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Chapterh01:hCommunity-handhPrevention-OrientedhPracticehtohImprovehPopulationhHealth
Stanhope:hFoundationshforhPopulationhHealthhinhCommunity/PublichHealthhNursing,h5thhEdi
tion
1. Whichhofhthehfollowinghbesthdescribeshcommunity-basedhnursing?
a. Ahpracticehinhwhichhcarehishprovidedhforhindividualshandhfamilies
b. Providinghcarehwithhahfocushonhthehgroup’shneeds
c. Givinghcarehwithhahfocushonhthehaggregate’shneeds
d. Ahvaluehsystemhinhwhichhallhclientshreceivehoptimalhcare
ANS:h A
Byhdefinition,hcommunity-basedhnursinghishahsetting-
specifichpracticehinhwhichhcarehishprovidedhforh“sick”hindividualshandhfamilieshwherehtheyhlive,
hwork,handhattendhschool.hThehemphasishishonhacutehandhchronichcarehandhthehprovisionhofhcom
prehensive,hcoordinated,handhcontinuoushcare.hThesehnurseshmayhbehgeneralistshorhspecialistshi
nhmaternal–infant,hpediatric,hadult,horhpsychiatrichmentalhhealthhnursing.hCommunity-
basedhnursinghemphasizeshacutehandhchronichcarehtohindividualshandhfamilies,hratherhthanhfocus
inghonhgroups,haggregates,horhsystems.
2. Whichhofhthehfollowinghbesthdescribeshcommunity-orientedhnursing?
a. Focusinghonhthehprovisionhofhcarehtohindividualshandhfamilies
b. Providinghcarehtohmanagehacutehorhchronichconditions
c. GivinghdirecthcarehtohillhinNdivR
iduaIlshw
GithB
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familyhsetting
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d. Havinghthehgoalhofhhealthhpromotionhandhdiseasehprevention
ANS:h D
Byhdefinition,hcommunity-
orientedhnursinghhashthehgoalhofhpreserving,hprotecting,horhmaintaininghhealthhandhpreventinghdi
seasehtohpromotehthehqualityhofhlife.hAllhnurseshmayhfocushonhindividualshandhfamilies,hgivehdirec
thcarehtohillhpersonshwithinhtheirhfamilyhsetting,handhhelphmanagehacutehorhchronichconditions.hTh
esehdefinitionsharehnothspecifichtohcommunity-orientedhnursing.
,FOUNDATIONS FOR POPULATION HEALTH IN COMMUN
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3. Whichhofhthehfollowinghishthehprimaryhfocushofhpublichhealthhnursing?
a. Familieshandhgroups
b. Illness-orientedhcare
c. Individualshwithinhthehfamilyhunit
d. Healthhcarehofhcommunitieshandhpopulations
ANS:h D
Inhpublichhealthhnursinghthehprimaryhfocushishonhthehhealthhcarehofhcommunitieshandhpopulationsh
ratherhthanhonhindividuals,hgroups,handhfamilies.hThehgoalhishtohpreventhdiseasehandhpreserve,hpro
mote,hrestore,handhprotecthhealthhforhthehcommunityhandhthehpopulationhwithinhit.hCommunity-
basedhnurseshdealhprimarilyhwithhillness-
orientedhcarehofhindividualshandhfamilieshacorsshthehlifehspan.hThehaimhishtohamanagehacutehandhc
hronichhealthhconditionshinhthehcommunity,handhthehfocushofhpracticehishonhindividualhorhfamily-
centeredhillnesshcare.
,FOUNDATIONS FOR POPULATION HEALTH IN COMMUN
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4. Whichhofhthehfollowinghishresponsiblehforhthehdramatichincreasehinhlifehexpectancyhduringhtheh2
0thhcentury?
a. Technologyhincreaseshinhthehfieldhofhmedicalhlaboratoryhresearch
b. Advanceshinhsurgicalhtechniqueshandhprocedures
c. Sanitationhandhotherhpopulation-basedhpreventionhprograms
d. Usehofhantibioticshtohfighthinfections
ANS:h C
Improvementshinhcontrolhofhinfectioushdiseaseshthroughhimmunizations,hsanitation,handhotherhp
opulation-
basedhpreventionhprogramshledhtohthehincreasehinhlifehexpectancyhfromhlesshthanh50hyearshinh190
0htohmorehthanh78hyearshinh2013.hAlthoughhpeopleharehexcitedhwhenhahnewhdrughishdiscoveredhth
athcureshahdiseasehorhwhenhahnewhwayhtohtransplanthorganshishperfected,hithishimportanthtohknowh
abouththehsignificanthgainshinhthehhealthhofhpopulationshthathhavehcomehlargelyhfromhpublichheal
thhaccomplishments.
5. Ahnursehishdevelopinghahplanhtohdecreasehthehnumberhofhprematurehdeathshinhthehcommunity.h
Whichhofhthehfollowinghinterventionshwouldhmosthlikelyhbehimplementedhbyhthehnurse?
a. Increasehthehcommunity’shknowledgehabouthhospicehcare.
b. Promotehhealthyhlifestylehbehaviorhchoiceshamonghthehcommunityhmembers.
c. Encouragehemployershtohhavehwellnesshcentershatheachhindustrialhsite.
d. Ensurehtimelyhandheffectivehmedicalhinterventionhandhtreatmenthforhcommunityh
members.
ANS:h B
Publichhealthhapproacheshcouldhhelphpreventhprematurehdeathshbyhinfluencinghthehwayhpeoplehe
at,hdrink,hdrive,hengagehinhexercise,handhtreaththehenvironment.hIncreasinghknowledgehofhhospi
cehcare,hencouraginghon-sitehwellnesshcenters,handhensuringhtimelyhtreatmenthofhmedical
conditionshdohnothaddresshtheNfU
ocR
usSoIfN
imGpT
roBv.inC ovMerallhhealthhthroughhhealthhpromotionhstrategi
ghO
es.hThishishthehmajorhmethodhthathishsuggestedhtohdecreasehthehincidencehofhpremature
death.
6. Whichhofhthehfollowinghishahbasichassumptionhofhpublichhealthhefforts?
a. Healthhdisparitieshamonghanyhgroupsharehmorallyhandhlegallyhwrong.
, FOUNDATIONS FOR POPULATION HEALTH IN COMMUN
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b. Healthhcarehishthehmosthimportanthpriorityhinhgovernmenthplanninghandhfunding.
c. Thehhealthhofhindividualshcannothbehseparatedhfromhthehhealthhofhthehcommunity.
d. ThehgovernmenthishresponsiblehforhlengtheninghthehlifehspanhofhAmericans.
ANS:h C
Publichhealthhpracticehfocuseshonhthehcommunityhashahwhole,handhtheheffecth ofhthehcommunity’sh
healthhstatush(resources)honhthehhealthhofhindividuals,hfamilies,handhgroups.hThehgoalhishtohpreve
nthdiseasehandhdisabilityhandhpromotehandhprotecththehhealthhofhthehcommunityhashahwhole.hPubli
chhealthhcanhbehdescribedhashwhathsocietyhcollectivelyhdoeshtohensurehthathconditionshexisthinhwhi
chhpeoplehcanhbehhealthy.hThehbasichassumptionshofhpublichhealthhdohnothjudgehthehmoralityhofhhe
althhdisparities.hThehfocushishonhpreventionhofhillnesshnothonhspendinghmorehonhillnesshcare.hAddi
tionally,hindividualhresponsibilityhforhmakinghhealthyhchoiceshishthehdirectivehforhlengtheninghlif
ehspanhnoththehrolehofhthehgovernment.
7. Whichhofhthehfollowinghactionshwouldhmosthlikelyhbehperformedhbyhahpublichhealthhnurse?
a. Askinghcommunityhleadershwhathinterventionshshouldhbehchosen
b. Assessinghthehcommunityhandhdecidinghonhappropriatehinterventions
c. Usinghdatahfromhthehmainhhealthhcarehinstitutionshinhthehcommunityhtohdetermine