Stanhope: Foundations for Popu
m m m
lation Health in Community/Pub
m m m
lic Health Nursing, 5th Edition TE
m m m m m
STBANK
,Chapterm01:mCommunity-mandmPrevention-
OrientedmPractice mtomImprovemPopulationmHealthmStanhope:mFoundationsmformPopulationmHealthmi
nmCommunity/PublicmHealthmNursing,m5thmEditionmMULTIPLEmCHOICE
1. Whichmofmthe mfollowingmbestmdescribesmcommunity-basedmnursing?
a. Ampractice minmwhichmcare mismprovidedmformindividualsmandmfamilies
b. Providingmcare mwithmamfocusmonmthe mgroup’smneeds
c. Givingmcare mwithmamfocusmonmthe maggregate’smneeds
d. Amvalue msystemminmwhichmallmclientsmreceive moptimalmc
are mANS:mA
Bymdefinition, mcommunity-basedmnursingmismamsetting-
specificmpractice minmwhichmcare mismprovidedmform“sick”mindividualsmandmfamiliesmwhere mtheymlive,mwork,ma
ndmattendmschool.mThe memphasismismonmacutemandmchronicmcare mandmthemprovisionmofmcomprehensive,mc
oordinated,mandmcontinuousmcare.mThese mnursesmmaymbe mgeneralistsmormspecialistsminmmaternal–
infant,mpediatric,madult,mormpsychiatricmmentalmhealthmnursing.
Community-
basedmnursingmemphasizesmacute mandmchronicmcare mtomindividualsmandmfamilies,mrathermthanmfocusingmo
nmgroups,maggregates,mormsystems.
2. Whichmofmthe mfollowingmbestmdescribesmcommunity-orientedmnursing?
a. Focusingmonmthe mprovisionmofmcare mtomindividualsmandmfamilies
b. Providingmcare mtommanage macute mormchronicmconditions
c. Givingmdirectmcare mtomillminNdivRiduaIlsmwGithBin.thCeirMfamily msetting
d. Havingmthe mgoalmof mhealthmpromotionmandmdisease mpreventi
onmANS:mD
Bymdefinition, mcommunity-
orientedmnursingmhasmthemgoalmof mpreserving,mprotecting,mormmaintainingmhealthmandmpreventingmdiseas
e mtompromotemthemqualitymofmlife.mAllmnursesmmaymfocusmonmindividualsmandmfamilies,mgivemdirectmcaremto
m illm persons m within mtheirm family m setting,m andmhelpm managem acutemormchronicm conditions. mThesem definitio
nsmare mnotmspecificmtomcommunity-orientedmnursing.
3. Whichmofmthe mfollowingmismthe mprimarymfocusmofmpublicmhealthmnursing?
a. Familiesmandmgroups
,b. Illness-orientedmcare
c. Individualsmwithinmthe mfamilymunit
d. Healthmcare mof mcommunitiesmandmpopulatio
nsmANS:mD
Inmpublicmhealthmnursingmthemprimarymfocusmismonmthe mhealthmcare mof mcommunitiesmandmpopulationsmrat
hermthanmonmindividuals,mgroups,mandmfamilies.mThemgoalmismtompreventmdiseasemandmpreserve,mpromote,
m restore, m andm protectm healthm form the m community m andm the m population m withinm it. m Community-
basedmnursesmdealmprimarilymwithmillness-
orientedmcare mofmindividualsmandmfamiliesmacorssmthemlife mspan.mThemaimmismtomamanagemacutemandmchro
nicmhealthmconditionsminmthe mcommunity,mandmthe mfocusmofmpractice mismonmindividualmormfamily-
centeredmillnessmcare.
4. Whichmofmthemfollowingmismresponsible mformthe mdramaticmincrease minmlife mexpectancymduringmthem
20thmcentury?
a. Technologymincreasesminmthe mfieldmof mmedicalmlaboratorymresearch
b. Advancesminmsurgicalmtechniquesmandmprocedures
c. Sanitationmandmothermpopulation-basedmpreventionmprograms
d. Use mof mantibioticsmtomfightminfectio
nsmANS:mC
Improvementsminmcontrolmofminfectiousmdiseasesmthroughmimmunizations,msanitation,mandmothermpopu
lation-
basedmpreventionmprogramsmledmtomthemincreaseminmlife mexpectancymfrommlessmthanm50myearsminm1900m
tommore mthanm78myearsminm2013.mAlthoughmpeoplemaremexcitedmwhenmamnewmdrugmismdiscoveredmthatm
curesmamdisease mormwhenmamnewmwaymtomtransplantmorgansmismperfected,mitmismimportantmtomknowmabo
utmthe msignificantmgainsminmthemhealthmofmpopulationsmthatmhavemcome mlargelymfrommpublicmhealthmacc
omplishments.
5. Amnurse mismdevelopingmamplanmtomdecreasemthemnumbermofmpremature mdeathsminmthe mcomm
unity.mWhichmofmthe mfollowingminterventionsmwouldmmostmlikelymbe mimplementedmbymthe mnurse?
a. Increase mthe mcommunity’smknowledge maboutmhospice mcare.
b. Promote mhealthymlifestyle mbehaviormchoicesmamongmthe mcommunitymmembers.
c. Encourage memployersmtomhave mwellnessmcentersmatmeachmindustrialmsite.
d. Ensure mtimelymandmeffective mmedicalminterventionmandmtreatmentmformcommunitymmemb
ers.mANS:mB
, Publicmhealthmapproachesmcouldmhelpmpreventmprematuremdeathsmbyminfluencingmthemwaympeoplemeat,md
rink,mdrive,mengageminmexercise,mandmtreatmthe menvironment.mIncreasingmknowledgemofmhospicemcare,men
couragingmon-site mwellnessmcenters,mandmensuringmtimelymtreatmentmof mmedical
conditionsmdomnotmaddressmtheNfUocRusSoIfNimGpTroBv.inCgmOovMerallmhealthmthroughmhealthm
promotion
strategies.mThismismthe mmajormmethodmthatmismsuggestedmtomdecreasemthemincidencemof mprematurem
death.
6. Whichmofmthe mfollowingmismambasicmassumptionmof mpublicmhealthmefforts?
a. Healthmdisparitiesmamongmanymgroupsmare mmorallymandmlegallymwrong.
b. Healthmcare mismthe mmostmimportantmpriorityminmgovernmentmplanningmandmfunding.
c. The mhealthmof mindividualsmcannotmbe mseparatedmfrommthe mhealthmof mthe mcommunity.
d. The mgovernmentmismresponsiblemformlengtheningmthe mlifemspanmof mAmeric
ans.mANS:mC
Publicmhealthmpractice mfocusesmonmthe mcommunitymasmamwhole,mandmthe meffectmofmthe
community’smhealthmstatusm(resources)monmthemhealthmofmindividuals,mfamilies,mandmgroups.mThemgoalmism
tompreventmdiseasemandmdisabilitymandmpromotemandmprotectmthemhealthmofmthemcommunitymasmamwhole.
m Publicm health m canmbemdescribed masmwhatmsocietymcollectively mdoesm tomensurem thatm conditions m existm inm
whichmpeople mcanmbemhealthy.mThe mbasicmassumptionsmofmpublicmhealthmdomnotmjudge mthemmoralitymofmh
ealthmdisparities.
The mfocusmismonmpreventionmofmillnessmnotmonmspendingmmoremonmillnessmcare.mAdditionally,mindividualmr
esponsibilitymformmakingmhealthymchoicesmismthemdirectivemformlengtheningmlifemspanmnotmthemrole mofmthem
government.
7. Whichmofmthe mfollowingmactionsmwouldmmostmlikelymbe mperformedmbymampublicmhealthmnurse?
a. Askingmcommunitymleadersmwhatminterventionsmshouldmbe mchosen
b. Assessingmthe mcommunitymandmdecidingmonmappropriate minterventions
c. Usingmdatamfrommthe mmainmhealthmcare minstitutionsminmthe mcommunitymtomdetermine
neededmhealthmservices
d. Workingmwithmcommunitymgroupsmtomcreatempoliciesmtomimprove mthemenvironm
entmANS:mD
Althoughmthe mpublicmhealthmnursemmightmengageminmanymofmthemtasksmlisted,mhemormshemworksmprimarilym
withmmembersmof mthemcommunitymtomcarrymoutmcorempublicmhealthmfunctions,mincludingmassessmentmofm
the mpopulationmasmamwhole mandmengagingminmpromotingmhealthmandmimprovingmthe menvironment.mThe
m m m
lation Health in Community/Pub
m m m
lic Health Nursing, 5th Edition TE
m m m m m
STBANK
,Chapterm01:mCommunity-mandmPrevention-
OrientedmPractice mtomImprovemPopulationmHealthmStanhope:mFoundationsmformPopulationmHealthmi
nmCommunity/PublicmHealthmNursing,m5thmEditionmMULTIPLEmCHOICE
1. Whichmofmthe mfollowingmbestmdescribesmcommunity-basedmnursing?
a. Ampractice minmwhichmcare mismprovidedmformindividualsmandmfamilies
b. Providingmcare mwithmamfocusmonmthe mgroup’smneeds
c. Givingmcare mwithmamfocusmonmthe maggregate’smneeds
d. Amvalue msystemminmwhichmallmclientsmreceive moptimalmc
are mANS:mA
Bymdefinition, mcommunity-basedmnursingmismamsetting-
specificmpractice minmwhichmcare mismprovidedmform“sick”mindividualsmandmfamiliesmwhere mtheymlive,mwork,ma
ndmattendmschool.mThe memphasismismonmacutemandmchronicmcare mandmthemprovisionmofmcomprehensive,mc
oordinated,mandmcontinuousmcare.mThese mnursesmmaymbe mgeneralistsmormspecialistsminmmaternal–
infant,mpediatric,madult,mormpsychiatricmmentalmhealthmnursing.
Community-
basedmnursingmemphasizesmacute mandmchronicmcare mtomindividualsmandmfamilies,mrathermthanmfocusingmo
nmgroups,maggregates,mormsystems.
2. Whichmofmthe mfollowingmbestmdescribesmcommunity-orientedmnursing?
a. Focusingmonmthe mprovisionmofmcare mtomindividualsmandmfamilies
b. Providingmcare mtommanage macute mormchronicmconditions
c. Givingmdirectmcare mtomillminNdivRiduaIlsmwGithBin.thCeirMfamily msetting
d. Havingmthe mgoalmof mhealthmpromotionmandmdisease mpreventi
onmANS:mD
Bymdefinition, mcommunity-
orientedmnursingmhasmthemgoalmof mpreserving,mprotecting,mormmaintainingmhealthmandmpreventingmdiseas
e mtompromotemthemqualitymofmlife.mAllmnursesmmaymfocusmonmindividualsmandmfamilies,mgivemdirectmcaremto
m illm persons m within mtheirm family m setting,m andmhelpm managem acutemormchronicm conditions. mThesem definitio
nsmare mnotmspecificmtomcommunity-orientedmnursing.
3. Whichmofmthe mfollowingmismthe mprimarymfocusmofmpublicmhealthmnursing?
a. Familiesmandmgroups
,b. Illness-orientedmcare
c. Individualsmwithinmthe mfamilymunit
d. Healthmcare mof mcommunitiesmandmpopulatio
nsmANS:mD
Inmpublicmhealthmnursingmthemprimarymfocusmismonmthe mhealthmcare mof mcommunitiesmandmpopulationsmrat
hermthanmonmindividuals,mgroups,mandmfamilies.mThemgoalmismtompreventmdiseasemandmpreserve,mpromote,
m restore, m andm protectm healthm form the m community m andm the m population m withinm it. m Community-
basedmnursesmdealmprimarilymwithmillness-
orientedmcare mofmindividualsmandmfamiliesmacorssmthemlife mspan.mThemaimmismtomamanagemacutemandmchro
nicmhealthmconditionsminmthe mcommunity,mandmthe mfocusmofmpractice mismonmindividualmormfamily-
centeredmillnessmcare.
4. Whichmofmthemfollowingmismresponsible mformthe mdramaticmincrease minmlife mexpectancymduringmthem
20thmcentury?
a. Technologymincreasesminmthe mfieldmof mmedicalmlaboratorymresearch
b. Advancesminmsurgicalmtechniquesmandmprocedures
c. Sanitationmandmothermpopulation-basedmpreventionmprograms
d. Use mof mantibioticsmtomfightminfectio
nsmANS:mC
Improvementsminmcontrolmofminfectiousmdiseasesmthroughmimmunizations,msanitation,mandmothermpopu
lation-
basedmpreventionmprogramsmledmtomthemincreaseminmlife mexpectancymfrommlessmthanm50myearsminm1900m
tommore mthanm78myearsminm2013.mAlthoughmpeoplemaremexcitedmwhenmamnewmdrugmismdiscoveredmthatm
curesmamdisease mormwhenmamnewmwaymtomtransplantmorgansmismperfected,mitmismimportantmtomknowmabo
utmthe msignificantmgainsminmthemhealthmofmpopulationsmthatmhavemcome mlargelymfrommpublicmhealthmacc
omplishments.
5. Amnurse mismdevelopingmamplanmtomdecreasemthemnumbermofmpremature mdeathsminmthe mcomm
unity.mWhichmofmthe mfollowingminterventionsmwouldmmostmlikelymbe mimplementedmbymthe mnurse?
a. Increase mthe mcommunity’smknowledge maboutmhospice mcare.
b. Promote mhealthymlifestyle mbehaviormchoicesmamongmthe mcommunitymmembers.
c. Encourage memployersmtomhave mwellnessmcentersmatmeachmindustrialmsite.
d. Ensure mtimelymandmeffective mmedicalminterventionmandmtreatmentmformcommunitymmemb
ers.mANS:mB
, Publicmhealthmapproachesmcouldmhelpmpreventmprematuremdeathsmbyminfluencingmthemwaympeoplemeat,md
rink,mdrive,mengageminmexercise,mandmtreatmthe menvironment.mIncreasingmknowledgemofmhospicemcare,men
couragingmon-site mwellnessmcenters,mandmensuringmtimelymtreatmentmof mmedical
conditionsmdomnotmaddressmtheNfUocRusSoIfNimGpTroBv.inCgmOovMerallmhealthmthroughmhealthm
promotion
strategies.mThismismthe mmajormmethodmthatmismsuggestedmtomdecreasemthemincidencemof mprematurem
death.
6. Whichmofmthe mfollowingmismambasicmassumptionmof mpublicmhealthmefforts?
a. Healthmdisparitiesmamongmanymgroupsmare mmorallymandmlegallymwrong.
b. Healthmcare mismthe mmostmimportantmpriorityminmgovernmentmplanningmandmfunding.
c. The mhealthmof mindividualsmcannotmbe mseparatedmfrommthe mhealthmof mthe mcommunity.
d. The mgovernmentmismresponsiblemformlengtheningmthe mlifemspanmof mAmeric
ans.mANS:mC
Publicmhealthmpractice mfocusesmonmthe mcommunitymasmamwhole,mandmthe meffectmofmthe
community’smhealthmstatusm(resources)monmthemhealthmofmindividuals,mfamilies,mandmgroups.mThemgoalmism
tompreventmdiseasemandmdisabilitymandmpromotemandmprotectmthemhealthmofmthemcommunitymasmamwhole.
m Publicm health m canmbemdescribed masmwhatmsocietymcollectively mdoesm tomensurem thatm conditions m existm inm
whichmpeople mcanmbemhealthy.mThe mbasicmassumptionsmofmpublicmhealthmdomnotmjudge mthemmoralitymofmh
ealthmdisparities.
The mfocusmismonmpreventionmofmillnessmnotmonmspendingmmoremonmillnessmcare.mAdditionally,mindividualmr
esponsibilitymformmakingmhealthymchoicesmismthemdirectivemformlengtheningmlifemspanmnotmthemrole mofmthem
government.
7. Whichmofmthe mfollowingmactionsmwouldmmostmlikelymbe mperformedmbymampublicmhealthmnurse?
a. Askingmcommunitymleadersmwhatminterventionsmshouldmbe mchosen
b. Assessingmthe mcommunitymandmdecidingmonmappropriate minterventions
c. Usingmdatamfrommthe mmainmhealthmcare minstitutionsminmthe mcommunitymtomdetermine
neededmhealthmservices
d. Workingmwithmcommunitymgroupsmtomcreatempoliciesmtomimprove mthemenvironm
entmANS:mD
Althoughmthe mpublicmhealthmnursemmightmengageminmanymofmthemtasksmlisted,mhemormshemworksmprimarilym
withmmembersmof mthemcommunitymtomcarrymoutmcorempublicmhealthmfunctions,mincludingmassessmentmofm
the mpopulationmasmamwhole mandmengagingminmpromotingmhealthmandmimprovingmthe menvironment.mThe
