FOUNDATIONSFORPOPULATIONHEALTHIN
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2j COMMUNITY/PUBLIC HEALTH NURSING2j 2j
by Marcia Stanhope, Jeanette Lancaster
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6
, TableofContentsj2 j2
Chapter01:PublicHealthNursingandPopulationHealth ij ij
Chapter02:TheHistoryofPublicHealthandPublicandCommunityHealthNursing Stanhope: Chapter ij 2 j 2j
03: US and Global Health Care
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Chapter04:Government,theLaw,andPolicyActivism ij 2j
Chapter 05: Economics of US Health Care Delivery
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Chapter06:EthicsinPublicandCommunityHealthNursingPractice ij
Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapter
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09: Evidence-Based Practice
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Chapter10:EpidemiologicalApplications
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Chapter 11: Infectious Disease Prevention and Control
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Chapter12:CommunicableandInfectionDiseaseRisks
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Chapter 13: Community Assessment and Evaluation
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2j Chapter14:HealthEducationintheCommunityChapter 15:
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Case Management
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Chapter16:DisasterManagement
Chapter17:PublicHealthSurveillanceandOutbreakInvestigation
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Chapter 18: Program Management
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Chapter19:HealthcareImprovement intheCommunity ij
Chapter20:FamilyDevelopment,FamilyNursingAssessment,andGenomics
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Chapter 21: Family Health Risks
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Chapter22:HealthRisksAcrosstheLifeSpan
Chapter23:HealthEquityandCareofVulnerablePopulationsChapter
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24: Rural Health and Migrant Health
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Chapter25:Poverty,Homelessness,TeenPregnancy,andMentalIllnessChapter
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2j 26:Alcohol,Tobacco,andOtherDrug ProblemsintheCommunity Chapter 27: ij ij 2j 2j
2j Violence and Human Abuse 2j 2j 2j
Chapter28:NursingPracticeattheLocal,State,andNationalLevelsinPublicHealth Chapter 2j 2j ij 2j 2j
29: The Faith Community Nurse
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Chapter30:TheNurseinPublicHealth,HomeHealth,PalliativeCare,andHospice Chapter 2j
31: The Nurse in the Schools
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Chapter32:TheNurseinOccupationalHealth 2j 2j
, Chapter01:PublicHealthNursingandPopulationHealth j2
Stanhope:Foundations for PopulationHealthinCommunity/PublicHealthNursing, 6thE 2j 2j 2j 2j 2j 2j 2j 2j 2j
MULTIPLECHOICE
1. WHICHstatementbest describes community-based nursing? 2j 2j 2j
a. Apracticein WHICH careisprovided forindividualsand families. 2j 2j 2j 2j 2j 2j 2j 2j 2j
b. Providingcarewith afocuson the group‘sneeds. 2j 2j 2j 2j 2j 2j 2j
c. Givingcarewith afocus on theaggregate‘s needs. 2j 2j 2j 2j 2j
d. Avaluesystem inWHICH all clientsreceiveoptimal care. 2j 2j 2j 2j 2j 2j 2j 2j
ANS A
Bydefinition,community-basednursingisasetting-specificpracticeinWHICHcareis providedfor―sick‖in
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they live, work, and attend school. The emphasis is on acute and chronic care and the provision of comprehe
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continuouscare.TheseNurses maybegeneralistsorspecialistsinmaternal–infant,pediatric,adult,or psychia
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Community-based nursing emphasizes acute and chronic care to individuals and families, rather than focu
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or systems.
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2. WHICHstatement best describes the goal ofcommunity-oriented nursing?
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a. Providingcareto individuals and families 2j 2j 2j
b. Providingcaretomanageacuteorchronic conditions 2j 2j 2j 2j 2j 2j 2j
c. Givingdirect careto illindividualswithintheirfamilysetting 2j 2j 2j 2j 2j 2j 2j 2j
d. Topreserve,protect,promote,ormaintainhealth andprevent disease 2j 2j 2j 2j 2j 2j 2j 2j
ANS D
Bydefinition, community-orientednursinghasthegoalofpreserving, protecting, ormaintaininghealthan
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promotethe quality of life. All Nurses may focus on individuals and families, give direct care to ill personswith
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and help manage acute or chronic conditions. These definitions are not specific to community-oriented nu
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3. WHICHoftheFollowing istheprimaryfocus ofpublichealthnursing?
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a. Familiesandgroups 2j
b. Illness-orientedcare
c. Individuals withinthefamily unit 2j 2j
d. Healthcareofcommunities andpopulations 2j 2j 2j
ANS D
Inpublichealthnursing,theprimaryfocusisonthehealthcareofcommunitiesandpopulationsratherthanonind
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families.The goalis topreventdiseaseand preserve, promote,restore, andprotecthealthforthe communityan
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Community-based Nurses deal primarilywith illness-oriented care of individuals and families across the lif
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manage acute and chronic health conditions in the community, and the focus of practice is on individual or
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family-centeredillnesscare.
4. WHICHoftheFollowingisresponsible forthedramaticincreasein lifeexpectancyduringthe20th century?
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a. Technologyincreasesinthefieldofmedicallaboratoryresearch 2j 2j 2j 2j 2j 2j 2j
b. Advancesinsurgical techniquesandprocedures 2j 2j 2j
c. Sanitationandotherpopulation-based prevention programs 2j 2j 2j 2j
d. Useofantibioticstofight infections 2j 2j 2j 2j
ANS C
There has to be indisputable evidence collected over time that public health policies and programs were prim
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increasingtheaveragelifespanfrom47in1900to78.6yearsin2017, anincreaseofapproximately 60% injustov
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improvements in(1)sanitation, (2) clean watersupplies, (3)making workplaces safer, (4)improving food and
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excited w
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thatcures adiseaseorwhen anewway totransplantorgansisperfected,itisimportanttoknowabout thesignifica
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populations that have come largely from public health accomplishments.
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5. ANurseisdevelopinga plantodecrease thenumberofprematuredeaths inthecommunity. WHICH oftheFollo 2j 2j 2j 2j 2j 2j
interventions would most likely be implemented by the Nurse?
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a. Providefreehealthcareto all citizens 2j 2j 2j 2j 2j 2j
, 6. WhatisthebasicassumptionstatedbyHealthyPeople2010asitrelatestopublichealthefforts?
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a. Health disparitiesamong anygroupsaremorallyandlegallywrong. ij 2j 2j 2j 2j 2j 2j 2j
b. Health careis the most important priority in government planning and funding. ij 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j
c. Thehealthofindividualscannotbeseparatedfrom thehealthofthecommunity. 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j
d. Thegovernment is responsible forlengthening thelifespanof Americans. 2j 2j 2j 2j 2j 2j 2j 2j 2j
ANS C
Themajor premise of Healthy People 2010 was that the health of the individual cannot be entirelyseparate fr
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community. Public health practice focuses on the community as a whole, and the effect of the community‘s
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thehealth ofindividuals, families, and groups.Thegoal istoprevent diseaseand disability and promoteandp
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communityasawhole.Publichealthcanbedescribedaswhat societycollectivelydoesto ensurethatcondition
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behealthy.Thebasicassumptionsof publichealthdo notjudgethemoralityofhealthdisparities.The focus ison
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spending more on illness care. Additionally, individual responsibility for making healthy choices is the dire
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span not the role of the government.
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7. WHICHoftheFollowing actionswouldmostlikelybeperformedbyapublichealthNurse?
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a. Askingcommunityleaderswhatinterventions shouldbechosen 2j 2j 2j 2j 2j
b. Assessingthecommunity anddecidingon appropriateinterventions 2j 2j 2j 2j 2j 2j
c. Usingdatafromthemainhealthcareinstitutionsinthecommunitytodetermine 2j
needed health services
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d. Workingwithcommunitygroupstocreatepoliciestoimprovetheenvironment 2j 2j 2j 2j 2j 2j 2j 2j 2j
ANS D
Although the public healthNurse might engage in anyof the tasks listed, he or she works primarilywith membe
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out core public health functions, including assessment of the population as a whole and engaging in promoti
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environment. The interventions of asking community leaders WHICH interventions should be chosen, ass
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decidingonappropriateinterventions,andusingdatafromhealthcareinstitutionsdonotdemonstratetheengag
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when making decisions about what the community actually wants and needs.
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8. WHICHpublichealthNursemost clearlyfulfillstheresponsibilitiesofthisrole? 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j
a. TheNursewhometwithseveralgroupstodiscusscommunityrecreationissues 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j
b. TheNursewhospentthe dayattendingmeetingsofvarioushealth agencies 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j
c. TheNursewhotalkedto several peopleabout theirparticularhealth concerns 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j
d. TheNursewho watched thecitycouncilmeetingonlocalcable television 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j
ANS B
Anyofthesedescriptionsmightrepresenta Nurse communicating,cooperating,or collaboratingwith commun
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health concerns. A major challenge for the future is the need for public health nursing specialists to be more a
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collaborativelywithvarious groupsin thecommunityaswellasprofessional colleaguesin institutionalsetting
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health. However, the Nurse who spent the day attending meetings of various health agencies is the most repr
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health, concerns are addressed from a broader perspective. In publichealth, broad concerns ofthecommun
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Concerns arebroaderthanrecreation, individualconcernsare not asimportant as aggregate priorities, and w
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way form of communication) is less effective than interacting with others.
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9. WHICHofthe Following best defines aggregate? 2j 2j 2j 2j 2j 2j
a. Alargegroup of persons 2j 2j 2j 2j
b. Acollection ofindividuals and families 2j 2j 2j
c. Acollectionof people who shareoneor more characteristics 2j 2j 2j 2j 2j 2j 2j 2j
d. Anothernamefordemographic group 2j 2j 2j 2j
ANS C
An aggregate is defined a collection of people who share one or more personal or environmental characterist
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community can bedefined in terms ofeither geography (e.g., a county, a group of counties, or a state) ora spec
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childrenattending aparticularschool). These membersmakeup apopulation. Theterm population maybeus
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thetermaggregate.Alargegroupof persons, acollectionofindividualsand families,andanothernamefordem
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accurate definitions of the term aggregate.
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10. WHICHquestionasked by anoviceNursewouldbethemost reflectiveofan understandingoftheroleofapublic
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a. ―WHICHgroupsareat the greatest risk forproblems?‖ 2j 2j 2j 2j 2j 2j 2j 2j
b. ―WHICHpatientsshould Isee first as Ibegin my day?‖ 2j 2j 2j 2j 2j 2j 2j 2j