FOUNDATIONS FOR L
POPULATION HEALTH IN
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COMMUNITY/TH
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NURSING, 5TH EDITION BY
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MARCIA STANHOPE
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,Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition
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Contents:
Part I: Perspectives in Health Care Delivery and Nursing
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Chapter 1. Community and Prevention Oriented Practice to Improve Population Health
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Chapter 2. The History of Public Health and Public and Community Health Nursing
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Chapter 3. The Changing U.S. Health and Public Health Care Systems
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Part II: Influences on Health Care Delivery and Nursing
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gChapter 4. Ethics in Public and Community Health Nursing
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gPractice Chapter 5. Cultural Influences in Nursing in Community
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Health Chapter 6. Environmental Health
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Chapter 7. Government, the Law, and Policy Activism
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Chapter 8. Economic Influences
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Part III: Conceptual Frameworks Applied to Nursing Practice in the Community
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Chapter 9. Epidemiological Applications
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Chapter 10. Evidence-Based Practice
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Chapter 11. Using Health Education and Groups in the Community
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Part IV: Issues and Approaches in Health Care of Populations
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Chapter 12. Community Assessment and Evaluation
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Chapter 13. Case Management
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Chapter 14. Disaster Management
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Chapter 15. Surveillance and Outbreak Investigation
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Chapter 16. Program Management
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Chapter 17. Managing Quality and Safety
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Part V: Issues and Approaches in Family and Individual Health Care
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Chapter 18. Family Development and Family Nursing Assessment
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Chapter 19. Family Health Risks
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Chapter 20. Health Risks Across the Life Span
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Part VI: Vulnerability: Predisposing Factors
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Chapter 21. Vulnerability and Vulnerable Populations: An Overview
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Chapter 22. Rural Health and Migrant Health
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Chapter 23. Poverty, Homelessness, Teen Pregnancy, and Mental Illness
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Chapter 24. Alcohol, Tobacco, and Other Drug Problems in the
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gCommunity Chapter 25. Violence and Human Abuse
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Chapter 26. Infectious Disease Prevention and Control
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Chapter 27. HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases
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Part VII: Nursing Practice in the Community: Roles and Functions
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Chapter 28. Nursing Practice at the Local, State, and National Levels in Public Health
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Chapter 29. The Faith Community Nurse
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Chapter 30. The Nurse in Home Health and Hospice
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Chapter 31. The Nurse in the Schools
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Chapter 32. The Nurse in Occupational Health
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,Stanhope: Foundations for Population Health in Community/Public HealthNursing, 5th Edition
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Chapter 01: Community and Prevention Oriented Practice to Improve Population Health
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MULTIPLE CHOICE g
1. Which of the following best describes community-based nursing?
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a. A practice in which care is provided for individuals and families
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b. Providing care with a focus on the group’s needs g g g g g g g g
c. Giving care with a focus on the aggregate’s needs
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d. A value system in which all clients receive optimal care
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ANS: A
By definition, community-based nursing is a setting-specific practice in which care
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is provided for ―sick‖ individuals and families where they live, work, and attend
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school. The emphasis is on acute and chronic care and the provision of
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comprehensive, coordinated, and continuous care. These nurses may be generalists
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or specialists in maternal–infant, pediatric, adult, or psychiatric mental health
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nursing. Community-based nursing emphasizes acute and chronic care to individuals
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and families, rather than focusing on groups, aggregates, or systems.
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2. Which of the following best describes community-oriented nursing?
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a. Focusing on the provision of care to individuals and families g g g g g g g g g
b. Providing care to manage acute or chronic conditions g g g g g g g
c. Giving direct care to ill individuals within their family setting
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d. Having the goal of health promotion and disease prevention
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ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or
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maintaining health and preventing disease to promote the quality of life. All nurses
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may focus on individuals and families, give direct care to ill persons within their
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family setting, and help manage acute or chronic conditions. These definitions are
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not specific to community-oriented nursing.
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3. Which of the following is the primary focus of public health nursing?
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a. Families and groups g g
b. Illness-oriented care g
c. Individuals within the family unit g g g g
d. Health care of communities and populations g g g g g
ANS: g g D
In public health nursing the primary focus is on the health care of communities
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and populations rather than on individuals, groups, and families. The goal is to
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prevent disease and preserve, promote, restore, and protect health for the
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community and the population within it. Community-based nurses deal primarily
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with illness-oriented care of individuals and families acorss the life span. The aim
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is to amanage acute and chronic health conditions in the community, and the
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focus of practice is on individual or family-centered illness care.
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, 4. Which of the following is responsible for the dramatic increase in life
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gexpectancy during the 20th century? g g g g
a. Technology increases in the field of medical laboratory research g g g g g g g g
b. Advances in surgical techniques and procedures g g g g g
c. Sanitation and other population-based prevention programs g g g g g
d. Use of antibiotics to fight infections
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ANS: g g C
Improvements in control of infectious diseases through immunizations, sanitation, g g g g g g g g
gand other population-based prevention programs led to the increase in life
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gexpectancy from less than 50 years in 1900 to more than 78 years in 2013.
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gAlthough people are excited when a new drug is discovered that cures a disease
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gor when a new way to transplant organs is perfected, it is important to know
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gabout the significant gains in the health of populations that have come largely
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gfrom public health accomplishments.
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5. A nurse is developing a plan to decrease the number of premature deaths in the
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gcommunity. Which of the following interventions would most likely be g g g g g g g g g
g implemented by the nurse? g g g
a. Increase the community’s knowledge about hospice care. g g g g g g
b. Promote healthy lifestyle behavior choices among the community members.
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c. Encourage employers to have wellness centers at each industrial site. g g g g g g g g g
d. Ensure timely and effective medical intervention and treatment
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for community members.
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ANS: g g B
Public health approaches could help prevent premature deaths by influencing the
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gway people eat, drink, drive, engage in exercise, and treat the environment.
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gIncreasing knowledge of hospice care, encouraging on-site wellness centers, and
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gensuring timely treatment of medical conditions do not address the focus of
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gimproving overall health through health promotion strategies. This is the major
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gmethod that is suggested to decrease the incidence of premature death.
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6. Which of the following is a basic assumption of public health efforts?
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a. Health disparities among any groups are morally and legally wrong.
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b. Health care is the most important priority in government planning and funding.
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c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS: g g C
Public health practice focuses on the community as a whole, and the effect of
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gthe community’s health status (resources) on the health of individuals,
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gfamilies, and groups. The goal is to prevent disease and disability and
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gpromote and protect the health of the community as a whole. Public health can
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gbe described as what society collectively does to ensure that conditions exist in
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gwhich people can be healthy. The basic assumptions of public health do not judge
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gthe morality of health disparities. The focus is on prevention of illness not on
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gspending more on illness care. Additionally, individual responsibility for making
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ghealthy choices is the directive for lengthening life span not the role of the
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ggovernment.
7. Which of the following actions would most likely be performed by a public health nurse?
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a. Asking community leaders what interventions should be chosen
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b. Assessing the community and deciding on appropriate interventions g g g g g g g
c. Using data from the main health care institutions in the community to determine
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