Community/Public Health Nursing 6th Edition by
Marcia Stanhope & Jeanette Lancaster
CHAPTERS 1-32| EXPERT ASSURED QUESTIONS
AND RATIONALES
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, Table of Contents
Chapter 1. Community and Prevention Oriented Practice to Improve Population Health
Chapter 2. The History of Public Health and Public and Community Health Nursing
Chapter 3. The Changing U.S. Health and Public Health Care Systems
Chapter 4. Ethics in Public and Community Health Nursing Practice
Chapter 5. Cultural Influences in Nursing in Community Health
Chapter 6. Environmental Health
Chapter 7. Government, the Law, and Policy Activism
Chapter 8. Economic Influences
Chapter 9. Epidemiological Applications
Chapter 10. Evidence-Based Practice
Chapter 11. Using Health Education and Groups in the Community
Chapter 12. Community Assessment and Evaluation
Chapter 13. Case Management
Chapter 14. Disaster Management
Chapter 15. Surveillance and Outbreak Investigation
Chapter 16. Program Management
Chapter 17. Managing Quality and Safety
Chapter 18. Family Development and Family Nursing Assessment
Chapter 19. Family Health Risks
Chapter 20. Health Risks Across the Life Span
Chapter 21. Vulnerability and Vulnerable Populations: An Overview
Chapter 22. Rural Health and Migrant Health
Chapter 23. Poverty, Homelessness, Teen Pregnancy, and Mental Illness
Chapter 24. Alcohol, Tobacco, and Other Drug Problems in the Community
Chapter 25. Violence and Human Abuse
Chapter 26. Infectious Disease Prevention and Control
Chapter 27. HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases
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Chapter 28. Nursing Practice at the Local, State, and National Levels in Public Health
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,Chapter 29. The Faith Community Nurse
Chapter 30. The Nurse in Home Health and Hospice
Chapter 31. The Nurse in the Schools
Chapter 32. The Nurse in Occupational Health
Chapter 01: Public Health Nursing and Population Health
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.
ACCURATE ANSWER>> 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 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
ACCURATE ANSWER>> 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
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are not specific to community-oriented nursing.
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, 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
ACCURATE ANSWER>> 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.
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
ACCURATE ANSWER>> C
There has to be indisputable evidence collected over time that public health policies and programs were
primarily responsible for increasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of
approximately 60% in just over a century plus through improvements in (1) sanitation, (2) clean water
supplies, (3) making workplaces safer, (4) improving food and drug safety,
(5) immunizing children, and (6) improving nutrition, hygiene, and housing. 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. Provide free health care to all citizens
b. To increase the number of individuals with access to effective health care benefits
c. Lower the cost of health care to the American population
d. To lessen the governmental burden of providing health care to Americans
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ACCURATE ANSWER>> B
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