Test Bank For Foundations for Population Health in
Community Public Health Nursing 5th Edition by Marcia
Stanhope, Jeanette Lancaster Chapter 1-32 Complete
Guide A+
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 inNdivR
iduaIls w
GithBin.thCeir Mfamily setting
U S N
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 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.
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 N
imGpT
roBv.
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 shealth spractice sfocuses son sthe scommunity sas sa swhole, sand sthe seffect s of sthe
scommunity’s shealth sstatus s(resources) son sthe shealth sof sindividuals, sfamilies, sand sgroups.
sThe sgoal sis sto sprevent sdisease sand sdisability sand spromote sand sprotect sthe shealth sof sthe
scommunity sas sa swhole. sPublic shealth scan sbe sdescribed sas swhat ssociety scollectively sdoes
sto sensure sthat sconditions sexist sin swhich speople scan sbe shealthy. sThe sbasic sassumptions sof
spublic shealth sdo snot sjudge sthe smorality sof shealth sdisparities. sThe sfocus sis son sprevention
sof sillness snot son sspending smore son sillness scare. sAdditionally, sindividual sresponsibility
sfor smaking shealthy schoices sis sthe sdirective sfor slengthening slife sspan snot sthe srole sof sthe
sgovernment.
7. Which sof sthe sfollowing sactions swould smost slikely sbe sperformed sby sa spublic shealth snurse?
a. Asking scommunity sleaders swhat sinterventions sshould sbe schosen
b. Assessing sthe scommunity sand sdeciding son sappropriate sinterventions
c. Using sdata sfrom sthe smain shealth scare sinstitutions sin sthe scommunity sto sdetermine
needed shealth sservices
d. Working swith scommunity sgroups sto screate spolicies sto simprove sthe senvironment
ANS: s D
Although sthe spublic shealth snurse smight sengage sin sany sof sthe stasks slisted, she sor sshe
sworks sprimarily swith smembers sof sthe scommunity sto scarry sout score spublic shealth
sfunctions, sincluding sassessment sof sthe spopulation sas sa swhole sand sengaging sin
spromoting shealth sand simproving sthe senvironment. sThe sinterventions sof sasking
scommunity sleaders swhich sinterventions sshould sbe schosen, sasessing sthe scommunity sand
sdeciding son sappropriate sinterventions, sand susing sdata sfrom shealth scare sinstitutions sdo
snot sdemonstrate sthe sengagement sof sthe scommunity swhen smaking sdecisions sabout swhat
sthe scommunity sactually swants sand sneeds.
8. Which sof sthe sfollowing spublic shealth snurses smost sclearly sfulfills sthe sresponsibilities
sof sthis srole?
a. The snurse swho smet swith sseveral sgroups sto sdiscuss scommunity srecreation sissues
b. The snurse swho sspent sthe sday sattending smeetings sof svarious shealth sagencies
c. The snurse swho stalked sto sseveral speople sabout stheir sparticular shealth sconcerns
d. The snurse swho swatched sthe scity scouncil smeeting son slocal scable stelevision
, ANS: s B
Any sof sthese sdescriptions smight srepresent sa snurse scommunicating, scooperating, sor
scollaborating swith scommunity sresidents sor sgroups sabout shealth sconcerns. sHowever, sthe
snurse swho sspent sthe sday sattending smeetings sof svarious shealth sagencies sis sthe smost
srepresentative, sbecause sin spublic shealth, sconcerns sare saddressed sfrom sa sbroader
sperspective. sIn spublic shealth, sbroad sconcerns sof sthe scommunity sshould sbe saddressed.
sConcerns sare sbroader sthan srecreation, sindividual sconcerns sare snot sas simportant sas
saggregate spriorities, sand swatching stelevision s(a sone-way sform sof scommunication) sis
sless seffective sthan sinteracting swith sothers.
9. Which sof sthe sfollowing sbest sdefines saggregate?
a. A slarge sgroup sof spersons
b. A scollection sof sindividuals sand sfamilies
c. A scollection sof speople swho sshare sone sor smore scharacteristics
d. Another sname sfor sdemographic sgroup
ANS: s C
An saggregate sis sdefined sa scollection sof speople swho sshare sone sor smore spersonal sor
senvironmental scharacteristics. sMembers sof sa scommunity scan sbe sdefined sin sterms sof
seither sgeography s(e.g., sa scounty, sa sgroup sof scounties, sor sa sstate) sor sa sspecial sinterest
s(e.g., schildren sattending sa sparticular sschool). sThese smembers smake sup sa spopulation.
sThe sterm spopulation smay sbe sused sinterchangeably swith sthe sterm saggregate. sA slarge
sgroup sof spersons, sa scollection sof sindividuals sand sfamilies, sand sanother sname sfor
sdemograhpic sgroup sare snot saccurate sdefinitions sof sthe sterm saggregate.
10. A sregistered snurse swas sjust semployed sas sa spublic shealth snurse. sWhich squestion swould
sbe sthe smost srelevant sfor sthe snurse sto sask?
a. “Which sgroups sare sat sthe sgreatest srisk sfor sproblems?”
b. “Which spatients sshould sI ssee sfirst sas sI sbegin smy sday?”
c. “With swhich sphysicians swill sI sbe smost sclosely scollaborating?”
d. “With swhich snursing sassistants swill sI spartner sthe smost?”
ANS: s A
Asking swhich sgroups sare sat sgreatest srisk sreflects sa scommunity-oriented sperspective. sThe
sincorrect sresponses sreflect sa sfocus son sindividuals srather sthan sa scommunity-oriented
sperspective.
11. Making ssure sthat sessential scommunity-oriented shealth sservices sare savailable sdefines
swhich sof sthe score spublic shealth sfunctions?
a. Policy sdevelopment
b. Assessment
c. Assurance
d. Scientific sknowledge-based scare
ANS: s C
Assurance sincludes smaking ssure sthat sessential scommunity-oriented shealth sservices sare
savailable sin sthe scommunity. sThe sdefinition sdoes snot sfit sthe sterms sassessment, spolicy
sdevelopment. sScientific sknowledge-based scare sis snot sa score sfunction sof spublic shealth.
sAssessment sis ssystematic sdata scollection son sthe spopulation, smonitoring sthe spopulation’s
shealth sstatus, sand smaking sinformation savailable sabout sthe shealth sof sthe scommunity.
sPolicy sdevelopment srefers sto sefforts sto sdevelop spolicies sthat ssupport sthe shealth sof sthe
spopulation, sincluding susing sa sscientific sknowledge sbase sto smake spolicy sdecisions.
12. When stalking sto sa swomen’s sgroup sat sthe ssenior scitizens’ scenter, sthe snurse sreminded
sthem sthat sthe sonly sway sthe scenter swould sbe sable sto safford sto sprovide stransportation
sservices sfor sthem swould sbe sfor sthem sto scontinue sto swrite sletters sto stheir slocal scity
scouncil srepresentatives srequesting sfunding sfor ssuch sa sservice. sWhat swas sthe snurse
strying sto saccomplish sthrough sthis saction?
Community Public Health Nursing 5th Edition by Marcia
Stanhope, Jeanette Lancaster Chapter 1-32 Complete
Guide A+
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 inNdivR
iduaIls w
GithBin.thCeir Mfamily setting
U S N
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 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.
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 N
imGpT
roBv.
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 shealth spractice sfocuses son sthe scommunity sas sa swhole, sand sthe seffect s of sthe
scommunity’s shealth sstatus s(resources) son sthe shealth sof sindividuals, sfamilies, sand sgroups.
sThe sgoal sis sto sprevent sdisease sand sdisability sand spromote sand sprotect sthe shealth sof sthe
scommunity sas sa swhole. sPublic shealth scan sbe sdescribed sas swhat ssociety scollectively sdoes
sto sensure sthat sconditions sexist sin swhich speople scan sbe shealthy. sThe sbasic sassumptions sof
spublic shealth sdo snot sjudge sthe smorality sof shealth sdisparities. sThe sfocus sis son sprevention
sof sillness snot son sspending smore son sillness scare. sAdditionally, sindividual sresponsibility
sfor smaking shealthy schoices sis sthe sdirective sfor slengthening slife sspan snot sthe srole sof sthe
sgovernment.
7. Which sof sthe sfollowing sactions swould smost slikely sbe sperformed sby sa spublic shealth snurse?
a. Asking scommunity sleaders swhat sinterventions sshould sbe schosen
b. Assessing sthe scommunity sand sdeciding son sappropriate sinterventions
c. Using sdata sfrom sthe smain shealth scare sinstitutions sin sthe scommunity sto sdetermine
needed shealth sservices
d. Working swith scommunity sgroups sto screate spolicies sto simprove sthe senvironment
ANS: s D
Although sthe spublic shealth snurse smight sengage sin sany sof sthe stasks slisted, she sor sshe
sworks sprimarily swith smembers sof sthe scommunity sto scarry sout score spublic shealth
sfunctions, sincluding sassessment sof sthe spopulation sas sa swhole sand sengaging sin
spromoting shealth sand simproving sthe senvironment. sThe sinterventions sof sasking
scommunity sleaders swhich sinterventions sshould sbe schosen, sasessing sthe scommunity sand
sdeciding son sappropriate sinterventions, sand susing sdata sfrom shealth scare sinstitutions sdo
snot sdemonstrate sthe sengagement sof sthe scommunity swhen smaking sdecisions sabout swhat
sthe scommunity sactually swants sand sneeds.
8. Which sof sthe sfollowing spublic shealth snurses smost sclearly sfulfills sthe sresponsibilities
sof sthis srole?
a. The snurse swho smet swith sseveral sgroups sto sdiscuss scommunity srecreation sissues
b. The snurse swho sspent sthe sday sattending smeetings sof svarious shealth sagencies
c. The snurse swho stalked sto sseveral speople sabout stheir sparticular shealth sconcerns
d. The snurse swho swatched sthe scity scouncil smeeting son slocal scable stelevision
, ANS: s B
Any sof sthese sdescriptions smight srepresent sa snurse scommunicating, scooperating, sor
scollaborating swith scommunity sresidents sor sgroups sabout shealth sconcerns. sHowever, sthe
snurse swho sspent sthe sday sattending smeetings sof svarious shealth sagencies sis sthe smost
srepresentative, sbecause sin spublic shealth, sconcerns sare saddressed sfrom sa sbroader
sperspective. sIn spublic shealth, sbroad sconcerns sof sthe scommunity sshould sbe saddressed.
sConcerns sare sbroader sthan srecreation, sindividual sconcerns sare snot sas simportant sas
saggregate spriorities, sand swatching stelevision s(a sone-way sform sof scommunication) sis
sless seffective sthan sinteracting swith sothers.
9. Which sof sthe sfollowing sbest sdefines saggregate?
a. A slarge sgroup sof spersons
b. A scollection sof sindividuals sand sfamilies
c. A scollection sof speople swho sshare sone sor smore scharacteristics
d. Another sname sfor sdemographic sgroup
ANS: s C
An saggregate sis sdefined sa scollection sof speople swho sshare sone sor smore spersonal sor
senvironmental scharacteristics. sMembers sof sa scommunity scan sbe sdefined sin sterms sof
seither sgeography s(e.g., sa scounty, sa sgroup sof scounties, sor sa sstate) sor sa sspecial sinterest
s(e.g., schildren sattending sa sparticular sschool). sThese smembers smake sup sa spopulation.
sThe sterm spopulation smay sbe sused sinterchangeably swith sthe sterm saggregate. sA slarge
sgroup sof spersons, sa scollection sof sindividuals sand sfamilies, sand sanother sname sfor
sdemograhpic sgroup sare snot saccurate sdefinitions sof sthe sterm saggregate.
10. A sregistered snurse swas sjust semployed sas sa spublic shealth snurse. sWhich squestion swould
sbe sthe smost srelevant sfor sthe snurse sto sask?
a. “Which sgroups sare sat sthe sgreatest srisk sfor sproblems?”
b. “Which spatients sshould sI ssee sfirst sas sI sbegin smy sday?”
c. “With swhich sphysicians swill sI sbe smost sclosely scollaborating?”
d. “With swhich snursing sassistants swill sI spartner sthe smost?”
ANS: s A
Asking swhich sgroups sare sat sgreatest srisk sreflects sa scommunity-oriented sperspective. sThe
sincorrect sresponses sreflect sa sfocus son sindividuals srather sthan sa scommunity-oriented
sperspective.
11. Making ssure sthat sessential scommunity-oriented shealth sservices sare savailable sdefines
swhich sof sthe score spublic shealth sfunctions?
a. Policy sdevelopment
b. Assessment
c. Assurance
d. Scientific sknowledge-based scare
ANS: s C
Assurance sincludes smaking ssure sthat sessential scommunity-oriented shealth sservices sare
savailable sin sthe scommunity. sThe sdefinition sdoes snot sfit sthe sterms sassessment, spolicy
sdevelopment. sScientific sknowledge-based scare sis snot sa score sfunction sof spublic shealth.
sAssessment sis ssystematic sdata scollection son sthe spopulation, smonitoring sthe spopulation’s
shealth sstatus, sand smaking sinformation savailable sabout sthe shealth sof sthe scommunity.
sPolicy sdevelopment srefers sto sefforts sto sdevelop spolicies sthat ssupport sthe shealth sof sthe
spopulation, sincluding susing sa sscientific sknowledge sbase sto smake spolicy sdecisions.
12. When stalking sto sa swomen’s sgroup sat sthe ssenior scitizens’ scenter, sthe snurse sreminded
sthem sthat sthe sonly sway sthe scenter swould sbe sable sto safford sto sprovide stransportation
sservices sfor sthem swould sbe sfor sthem sto scontinue sto swrite sletters sto stheir slocal scity
scouncil srepresentatives srequesting sfunding sfor ssuch sa sservice. sWhat swas sthe snurse
strying sto saccomplish sthrough sthis saction?
