PM 7PublicF7Healt…
ChapterF 7 01:F 7 PublicF 7 HealthF 7 NursingF 7 andF 7 PopulationF 7 Health
Stanhope:F 7 FoundationsF 7 forF 7 PopulationF 7 HealthF 7 inF 7 Community/PublicF 7 HealthF 7 Nursing,F 7 6thF 7 Ed
ition
MULTIPLEF 7 CHOICE
1. WhichF7statementF7bestF7describesF7community-basedF7nursing?
a. AF7practiceF7inF7whichF7careF7isF7providedF7forF7individualsF7andF7families.
b. ProvidingF7careF7withF7aF7focusF7onF7theF7group‘sF7needs.
c. GivingF7careF7withF7aF7focusF7onF7theF7aggregate‘sF7needs.
d. AF7valueF7systemF7inF7whichF7allF7clientsF7receiveF7optimalF7care.
ANS:F 7A
ByF7definition, F7community-basedF7nursingF7isF7aF7setting-
specificF7practiceF7inF7whichF7careF7isF7providedF7forF7―sick‖F7individualsF7andF7familieF 7 whereF7theyF7 live, F
7work,F7andF7attendF7school.F7TheF7emphasisF7isF7onF7acuteF7andF7chronicF7careF7andF7theF7provisionF7ofF7
comprehensive,F 7 coordinated,F7andF7continuousF7care. F7TheseF7nursesF7mayF7beF7generalistsF7orF7specialistsF7in
F7maternal–infant,F7pediatric,F7adult,F7orF7psychiatriF 7 mentalF7healthF7nursing.F7Community-
basedF7nursingF7emphasizesF7acuteF7andF7chronicF7careF7toF7individualsF7andF7families,F7ratherF7thanF 7 focusin
gF7onF7groups,F7aggregates,F7orF7systems.
2. WhichF7statementF7bestF7describesF7theF7goalF7ofF7community-orientedF7nursing?
a. ProvidingF7careF7toF7individualsF7andF7families
b. ProvidingF7careF7toF7manageF7acuteF7orF7chronicF7conditions
c. GivingF7direct F7careF7toF7illF7individualsF7withinF7their F7familyF7setting
d. ToF7preserve,F7protect,F7promote,F7orF7maintainF7healthF7andF7prevent F7disease
ANS:F 7D
ByF7definition, F7community-
orientedF7nursingF7hasF7theF7goalF7ofF7preserving, F7protecting, F7orF7maintainingF7healthF7andF7preventingF7diseas
eF7toF 7 promoteF7theF7qualityF7ofF7life. F7AllF7nursesF7mayF7focusF7onF7individualsF7andF7families, F7giveF7di
rectF7careF7toF7illF7personsF7withinF7theirF7familyF 7 setting, F7andF7helpF7manageF7acuteF7orF7chronicF7conditi
ons.F7TheseF7definitionsF7areF7notF7specificF7toF7community-orientedF7nursing.
3. WhichF7ofF7theF7following F7isF7theF7primaryF7focusF7ofF7publicF7healthF7nursing?
a. FamiliesF7andF7groups
b. Illness-orientedF7care
c. IndividualsF7withinF7theF7familyF7unit
d. HealthF7careF7ofF7communitiesF7andF7populations
ANS:F 7D
InF7publicF7healthF7nursing, F7theF7primaryF7focusF7isF7onF7theF7healthF7careF7ofF7communitiesF7andF7populatio
nsF7ratherF7thanF7onF7individuals, F7groupF 7 andF7families. F7TheF7goalF7isF7toF7prevent F7diseaseF7andF7preserv
e,F7promote,F7restore,F7andF7protectF7healthF7forF7theF7communityF7andF7theF7populatiF 7 withinF7it. F7Communi
ty-basedF7nursesF7dealF7primarilyF7withF7illness-
orientedF7careF7ofF7individualsF7andF7familiesF7acrossF7theF7lifeF7span. F7TheF 7 aimF7isF7toF7manageF7acuteF
7andF7chronicF7healthF7conditionsF7inF7theF7community, F7andF7theF7focusF7ofF7practiceF7isF7onF7individualF7o
r
family-centeredF7illnessF7care.
4. WhichF7ofF7theF7following F7isF7responsible F7forF7theF7dramaticF7increaseF7inF7lifeF7expectancyF7duringF7theF720
thF7century?
a. TechnologyF7increasesF7inF7theF7fieldF7ofF7medicalF7laboratoryF7research
b. AdvancesF7inF7surgicalF7techniquesF7andF7procedures
c. SanitationF7andF7otherF7population-basedF7preventionF7programs
d. UseF7ofF7antibioticsF7toF7fightF7infections
ANS:F 7C
ThereF7hasF7toF7beF7indisputableF7evidenceF7collectedF7overF7timeF7thatF7publicF7healthF7policiesF7andF7progra
msF7wereF7primarilyF7responsibleF7forF 7 increasingF7theF7averageF7lifeF7spanF7fromF747F7inF71900F7toF778.6F
7yearsF7inF72017,F7anF7increaseF7ofF7approximatelyF760%F7inF7justF7overF7aF7centuryF7plF 7 throughF7improve
mentsF7inF7(1)F7sanitation, F7(2)F7cleanF7waterF7supplies, F7(3)F7makingF7workplacesF7safer,F7(4)F7improvingF7fo
odF7andF7drugF7safet
(5)F7immunizingF7children, F7andF7(6)F7improvingF7nutrition, F7hygiene, F7andF7housing. F7AlthoughF7peopleF7areF7
excitedF7whenF7aF7newF7drugF7isF 7 discoveredF7that F7curesF7aF7diseaseF7orF7whenF7aF7newF7wayF7toF7trans
plant F7organsF7isF7perfected, F7it F7isF7important F7toF7knowF7aboutF7theF7significantF 7 gainsF7inF7theF7healthF7
ofF7populationsF7that F7haveF7comeF7largelyF7fromF7publicF7healthF7accomplishments.
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PM 7Public
5. AF7nurseF7isF7 F7F7
developing Healt…
aF7planF7toF7decreaseF7theF7numberF7ofF7prematureF7deathsF7inF7theF7community. F
7WhichF7ofF7theF7followingF7interventionsF 7 wouldF7mostF7likelyF7beF7implementedF7byF7theF7nurse?
a. ProvideF7freeF7healthF7careF7toF7allF7citizens
b. ToF7increaseF7theF7numberF7ofF7individualsF7withF7accessF7toF7effectiveF7healthF7careF7benefits
c. LowerF7theF7cost F7ofF7healthF7careF7toF7theF7AmericanF7population
d. ToF7lessenF7theF7governmentalF7burdenF7ofF7providingF7healthF7careF7toF7Americans
ANS:F 7B
TheF7centralF7featureF7inF7theF7PatientF7ProtectionF7andF7AffordableF7CareF7ActF7(ACA) F7ofF72010F7areF7the
F7mechanismsF7toF7increaseF7theF7numberF 7 peopleF7withF7healthF7insurance.F7TheF7careF7providedF7isF7notF7
necessarilyF7free. F7WhileF7theF7costF7ofF7healthF7careF7andF7theF7burdenF7it F7placesF7onF7tF 7 AmericanF7gov
ernmentF7areF7seriousF7concerns, F7theyF7areF7notF7theF7primaryF7focusF7ofF7ACA.
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PM 7PublicF7Healt…
CopyrightF7©F72022, F7Elsevier F7Inc. F7AllF7 1
rightsF7reserved.
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PM 7PublicF7Healt…
6. WhatF7isF7theF7basicF7assumptionF7statedF7byF7HealthyF7PeopleF72010F7asF7it F7relatesF7toF7publicF7healthF7eff
orts?
a. HealthF7disparitiesF7amongF7anyF7groupsF7areF7morallyF7andF7legallyF7wrong.
b. HealthF7careF7isF7theF7mostF7importantF7priorityF7inF7government F7planningF7andF7funding.
c. TheF7healthF7ofF7individualsF7cannotF7beF7separatedF7fromF7theF7healthF7ofF7theF7community.
d. TheF7government F7isF7responsibleF7for F7lengtheningF7theF7lifeF7spanF7ofF7Americans.
ANS:F 7C
TheF7majorF7premiseF7ofF7HealthyF7PeopleF72010F7wasF7that F7theF7healthF7ofF7theF7individualF7cannotF7beF7
entirelyF7separateF7fromF7theF7healthF7ofF7theF 7 larger F7community. F7PublicF7healthF7practiceF7focusesF7onF7th
eF7communityF7asF7aF7whole, F7andF7theF7effectF7ofF7theF7community‘sF7healthF7statusF 7 (resources)F7onF7the
F7healthF7ofF7individuals, F7families,F7andF7groups.F7TheF7goalF7isF7toF7preventF7diseaseF7andF7disabilityF7and
F7promoteF7andF7proteF 7 theF7healthF7ofF7theF7communityF7asF7aF7whole.F7PublicF7healthF7canF7beF7describe
dF7asF7whatF7societyF7collectivelyF7doesF7toF7ensureF7that F7conditionsF 7 exist F7inF7whichF7peopleF7canF7beF7
healthy. F7TheF7basicF7assumptionsF7ofF7publicF7healthF7do F7notF7judgeF7theF7moralityF7ofF7healthF7disparities.
F7TheF 7 focusF7isF7onF7preventionF7ofF7illnessF7notF7onF7spendingF7moreF7onF7illnessF7care.F7Additionally, F
7individualF7responsibilityF7forF7makingF7healthyF 7 choicesF7isF7theF7directiveF7forF7lengtheningF7lifeF7spanF7n
otF7theF7roleF7ofF7theF7government.
7. WhichF7ofF7theF7following F7actionsF7wouldF7mostF7likelyF7beF7performedF7byF7aF7publicF7healthF7nurse?
a. AskingF7communityF7leadersF7whatF7interventionsF7shouldF7beF7chosen
b. AssessingF7theF7communityF7andF7decidingF7onF7appropriateF7interventions
c. UsingF7dataF7fromF7theF7mainF7healthF7careF7institutionsF7inF7theF7c
ommunityF7toF7determineF 7 neededF7healthF7services
d. WorkingF7withF7communityF7groupsF7toF7createF7policiesF7toF7improveF7theF7environment
ANS:F 7D
AlthoughF7theF7publicF7healthF7nurseF7mightF7engageF7inF7anyF7ofF7theF7tasksF7listed,F7heF7orF7sheF7worksF
7primarilyF7withF7membersF7ofF7theF7communF 7 toF7carryF7outF7coreF7publicF7healthF7functions,F7includingF7a
ssessment F7ofF7theF7populationF7asF7aF7wholeF7andF7engagingF7inF7promotingF7healthF7andF 7 improvingF7theF
7environment.F7TheF7interventionsF7ofF7askingF7communityF7leadersF7whichF7interventionsF7shouldF7beF7chosen,
F7assessingF7theF 7 communityF7andF7decidingF7onF7appropriateF7interventions, F7andF7usingF7dataF7fromF7health
F7careF7institutionsF7do F7notF7demonstrateF7theF 7 engagementF7ofF7theF7communityF7whenF7makingF7decisions
F7aboutF7whatF7theF7communityF7actuallyF7wantsF7andF7needs.
8. WhichF7publicF7healthF7nurseF7mostF7clearlyF7fulfillsF7theF7responsibilitiesF7ofF7thisF7role?
a. TheF7nurseF7who F7metF7withF7severalF7groupsF7toF7discussF7communityF7recreationF7issues
b. TheF7nurseF7who F7spentF7theF7dayF7attendingF7meetingsF7ofF7variousF7healthF7agencies
c. TheF7nurseF7who F7talkedF7toF7severalF7peopleF7aboutF7their F7particular F7healthF7concerns
d. TheF7nurseF7who F7watchedF7theF7cityF7councilF7meetingF7onF7localF7cableF7television
ANS:F 7B
AnyF7ofF7theseF7descriptionsF7might F7represent F7aF7nurseF7communicating, F7cooperating,F7orF7collaboratingF7wit
hF7communityF7residentsF7orF 7 groupsF7aboutF7healthF7concerns. F7AF7majorF7challengeF7forF7theF7futureF7isF
7theF7needF7forF7publicF7healthF7nursingF7specialistsF7toF7beF7moreF 7 aggressiveF7inF7workingF7collaboratively
F7withF7variousF7groupsF7inF7theF7communityF7asF7wellF7asF7professionalF7colleaguesF7inF7institutionalF 7 setti
ngsF7toF7dealF7withF7barriersF7toF7health. F7However, F7theF7nurseF7who F7spent F7theF7dayF7attendingF7meetingsF
7ofF7variousF7healthF7agenciesF7isF7theF 7 mostF7representative, F7becauseF7inF7publicF7health,F7concernsF7areF7a
ddressedF7fromF7aF7broaderF7perspective.F7InF7publicF7health,F7broadF7concernF 7 ofF7theF7communityF7shouldF
7beF7addressed.F7ConcernsF7areF7broaderF7thanF7recreation, F7individualF7concernsF7areF7notF7asF7importantF7asF
7aggregaF 7 priorities, F7andF7watchingF7televisionF7(aF7one-
wayF7formF7ofF7communication) F7isF7lessF7effectiveF7thanF7interactingF7withF7others.
9. WhichF7ofF7theF7following F7bestF7definesF7aggregate?
a. AF7largeF7groupF7ofF7persons
b. AF7collectionF7ofF7individualsF7andF7families
c. AF7collectionF7ofF7peopleF7whoF7shareF7oneF7orF7moreF7characteristics
d. AnotherF7nameF7for F7demographicF7group
ANS:F 7C
AnF7aggregateF7isF7definedF7aF7collectionF7ofF7peopleF7who F7shareF7oneF7orF7moreF7personalF7orF7environme
ntalF7characteristics. F7MembersF7ofF7aF 7 communityF7canF7beF7definedF7inF7termsF7ofF7eitherF7geographyF7(e.
g.,F7aF7county,F7aF7groupF7ofF7counties, F7orF7aF7state)F7orF7aF7specialF7interestF7(e.g.,F 7 childrenF7attending
F7aF7particularF7school).F7TheseF7membersF7makeF7upF7aF7population.F7TheF7termF7populationF7mayF7beF7used
F7interchangeablyF 7 withF7theF7termF7aggregate.F7AF7largeF7groupF7ofF7persons,F7aF7collectionF7ofF7individual
sF7andF7families, F7andF7anotherF7nameF7forF7demographicF 7 groupF7areF7notF7accurateF7definitionsF7ofF7theF7
termF7aggregate.
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