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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 inNdivR
U SI NGandBdisease
iduals within.thCeirM
family setting
d. Having the goal of health promotion 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.
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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 I en liten by vid en frusen sjö bodde en
Improvements gammal
in control of man som
infectious het
diseases Erik.
through Han hade
immunizations, en
sanitation,
population-based prevention programs led to the increase in life expectancy from less than 50
and other
years in 1900gammal
to more than 78 vedspis som
years in 2013. alltid
Although brann,
people även
are excited when a new drug is
när veden tog slut. Varje kväll satt han
discovered 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
där och
largely from public berättade historier för sin katt,
health accomplishments.
5. Måne.a plan
A nurse is developing Entovinternatt
decrease the numberhörde han ett
of premature deaths in the community.
Which of the knackande på dörren.
following interventions Utanför
would most likely stod en
be implemented by the nurse?
a. Increase the community’s knowledge about hospice care.
liten lifestyle
b. Promote healthy flickabehavior
med choicesröda amongkinder och frusna
the community members.
fingrar. Hon sa att hon hade gått vilse.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for community
members.Erik bjöd in henne, gav henne varm
ANS: B choklad och lät henne sova i sin egen
säng.
eat, drink, drive, engageNästa morgon
in exercise, and treat thevar flickanIncreasing
environment. borta,knowledge of
Public health approaches could help prevent premature deaths by influencing the way people
hospice care, men på on-site
encouraging bordet lågcenters,
wellness en liten snöflinga
and ensuring av of medical
timely treatment
conditions do not address theNfU ocR
usSoIf N
imGpT
roBv.
inCgOovMerall health through health promotion
glas som aldrig smälte. Erik hängde den i
strategies. This is the major method that is suggested to decrease the incidence of premature
death. fönstret. Varje gång solen sken genom
6. Which of the den
followingskapades regnbågar
is a basic assumption överefforts?
of public health hela
rummet. Folk i priority
byn började kalla hans
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important in government planning and funding.
c. The healthhus för “regnbågshuset”. Åren gick,community.
of individuals cannot be separated from the health of the och
Erik blev äldre, men snöflingan lyste
d. The government is responsible for lengthening the life span of Americans.
Public healthalltid. En dag on thekom en vuxen
as a whole,kvinna tillof the
ANS: C
practice focuses community and the effect
community’sdörren.
health statusDet var onflickan
(resources) the healthfrån den families, and groups. The
of individuals,
goal is to prevent disease and disability and promote and protect the health of the community
vinternatten.
as a whole. Public Hon hade
health can be described blivitcollectively
as what society läkaredoes ochto ensure that
ville tacka honom. Erik log och sa: “Du
conditions exist in which people can be healthy. The basic assumptions of public health do not
judge the morality of health disparities. The focus is on prevention of illness not on spending
more on illnessvarcare.aldrig vilse.
Additionally, Du hittade
individual responsibilitymig.”
for making healthy choices is the
Tillsammans tittade de på regnbågarna
directive for lengthening life span not the role of the government.
7. Which of the tills solen
following actionsgick
wouldner.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
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needed health services
d. Working with community groups to create policies to improve the environment
ANS: D
Although the public health nurse might engage in any of the tasks listed, he or she works
primarily with members of the community to carry out core public health functions, including
assessment of the population as a whole and engaging in promoting health and improving the
environment. The interventions of asking community leaders which interventions should be
chosen, asessing the community and deciding on appropriate interventions, and using data
from health care institutions do not demonstrate the engagement of the community when
making decisions about what the community actually wants and needs.
8. Which of the following public health nurses most clearly fulfills the responsibilities of this
role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television
ANS: B
Any of these descriptions might represent a nurse communicating, cooperating, or
collaborating with community residents or groups about health concerns. However, the nurse
who spent the day attending meetings of various health agencies is the most representative,
because in public health, concerns are addressed from a broader perspective. In public health,
broad concerns of the community should be addressed. Concerns are broader than recreation,
individual concerns are not as important as aggregate priorities, and watching television (a
one-way form of communication) is less effective than interacting with others.
9. Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A collection of people who share one or more characteristics
d. Another name for demographic group
ANS: C
An aggregate is defined a collection of people who share one or more personal or
environmental characteristics. Members of a community can be defined in terms of either
geography (e.g., a county, a group of counties, or a state) or a special interest (e.g., children
attending a particular school). These members make up a population. The term population
may be used interchangeably with the term aggregate. A large group of persons, a collection
of individuals and families, and another name for demograhpic group are not accurate
definitions of the term aggregate.
10. A registered nurse was just employed as a public health nurse. Which question would be the
most relevant for the nurse to ask?
a. “Which groups are at the greatest risk for problems?”
b. “Which patients should I see first as I begin my day?”
c. “With which physicians will I be most closely collaborating?”
d. “With which nursing assistants will I partner the most?”
ANS: A
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