FOUNDATIONSFORPOPULATIONHEALTHIN COMMU
f f f f f
HEALTH NURSING
f f
by Marcia Stanhope, Jeanette Lancaster
f f f f f
6
, Table of Contents f f
Chapter 01: PublicHealth Nursing and Population Health
f f f f f f f
Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope: Chapter
f f f f f f f f f f f f f f
03: US and Global Health Care
f f f f f f
Chapter 04: Government, the Law, and Policy Activism
f f f f f f f
Chapter 05: Economics of US Health Care Delivery
f f f f f f f f
Chapter 06: Ethics in Public and Community Health Nursing Practice
f f f f f f f f f
Chapter 07: Culture of Populations in Communities
f f f f f f f
Chapter 08: Environmental Health
f f f
Chapter 09: Evidence-Based Practice
f f f f
Chapter10: Epidemiological Applications
f f f f
Chapter 11: Infectious Disease Prevention and Control
f f f f f f
Chapter12: Communicable and Infection Disease Risks
f f f f f f f
Chapter 13: Community Assessment and Evaluation
f f f f f f
Chapter 14: Health Education in the Community Chapter
f f f f f f f f
15: Case Management
f f f
Chapter 16: Disaster Management
f f f
Chapter17: Public Health Surveillance and Outbreak Investigation
f f f f f f f
Chapter 18: Program Management
f f f f
Chapter 19: Healthcare Improvement in the Community
f f f f f f
Chapter 20: Family Development, Family Nursing Assessment, and Genomics
f f f f f f f f
Chapter 21: Family Health Risks
f f f f f
Chapter 22: Health Risks Across the Life Span
f f f f f f f
Chapter 23: Health Equity and Care of Vulnerable Populations Chapter
f f f f f f f f f
24: Rural Health and Migrant Health
f f f f f f
Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapter
f f f f f f f f f
26: Alcohol, Tobacco, and Other Drug Problems in the Community Chapter 27:
f f f f f f f f f f f f
Violence and Human Abuse
f f f f
Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health Chapter
f f f f f f f f f f f f f f
29: The Faith Community Nurse
f f f f f
Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice Chapter
f f f f f f f f f f f f f
31: The Nurse in the Schools
f f f f f f
Chapter 32: The Nurse in Occupational Health
f f f f f f
, Chapter 01: Public Health Nursing and Population Health f f f f f f f
Stanhope: Foundations for Population Health in Community/Public Health Nursing, f f f f f f f f
MULTIPLE CHOICE f
1. WHICH statement best describes community-based nursing?
f f f f f
a. A practice in WHICH care is provided for individuals and families.
f f f f f f f f f f
b. Providing care with a focus on the group‘s needs. f f f f f f f f
c. Giving care with a focus on the aggregate‘s needs. f f f f f f f f
d. A value system in WHICH all clients receive optimal care.
f f f f f f f f f
ANS A f
By definition, community-based nursing is a setting-specific practice in WHICH care is provided for ―sick
f f f f f f f f f f f f f f
where they live, work, and attend school. The emphasis is on acute and chronic care and the provision of
f f f f f f f f f f f f f f f f f f f
coordinated, and continuous care. These Nurses may be generalists or specialists in maternal–infant, ped
f f f f f f f f f f f f f f
mental health nursing. Community-based nursing emphasizes acute and chronic care to individuals and f
f f f f f f f f f f f f f f
on groups, aggregates, or systems.
f f f f f
2. WHICH statement best describes the goal of community-oriented nursing?
f f f f f f f f
a. Providing care to individuals and families f f f f f
b. Providing care to manage acute or chronic conditions f f f f f f f
c. Giving direct care to ill individuals within their family setting
f f f f f f f f f
d. To preserve, protect, promote, or maintain health and prevent disease
f f f f f f f f f
ANS D f
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health an
f f f f f f f f f f f f f
promote the quality of life. All Nurses may focus on individuals and families, give direct care to ill perso
f f f f f f f f f f f f f f f f f f f
setting, and help manage acute or chronic conditions. These definitions are not specific to community-or
f f f f f f f f f f f f f f f
3. WHICH of the Following is the primary focus of public health nursing?
f f f f f f f f f f f
a. Families and groups f f
b. Illness-oriented care f
c. Individuals within the family unit f f f f
d. Health care of communities and populations f f f f f
ANS D f
In public health nursing, the primary focus is on the health care of communities and populations rather tha
f f f f f f f f f f f f f f f f f
families. The goal is to prevent disease and preserve, promote, restore, and protect health for the communit
f f f f f f f f f f f f f f f f f
it. Community-based Nurses deal primarily with illness-oriented care of individuals and families across
f f f f f f f f f f f f f f
manage acute and chronic health conditions in the community, and the focus of practice is on individual
f f f f f f f f f f f f f f f f f f
family-centered illness care. f f
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th centu
f f f f f f f f f f f f f f f f
a. Technology increases in the field of medical laboratory research f f f f f f f f
b. Advances in surgical techniques and procedures f f f f f
c. Sanitation and other population-based prevention programs f f f f f
d. Use of antibiotics to fight infections
f f f f f
ANS C f
There has to be indisputable evidence collected over time that public health policies and programs were p
f f f f f f f f f f f f f f f f
increasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60% in
f f f f f f f f f f f f f f f f f f f f
improvements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improving food
f f f f f f f f f f f f f f f
(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excited
f f f f f f f f f f f f f
discovered that cures a disease or when a new way to transplant organs is perfected, it is important to know
f f f f f f f f f f f f f f f f f f f f
the health of populations that have come largely from public health accomplishments.
f f f f f f f f f f f f
5. A Nurse is developing a plan to decrease the number of premature deaths in the community. WHICH of the F
f f f f f f f f f f f f f f f f f f f
interventions would most likely be implemented by the Nurse?
f f f f f f f f f
a. Provide free health care to all citizens f f f f f f
, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
f f f f f f f f f f f f f f f f
a. Health disparities among any groups are morally and legally wrong. f f f f f f f f f
b. Health care is the most important priority in government planning and funding.
f f f f f f f f f f f
c. The health of individuals cannot be separated from the health of the community.
f f f f f f f f f f f f
d. The government is responsible for lengthening the life span of Americans.
f f f f f f f f f f
ANS C f
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely separa
f f f f f f f f f f f f f f f f f
larger community. Public health practice focuses on the community as a whole, and the effect of the com
f f f f f f f f f f f f f f f f f f
(resources) on the health of individuals, families, and groups. The goal is to prevent disease and disability a
f f f f f f f f f f f f f f f f f f
health of the community as a whole. Public health can be described as what society collectively does to e
f f f f f f f f f f f f f f f f f f f
WHICH people can be healthy. The basic assumptions of public health do not judge the morality of health
f f f f f f f f f f f f f f f f f f
prevention of illness not on spending more on illness care. Additionally, individual responsibility for ma
f f f f f f f f f f f f f f f
directive for lengthening life span not the role of the government.
f f f f f f f f f f f
7. WHICH of the Following actions would most likely be performed by a public health Nurse?
f f f f f f f f f f f f f f
a. Asking community leaders what interventions should be chosen f f f f f f f
b. Assessing the community and deciding on appropriate interventions f f f f f f f
c. Using data from the main health care institutions in the community to determine
f f f f f f f f f f f f
needed health services
f f f
d. Working with community groups to create policies to improve the environment f f f f f f f f f f
ANS D f
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily with m
f f f f f f f f f f f f f f f f f f f
to carry out core public health functions, including assessment of the population as a whole and engaging
f f f f f f f f f f f f f f f f f
improving the environment. The interventions of asking community leaders WHICH interventions shoul
f f f f f f f f f f f f
community and deciding on appropriate interventions, and using data from health care institutions do not
f f f f f f f f f f f f f f f
of the community when making decisions about what the community actually wants and needs.
f f f f f f f f f f f f f f
8. WHICH public health Nurse most clearly fulfills the responsibilities of this role?
f f f f f f f f f f f
a. The Nurse who met with several groups to discuss community recreation issues
f f f f f f f f f f f
b. The Nurse who spent the day attending meetings of various health agencies
f f f f f f f f f f f
c. The Nurse who talked to several people about their particular health concerns
f f f f f f f f f f f
d. The Nurse who watched the city council meeting on local cable television
f f f f f f f f f f f
ANS B f
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with co
f f f f f f f f f f f f f
about health concerns. A major challenge for the future is the need for public health nursing specialists to
f f f f f f f f f f f f f f f f f f
working collaboratively with various groups in the community as well as professional colleagues in insti
f f f f f f f f f f f f f f f
barriers to health. However, the Nurse who spent the day attending meetings of various health agencies i
f f f f f f f f f f f f f f f f f
because in public health, concerns are addressed from a broader perspective. In public health, broad conc
f f f f f f f f f f f f f f f f
should be addressed. Concerns are broader than recreation, individual concerns are not as important as agg
f f f f f f f f f f f f f f f f
watching television (a one-way form of communication) is less effective than interacting with others.
f f f f f f f f f f f f f f
9. WHICH of the Following best defines aggregate? f f f f f f
a. A large group of persons f f f f
b. A collection of individuals and families
f f f f f
c. A collection of people who share one or more characteristics
f f f f f f f f f
d. Another name for demographic group f f f f
ANS C f
An aggregate is defined a collection of people who share one or more personal or environmental characte
f f f f f f f f f f f f f f f f
community can be defined in terms of either geography (e.g., a county, a group of counties, or a state) or
f f f f f f f f f f f f f f f f f f f f
children attending a particular school). These members make up a population. The term population may be
f f f f f f f f f f f f f f f f
the term aggregate. A large group of persons, a collection of individuals and families, and another name
f f f f f f f f f f f f f f f f f
not accurate definitions of the term aggregate.
f f f f f f f
10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role of
f f f f f f f f f f f f f f f f f f
a. ―WHICH groups are at the greatest risk for problems?‖ f f f f f f f f
b. ―WHICH patients should I see first as I begin my day?‖ f f f f f f f f f f