,Chapter 01: Community- and Prevention-Oriented Practice to Improve Population
Health
MULTIPLE CHOICE
1. Which of the following best describes community-based nursing?
a. A practice in which care is provided for individuals and families
b. Providing care with a focus on the group’s needs
c. Giving care with a focus on the aggregate’s needs
d. A value system in which all clients receive optimal care
ANS: A
By definition, community-based nursing is a setting-specific practice in which care is
provided for “sick” individuals and families where they live, work, and attend school. The
emphasis is on acute and chronic care and the provision of comprehensive, coordinated, and
continuous care. These nurses may be generalists or specialists in maternal–infant, pediatric,
adult, or psychiatric mental health nursing. Community-based nursing emphasizes acute and
chronic care to individuals and families, rather than focusing on groups, aggregates, or
systems.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill inNdivR
iduaIls wGithB
i n.thCeir M
family setting
U S N and disease prevention
d. Having the goal of health promotion
ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or
maintaining health and preventing disease to promote the quality of life. All nurses may focus
on individuals and families, give direct care to ill persons within their family setting, and help
manage acute or chronic conditions. These definitions are not specific to community-oriented
nursing.
3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals within the family unit
d. Health care of communities and populations
ANS: D
In public health nursing the primary focus is on the health care of communities and
populations rather than on individuals, groups, and families. The goal is to prevent disease and
preserve, promote, restore, and protect health for the community and the population within it.
Community-based nurses deal primarily with illness-oriented care of individuals and families
acorss the life span. The aim is to amanage acute and chronic health conditions in the
community, and the focus of practice is on individual or family-centered illness care.
,4. Which $uyof $uythe $uyfollowing $uyis $uyresponsible $uyfor $uythe $uydramatic $uyincrease $uyin $uylife
expectancy $uyduring $uythe $uy20th $uycentury?
$uy
a. Technology $uyincreases $uyin $uythe $uyfield $uyof $uymedical $uylaboratory $uyresearch
b. Advances $uyin $uysurgical $uytechniques $uyand $uyprocedures
c. Sanitation $uyand $uyother $uypopulation-based $uyprevention $uyprograms
d. Use $uyof $uyantibiotics $uyto $uyfight $uyinfections
ANS: $ u y C
Improvements $uyin $uycontrol $uyof $uyinfectious $uydiseases $uythrough $uyimmunizations, $uysanitation,
$uyand $uyother $uypopulation-based $uyprevention $uyprograms $uyled $uyto $uythe $uyincrease $uyin $uylife
$uyexpectancy $uyfrom $uyless $uythan $uy50 $uyyears $uyin $uy1900 $uyto $uymore $uythan $uy78 $uyyears $uyin $uy2013.
$uyAlthough $uypeople $uyare $uyexcited $uywhen $uya $uynew $uydrug $uyis $uydiscovered $uythat $uycures $uya
$uydisease $uyor $uywhen $uya $uynew $uyway $uyto $uytransplant $uyorgans $uyis $uyperfected, $uyit $uyis $uyimportant
$uyto $uyknow $uyabout $uythe $uysignificant $uygains $uyin $uythe $uyhealth $uyof $uypopulations $uythat $uyhave
$uycome $uylargely $uyfrom $uypublic $uyhealth $uyaccomplishments.
5. A $uynurse $uyis $uydeveloping $uya $uyplan $uyto $uydecrease $uythe $uynumber $uyof $uypremature $uydeaths $uyin
the $uycommunity. $uyWhich $uyof $uythe $uyfollowing $uyinterventions $uywould $uymost $uylikely $uybe
$uy
implemented $uyby $uythe $uynurse?
$uy
a. Increase $uythe $uycommunity’s $uyknowledge $uyabout $uyhospice $uycare.
b. Promote $uyhealthy $uylifestyle $uybehavior $uychoices $uyamong $uythe $uycommunity $uymembers.
c. Encourage $uyemployers $uyto $uyhave $uywellness $uycenters $uyat $uyeach $uyindustrial $uysite.
d. Ensure $uytimely $uyand $uyeffective $uymedical $uyintervention $uyand $uytreatment $uyfor
$uycommunity $uymembers.
ANS: $ u y B
Public $uyhealth $uyapproaches $uycould $uyhelp $uyprevent $uypremature $uydeaths $uyby $uyinfluencing $uythe
$uyway $uypeople $uyeat, $uydrink, $uydrive, $uyengage $uyin $uyexercise, $uyand $uytreat $uythe $uyenvironment.
$uyIncreasing $uyknowledge $uyof $uyhospice $uycare, $uyencouraging $uyon-site $uywellness $uycenters, $uyand
$uyensuring $uytimely $uytreatment $uyof $uymedical
conditions $uydo $uynot $uyaddress $uytheNfU
ocR usSoIf N
imGpT
roBv.inC o vMe r a l l $uyhealth $uythrough $uyhealth
g$uyO
$uypromotion $uystrategies. $uyThis $uyis $uythe $uymajor $uymethod $uythat $uyis $uysuggested $uyto $uydecrease $uythe
$uyincidence $uyof $uypremature
death.
6. Which $uyof $uythe $uyfollowing $uyis $uya $uybasic $uyassumption $uyof $uypublic $uyhealth $uyefforts?
a. Health $uydisparities $uyamong $uyany $uygroups $uyare $uymorally $uyand $uylegally $uywrong.
b. Health $uycare $uyis $uythe $uymost $uyimportant $uypriority $uyin $uygovernment $uyplanning $uyand $uyfunding.
c. The $uyhealth $uyof $uyindividuals $uycannot $uybe $uyseparated $uyfrom $uythe $uyhealth $uyof $uythe $uycommunity.
d. The $uygovernment $uyis $uyresponsible $uyfor $uylengthening $uythe $uylife $uyspan $uyof $uyAmericans.
ANS: $ u y C
Public $uyhealth $uypractice $uyfocuses $uyon $uythe $uycommunity $uyas $uya $uywhole, $uyand $uythe $uyeffect $ u y of
$uythe $uycommunity’s $uyhealth $uystatus $uy(resources) $uyon $uythe $uyhealth $uyof $uyindividuals, $uyfamilies,
$uyand $uygroups. $uyThe $uygoal $uyis $uyto $uyprevent $uydisease $uyand $uydisability $uyand $uypromote $uyand
$uyprotect $uythe $uyhealth $uyof $uythe $uycommunity $uyas $uya $uywhole. $uyPublic $uyhealth $uycan $uybe
$uydescribed $uyas $uywhat $uysociety $uycollectively $uydoes $uyto $uyensure $uythat $uyconditions $uyexist $uyin
$uywhich $uypeople $uycan $uybe $uyhealthy. $uyThe $uybasic $uyassumptions $uyof $uypublic $uyhealth $uydo $uynot
$uyjudge $uythe $uymorality $uyof $uyhealth $uydisparities. $uyThe $uyfocus $uyis $uyon $uyprevention $uyof $uyillness
$uynot $uyon $uyspending $uymore $uyon $uyillness $uycare. $uyAdditionally, $uyindividual $uyresponsibility $uyfor
$uymaking $uyhealthy $uychoices $uyis $uythe $uydirective $uyfor $uylengthening $uylife $uyspan $uynot $uythe $uyrole
$uyof $uythe $uygovernment.
7. Which $uyof $uythe $uyfollowing $uyactions $uywould $uymost $uylikely $uybe $uyperformed $uyby $uya $uypublic $uyhealth
$uy nurse?
, a. Asking $uycommunity $uyleaders $uywhat $uyinterventions $uyshould $uybe $uychosen
b. Assessing $uythe $uycommunity $uyand $uydeciding $uyon $uyappropriate $uyinterventions
c. Using $uydata $uyfrom $uythe $uymain $uyhealth $uycare $uyinstitutions $uyin $uythe $uycommunity $uyto $uydetermine
Health
MULTIPLE CHOICE
1. Which of the following best describes community-based nursing?
a. A practice in which care is provided for individuals and families
b. Providing care with a focus on the group’s needs
c. Giving care with a focus on the aggregate’s needs
d. A value system in which all clients receive optimal care
ANS: A
By definition, community-based nursing is a setting-specific practice in which care is
provided for “sick” individuals and families where they live, work, and attend school. The
emphasis is on acute and chronic care and the provision of comprehensive, coordinated, and
continuous care. These nurses may be generalists or specialists in maternal–infant, pediatric,
adult, or psychiatric mental health nursing. Community-based nursing emphasizes acute and
chronic care to individuals and families, rather than focusing on groups, aggregates, or
systems.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill inNdivR
iduaIls wGithB
i n.thCeir M
family setting
U S N and disease prevention
d. Having the goal of health promotion
ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or
maintaining health and preventing disease to promote the quality of life. All nurses may focus
on individuals and families, give direct care to ill persons within their family setting, and help
manage acute or chronic conditions. These definitions are not specific to community-oriented
nursing.
3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals within the family unit
d. Health care of communities and populations
ANS: D
In public health nursing the primary focus is on the health care of communities and
populations rather than on individuals, groups, and families. The goal is to prevent disease and
preserve, promote, restore, and protect health for the community and the population within it.
Community-based nurses deal primarily with illness-oriented care of individuals and families
acorss the life span. The aim is to amanage acute and chronic health conditions in the
community, and the focus of practice is on individual or family-centered illness care.
,4. Which $uyof $uythe $uyfollowing $uyis $uyresponsible $uyfor $uythe $uydramatic $uyincrease $uyin $uylife
expectancy $uyduring $uythe $uy20th $uycentury?
$uy
a. Technology $uyincreases $uyin $uythe $uyfield $uyof $uymedical $uylaboratory $uyresearch
b. Advances $uyin $uysurgical $uytechniques $uyand $uyprocedures
c. Sanitation $uyand $uyother $uypopulation-based $uyprevention $uyprograms
d. Use $uyof $uyantibiotics $uyto $uyfight $uyinfections
ANS: $ u y C
Improvements $uyin $uycontrol $uyof $uyinfectious $uydiseases $uythrough $uyimmunizations, $uysanitation,
$uyand $uyother $uypopulation-based $uyprevention $uyprograms $uyled $uyto $uythe $uyincrease $uyin $uylife
$uyexpectancy $uyfrom $uyless $uythan $uy50 $uyyears $uyin $uy1900 $uyto $uymore $uythan $uy78 $uyyears $uyin $uy2013.
$uyAlthough $uypeople $uyare $uyexcited $uywhen $uya $uynew $uydrug $uyis $uydiscovered $uythat $uycures $uya
$uydisease $uyor $uywhen $uya $uynew $uyway $uyto $uytransplant $uyorgans $uyis $uyperfected, $uyit $uyis $uyimportant
$uyto $uyknow $uyabout $uythe $uysignificant $uygains $uyin $uythe $uyhealth $uyof $uypopulations $uythat $uyhave
$uycome $uylargely $uyfrom $uypublic $uyhealth $uyaccomplishments.
5. A $uynurse $uyis $uydeveloping $uya $uyplan $uyto $uydecrease $uythe $uynumber $uyof $uypremature $uydeaths $uyin
the $uycommunity. $uyWhich $uyof $uythe $uyfollowing $uyinterventions $uywould $uymost $uylikely $uybe
$uy
implemented $uyby $uythe $uynurse?
$uy
a. Increase $uythe $uycommunity’s $uyknowledge $uyabout $uyhospice $uycare.
b. Promote $uyhealthy $uylifestyle $uybehavior $uychoices $uyamong $uythe $uycommunity $uymembers.
c. Encourage $uyemployers $uyto $uyhave $uywellness $uycenters $uyat $uyeach $uyindustrial $uysite.
d. Ensure $uytimely $uyand $uyeffective $uymedical $uyintervention $uyand $uytreatment $uyfor
$uycommunity $uymembers.
ANS: $ u y B
Public $uyhealth $uyapproaches $uycould $uyhelp $uyprevent $uypremature $uydeaths $uyby $uyinfluencing $uythe
$uyway $uypeople $uyeat, $uydrink, $uydrive, $uyengage $uyin $uyexercise, $uyand $uytreat $uythe $uyenvironment.
$uyIncreasing $uyknowledge $uyof $uyhospice $uycare, $uyencouraging $uyon-site $uywellness $uycenters, $uyand
$uyensuring $uytimely $uytreatment $uyof $uymedical
conditions $uydo $uynot $uyaddress $uytheNfU
ocR usSoIf N
imGpT
roBv.inC o vMe r a l l $uyhealth $uythrough $uyhealth
g$uyO
$uypromotion $uystrategies. $uyThis $uyis $uythe $uymajor $uymethod $uythat $uyis $uysuggested $uyto $uydecrease $uythe
$uyincidence $uyof $uypremature
death.
6. Which $uyof $uythe $uyfollowing $uyis $uya $uybasic $uyassumption $uyof $uypublic $uyhealth $uyefforts?
a. Health $uydisparities $uyamong $uyany $uygroups $uyare $uymorally $uyand $uylegally $uywrong.
b. Health $uycare $uyis $uythe $uymost $uyimportant $uypriority $uyin $uygovernment $uyplanning $uyand $uyfunding.
c. The $uyhealth $uyof $uyindividuals $uycannot $uybe $uyseparated $uyfrom $uythe $uyhealth $uyof $uythe $uycommunity.
d. The $uygovernment $uyis $uyresponsible $uyfor $uylengthening $uythe $uylife $uyspan $uyof $uyAmericans.
ANS: $ u y C
Public $uyhealth $uypractice $uyfocuses $uyon $uythe $uycommunity $uyas $uya $uywhole, $uyand $uythe $uyeffect $ u y of
$uythe $uycommunity’s $uyhealth $uystatus $uy(resources) $uyon $uythe $uyhealth $uyof $uyindividuals, $uyfamilies,
$uyand $uygroups. $uyThe $uygoal $uyis $uyto $uyprevent $uydisease $uyand $uydisability $uyand $uypromote $uyand
$uyprotect $uythe $uyhealth $uyof $uythe $uycommunity $uyas $uya $uywhole. $uyPublic $uyhealth $uycan $uybe
$uydescribed $uyas $uywhat $uysociety $uycollectively $uydoes $uyto $uyensure $uythat $uyconditions $uyexist $uyin
$uywhich $uypeople $uycan $uybe $uyhealthy. $uyThe $uybasic $uyassumptions $uyof $uypublic $uyhealth $uydo $uynot
$uyjudge $uythe $uymorality $uyof $uyhealth $uydisparities. $uyThe $uyfocus $uyis $uyon $uyprevention $uyof $uyillness
$uynot $uyon $uyspending $uymore $uyon $uyillness $uycare. $uyAdditionally, $uyindividual $uyresponsibility $uyfor
$uymaking $uyhealthy $uychoices $uyis $uythe $uydirective $uyfor $uylengthening $uylife $uyspan $uynot $uythe $uyrole
$uyof $uythe $uygovernment.
7. Which $uyof $uythe $uyfollowing $uyactions $uywould $uymost $uylikely $uybe $uyperformed $uyby $uya $uypublic $uyhealth
$uy nurse?
, a. Asking $uycommunity $uyleaders $uywhat $uyinterventions $uyshould $uybe $uychosen
b. Assessing $uythe $uycommunity $uyand $uydeciding $uyon $uyappropriate $uyinterventions
c. Using $uydata $uyfrom $uythe $uymain $uyhealth $uycare $uyinstitutions $uyin $uythe $uycommunity $uyto $uydetermine
