Foundations for Population Health in Community/Public Health Nursing
MARCIA STANHOPE, JEANETTE LANCASTER
5th Edition
,Foundations for Population Health in Community Public Health
Nursing 5th Edition Stanhope Test Bank
Chapter 01: Community- and Prevention-Oriented Practice to Improve Population Health
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,
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 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 inNdU
ivR S IlsNw
idua GitT
hB
in.thCeir M
family setting
d. Having the goal of health promotion and disease prevention
ANS: D
1|Page
, 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 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 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 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.
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
ANS: C
Improvements in control of infectious diseases through immunizations, sanitation, and
other population-based prevention programs led to the increase in life expectancy from less
than 50 years in 1900 to more than 78 years in 2013. 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.
2|Page
, Which of the following interventions would most likely be implemented by the nurse?
a. Increase the community’s knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for community
members.
ANS: B
Public health approaches could help prevent premature deaths by influencing the way people
eat, drink, drive, engage in exercise, and treat the environment. Increasing knowledge of
hospice care, encouraging on-site wellness centers, and ensuring timely treatment of
medical conditions do not address theNfU
ocR
usSoIf NGpT
im roB
v.inC
gOo vMe r a l l health through health
promotion strategies. This is the major method that is suggested to decrease the incidence
of premature death.
6. Which of the following is a basic assumption of 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
Public health practice focuses on the community as a whole, and the effect of the
community’s health status (resources) on the health of individuals, families, and groups. The
goal is to prevent disease and disability and promote and protect the health of the
community as a whole. Public health can be described as what society collectively does to
ensure that conditions exist in which people can be healthy. The basic assumptions of public
health do not judge the morality of health disparities. The focus is on prevention of illness
not on spending more on illness care. Additionally, individual responsibility for making
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 determine
3|Page