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FOUNDATIONSFORPOPULATIONHEALTHIN
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COMMUNITY/PUBLIC HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6T
, Table of Contents v v
Chapter 01: Public Health Nursing and Population Health
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Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope: Chapte
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03: US and Global Health Care
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Chapter 04: Government, the Law, and Policy Activism
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Chapter 05: Economics of US Health Care Delivery
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Chapter 06: Ethics in Public and Community Health Nursing Practice
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Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health
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Chapter 09: Evidence-Based Practice
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Chapter 10: Epidemiological Applications
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Chapter 11: Infectious Disease Prevention and Control
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Chapter 12: Communicable and Infection Disease Risks
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Chapter 13: Community Assessment and Evaluation
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Chapter 14: Health Education in the Community
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Chapter 15: Case Management
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Chapter 16: Disaster Management
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Chapter 17: Public Health Surveillance and Outbreak Investigation
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Chapter 18: Program Management
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Chapter 19: Healthcare Improvement in the Community
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Chapter 20: Family Development, Family Nursing Assessment, and Genomics
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Chapter 21: Family Health Risks
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Chapter 22: Health Risks Across the Life Span
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Chapter 23: Health Equity and Care of Vulnerable Populations Chapter
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24: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapter
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26: Alcohol, Tobacco, and Other Drug Problems in the Community Chapter 27:
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Violence and Human Abuse
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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
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Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice Chapter
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31: The Nurse in the Schools
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Chapter 32: The Nurse in Occupational Health
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, Chapter 01: Public Health Nursing and Population Health v v v v v v v
Stanhope: Foundations for Population Health in Community/Public Health Nursing
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MULTIPLE CHOICE v
1. WHICH statement best describes community-based nursing?
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a. A practice in WHICH care is provided for individuals and families.
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b. Providing care with a focus on the group‘s needs. v v v v v v v v
c. Giving care with a focus on the aggregate‘s needs. v v v v v v v v
d. A value system in WHICH all clients receive optimal care.
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ANS A v
By definition, community-based nursing is a setting-specific practice in WHICH care is provided for ―sic
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where they live, work, and attend school. The emphasis is on acute and chronic care and the provision
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coordinated, and continuous care. These Nurses may be generalists or specialists in maternal–infant, p
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mental health nursing. Community-based nursing emphasizes acute and chronic care to individuals and
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focusing on groups, aggregates, or systems.
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2. WHICH statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families v v v v v
b. Providing care to manage acute or chronic conditions v v v v v v v
c. Giving direct care to ill individuals within their family setting
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d. To preserve, protect, promote, or maintain health and prevent disease
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ANS D v
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health a
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promote the quality of life. All Nurses may focus on individuals and families, give direct care to ill per
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setting, and help manage acute or chronic conditions. These definitions are not specific to community-
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3. WHICH of the fOllOwing is the primary focus of public health nursing?
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a. Families and groups v v
b. Illness-oriented care v
c. Individuals within the family unit v v v v
d. Health care of communities and populations v v v v v
ANS D v
In public health nursing, the primary focus is on the health care of communities and populations rather t
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and families. The goal is to prevent disease and preserve, promote, restore, and protect health for the com
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within it. Community-based Nurses deal primarily with illness-oriented care of individuals and familie
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aim is to manage acute and chronic health conditions in the community, and the focus of practice is on
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family-centered illness care. v v
4. WHICH of the fOllOwing is responsible for the dramatic increase in life expectancy during the 20th cen
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a. Technology increases in the field of medical laboratory research v v v v v v v v
b. Advances in surgical techniques and procedures v v v v v
c. Sanitation and other population-based prevention programs v v v v v
d. Use of antibiotics to fight infections
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ANS C v
There has to be indisputable evidence collected over time that public health policies and programs wer
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increasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60%
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through improvements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) impr
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excit
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discovered that cures a disease or when a new way to transplant organs is perfected, it is important to kn
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vgains in the health of populations that have come largely from public health accomplishments.
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5. A Nurse is developing a plan to decrease the number of premature deaths in the community. WHICH of th
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interventions would most likely be implemented by the Nurse?
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a. Provide free health care to all citizens v v v v v v
, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
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a. Health disparities among any groups are morally and legally wrong.
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b. Health care is the most important priority in government planning and funding.
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c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS C v
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely sepa
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larger community. Public health practice focuses on the community as a whole, and the effect of the co
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(resources) on the health of individuals, families, and groups. The goal is to prevent disease and disabilit
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the health of the community as a whole. Public health can be described as what society collectively do
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exist in WHICH people can be healthy. The basic assumptions of public health do not judge the moralit
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focus is on prevention of illness not on spending more on illness care. Additionally, individual respons
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choices is the directive for lengthening life span not the role of the government.
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7. WHICH of the fOllOwing actions would most likely be performed by a public health Nurse?
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a. Asking community leaders what interventions should be chosen v v v v v v v
b. Assessing the community and deciding on appropriate interventions v v v v v v v
c. Using data from the main health care institutions in the community to determine
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needed health services
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d. Working with community groups to create policies to improve the environment
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ANS D v
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily wit
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community to carry out core public health functions, including assessment of the population as a whol
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health and improving the environment. The interventions of asking community leaders WHICH interve
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assessing the community and deciding on appropriate interventions, and using data from health care ins
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the engagement of the community when making decisions about what the community actually wants a
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8. WHICH public health Nurse most clearly fulfills the responsibilities of this role?
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a. The Nurse who met with several groups to discuss community recreation issues
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b. The Nurse who spent the day attending meetings of various health agencies
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c. The Nurse who talked to several people about their particular health concerns
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d. The Nurse who watched the city council meeting on local cable television
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ANS B v
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with c
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groups about health concerns. A major challenge for the future is the need for public health nursing sp
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aggressive in working collaboratively with various groups in the community as well as professional co
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settings to deal with barriers to health. However, the Nurse who spent the day attending meetings of va
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most representative, because in public health, concerns are addressed from a broader perspective. In pu
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of the community should be addressed. Concerns are broader than recreation, individual concerns are no
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priorities, and watching television (a one-way form of communication) is less effective than interactin
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9. WHICH of the fOllOwing best defines aggregate?
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a. A large group of persons v v v v
b. A collection of individuals and families
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c. A collection of people who share one or more characteristics
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d. Another name for demographic group v v v v
ANS C v
An aggregate is defined a collection of people who share one or more personal or environmental charac
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community can be defined in terms of either geography (e.g., a county, a group of counties, or a state)
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children attending a particular school). These members make up a population. The term population may
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with the term aggregate. A large group of persons, a collection of individuals and families, and anothe
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group are not accurate definitions of the term aggregate.
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10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role
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a. ―WHICH groups are at the greatest risk for problems?‖ v v v v v v v v
b. ―WHICH patients should I see first as I begin my day?‖ v v v v v v v v v v