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Foundations for Population Health in Community Public
Health Nursing 5th Edition
Authors: Authors: Marcia Stanhope, Jeanette Lancaster
Table of Contents
Chapter 1. Community and Prevention Oriented Practice to Improve Population Health
Chapter 2. The History of Public Health and Public and Community Health Nursing
Chapter 3. The Changing U.S. Health and Public Health Care Systems
Chapter 4. Ethics in Public and Community Health Nursing Practice
Chapter 5. Cultural Influences in Nursing in Community Health
Chapter 6. Environmental Health
Chapter 7. Government, the Law, and Policy Activism
Chapter 8. Economic Influences
Chapter 9. Epidemiological Applications
Chapter 10. Evidence-Based Practice
Chapter 11. Using Health Education and Groups in the Community
Chapter 12. Community Assessment and Evaluation
Chapter 13. Case Management
Chapter 14. Disaster Management
Chapter 15. Surveillance and Outbreak Investigation
Chapter 16. Program Management
Chapter 17. Managing Quality and Safety
Chapter 18. Family Development and Family Nursing Assessment
Chapter 19. Family Health Risks
Chapter 20. Health Risks Across the Life Span
Chapter 21. Vulnerability and Vulnerable Populations: An Overview
Chapter 22. Rural Health and Migrant Health
Chapter 23. Poverty, Homelessness, Teen Pregnancy, and Mental Illness
Chapter 24. Alcohol, Tobacco, and Other Drug Problems in the Community
Chapter 25. Violence and Human Abuse
Chapter 26. Infectious Disease Prevention and Control
Chapter 27. HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases
Chapter 28. Nursing Practice at the Local, State, and National Levels in Public Health
Chapter 29. The Faith Community Nurse
Chapter 30. The Nurse in Home Health and Hospice
Chapter 31. The Nurse in the Schools
Chapter 32. The Nurse in Occupational Health
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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 Individuals within their family setting
d. Having the goal of health promotion and disease prevention
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 of the following is responsible for the dramatic increase in life expectancy during the
20th century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other population-based prevention programs
d. Use of antibiotics to fight infections
ANS: C
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Improvements in control of infectious diseases through immunizations, sanitation, and other p hj hj hj hj hj hj hj hj hj hj hj
opulation-
based prevention programs led to the increase in life expectancy from less than 50 years in 1900
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to more than 78 years in 2013. Although people are excited when a new drug is discovered that
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cures a disease or when a new way to transplant organs is perfected, it is important to know abo
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ut the significant gains in the health of populations that have come largely from public health a
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ccomplishments.
5. A nurse is developing a plan to decrease the number of premature deaths in the community. W
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hich of the following interventions would most likely be implemented by the nurse?
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a. Increase the community’s knowledge about hospice care. hj hj hj hj hj hj
b. Promote healthy lifestyle behavior choices among the community members. hj hj hj hj hj hj hj hj
c. Encourage employers to have wellness centers at each industrial site. hj hj hj hj hj hj hj hj hj
d. Ensure timely and effective medical intervention and treatment for communityhj hj hj hj hj hj hj hj hj hj
members.
ANS: B hj
Public health approaches could help prevent premature deaths by influencing the way people eat
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, drink, drive, engage in exercise, and treat the environment. Increasing knowledge of
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hospice care, encouraging on- hj hj hj
site wellness centers, and ensuring timely treatment of medical conditions do not address the focus
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of improving overall health through health promotion strategies. This is the major method that is su
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ggested to decrease the incidence of premature hj hj hj hj hj hj
death.
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. hj hj hj hj hj hj hj hj hj
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: C hj
Public health practice focuses on the community as a whole, and the effect of the community’s
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health status (resources) on the health of individuals, families, and groups. The goal is to preven
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t disease and disability and promote and protect the health of the community as a whole. Public
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health can be described as what society collectively does to ensure that conditions exist in which
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people can be healthy. The basic assumptions of public health do not judge the morality of healt
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h disparities. The focus is on prevention of illness not on spending more on illness care. Additio
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nally, individual responsibility for making healthy choices is the directive for lengthening life s
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pan not the role of the government.
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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 hj hj hj hj hj hj hj
b. Assessing the community and deciding on appropriate interventions hj hj hj hj hj hj hj
c. Using data from the main health care institutions in the community to determine needed he
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alth services hj
d. Working with community groups to create policies to improve the environment hj hj hj hj hj hj hj hj hj hj
ANS: D hj
Although the public health nurse might engage in any of the tasks listed, he or she works primar
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ily with members of the community to carry out core public health functions, including assessm
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ent of the population as a whole and engaging in promoting health and improving the environm
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ent. The interventions of asking community leaders which interventions should be chosen, ases
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sing the community and deciding on appropriate interventions, and using data from health care
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institutions do not demonstrate the engagement of the community when making decisions abou
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t what the community actually wants and needs.
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8. Which of the following public health nurses most clearly fulfills the responsibilities of this
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