HEALTH IN COMMUNITY/PUBLIC HEALTH
NURSING 6TH EDITION
,TABLE OF CONTENTS
Chapter 01: Public Health Nursing and Population Health
Chapter 02: The History of Public Health and Public and Community Health
Nursing Stanhope:
Chapter 03: US and Global Health Care
Chapter 04: Government, the Law, and Policy Activism
Chapter 05: Economics of US Health Care Delivery
Chapter 06: Ethics in Public and Community Health Nursing Practice Chapter
07: Culture of Populations in Communities
Chapter 08: Environmental Health Chapter 09:
Evidence-Based Practice Chapter 10:
Epidemiological Applications
Chapter 11: Infectious Disease Prevention and Control
Chapter 12: Communicable and Infection Disease Risks
Chapter 13: Community Assessment and Evaluation Chapter
14: Health Education in the Community Chapter 15: Case
Management
Chapter 16: Disaster Management
Chapter 17: Public Health Surveillance and Outbreak Investigation Chapter
18: Program Management
Chapter 19: Healthcare Improvement in the Community
Chapter 20: Family Development, Family Nursing Assessment, and
Genomics
Chapter 21: Family Health Risks
Chapter 22: Health Risks Across the Life Span
Chapter 23: Health Equity and Care of Vulnerable Populations Chapter 24:
Rural Health and Migrant Health
Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
Chapter 26: Alcohol, Tobacco, and Other Drug Problems in the
Community
Chapter 27: Violence and Human Abuse
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 Public Health, Home Health, Palliative Care, and
Hospice
Chapter 31: The Nurse in the Schools
Chapter 32: The Nurse in Occupational Health
,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, andcontinuous
care. These nurses may be generalists or specialists in maternal–infant, pediatric,adult, or
psychiatric mental health nursing. Community- based nursing emphasizes acute andchronic
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
focuson individuals and families, give direct care to ill persons within their family setting, and
helpmanage acute or chronic conditions. These definitions are not specific to community-
orientednursing.
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 andpreserve,
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 the20th 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
Improvements in control of infectious diseases through immunizations, sanitation, and other
population-based prevention programs led to the increase in life expectancy from less than
50years in 1900 to more than 78 years in 2013. Although people are excited when a new
drug isdiscovered that cures a disease or when a new way to transplant organs is perfected, it
is important to know about the significant gains in the health of populations that have come
largely from public health accomplishments.
5. A nurse is developing a plan to decrease the number of premature deaths in the
community.Which of the following interventions would most likely be implemented by the
nurse?
a. Increase the community’s knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for
communitymembers.
ANS: B
Public health approaches could help prevent premature deaths by influencing the way
peopleeat, drink, drive, engage in exercise, and treat the environment. Increasing knowledge
of hospice care, encouraging on-site wellness centers, and ensuring timely treatment of
medicalconditions do not address the focus of improving overall health through health
promotion strategies. This is the major method that is suggested to decrease the incidence of
premature death.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans.
ANS: C
Public health practice focuses on the community as a whole, and the effect of the community’s
health status (resources) on the health of individuals, families, and groups. The goal is to
prevent disease and disability and promote and protect the health of the community as a
whole. Public health can be described as what society collectively does to ensure that
conditions exist in which people can be healthy. The basic assumptions of public health do
notjudge the morality of health disparities. The focus is on prevention of illness not on
spending more on illness care. Additionally, individual responsibility for making healthy choices
is the directive for lengthening life span not the role of the government.
7. Which of the following actions would most likely be performed by a public health nurse?
a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine