TEST BANK n9
FOUNDATIONS FOR POPULATI n9 n9
ON HEALTH IN COMMUNITY/ P
n9 n9 n9 n9
UBLIC HEALTHNURSING, 5TH E
n9 n
9 n9 n9
DITION BY MARCIA STANHOPE
n9 n9 n9
,Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Contents:
Part I: Perspectives in Health Care Delivery and Nursing
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 1. Community and Prevention Oriented Practice to Improve Population Health
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 2. The History of Public Health and Public and Community Health Nursing
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 3. The Changing U.S. Health and Public Health Care Systems
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Part II: Influences on Health Care Delivery and Nursing
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 4. Ethics in Public and Community Health Nursing Practice
n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 5. Cultural Influences in Nursing in Community Health
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 6. Environmental Health
n9 n9 n9
Chapter 7. Government, the Law, and Policy Activism
n9 n9 n9 n9 n9 n9 n9
Chapter 8. Economic Influences
n9 n9 n9
Part III: Conceptual Frameworks Applied to Nursing Practice in the Community
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 9. Epidemiological Applications
n9 n9 n9
Chapter 10. Evidence-Based Practice
n9 n9 n9
Chapter 11. Using Health Education and Groups in the Community
n9 n9 n9 n9 n9 n9 n9 n9 n9
Part IV: Issues and Approaches in Health Care of Populations
n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 12. Community Assessment and Evaluation
n9 n9 n9 n9 n9
Chapter 13. Case Management
n9 n9 n9
Chapter 14. Disaster Management
n9 n9 n9
Chapter 15. Surveillance and Outbreak Investigation
n9 n9 n9 n9 n9
Chapter 16. Program Management
n9 n9 n9
Chapter 17. Managing Quality and Safety
n9 n9 n9 n9 n9
Part V: Issues and Approaches in Family and Individual Health Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 18. Family Development and Family Nursing Assessment
n9 n9 n9 n9 n9 n9 n9
Chapter 19. Family Health Risks
n9 n9 n9 n9
Chapter 20. Health Risks Across the Life Span
n9 n9 n9 n9 n9 n9 n9
Part VI: Vulnerability: Predisposing Factors
n9 n9 n9 n9
Chapter 21. Vulnerability and Vulnerable Populations: An Overview
n9 n9 n9 n9 n9 n9 n9
Chapter 22. Rural Health and Migrant Health
n9 n9 n9 n9 n9 n9
Chapter 23. Poverty, Homelessness, Teen Pregnancy, and Mental Illness
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 24. Alcohol, Tobacco, and Other Drug Problems in the Community
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 25. Violence and Human Abuse
n9 n9 n9 n9 n9
Chapter 26. Infectious Disease Prevention and Control
n9 n9 n9 n9 n9 n9
Chapter 27. HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases
n9 n9 n9 n9 n9 n9 n9 n9 n9
Part VII: Nursing Practice in the Community: Roles and Functions
n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 28. Nursing Practice at the Local, State, and National Levels in Public Health
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 29. The Faith Community Nurse
n9 n9 n9 n9 n9
Chapter 30. The Nurse in Home Health and Hospice
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 31. The Nurse in the Schools
n9 n9 n9 n9 n9 n9
Chapter 32. The Nurse in Occupational Health
n9 n9 n9 n9 n9 n9
,Stanhope: Foundations for Population Health in Community/Public HealthNursing, 5th Edition
n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 01: Community and Prevention Oriented Practice to Improve Population Health
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which of the following best describes community-based nursing?
n9 n9 n9 n9 n9 n9 n9
a. A practice in which care is provided for individuals and families
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. Providing care with a focus on the group’s needs n9 n9 n9 n9 n9 n9 n9 n9
c. Giving care with a focus on the aggregate’s needs
n9 n9 n9 n9 n9 n9 n9 n9
d. A value system in which all clients receive optimal care
n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: n 9 A
By definition, community-based nursing is a setting-
n9 n9 n9 n9 n9 n9
specific practice in which care is provided for ―sick‖ individuals and families where they
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
live, work, and attend school. The emphasis is on acute and chronic care and the provisio
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n of comprehensive, coordinated, andcontinuous care. These nurses may be generalists or
n9 n9 n9 n9 9
n n9 n9 n9 n9 n9 n9 n9 n9
specialists in maternal– n9 n9
infant, pediatric,adult, or psychiatric mental health nursing. Community-
n9 n9 n9 n9 n9 n9 n9 n9
based nursing emphasizes acute andchronic care to individuals and families, rather than f
n9 n9 n9 n9 9
n n9 n9 n9 n9 n9 n9 n9 n9
ocusing on groups, aggregates, or systems.
n9 n9 n9 n9 n9
2. Which of the following best describes community-oriented nursing?
n9 n9 n9 n9 n9 n9 n9
a. Focusing on the provision of care to individuals and familiesn9 n9 n9 n9 n9 n9 n9 n9 n9
b. Providing care to manage acute or chronic conditions n9 n9 n9 n9 n9 n9 n9
c. Giving direct care to ill individuals within their family setting
n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Having the goal of health promotion and disease prevention
n9 n9 n9 n9 n9 n9 n9 n9
ANS: n 9 D
By definition, community-
n9 n9
oriented nursing has the goal of preserving, protecting, or maintaining health and preventin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g disease to promote the quality of life. All nurses may focuson individuals and families, gi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9 n9 n9 n9
ve direct care to ill persons within their family setting, and helpmanage acute or chronic co
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9 n9 n9 n9
nditions. These definitions are not specific to community-orientednursing.
n9 n9 n9 n9 n9 n9 n9 9
n
3. Which of the following is the primary focus of public health nursing?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Families and groups n9 n9
b. Illness-oriented care n9
c. Individuals within the family unit n9 n9 n9 n9
d. Health care of communities and populations n9 n9 n9 n9 n9
ANS: D n9
In public health nursing the primary focus is on the health care of communities and popula
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
tions rather than on individuals, groups, and families. The goal is to prevent disease andpres
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
erve, promote, restore, and protect health for the community and the population within it.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Community-based nurses deal primarily with illness- n9 n9 n9 n9 n9
oriented care of individuals and families acorss the life span. The aim is to amanage acute
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
and chronic health conditions in the community, and the focus of practice is on individual
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
or family-centered illness care.
n9 n9 n9
, 4. Which of the following is responsible for the dramatic increase in life expectancy during
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
the20th century?9
n n9
a. Technology increases in the field of medical laboratory research n9 n9 n9 n9 n9 n9 n9 n9
b. Advances in surgical techniques and procedures n9 n9 n9 n9 n9
c. Sanitation and other population-based prevention programs n9 n9 n9 n9 n9
d. Use of antibiotics to fight infections n9 n9 n9 n9 n9
ANS: C n9
Improvements in control of infectious diseases through immunizations, sanitation, and othe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
r population-
n9
based prevention programs led to the increase in life expectancy from less than 50years in
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9 n9
1900 to more than 78 years in 2013. Although people are excited when a new drug isdisc
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
overed that cures a disease or when a new way to transplant organs is perfected, it is impo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
rtant to know about the significant gains in the health of populations that have come largel
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
y from public health accomplishments.
n9 n9 n9 n9
5. A nurse is developing a plan to decrease the number of premature deaths in the communi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ty.Which of the following interventions would most likely be implemented by the nurse?
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Increase the community’s kno edge about hospice care. n9 n9 n9 n9 n9 n9 n9
b. Promote healthy lifestyle behavior choices among the community members.
n9 n9 n9 n9 n9 n9 n9 n9
c. Encourage employers to have wellness centers at each industrial site. n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Ensure timely and effective medical intervention and treatment for communi
n9 n9 n9 n9 n9 n9 n9 n9 n9
tymembers. n9
ANS: B n9
Public health approaches could help prevent premature deaths by influencing the way peo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
pleeat, drink, drive, engage in exercise, and treat the environment. Increasing kno edge of
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hospice care, encouraging on-
n9 n9 n9 n9
site wellness centers, and ensuring timely treatment of medicalconditions do not address t
n9 n9 n9 n9 n9 n9 n9 n9 9
n n9 n9 n9 n9
he focus of improving overall health through health promotion strategies. This is the maj
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
or method that is suggested to decrease the incidence of premature death.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
6. Which of the following is a basic assumption of public health efforts?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Health disparities among any groups are morally and legally wrong.
n9 n9 n9 n9 n9 n9 n9 n9 n9
b. Health care is the most important priority in government planning and funding.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. The health of individuals cannot be separated from the health of the community.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. The government is responsible for lengthening the life span of Americans.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n9
Public health practice focuses on the community as a whole, and the effect of the commun
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ity’s health status (resources) on the health of individuals, families, and groups. The goal is
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
to prevent disease and disability and promote and protect the health of the community as a
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
whole. Public health can be described as what society collectively does to ensure that con
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ditions exist in which people can be healthy. The basic assumptions of public health do notj
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
udge the morality of health disparities. The focus is on prevention of illness not on spendin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g more on illness care. Additionally, individual responsibility for making healthy choices is
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
the directive for lengthening life span not the role of the government.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
7. Which of the following actions would most likely be performed by a public health nurse?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Asking community leaders what interventions should be chosen
n9 n9 n9 n9 n9 n9 n9
b. Assessing the community and deciding on appropriate interventions n9 n9 n9 n9 n9 n9 n9
c. Using data from the main health care institutions in the community to determine
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
FOUNDATIONS FOR POPULATI n9 n9
ON HEALTH IN COMMUNITY/ P
n9 n9 n9 n9
UBLIC HEALTHNURSING, 5TH E
n9 n
9 n9 n9
DITION BY MARCIA STANHOPE
n9 n9 n9
,Stanhope: Foundations of Population Health for Community/Public Health Nursing, 5th Edition
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Contents:
Part I: Perspectives in Health Care Delivery and Nursing
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 1. Community and Prevention Oriented Practice to Improve Population Health
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 2. The History of Public Health and Public and Community Health Nursing
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 3. The Changing U.S. Health and Public Health Care Systems
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Part II: Influences on Health Care Delivery and Nursing
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 4. Ethics in Public and Community Health Nursing Practice
n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 5. Cultural Influences in Nursing in Community Health
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 6. Environmental Health
n9 n9 n9
Chapter 7. Government, the Law, and Policy Activism
n9 n9 n9 n9 n9 n9 n9
Chapter 8. Economic Influences
n9 n9 n9
Part III: Conceptual Frameworks Applied to Nursing Practice in the Community
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 9. Epidemiological Applications
n9 n9 n9
Chapter 10. Evidence-Based Practice
n9 n9 n9
Chapter 11. Using Health Education and Groups in the Community
n9 n9 n9 n9 n9 n9 n9 n9 n9
Part IV: Issues and Approaches in Health Care of Populations
n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 12. Community Assessment and Evaluation
n9 n9 n9 n9 n9
Chapter 13. Case Management
n9 n9 n9
Chapter 14. Disaster Management
n9 n9 n9
Chapter 15. Surveillance and Outbreak Investigation
n9 n9 n9 n9 n9
Chapter 16. Program Management
n9 n9 n9
Chapter 17. Managing Quality and Safety
n9 n9 n9 n9 n9
Part V: Issues and Approaches in Family and Individual Health Care
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 18. Family Development and Family Nursing Assessment
n9 n9 n9 n9 n9 n9 n9
Chapter 19. Family Health Risks
n9 n9 n9 n9
Chapter 20. Health Risks Across the Life Span
n9 n9 n9 n9 n9 n9 n9
Part VI: Vulnerability: Predisposing Factors
n9 n9 n9 n9
Chapter 21. Vulnerability and Vulnerable Populations: An Overview
n9 n9 n9 n9 n9 n9 n9
Chapter 22. Rural Health and Migrant Health
n9 n9 n9 n9 n9 n9
Chapter 23. Poverty, Homelessness, Teen Pregnancy, and Mental Illness
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 24. Alcohol, Tobacco, and Other Drug Problems in the Community
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 25. Violence and Human Abuse
n9 n9 n9 n9 n9
Chapter 26. Infectious Disease Prevention and Control
n9 n9 n9 n9 n9 n9
Chapter 27. HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases
n9 n9 n9 n9 n9 n9 n9 n9 n9
Part VII: Nursing Practice in the Community: Roles and Functions
n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 28. Nursing Practice at the Local, State, and National Levels in Public Health
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 29. The Faith Community Nurse
n9 n9 n9 n9 n9
Chapter 30. The Nurse in Home Health and Hospice
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 31. The Nurse in the Schools
n9 n9 n9 n9 n9 n9
Chapter 32. The Nurse in Occupational Health
n9 n9 n9 n9 n9 n9
,Stanhope: Foundations for Population Health in Community/Public HealthNursing, 5th Edition
n9 n9 n9 n9 n9 n9 n9 n9 n9
Chapter 01: Community and Prevention Oriented Practice to Improve Population Health
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which of the following best describes community-based nursing?
n9 n9 n9 n9 n9 n9 n9
a. A practice in which care is provided for individuals and families
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. Providing care with a focus on the group’s needs n9 n9 n9 n9 n9 n9 n9 n9
c. Giving care with a focus on the aggregate’s needs
n9 n9 n9 n9 n9 n9 n9 n9
d. A value system in which all clients receive optimal care
n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: n 9 A
By definition, community-based nursing is a setting-
n9 n9 n9 n9 n9 n9
specific practice in which care is provided for ―sick‖ individuals and families where they
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
live, work, and attend school. The emphasis is on acute and chronic care and the provisio
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
n of comprehensive, coordinated, andcontinuous care. These nurses may be generalists or
n9 n9 n9 n9 9
n n9 n9 n9 n9 n9 n9 n9 n9
specialists in maternal– n9 n9
infant, pediatric,adult, or psychiatric mental health nursing. Community-
n9 n9 n9 n9 n9 n9 n9 n9
based nursing emphasizes acute andchronic care to individuals and families, rather than f
n9 n9 n9 n9 9
n n9 n9 n9 n9 n9 n9 n9 n9
ocusing on groups, aggregates, or systems.
n9 n9 n9 n9 n9
2. Which of the following best describes community-oriented nursing?
n9 n9 n9 n9 n9 n9 n9
a. Focusing on the provision of care to individuals and familiesn9 n9 n9 n9 n9 n9 n9 n9 n9
b. Providing care to manage acute or chronic conditions n9 n9 n9 n9 n9 n9 n9
c. Giving direct care to ill individuals within their family setting
n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Having the goal of health promotion and disease prevention
n9 n9 n9 n9 n9 n9 n9 n9
ANS: n 9 D
By definition, community-
n9 n9
oriented nursing has the goal of preserving, protecting, or maintaining health and preventin
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
g disease to promote the quality of life. All nurses may focuson individuals and families, gi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9 n9 n9 n9
ve direct care to ill persons within their family setting, and helpmanage acute or chronic co
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9 n9 n9 n9
nditions. These definitions are not specific to community-orientednursing.
n9 n9 n9 n9 n9 n9 n9 9
n
3. Which of the following is the primary focus of public health nursing?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Families and groups n9 n9
b. Illness-oriented care n9
c. Individuals within the family unit n9 n9 n9 n9
d. Health care of communities and populations n9 n9 n9 n9 n9
ANS: D n9
In public health nursing the primary focus is on the health care of communities and popula
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
tions rather than on individuals, groups, and families. The goal is to prevent disease andpres
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
erve, promote, restore, and protect health for the community and the population within it.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Community-based nurses deal primarily with illness- n9 n9 n9 n9 n9
oriented care of individuals and families acorss the life span. The aim is to amanage acute
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
and chronic health conditions in the community, and the focus of practice is on individual
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
or family-centered illness care.
n9 n9 n9
, 4. Which of the following is responsible for the dramatic increase in life expectancy during
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
the20th century?9
n n9
a. Technology increases in the field of medical laboratory research n9 n9 n9 n9 n9 n9 n9 n9
b. Advances in surgical techniques and procedures n9 n9 n9 n9 n9
c. Sanitation and other population-based prevention programs n9 n9 n9 n9 n9
d. Use of antibiotics to fight infections n9 n9 n9 n9 n9
ANS: C n9
Improvements in control of infectious diseases through immunizations, sanitation, and othe
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
r population-
n9
based prevention programs led to the increase in life expectancy from less than 50years in
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n n9 n9
1900 to more than 78 years in 2013. Although people are excited when a new drug isdisc
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
overed that cures a disease or when a new way to transplant organs is perfected, it is impo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
rtant to know about the significant gains in the health of populations that have come largel
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
y from public health accomplishments.
n9 n9 n9 n9
5. A nurse is developing a plan to decrease the number of premature deaths in the communi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ty.Which of the following interventions would most likely be implemented by the nurse?
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Increase the community’s kno edge about hospice care. n9 n9 n9 n9 n9 n9 n9
b. Promote healthy lifestyle behavior choices among the community members.
n9 n9 n9 n9 n9 n9 n9 n9
c. Encourage employers to have wellness centers at each industrial site. n9 n9 n9 n9 n9 n9 n9 n9 n9
d. Ensure timely and effective medical intervention and treatment for communi
n9 n9 n9 n9 n9 n9 n9 n9 n9
tymembers. n9
ANS: B n9
Public health approaches could help prevent premature deaths by influencing the way peo
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
pleeat, drink, drive, engage in exercise, and treat the environment. Increasing kno edge of
9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hospice care, encouraging on-
n9 n9 n9 n9
site wellness centers, and ensuring timely treatment of medicalconditions do not address t
n9 n9 n9 n9 n9 n9 n9 n9 9
n n9 n9 n9 n9
he focus of improving overall health through health promotion strategies. This is the maj
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
or method that is suggested to decrease the incidence of premature death.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
6. Which of the following is a basic assumption of public health efforts?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Health disparities among any groups are morally and legally wrong.
n9 n9 n9 n9 n9 n9 n9 n9 n9
b. Health care is the most important priority in government planning and funding.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. The health of individuals cannot be separated from the health of the community.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. The government is responsible for lengthening the life span of Americans.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n9
Public health practice focuses on the community as a whole, and the effect of the commun
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ity’s health status (resources) on the health of individuals, families, and groups. The goal is
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
to prevent disease and disability and promote and protect the health of the community as a
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whole. Public health can be described as what society collectively does to ensure that con
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ditions exist in which people can be healthy. The basic assumptions of public health do notj
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n
udge the morality of health disparities. The focus is on prevention of illness not on spendin
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g more on illness care. Additionally, individual responsibility for making healthy choices is
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the directive for lengthening life span 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
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b. Assessing the community and deciding on appropriate interventions n9 n9 n9 n9 n9 n9 n9
c. Using data from the main health care institutions in the community to determine
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