w
reasing./the./average./life./span./from./47./in./1900./to./78.6./years./in./2017,./an./increase./of./approximately./60%
gh./improvements./in./(1)./sanitation,./(2)./clean./water./supplies,./(3)./making./workplaces./safer,./(4)./improvi
(5)./immunizing./children,./and./(6)./improving./nutrition,./hygiene,./and./housing../Although./people./are./exc
scovered./that./cures./a./disease./or./when./a./new./way./to./transplant./organs./is./perfected,./it./is./important./to./kn
ns./in./the./health./of./populations./that./have./come./largely./from./public./health./accomplishments.
, 6. What./is./the./basic./assumption./stated./by./Healthy./People./2010./as./it./relates./to./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
The./major./premise./of./Healthy./People./2010./was./that./the./health./of./the./individual./cannot./be./entirely./se
e./larger./community../Public./health./practice./focuses./on./the./community./as./a./whole,./and./the./effect./of./th
s./(resources)./on./the./health./of./individuals,./families,./and./groups../The./goal./is./to./prevent./disease./and./disa
ct./the./health./of./the./community./as./a./whole../Public./health./can./be./described./as./what./society./collectivel
ions./exist./in./WHICH./people./can./be./healthy../The./basic./assumptions./of./public./health./do./not./judge./the./
s../The./focus./is./on./prevention./of./illness./not./on./spending./more./on./illness./care../Additionally,./individua
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./determin
e./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./
unity./to./carry./out./core./public./health./functions,./including./assessment./of./the./population./as./a./whole./and
alth./and./improving./the./environment../The./interventions./of./asking./community./leaders./WHICH./interve
essing./the./community./and./deciding./on./appropriate./interventions,./and./using./data./from./health./care./insti
he./engagement./of./the./community./when./making./decisions./about./what./the./community./actually./wants./
8. WHICH./public./health./Nurse./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
oups./about./health./concerns../A./major./challenge./for./the./future./is./the./need./for./public./health./nursing./sp
ve./in./working./collaboratively./with./various./groups./in./the./community./as./well./as./professional./colleagu
./deal./with./barriers./to./health../However,./the./Nurse./who./spent./the./day./attending./meetings./of./various./he
presentative,./because./in./public./health,./concerns./are./addressed./from./a./broader./perspective../In./public./h
/community./should./be./addressed../Concerns./are./broader./than./recreation,./individual./concerns./are./not./as./i
ities,./and./watching./television./(a./one-way./form./of./communication)./is./less./effective./than./interacting./w
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./cha
ommunity./can./be./defined./in./terms./of./either./geography./(e.g.,./a./county,./a./group./of./counties,./or./a./state
children./attending./a./particular./school)../These./members./make./up./a./population../The./term./population./ma
ith./the./term./aggregate../A./large./group./of./persons,./a./collection./of./individuals./and./families,./and./anothe
oup./are./not./accurate./definitions./of./the./term./aggregate.
10. WHICH./question./asked./by./a./novice./Nurse./would./be./the./most./reflective./of./an./understanding./of./the./ro
a. ―WHICH./groups./are./at./the./greatest./risk./for./problems?‖
b. ―WHICH./patients./should./I./see./first./as./I./begin./my./day?‖