,Chapter 01: Commun ty- and Prevent on-Or ented Pract ce to mprove Populat onHealth fg fg fg fg FG fg
Stanhope: Foundat ons for Populat on Health n Commun ty/Publ c Health Nurs ng, 6th Ed
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t on
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MULT PLE CHO CE
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1. Wh ch of the follow ng best descr bes commun ty-based nurs ng?
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a. A pract ce n wh ch care s prov ded for nd v duals and fam l es
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b. Prov d ng care w th a focus on the group’s needs
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c. G v ng care w th a focus on the aggregate’s needs
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d. A value system n wh ch all cl ents rece ve opt mal care fg fg fg fg fg
ANS: A
By def n t on, commun ty-based nurs ng s a sett ng-spec f c pract ce n wh ch care s prov
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ded for “s ck” nd v duals and fam l es where they l ve, work, and attend school. The
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emphas s s on acute and chron c care and the prov s on of comprehens ve, coord nated, and
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cont nuous care. These nurses may be general sts or spec al sts n maternal– nfant, ped atr c,
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adult, or psych atr c mental health nurs ng. Commun ty-based nurs ng emphas zes acute and
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chron c care to nd v duals and fam l es, rather than focus ng on groups, aggregates, or
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systems.
2. Wh ch of the follow ng best descr bes commun ty-or ented nurs ng?
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a. Focus ng on the prov s on of care to nd v duals and fam l es
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b. Prov d ng care to manage acute or chron c cond t ons
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c. Gvng drect care to ll nNd vRduals w
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U SG NthBn.thCe r Mfam ly settng
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d. Hav ng the goal of health promot on and d sease prevent on
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ANS: D
By def n t on, commun ty-or ented nurs ng has the goal of preserv ng, protect ng, or ma nta
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n ng health and prevent ng d sease to promote the qual ty of l fe. All nurses may focus on
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nd v duals and fam l es, g ve d rect care to ll persons w th n the r fam ly sett ng, and help
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manage acute or chron c cond t ons. These def n t ons are not spec f c to commun ty-or fg fg fg fg fg fg fg fg fg
ented nurs ng.
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3. Wh ch of the follow ng s the pr mary focus of publ c health nurs ng?
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a. Fam l es and groups fg fg
b. llness-or ented care
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c. nd v duals w th n the fam ly un t
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d. Health care of commun t es and populat ons fg fg fg
ANS: D
FGn publ c health nurs ng the pr mary focus s on the health care of commun t es and populat
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ons rather than on nd v duals, groups, and fam l es. The goal s to prevent d sease and
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preserve, promote, restore, and protect health for the commun ty and the populat on w th n fg fg fg fg
t. Commun ty-based nurses deal pr mar ly w th llness-or ented care of nd v duals and fam
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l es acorss the l fe span. The a m s to amanage acute and chron c health cond t ons n the
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commun ty, and the focus of pract ce s on nd v dual or fam ly-centered llness care.
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,4. Wh ch of the follow ng s respons ble for the dramat c ncrease n l fe expectancy dur ng
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the 20th century?
a. Technology ncreases n the f eld of med cal laboratory research
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b. Advances n surg cal techn ques and procedures fg fg fg
c. San tat on and other populat on-based prevent on programs
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d. Use of ant b ot cs to f ght nfect ons fg fg fg fg fg fg
ANS: C
FGmprovements n control of nfect ous d seases through mmun zat ons, san tat on, and
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other populat on-based prevent on programs led to the ncrease n l fe expectancy from less
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than 50 years n 1900 to more than 78 years n 2013. Although people are exc ted when a
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new drug s d scovered that cures a d sease or when a new way to transplant organs s
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perfected, t s mportant to know about the s gn f cant ga ns n the health of populat ons
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that have come largely from publ c health accompl shments. fg fg
5. A nurse s develop ng a plan to decrease the number of premature deaths n the commun
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ty. Wh ch of the follow ng ntervent ons would most l kely be mplemented by the
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nurse?
a. ncrease the commun ty’s knowledge about hosp ce care.
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b. Promote healthy l festyle behav or cho ces among the commun ty members. fg fg fg fg
c. Encourage employers to have wellness centers at each ndustr al s te. fg fg fg
d. Ensure t mely and effect ve med cal ntervent on and treatment for commun
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ty members.
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ANS: B
Publ c health approaches could help prevent premature deaths by nfluenc ng the way people
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eat, dr nk, dr ve, engage n exerc se, and treat the env ronment. ncreas ng knowledge of
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hosp ce care, encourag ng on-s te wellness centers, and ensur ng t mely treatment of med cal
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cond t ons do not address theNfU
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usSof NmGpT
roBv.nC
gOo vMe r a l l health through health promot on F
G
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strateg es. Th s s the major method that s suggested to decrease the nc dence of premature
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death.
6. Wh ch of the follow ng s a bas c assumpt on of publ c health efforts?
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a. Health d spar t es among any groups are morally and legally wrong.
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b. Health care s the most mportant pr or ty n government plann ng and fund ng.
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c. The health of nd v duals cannot be separated from the health of the commun ty.
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d. The government s respons ble for lengthen ng the l fe span of Amer cans. fg fg fg fg fg
ANS: C
Publ c health pract ce focuses on the commun ty as a whole, and the effect of the commun
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ty’s health status (resources) on the health of nd v duals, fam l es, and groups. The goal s
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to prevent d sease and d sab l ty and promote and protect the health of the commun ty as a
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whole. Publ c health can be descr bed as what soc ety collect vely does to ensure that cond t
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ons ex st n wh ch people can be healthy. The bas c assumpt ons of publ c health do not
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judge the moral ty of health d spar t es. The focus s on prevent on of llness not on spend
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ng more on llness care. Add t onally, nd v dual respons b l ty for mak ng healthy cho ces
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s the d rect ve for lengthen ng l fe span not the role of the government.
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7. Wh ch of the follow ng act ons would most l kely be performed by a publ c health nurse?
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a. Ask ng commun ty leaders what ntervent ons should be chosen
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b. Assess ng the commun ty and dec d ng on appropr ate ntervent ons
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c. Us ng data from the ma n health care nst tut ons n the commun ty to determ ne
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, needed health serv ces fg
d. Work ng w th commun ty groups to create pol c es to mprove the env ronment
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ANS: D
Although the publ c health nurse m ght engage n any of the tasks l sted, he or she works pr
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mar ly w th members of the commun ty to carry out core publ c health funct ons, nclud ng
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assessment of the populat on as a whole and engag ng n promot ng health and mprov ng fg fg fg fg fg fg
the env ronment. The ntervent ons of ask ng commun ty leaders wh ch ntervent ons
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should be chosen, asess ng the commun ty and dec d ng on appropr ate ntervent ons, and fg fg fg fg fg fg fg
us ng data from health care nst tut ons do not demonstrate the engagement of the commun
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ty when mak ng dec s ons about what the commun ty actually wants and needs.
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8. Wh ch of the follow ng publ c health nurses most clearly fulf lls the respons b l t es of th
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s role?
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a. The nurse who met w th several groups to d scuss commun ty recreat on ssues fg fg fg fg fg
b. The nurse who spent the day attend ng meet ngs of var ous health agenc es fg fg fg fg
c. The nurse who talked to several people about the r part cular health concerns fg fg
d. The nurse who watched the c ty counc l meet ng on local cable telev s on fg fg fg fg fg
ANS: B
Any of these descr pt ons m ght represent a nurse commun cat ng, cooperat ng, or
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collaborat ng w th commun ty res dents or groups about health concerns. However, the
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nurse who spent the day attend ng meet ngs of var ous health agenc es s the most fg fg fg fg fg
representat ve, because n publ c health, concerns are addressed from a broader perspect ve.
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n publ c health, broad concerns of the commun ty should be addressed. Concerns are
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broader than recreat on, nd v dual concerns are not as mportant as aggregate pr or t es,
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and watch ng telev s on (a one-way form of commun cat on) s less effect ve than nteract
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ng w th others.
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9. Wh ch of the follow ng best def nes aggregate?
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a. A large group of persons
b. A collect on of nd v duals and fam l es fg fg fg fg fg fg
c. A collect on of people who share one or more character st cs
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d. Another name for demograph c group fg
ANS: C
An aggregate s def ned a collect on of people who share one or more personal or env
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ronmental character st cs. Members of a commun ty can be def ned n terms of e ther
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geography (e.g., a county, a group of count es, or a state) or a spec al nterest (e.g., ch ldren fg fg fg fg
attend ng a part cular school). These members make up a populat on. The term populat on
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may be used nterchangeably w th the term aggregate. A large group of persons, a collect on
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of nd v duals and fam l es, and another name for demograhp c group are not accurate def n
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t ons of the term aggregate.
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10. A reg stered nurse was just employed as a publ c health nurse. Wh ch quest on would be
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the most relevant for the nurse to ask?
a. “Wh ch groups are at the greatest r sk for problems?”
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b. “Wh ch pat ents should see f rst as beg n my day?”
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c. “W th wh ch phys c ans w ll be most closely collaborat ng?”
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d. “W th wh ch nurs ng ass stants w ll partner the most?”
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ANS: A
Stanhope: Foundat ons for Populat on Health n Commun ty/Publ c Health Nurs ng, 6th Ed
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t on
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MULT PLE CHO CE
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1. Wh ch of the follow ng best descr bes commun ty-based nurs ng?
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a. A pract ce n wh ch care s prov ded for nd v duals and fam l es
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b. Prov d ng care w th a focus on the group’s needs
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c. G v ng care w th a focus on the aggregate’s needs
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d. A value system n wh ch all cl ents rece ve opt mal care fg fg fg fg fg
ANS: A
By def n t on, commun ty-based nurs ng s a sett ng-spec f c pract ce n wh ch care s prov
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ded for “s ck” nd v duals and fam l es where they l ve, work, and attend school. The
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emphas s s on acute and chron c care and the prov s on of comprehens ve, coord nated, and
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cont nuous care. These nurses may be general sts or spec al sts n maternal– nfant, ped atr c,
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adult, or psych atr c mental health nurs ng. Commun ty-based nurs ng emphas zes acute and
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chron c care to nd v duals and fam l es, rather than focus ng on groups, aggregates, or
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systems.
2. Wh ch of the follow ng best descr bes commun ty-or ented nurs ng?
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a. Focus ng on the prov s on of care to nd v duals and fam l es
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b. Prov d ng care to manage acute or chron c cond t ons
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c. Gvng drect care to ll nNd vRduals w
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U SG NthBn.thCe r Mfam ly settng
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d. Hav ng the goal of health promot on and d sease prevent on
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G fg
fg
fg
fg
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fg
ANS: D
By def n t on, commun ty-or ented nurs ng has the goal of preserv ng, protect ng, or ma nta
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n ng health and prevent ng d sease to promote the qual ty of l fe. All nurses may focus on
fg fg fg fg fg fg
nd v duals and fam l es, g ve d rect care to ll persons w th n the r fam ly sett ng, and help
fg fg fg fg fg fg fg fg fg fg fg fg fg
manage acute or chron c cond t ons. These def n t ons are not spec f c to commun ty-or fg fg fg fg fg fg fg fg fg
ented nurs ng.
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3. Wh ch of the follow ng s the pr mary focus of publ c health nurs ng?
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a. Fam l es and groups fg fg
b. llness-or ented care
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c. nd v duals w th n the fam ly un t
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d. Health care of commun t es and populat ons fg fg fg
ANS: D
FGn publ c health nurs ng the pr mary focus s on the health care of commun t es and populat
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ons rather than on nd v duals, groups, and fam l es. The goal s to prevent d sease and
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preserve, promote, restore, and protect health for the commun ty and the populat on w th n fg fg fg fg
t. Commun ty-based nurses deal pr mar ly w th llness-or ented care of nd v duals and fam
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l es acorss the l fe span. The a m s to amanage acute and chron c health cond t ons n the
fg fg fg fg fg fg fg fg fg
commun ty, and the focus of pract ce s on nd v dual or fam ly-centered llness care.
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,4. Wh ch of the follow ng s respons ble for the dramat c ncrease n l fe expectancy dur ng
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the 20th century?
a. Technology ncreases n the f eld of med cal laboratory research
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b. Advances n surg cal techn ques and procedures fg fg fg
c. San tat on and other populat on-based prevent on programs
fg fg fg fg
d. Use of ant b ot cs to f ght nfect ons fg fg fg fg fg fg
ANS: C
FGmprovements n control of nfect ous d seases through mmun zat ons, san tat on, and
fg fg fg fg fg fg fg fg fg
other populat on-based prevent on programs led to the ncrease n l fe expectancy from less
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than 50 years n 1900 to more than 78 years n 2013. Although people are exc ted when a
fg fg fg
new drug s d scovered that cures a d sease or when a new way to transplant organs s
fg fg fg fg
perfected, t s mportant to know about the s gn f cant ga ns n the health of populat ons
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that have come largely from publ c health accompl shments. fg fg
5. A nurse s develop ng a plan to decrease the number of premature deaths n the commun
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ty. Wh ch of the follow ng ntervent ons would most l kely be mplemented by the
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nurse?
a. ncrease the commun ty’s knowledge about hosp ce care.
FG fg fg
b. Promote healthy l festyle behav or cho ces among the commun ty members. fg fg fg fg
c. Encourage employers to have wellness centers at each ndustr al s te. fg fg fg
d. Ensure t mely and effect ve med cal ntervent on and treatment for commun
fg fg fg fg fg
ty members.
fg
ANS: B
Publ c health approaches could help prevent premature deaths by nfluenc ng the way people
fg fg fg
eat, dr nk, dr ve, engage n exerc se, and treat the env ronment. ncreas ng knowledge of
fg fg fg fg fg FG fg
hosp ce care, encourag ng on-s te wellness centers, and ensur ng t mely treatment of med cal
fg fg fg fg fg fg
cond t ons do not address theNfU
fg fg ocR
usSof NmGpT
roBv.nC
gOo vMe r a l l health through health promot on F
G
fg fg fg
strateg es. Th s s the major method that s suggested to decrease the nc dence of premature
fg fg fg fg fg fg
death.
6. Wh ch of the follow ng s a bas c assumpt on of publ c health efforts?
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a. Health d spar t es among any groups are morally and legally wrong.
fg fg fg
b. Health care s the most mportant pr or ty n government plann ng and fund ng.
fg fg fg fg fg fg fg
c. The health of nd v duals cannot be separated from the health of the commun ty.
fg fg fg fg
d. The government s respons ble for lengthen ng the l fe span of Amer cans. fg fg fg fg fg
ANS: C
Publ c health pract ce focuses on the commun ty as a whole, and the effect of the commun
fg fg fg
ty’s health status (resources) on the health of nd v duals, fam l es, and groups. The goal s
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to prevent d sease and d sab l ty and promote and protect the health of the commun ty as a
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whole. Publ c health can be descr bed as what soc ety collect vely does to ensure that cond t
fg fg fg fg fg
ons ex st n wh ch people can be healthy. The bas c assumpt ons of publ c health do not
fg fg fg fg fg fg fg
judge the moral ty of health d spar t es. The focus s on prevent on of llness not on spend
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ng more on llness care. Add t onally, nd v dual respons b l ty for mak ng healthy cho ces
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s the d rect ve for lengthen ng l fe span not the role of the government.
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7. Wh ch of the follow ng act ons would most l kely be performed by a publ c health nurse?
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a. Ask ng commun ty leaders what ntervent ons should be chosen
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b. Assess ng the commun ty and dec d ng on appropr ate ntervent ons
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c. Us ng data from the ma n health care nst tut ons n the commun ty to determ ne
fg fg fg fg fg fg fg fg
, needed health serv ces fg
d. Work ng w th commun ty groups to create pol c es to mprove the env ronment
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ANS: D
Although the publ c health nurse m ght engage n any of the tasks l sted, he or she works pr
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mar ly w th members of the commun ty to carry out core publ c health funct ons, nclud ng
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assessment of the populat on as a whole and engag ng n promot ng health and mprov ng fg fg fg fg fg fg
the env ronment. The ntervent ons of ask ng commun ty leaders wh ch ntervent ons
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should be chosen, asess ng the commun ty and dec d ng on appropr ate ntervent ons, and fg fg fg fg fg fg fg
us ng data from health care nst tut ons do not demonstrate the engagement of the commun
fg fg fg fg
ty when mak ng dec s ons about what the commun ty actually wants and needs.
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8. Wh ch of the follow ng publ c health nurses most clearly fulf lls the respons b l t es of th
fg fg fg fg fg fg fg fg
s role?
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a. The nurse who met w th several groups to d scuss commun ty recreat on ssues fg fg fg fg fg
b. The nurse who spent the day attend ng meet ngs of var ous health agenc es fg fg fg fg
c. The nurse who talked to several people about the r part cular health concerns fg fg
d. The nurse who watched the c ty counc l meet ng on local cable telev s on fg fg fg fg fg
ANS: B
Any of these descr pt ons m ght represent a nurse commun cat ng, cooperat ng, or
fg fg fg fg fg fg
collaborat ng w th commun ty res dents or groups about health concerns. However, the
fg fg fg fg
nurse who spent the day attend ng meet ngs of var ous health agenc es s the most fg fg fg fg fg
representat ve, because n publ c health, concerns are addressed from a broader perspect ve.
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n publ c health, broad concerns of the commun ty should be addressed. Concerns are
FG fg fg
broader than recreat on, nd v dual concerns are not as mportant as aggregate pr or t es,
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and watch ng telev s on (a one-way form of commun cat on) s less effect ve than nteract
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ng w th others.
fg fg
9. Wh ch of the follow ng best def nes aggregate?
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a. A large group of persons
b. A collect on of nd v duals and fam l es fg fg fg fg fg fg
c. A collect on of people who share one or more character st cs
fg fg fg
d. Another name for demograph c group fg
ANS: C
An aggregate s def ned a collect on of people who share one or more personal or env
fg fg fg
ronmental character st cs. Members of a commun ty can be def ned n terms of e ther
fg fg fg fg fg fg fg
geography (e.g., a county, a group of count es, or a state) or a spec al nterest (e.g., ch ldren fg fg fg fg
attend ng a part cular school). These members make up a populat on. The term populat on
fg fg fg fg
may be used nterchangeably w th the term aggregate. A large group of persons, a collect on
fg fg fg
of nd v duals and fam l es, and another name for demograhp c group are not accurate def n
fg fg fg fg fg fg fg
t ons of the term aggregate.
fg fg
10. A reg stered nurse was just employed as a publ c health nurse. Wh ch quest on would be
fg fg fg fg
the most relevant for the nurse to ask?
a. “Wh ch groups are at the greatest r sk for problems?”
fg fg
b. “Wh ch pat ents should see f rst as beg n my day?”
fg fg FG fg FG fg
c. “W th wh ch phys c ans w ll be most closely collaborat ng?”
fg fg fg fg fg FG fg
d. “W th wh ch nurs ng ass stants w ll partner the most?”
fg fg fg fg fg FG
ANS: A
