Aplus001
, Chapterg01:gCommunity-gandgPrevention-
OrientedgPracticegtogImprovegPopulationgHealth
MULTIPLEgCHOICE
1. Whichgofgthegfollowinggbestgdescribesgcommunity-basedgnursing?
a. Agpracticegingwhichgcaregisgprovidedgforgindividualsgandgfamilies
b. Providinggcaregwithgagfocusgongtheggroup’sgneeds
c. Givinggcaregwithgagfocusg ongthegaggregate’sgneeds
d. Agvaluegsystemgingwhichgallgclientsgreceivegoptimalgcare
ANS:g A
Bygdefinition,gcommunity-basedgnursinggisgagsetting-
specificgpracticegingwhichgcaregisgprovidedgforg“sick”gindividualsgandgfamiliesgwheregtheygliv
e,gwork,gandgattendgschool.gThegemphasisgisgongacutegandgchronicgcaregandgthegprovisiongofg
comprehensive,gcoordinated,gandgcontinuousgcare.gThesegnursesgmaygbeggeneralistsgorgspecia
listsgingmaternal–infant,gpediatric,gadult,gorgpsychiatricgmentalghealthgnursing.gCommunity-
basedgnursinggemphasizesgacutegandgchronicgcaregtogindividualsgandgfamilies,grathergthangfoc
usinggonggroups,gaggregates,gorgsystems.
2. Whichgofgthegfollowinggbestgdescribesgcommunity-orientedgnursing?
a. Focusinggongthegprovisiongofgcaregtogindividualsgandgfamilies
b. Providinggcaregtogmanagegacutegorgchronicgconditions
c. Givinggdirectg caregtog illg inNdivR
iduaIls g wGithB
i n.thCeir M
family gsetting
d. Havinggtheggoalgofghealthgpromotion UgSgN gandgdiseasegprevention
ANS:g D
Bygdefinition,gcommunity-
orientedgnursingghasgtheggoalgofgpreserving,gprotecting,gorgmaintainingghealthgandgpreventing
gdiseasegtogpromotegthegqualitygofglife.gAllgnursesgmaygfocusgongindividualsgandgfamilies,ggiv
egdirectgcaregtogillgpersonsgwithingtheirgfamilygsetting,gandghelpgmanagegacutegorgchronicgcon
ditions.gThesegdefinitionsgaregnotgspecificgtogcommunity-orientedgnursing.
3. Whichgofgthegfollowinggisgthegprimarygfocusgofgpublicghealthgnursing?
a. Familiesgandggroups
b. Illness-orientedg care
c. Individualsgwithingthegfamilygunit
d. Healthgcaregofgcommunitiesgandgpopulations
ANS:g D
Ingpublicghealthgnursinggthegprimarygfocusgisgongtheghealthgcaregofgcommunitiesgandgpopulati
onsgrathergthangongindividuals,ggroups,gandgfamilies.gTheggoalgisgtogpreventgdiseasegandgpreser
ve,gpromote,grestore,gandgprotectghealthgforgthegcommunitygandgthegpopulationgwithingit.gCom
munity-basedgnursesgdealgprimarilygwithgillness-
orientedgcaregofgindividualsgandgfamiliesgacorssgtheglifegspan.gThegaimgisgtogamanagegacutega
ndgchronicghealthgconditionsgingthegcommunity,gandgthegfocusgofgpracticegisgongindividualgorg
family-centeredgillnessgcare.
Aplus001
, 4. Whichgofgthegfollowinggisgresponsiblegforgthegdramaticgincreaseginglifegexpectancygduringgth
eg20thgcentury?
a. Technologygincreasesgingthegfieldgofgmedicalglaboratorygresearch
b. Advancesgingsurgicalgtechniquesgandgprocedures
c. Sanitationgandgothergpopulation-basedgpreventiongprograms
d. Usegofgantibioticsgtogfightginfections
ANS:g C
Improvementsgingcontrolgofginfectiousgdiseasesgthroughgimmunizations,gsanitation,gandgother
gpopulation-
basedgpreventiongprogramsgledgtogthegincreaseginglifegexpectancygfromglessgthang50gyearsging1
900gtogmoregthang78gyearsging2013.gAlthoughgpeoplegaregexcitedgwhengagnewgdruggisgdiscove
redgthatgcuresgagdiseasegorgwhengagnewgwaygtogtransplantgorgansgisgperfected,gitgisgimportantg
togknowgaboutgthegsignificantggainsgingtheghealthgofgpopulationsgthatghavegcomeglargelygfrom
gpublicghealthgaccomplishments.
5. Agnursegisgdevelopinggagplangtogdecreasegthegnumbergofgprematuregdeathsgingthegcommunit
y.gWhichgofgthegfollowingginterventionsgwouldgmostglikelygbegimplementedgbygthegnurse?
a. Increasegthegcommunity’sgknowledgegaboutghospicegcare.
b. Promoteghealthyglifestylegbehaviorgchoicesgamonggthegcommunitygmembers.
c. Encouragegemployersgtoghavegwellnessgcentersgatgeachgindustrialgsite.
d. Ensuregtimelygandgeffectivegmedicalginterventiongandgtreatmentgforgcommunit
ygmembers.
ANS:g B
Publicghealthgapproachesgcouldghelpgpreventgprematuregdeathsgbyginfluencinggthegwaygpeople
geat,gdrink,gdrive,gengagegingexercise,gandgtreatgthegenvironment.gIncreasinggknowledgegofgho
spicegcare,gencouraginggon-sitegwellnessgcenters,gandgensuringgtimelygtreatmentgofgmedical
conditionsgdognotgaddressgtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l ghealthgthroughghealthgpromotiongstr
ggO
ategies.gThisgisgthegmajorgmethodgthatgisgsuggestedgtogdecreasegthegincidencegofgpremature
death.
6. Whichgofgthegfollowinggisgagbasicgassumptiongofgpublicghealthgefforts?
a. Healthgdisparitiesgamongganyggroupsgaregmorallygandglegallygwrong.
b. Healthgcaregisgthegmostgimportantgpriorityginggovernmentgplanninggandgfunding.
c. Theghealthgofgindividualsgcannotgbegseparatedgfromgtheghealthgofgthegcommunity.
d. TheggovernmentgisgresponsiblegforglengtheninggtheglifegspangofgAmericans.
ANS:g C
Publicghealthgpracticegfocusesgongthegcommunitygasgagwhole,gandgthegeffectg ofgthegcommunit
y’sghealthgstatusg(resources)gongtheghealthgofgindividuals,gfamilies,gandggroups.gTheggoalgisgto
gpreventgdiseasegandgdisabilitygandgpromotegandgprotectgtheghealthgofgthegcommunitygasgagwh
ole.gPublicghealthgcangbegdescribedgasgwhatgsocietygcollectivelygdoesgtogensuregthatgcondition
sgexistgingwhichgpeoplegcangbeghealthy.gThegbasicgassumptionsgofgpublicghealthgdognotgjudgegt
hegmoralitygofghealthgdisparities.gThegfocusgisgongpreventiongofgillnessgnotgongspendinggmoreg
ongillnessgcare.gAdditionally,gindividualgresponsibilitygforgmakingghealthygchoicesgisgthegdire
ctivegforglengtheningglifegspangnotgthegrolegofgtheggovernment.
7. Whichgofgthegfollowinggactionsgwouldgmostglikelygbegperformedgbygagpublicghealthgnurse?
a. Askinggcommunitygleadersgwhatginterventionsgshouldgbegchosen
b. Assessinggthegcommunitygandgdecidinggongappropriateginterventions
c. Usinggdatagfromgthegmainghealthgcareginstitutionsgingthegcommunitygtogdetermine
Aplus001
, neededghealthgservices
d. Workinggwithgcommunityggroupsgtogcreategpoliciesgtogimprovegthegenvironment
ANS:g D
Althoughgthegpublicghealthgnursegmightgengageginganygofgthegtasksglisted,ghegorgshegworksgpr
imarilygwithgmembersgofgthegcommunitygtogcarrygoutgcoregpublicghealthgfunctions,gincludingg
assessmentgofgthegpopulationgasgagwholegandgengaginggingpromotingghealthgandgimprovinggth
egenvironment.gTheginterventionsgofgaskinggcommunitygleadersgwhichginterventionsgshouldgb
egchosen,gasessinggthegcommunitygandgdecidinggongappropriateginterventions,gandgusinggdata
gfromghealthgcareginstitutionsgdognotgdemonstrategthegengagementgofgthegcommunitygwhengm
akinggdecisionsgaboutgwhatgthegcommunitygactuallygwantsgandgneeds.
8. Whichgofgthegfollowinggpublicghealthgnursesgmostgclearlygfulfillsgthegresponsibilitiesgofgthi
sgrole?
a. Thegnursegwhogmetgwithgseveralggroupsgtogdiscussgcommunitygrecreationgissues
b. Thegnursegwhogspentgthegdaygattendinggmeetingsgofgvariousghealthgagencies
c. Thegnursegwhogtalkedgtogseveralgpeoplegaboutgtheirgparticularghealthgconcerns
d. Thegnursegwhogwatchedgthegcitygcouncilgmeetinggonglocalgcablegtelevision
ANS:g B
Anygofgthesegdescriptionsgmightgrepresentgagnursegcommunicating,gcooperating,gorgcollabora
tinggwithgcommunitygresidentsgorggroupsgaboutghealthgconcerns.gHowever,gthegnursegwhogsp
entgthegdaygattendinggmeetingsgofgvariousghealthgagenciesgisgthegmostgrepresentative,gbecaus
egingpublicghealth,gconcernsgaregaddressedgfromgagbroadergperspective.gIngpublicghealth,gbroa
dgconcernsgofgthegcommunitygshouldgbegaddressed.gConcernsgaregbroadergthangrecreation,gin
dividualgconcernsgaregnotgasgimportantgasgaggregategpriorities,gandgwatchinggtelevisiong(agon
e-waygformgofgcommunication)gisglessgeffectivegthanginteractinggwithgothers.
9. Whichgofgthegfollowinggbestgdefinesgaggregate?
a. Aglargeggroupgofgpersons
b. Agcollectiongofgindividualsgandgfamilies
c. Agcollectiongofgpeoplegwhogsharegonegorgmoregcharacteristics
d. Anothergnamegforgdemographicggroup
ANS:g C
Angaggregategisgdefinedgagcollectiongofgpeoplegwhogsharegonegorgmoregpersonalgorgenvironm
entalgcharacteristics.gMembersgofgagcommunitygcangbegdefinedgingtermsgofgeitherggeographyg
(e.g.,gagcounty,gaggroupgofgcounties,gorgagstate)gorgagspecialginterestg(e.g.,gchildrengattendingga
gparticulargschool).gThesegmembersgmakegupgagpopulation.gThegtermgpopulationgmaygbegused
ginterchangeablygwithgthegtermgaggregate.gAglargeggroupgofgpersons,gagcollectiongofgindividu
alsgandgfamilies,gandganothergnamegforgdemograhpicggroupgaregnotgaccurategdefinitionsgofgth
egtermgaggregate.
10. Agregisteredgnursegwasgjustgemployedgasgagpublicghealthgnurse.gWhichgquestiongwouldgbegth
egmostgrelevantgforgthegnursegtogask?
a. “Whichggroupsgaregatgtheggreatestgriskgforgproblems?”
b. “Whichgpatientsgshouldg Igseegfirstgasg Igbegingmygday?”
c. “WithgwhichgphysiciansgwillgIgbegmostgcloselygcollaborating?”
d. “WithgwhichgnursinggassistantsgwillgIgpartnergthegmost?”
ANS:g A
Aplus001
, Chapterg01:gCommunity-gandgPrevention-
OrientedgPracticegtogImprovegPopulationgHealth
MULTIPLEgCHOICE
1. Whichgofgthegfollowinggbestgdescribesgcommunity-basedgnursing?
a. Agpracticegingwhichgcaregisgprovidedgforgindividualsgandgfamilies
b. Providinggcaregwithgagfocusgongtheggroup’sgneeds
c. Givinggcaregwithgagfocusg ongthegaggregate’sgneeds
d. Agvaluegsystemgingwhichgallgclientsgreceivegoptimalgcare
ANS:g A
Bygdefinition,gcommunity-basedgnursinggisgagsetting-
specificgpracticegingwhichgcaregisgprovidedgforg“sick”gindividualsgandgfamiliesgwheregtheygliv
e,gwork,gandgattendgschool.gThegemphasisgisgongacutegandgchronicgcaregandgthegprovisiongofg
comprehensive,gcoordinated,gandgcontinuousgcare.gThesegnursesgmaygbeggeneralistsgorgspecia
listsgingmaternal–infant,gpediatric,gadult,gorgpsychiatricgmentalghealthgnursing.gCommunity-
basedgnursinggemphasizesgacutegandgchronicgcaregtogindividualsgandgfamilies,grathergthangfoc
usinggonggroups,gaggregates,gorgsystems.
2. Whichgofgthegfollowinggbestgdescribesgcommunity-orientedgnursing?
a. Focusinggongthegprovisiongofgcaregtogindividualsgandgfamilies
b. Providinggcaregtogmanagegacutegorgchronicgconditions
c. Givinggdirectg caregtog illg inNdivR
iduaIls g wGithB
i n.thCeir M
family gsetting
d. Havinggtheggoalgofghealthgpromotion UgSgN gandgdiseasegprevention
ANS:g D
Bygdefinition,gcommunity-
orientedgnursingghasgtheggoalgofgpreserving,gprotecting,gorgmaintainingghealthgandgpreventing
gdiseasegtogpromotegthegqualitygofglife.gAllgnursesgmaygfocusgongindividualsgandgfamilies,ggiv
egdirectgcaregtogillgpersonsgwithingtheirgfamilygsetting,gandghelpgmanagegacutegorgchronicgcon
ditions.gThesegdefinitionsgaregnotgspecificgtogcommunity-orientedgnursing.
3. Whichgofgthegfollowinggisgthegprimarygfocusgofgpublicghealthgnursing?
a. Familiesgandggroups
b. Illness-orientedg care
c. Individualsgwithingthegfamilygunit
d. Healthgcaregofgcommunitiesgandgpopulations
ANS:g D
Ingpublicghealthgnursinggthegprimarygfocusgisgongtheghealthgcaregofgcommunitiesgandgpopulati
onsgrathergthangongindividuals,ggroups,gandgfamilies.gTheggoalgisgtogpreventgdiseasegandgpreser
ve,gpromote,grestore,gandgprotectghealthgforgthegcommunitygandgthegpopulationgwithingit.gCom
munity-basedgnursesgdealgprimarilygwithgillness-
orientedgcaregofgindividualsgandgfamiliesgacorssgtheglifegspan.gThegaimgisgtogamanagegacutega
ndgchronicghealthgconditionsgingthegcommunity,gandgthegfocusgofgpracticegisgongindividualgorg
family-centeredgillnessgcare.
Aplus001
, 4. Whichgofgthegfollowinggisgresponsiblegforgthegdramaticgincreaseginglifegexpectancygduringgth
eg20thgcentury?
a. Technologygincreasesgingthegfieldgofgmedicalglaboratorygresearch
b. Advancesgingsurgicalgtechniquesgandgprocedures
c. Sanitationgandgothergpopulation-basedgpreventiongprograms
d. Usegofgantibioticsgtogfightginfections
ANS:g C
Improvementsgingcontrolgofginfectiousgdiseasesgthroughgimmunizations,gsanitation,gandgother
gpopulation-
basedgpreventiongprogramsgledgtogthegincreaseginglifegexpectancygfromglessgthang50gyearsging1
900gtogmoregthang78gyearsging2013.gAlthoughgpeoplegaregexcitedgwhengagnewgdruggisgdiscove
redgthatgcuresgagdiseasegorgwhengagnewgwaygtogtransplantgorgansgisgperfected,gitgisgimportantg
togknowgaboutgthegsignificantggainsgingtheghealthgofgpopulationsgthatghavegcomeglargelygfrom
gpublicghealthgaccomplishments.
5. Agnursegisgdevelopinggagplangtogdecreasegthegnumbergofgprematuregdeathsgingthegcommunit
y.gWhichgofgthegfollowingginterventionsgwouldgmostglikelygbegimplementedgbygthegnurse?
a. Increasegthegcommunity’sgknowledgegaboutghospicegcare.
b. Promoteghealthyglifestylegbehaviorgchoicesgamonggthegcommunitygmembers.
c. Encouragegemployersgtoghavegwellnessgcentersgatgeachgindustrialgsite.
d. Ensuregtimelygandgeffectivegmedicalginterventiongandgtreatmentgforgcommunit
ygmembers.
ANS:g B
Publicghealthgapproachesgcouldghelpgpreventgprematuregdeathsgbyginfluencinggthegwaygpeople
geat,gdrink,gdrive,gengagegingexercise,gandgtreatgthegenvironment.gIncreasinggknowledgegofgho
spicegcare,gencouraginggon-sitegwellnessgcenters,gandgensuringgtimelygtreatmentgofgmedical
conditionsgdognotgaddressgtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l ghealthgthroughghealthgpromotiongstr
ggO
ategies.gThisgisgthegmajorgmethodgthatgisgsuggestedgtogdecreasegthegincidencegofgpremature
death.
6. Whichgofgthegfollowinggisgagbasicgassumptiongofgpublicghealthgefforts?
a. Healthgdisparitiesgamongganyggroupsgaregmorallygandglegallygwrong.
b. Healthgcaregisgthegmostgimportantgpriorityginggovernmentgplanninggandgfunding.
c. Theghealthgofgindividualsgcannotgbegseparatedgfromgtheghealthgofgthegcommunity.
d. TheggovernmentgisgresponsiblegforglengtheninggtheglifegspangofgAmericans.
ANS:g C
Publicghealthgpracticegfocusesgongthegcommunitygasgagwhole,gandgthegeffectg ofgthegcommunit
y’sghealthgstatusg(resources)gongtheghealthgofgindividuals,gfamilies,gandggroups.gTheggoalgisgto
gpreventgdiseasegandgdisabilitygandgpromotegandgprotectgtheghealthgofgthegcommunitygasgagwh
ole.gPublicghealthgcangbegdescribedgasgwhatgsocietygcollectivelygdoesgtogensuregthatgcondition
sgexistgingwhichgpeoplegcangbeghealthy.gThegbasicgassumptionsgofgpublicghealthgdognotgjudgegt
hegmoralitygofghealthgdisparities.gThegfocusgisgongpreventiongofgillnessgnotgongspendinggmoreg
ongillnessgcare.gAdditionally,gindividualgresponsibilitygforgmakingghealthygchoicesgisgthegdire
ctivegforglengtheningglifegspangnotgthegrolegofgtheggovernment.
7. Whichgofgthegfollowinggactionsgwouldgmostglikelygbegperformedgbygagpublicghealthgnurse?
a. Askinggcommunitygleadersgwhatginterventionsgshouldgbegchosen
b. Assessinggthegcommunitygandgdecidinggongappropriateginterventions
c. Usinggdatagfromgthegmainghealthgcareginstitutionsgingthegcommunitygtogdetermine
Aplus001
, neededghealthgservices
d. Workinggwithgcommunityggroupsgtogcreategpoliciesgtogimprovegthegenvironment
ANS:g D
Althoughgthegpublicghealthgnursegmightgengageginganygofgthegtasksglisted,ghegorgshegworksgpr
imarilygwithgmembersgofgthegcommunitygtogcarrygoutgcoregpublicghealthgfunctions,gincludingg
assessmentgofgthegpopulationgasgagwholegandgengaginggingpromotingghealthgandgimprovinggth
egenvironment.gTheginterventionsgofgaskinggcommunitygleadersgwhichginterventionsgshouldgb
egchosen,gasessinggthegcommunitygandgdecidinggongappropriateginterventions,gandgusinggdata
gfromghealthgcareginstitutionsgdognotgdemonstrategthegengagementgofgthegcommunitygwhengm
akinggdecisionsgaboutgwhatgthegcommunitygactuallygwantsgandgneeds.
8. Whichgofgthegfollowinggpublicghealthgnursesgmostgclearlygfulfillsgthegresponsibilitiesgofgthi
sgrole?
a. Thegnursegwhogmetgwithgseveralggroupsgtogdiscussgcommunitygrecreationgissues
b. Thegnursegwhogspentgthegdaygattendinggmeetingsgofgvariousghealthgagencies
c. Thegnursegwhogtalkedgtogseveralgpeoplegaboutgtheirgparticularghealthgconcerns
d. Thegnursegwhogwatchedgthegcitygcouncilgmeetinggonglocalgcablegtelevision
ANS:g B
Anygofgthesegdescriptionsgmightgrepresentgagnursegcommunicating,gcooperating,gorgcollabora
tinggwithgcommunitygresidentsgorggroupsgaboutghealthgconcerns.gHowever,gthegnursegwhogsp
entgthegdaygattendinggmeetingsgofgvariousghealthgagenciesgisgthegmostgrepresentative,gbecaus
egingpublicghealth,gconcernsgaregaddressedgfromgagbroadergperspective.gIngpublicghealth,gbroa
dgconcernsgofgthegcommunitygshouldgbegaddressed.gConcernsgaregbroadergthangrecreation,gin
dividualgconcernsgaregnotgasgimportantgasgaggregategpriorities,gandgwatchinggtelevisiong(agon
e-waygformgofgcommunication)gisglessgeffectivegthanginteractinggwithgothers.
9. Whichgofgthegfollowinggbestgdefinesgaggregate?
a. Aglargeggroupgofgpersons
b. Agcollectiongofgindividualsgandgfamilies
c. Agcollectiongofgpeoplegwhogsharegonegorgmoregcharacteristics
d. Anothergnamegforgdemographicggroup
ANS:g C
Angaggregategisgdefinedgagcollectiongofgpeoplegwhogsharegonegorgmoregpersonalgorgenvironm
entalgcharacteristics.gMembersgofgagcommunitygcangbegdefinedgingtermsgofgeitherggeographyg
(e.g.,gagcounty,gaggroupgofgcounties,gorgagstate)gorgagspecialginterestg(e.g.,gchildrengattendingga
gparticulargschool).gThesegmembersgmakegupgagpopulation.gThegtermgpopulationgmaygbegused
ginterchangeablygwithgthegtermgaggregate.gAglargeggroupgofgpersons,gagcollectiongofgindividu
alsgandgfamilies,gandganothergnamegforgdemograhpicggroupgaregnotgaccurategdefinitionsgofgth
egtermgaggregate.
10. Agregisteredgnursegwasgjustgemployedgasgagpublicghealthgnurse.gWhichgquestiongwouldgbegth
egmostgrelevantgforgthegnursegtogask?
a. “Whichggroupsgaregatgtheggreatestgriskgforgproblems?”
b. “Whichgpatientsgshouldg Igseegfirstgasg Igbegingmygday?”
c. “WithgwhichgphysiciansgwillgIgbegmostgcloselygcollaborating?”
d. “WithgwhichgnursinggassistantsgwillgIgpartnergthegmost?”
ANS:g A
Aplus001
