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 ahealth apractice afocuses aon athe acommunity aas aa awhole, aand athe aeffect a of athe
acommunity’s ahealth astatus a(resources) aon athe ahealth aof aindividuals, afamilies, aand
agroups. aThe agoal ais ato aprevent adisease aand adisability aand apromote aand aprotect athe
ahealth aof athe acommunity aas aa awhole. aPublic ahealth acan abe adescribed aas awhat asociety
acollectively adoes ato aensure athat aconditions aexist ain awhich apeople acan abe ahealthy. aThe
abasic aassumptions aof apublic ahealth ado anot ajudge athe amorality aof ahealth adisparities. aThe
afocus ais aon aprevention aof aillness anot aon aspending amore aon aillness acare. aAdditionally,
aindividual aresponsibility afor amaking ahealthy achoices ais athe adirective afor alengthening alife
aspan anot athe arole aof athe agovernment.
7. Which aof athe afollowing aactions awould amost alikely abe aperformed aby aa apublic ahealth anurse?
a. Asking acommunity aleaders awhat ainterventions ashould abe achosen
b. Assessing athe acommunity aand adeciding aon aappropriate ainterventions
c. Using adata afrom athe amain ahealth acare ainstitutions ain athe acommunity ato adetermine
needed ahealth aservices
d. Working awith acommunity agroups ato acreate apolicies ato aimprove athe aenvironment
ANS: a D
Although athe apublic ahealth anurse amight aengage ain aany aof athe atasks alisted, ahe aor ashe
aworks aprimarily awith amembers aof athe acommunity ato acarry aout acore apublic ahealth
afunctions, aincluding aassessment aof athe apopulation aas aa awhole aand aengaging ain
apromoting ahealth aand aimproving athe aenvironment. aThe ainterventions aof aasking
acommunity aleaders awhich ainterventions ashould abe achosen, aasessing athe acommunity aand
adeciding aon aappropriate ainterventions, aand ausing adata afrom ahealth acare ainstitutions ado
anot ademonstrate athe aengagement aof athe acommunity awhen amaking adecisions aabout awhat
athe acommunity aactually awants aand aneeds.
8. Which aof athe afollowing apublic ahealth anurses amost aclearly afulfills athe aresponsibilities
aof athis arole?
a. The anurse awho amet awith aseveral agroups ato adiscuss acommunity arecreation aissues
b. The anurse awho aspent athe aday aattending ameetings aof avarious ahealth aagencies
c. The anurse awho atalked ato aseveral apeople aabout atheir aparticular ahealth aconcerns
d. The anurse awho awatched athe acity acouncil ameeting aon alocal acable atelevision
, ANS: a B
Any aof athese adescriptions amight arepresent aa anurse acommunicating, acooperating, aor
acollaborating awith acommunity aresidents aor agroups aabout ahealth aconcerns. aHowever, athe
anurse awho aspent athe aday aattending ameetings aof avarious ahealth aagencies ais athe amost
arepresentative, abecause ain apublic ahealth, aconcerns aare aaddressed afrom aa abroader
aperspective. aIn apublic ahealth, abroad aconcerns aof athe acommunity ashould abe aaddressed.
aConcerns aare abroader athan arecreation, aindividual aconcerns aare anot aas aimportant aas
aaggregate apriorities, aand awatching atelevision a(a aone-way aform aof acommunication) ais
aless aeffective athan ainteracting awith aothers.
9. Which aof athe afollowing abest adefines aaggregate?
a. A alarge agroup aof apersons
b. A acollection aof aindividuals aand afamilies
c. A acollection aof apeople awho ashare aone aor amore acharacteristics
d. Another aname afor ademographic agroup
ANS: a C
An aaggregate ais adefined aa acollection aof apeople awho ashare aone aor amore apersonal aor
aenvironmental acharacteristics. aMembers aof aa acommunity acan abe adefined ain aterms aof
aeither ageography a(e.g., aa acounty, aa agroup aof acounties, aor aa astate) aor aa aspecial ainterest
a(e.g., achildren aattending aa aparticular aschool). aThese amembers amake aup aa apopulation.
aThe aterm apopulation amay abe aused ainterchangeably awith athe aterm aaggregate. aA alarge
agroup aof apersons, aa acollection aof aindividuals aand afamilies, aand aanother aname afor
ademograhpic agroup aare anot aaccurate adefinitions aof athe aterm aaggregate.
10. A aregistered anurse awas ajust aemployed aas aa apublic ahealth anurse. aWhich aquestion awould
abe athe amost arelevant afor athe anurse ato aask?
a. “Which agroups aare aat athe agreatest arisk afor aproblems?”
b. “Which apatients ashould aI asee afirst aas a I abegin amy aday?”
c. “With awhich aphysicians awill aI abe amost aclosely acollaborating?”
d. “With awhich anursing aassistants awill aI apartner athe amost?”
ANS: a A
Asking awhich agroups aare aat agreatest arisk areflects aa acommunity-oriented aperspective. aThe
aincorrect aresponses areflect aa afocus aon aindividuals arather athan aa acommunity-oriented
aperspective.
11. Making asure athat aessential acommunity-oriented ahealth aservices aare aavailable adefines
awhich aof athe acore apublic ahealth afunctions?
a. Policy adevelopment
b. Assessment
c. Assurance
d. Scientific aknowledge-based acare
ANS: a C
Assurance aincludes amaking asure athat aessential acommunity-oriented ahealth aservices aare
aavailable ain athe acommunity. aThe adefinition adoes anot afit athe aterms aassessment, apolicy
adevelopment. aScientific aknowledge-based acare ais anot aa acore afunction aof apublic ahealth.
aAssessment ais asystematic adata acollection aon athe apopulation, amonitoring athe apopulation’s
ahealth astatus, aand amaking ainformation aavailable aabout athe ahealth aof athe acommunity.
aPolicy adevelopment arefers ato aefforts ato adevelop apolicies athat asupport athe ahealth aof athe
apopulation, aincluding ausing aa ascientific aknowledge abase ato amake apolicy adecisions.
12. When atalking ato aa awomen’s agroup aat athe asenior acitizens’ acenter, athe anurse areminded
athem athat athe aonly away athe acenter awould abe aable ato aafford ato aprovide atransportation
aservices afor athem awould abe afor athem ato acontinue ato awrite aletters ato atheir alocal acity
acouncil arepresentatives arequesting afunding afor asuch aa aservice. aWhat awas athe anurse
atrying ato aaccomplish athrough athis aaction?
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 ahealth apractice afocuses aon athe acommunity aas aa awhole, aand athe aeffect a of athe
acommunity’s ahealth astatus a(resources) aon athe ahealth aof aindividuals, afamilies, aand
agroups. aThe agoal ais ato aprevent adisease aand adisability aand apromote aand aprotect athe
ahealth aof athe acommunity aas aa awhole. aPublic ahealth acan abe adescribed aas awhat asociety
acollectively adoes ato aensure athat aconditions aexist ain awhich apeople acan abe ahealthy. aThe
abasic aassumptions aof apublic ahealth ado anot ajudge athe amorality aof ahealth adisparities. aThe
afocus ais aon aprevention aof aillness anot aon aspending amore aon aillness acare. aAdditionally,
aindividual aresponsibility afor amaking ahealthy achoices ais athe adirective afor alengthening alife
aspan anot athe arole aof athe agovernment.
7. Which aof athe afollowing aactions awould amost alikely abe aperformed aby aa apublic ahealth anurse?
a. Asking acommunity aleaders awhat ainterventions ashould abe achosen
b. Assessing athe acommunity aand adeciding aon aappropriate ainterventions
c. Using adata afrom athe amain ahealth acare ainstitutions ain athe acommunity ato adetermine
needed ahealth aservices
d. Working awith acommunity agroups ato acreate apolicies ato aimprove athe aenvironment
ANS: a D
Although athe apublic ahealth anurse amight aengage ain aany aof athe atasks alisted, ahe aor ashe
aworks aprimarily awith amembers aof athe acommunity ato acarry aout acore apublic ahealth
afunctions, aincluding aassessment aof athe apopulation aas aa awhole aand aengaging ain
apromoting ahealth aand aimproving athe aenvironment. aThe ainterventions aof aasking
acommunity aleaders awhich ainterventions ashould abe achosen, aasessing athe acommunity aand
adeciding aon aappropriate ainterventions, aand ausing adata afrom ahealth acare ainstitutions ado
anot ademonstrate athe aengagement aof athe acommunity awhen amaking adecisions aabout awhat
athe acommunity aactually awants aand aneeds.
8. Which aof athe afollowing apublic ahealth anurses amost aclearly afulfills athe aresponsibilities
aof athis arole?
a. The anurse awho amet awith aseveral agroups ato adiscuss acommunity arecreation aissues
b. The anurse awho aspent athe aday aattending ameetings aof avarious ahealth aagencies
c. The anurse awho atalked ato aseveral apeople aabout atheir aparticular ahealth aconcerns
d. The anurse awho awatched athe acity acouncil ameeting aon alocal acable atelevision
, ANS: a B
Any aof athese adescriptions amight arepresent aa anurse acommunicating, acooperating, aor
acollaborating awith acommunity aresidents aor agroups aabout ahealth aconcerns. aHowever, athe
anurse awho aspent athe aday aattending ameetings aof avarious ahealth aagencies ais athe amost
arepresentative, abecause ain apublic ahealth, aconcerns aare aaddressed afrom aa abroader
aperspective. aIn apublic ahealth, abroad aconcerns aof athe acommunity ashould abe aaddressed.
aConcerns aare abroader athan arecreation, aindividual aconcerns aare anot aas aimportant aas
aaggregate apriorities, aand awatching atelevision a(a aone-way aform aof acommunication) ais
aless aeffective athan ainteracting awith aothers.
9. Which aof athe afollowing abest adefines aaggregate?
a. A alarge agroup aof apersons
b. A acollection aof aindividuals aand afamilies
c. A acollection aof apeople awho ashare aone aor amore acharacteristics
d. Another aname afor ademographic agroup
ANS: a C
An aaggregate ais adefined aa acollection aof apeople awho ashare aone aor amore apersonal aor
aenvironmental acharacteristics. aMembers aof aa acommunity acan abe adefined ain aterms aof
aeither ageography a(e.g., aa acounty, aa agroup aof acounties, aor aa astate) aor aa aspecial ainterest
a(e.g., achildren aattending aa aparticular aschool). aThese amembers amake aup aa apopulation.
aThe aterm apopulation amay abe aused ainterchangeably awith athe aterm aaggregate. aA alarge
agroup aof apersons, aa acollection aof aindividuals aand afamilies, aand aanother aname afor
ademograhpic agroup aare anot aaccurate adefinitions aof athe aterm aaggregate.
10. A aregistered anurse awas ajust aemployed aas aa apublic ahealth anurse. aWhich aquestion awould
abe athe amost arelevant afor athe anurse ato aask?
a. “Which agroups aare aat athe agreatest arisk afor aproblems?”
b. “Which apatients ashould aI asee afirst aas a I abegin amy aday?”
c. “With awhich aphysicians awill aI abe amost aclosely acollaborating?”
d. “With awhich anursing aassistants awill aI apartner athe amost?”
ANS: a A
Asking awhich agroups aare aat agreatest arisk areflects aa acommunity-oriented aperspective. aThe
aincorrect aresponses areflect aa afocus aon aindividuals arather athan aa acommunity-oriented
aperspective.
11. Making asure athat aessential acommunity-oriented ahealth aservices aare aavailable adefines
awhich aof athe acore apublic ahealth afunctions?
a. Policy adevelopment
b. Assessment
c. Assurance
d. Scientific aknowledge-based acare
ANS: a C
Assurance aincludes amaking asure athat aessential acommunity-oriented ahealth aservices aare
aavailable ain athe acommunity. aThe adefinition adoes anot afit athe aterms aassessment, apolicy
adevelopment. aScientific aknowledge-based acare ais anot aa acore afunction aof apublic ahealth.
aAssessment ais asystematic adata acollection aon athe apopulation, amonitoring athe apopulation’s
ahealth astatus, aand amaking ainformation aavailable aabout athe ahealth aof athe acommunity.
aPolicy adevelopment arefers ato aefforts ato adevelop apolicies athat asupport athe ahealth aof athe
apopulation, aincluding ausing aa ascientific aknowledge abase ato amake apolicy adecisions.
12. When atalking ato aa awomen’s agroup aat athe asenior acitizens’ acenter, athe anurse areminded
athem athat athe aonly away athe acenter awould abe aable ato aafford ato aprovide atransportation
aservices afor athem awould abe afor athem ato acontinue ato awrite aletters ato atheir alocal acity
acouncil arepresentatives arequesting afunding afor asuch aa aservice. aWhat awas athe anurse
atrying ato aaccomplish athrough athis aaction?
