Chapter 01: Community- and Prevention-Oriented Practice to Improve
PopulationHealth
Stanhope: Foundations for Population Health in Community/Public Health
Nursing,5th Edition
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, andcontinuous care. These nurses may be generalists or specialists in
maternal–infant, pediatric,adult, or psychiatric mental health nursing. Community-
based nursing emphasizes acute andchronic 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 inN
UdivR alIs wG
SiduN TithBint.hCeir Mfamily setting
d. Having the goal of health promotion and disease prevention
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 focuson individuals and families, give direct care to ill persons within their family
setting, and helpmanage acute or chronic conditions. These definitions are not
specific to community-orientednursing.
3. Which of the following is the primary focus of public health nursing?
,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
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 andpreserve, 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 acorss the life span. The aim is to amanage acute and
chronic health conditions in the community, and the focus of practice is on individual
or family-centered illness care.
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ea4expectancya4duringa4the20tha4century?
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b. Advancesa4ina4surgicala4techniquesa4anda4procedures
c. Sanitationa4anda4othera4population-baseda4preventiona4programs
d. Usea4ofa4antibioticsa4toa4fighta4infections
ANS:a 4 C
Improvementsa4ina4controla4ofa4infectiousa4diseasesa4througha4immunizations,a4sani
tation,a4anda4othera4population-
baseda4preventiona4programsa4leda4toa4thea4increasea4ina4lifea4expectancya4froma4le
ssa4thana450yearsa4ina41900a4toa4morea4thana478a4yearsa4ina42013.a4Althougha4peop
lea4area4exciteda4whena4aa4newa4druga4isdiscovereda4thata4curesa4aa4diseasea4ora4
whena4aa4newa4waya4toa4transplanta4organsa4isa4perfected,a4ita4isa4importanta4toa4kn
owa4abouta4thea4significanta4gainsa4ina4thea4healtha4ofa4populationsa4thata4havea4co
mea4largelya4froma4publica4healtha4accomplishments.
5. Aa4nursea4isa4developinga4aa4plana4toa4decreasea4thea4numbera4ofa4prematurea4d
eathsa4ina4thea4community.Whicha4ofa4thea4followinga4interventionsa4woulda4mosta
4likelya4bea4implementeda4bya4thea4nurse?
a. Increasea4thea4community’sa4knowledgea4abouta4hospicea4care.
b. Promotea4healthya4lifestylea4behaviora4choicesa4amonga4thea4communitya4members.
c. Encouragea4employersa4toa4havea4wellnessa4centersa4ata4eacha4industriala4site.
d. Ensurea4timelya4anda4effectivea4medicala4interventiona4anda4treat
menta4fora4communitymembers.
ANS:a 4 B
Publica4healtha4approachesa4coulda4helpa4preventa4prematurea4deathsa4bya4influenci
nga4thea4waya4peopleeat,a4drink,a4drive,a4engagea4ina4exercise,a4anda4treata4thea4en
vironment.
Increasinga4knowledgea4ofa4hospicea4care,a4encouraginga4on-
sitea4wellnessa4centers,a4anda4ensuringa4timelya4treatmenta4ofa4medical
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cidencea4ofa4premature
death.
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4Testa4Bank
6. Whicha4ofa4thea4followinga4isa4aa4basica4assumptiona4ofa4publica4healtha4efforts?