TESTBANK
FOUNDATIONSFORPOPULATIONHEALTHIN
v
COMMUNITY/PUBLIC HEALTH NURSING
/f /f /f
byMarcia Stanhope,Jeanette Lancaster
/f /f /f /f
6TH EDITION
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, Table of Contents /f /f
Chapter 01: PublicHealthNursing and Population Health
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Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope:
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Chapter 03: US and Global Health Care
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Chapter 04: Government, the Law, and Policy Activism
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Chapter 05: Economics of US Health Care Delivery
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Chapter06: Ethics in Public and Community Health Nursing Practice
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Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health
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Chapter 09: Evidence-Based Practice
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Chapter 10: Epidemiological
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Applications
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Chapter 11: Infectious Disease Prevention and Control
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/f Chapter12: Communicable and Infection Disease Risks
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/f Chapter 13: Community Assessment and Evaluation
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/f Chapter 14: Health Education in the Community
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/f Chapter 15: Case Management
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Chapter 16: Disaster Management
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Chapter17: PublicHealthSurveillance andOutbreak Investigation
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Chapter 18: Program Management
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Chapter19: Healthcare Improvement in the Community
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Chapter20: Family Development, Family Nursing Assessment, and Genomics
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Chapter 21: Family Health Risks
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Chapter 22: Health Risks Across the Life Span
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Chapter 23: Health Equity and Care of Vulnerable Populations Chapter
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24: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
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/f Chapter 26: Alcohol, Tobacco, and Other Drug Problems in the Community
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/f Chapter 27: Violence and Human Abuse
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Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health
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Chapter 29: The Faith Community Nurse
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Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice
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Chapter 31: The Nurse in the Schools
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Chapter 32: The Nurse in Occupational Health
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, Chapter 01: Public Health Nursing and Population Health /f /f /f /f /f /f /f
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Edition
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MULTIPLE CHOICE /f
1. WHICH statement best describes community-based nursing?
/f /f / f / f /f
a. A practice in WHICH care is provided for individuals and families.
/f /f / f /f / f / f / f /f /f / f
b. Providing care with a focus on the group‘s needs. /f / f / f /f /f / f / f /f
c. Giving care with a focus on the aggregate‘s needs. /f /f / f /f / f / f /f / f
d. A value system in WHICH all clients receive optimal care.
/f /f / f / f /f / f / f /f / f
ANS A
By definition, community-based nursing is a setting-specific practice in WHICH care is provided for ―sick‖ individuals and
/f /f /f /f /f /f /f /f /f /f /f /f /f /f /f /f
families where they live, work, and attend school. The emphasis is on acute and chronic care and the
/f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
provision of comprehensive, coordinated, and continuous care. These Nurses may be generalists or specialists
/ f / f /f / f / f / f / f / f / f / f / f / f / f / f
in maternal–infant, pediatric, adult, or psychiatric mental health nursing. Community-based nursing emphasizes
/ f / f /f / f / f / f / f / f / f / f / f / f
acute and chronic care to individuals and families, rather than focusing on groups, aggregates, or systems.
/ f / f / f / f / f /f / f / f / f / f / f / f / f / f / f / f
2. WHICH statement best describes the goal of community-oriented nursing?
/f / f /f /f /f / f /f /f
a. Providing care to individuals and families /f /f /f /f / f
b. Providing care to manage acute or chronic conditions / f /f / f / f / f / f / f
c. Giving direct care to ill individuals within their family setting
/f / f /f / f /f / f / f /f / f
d. To preserve, protect, promote, or maintain health and prevent disease
/f /f / f /f / f /f / f /f / f
ANS D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health and
/f /f /f /f /f /f /f /f /f /f /f /f /f
preventing disease to promote the quality of life. All Nurses may focus on individuals and families, give
/f /f /f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
direct care to ill persons within their family setting, and help manage acute or chronic conditions. These
/ f / f / f / f / f / f / f /f / f / f / f / f / f / f / f / f / f
definitions are not specific to community-oriented nursing.
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3. WHICH of the Following is the primary focus of public health nursing?
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a. Families and groups /f /f
b. Illness-oriented care /f
c. Individuals within the family unit /f /f /f /f
d. Health care of communities and populations /f /f /f /f /f
ANS D
In public health nursing, the primary focus is on the health care of communities and populations rather than
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on individuals, groups, and families. The goal is to prevent disease and preserve, promote, restore, and protect
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/fhealth for the community and the population within it. Community-based Nurses deal primarily with illness-
/f /f / f /f /f /f / f / f / f / f / f / f / f / f
oriented care of individuals and families across the life
/ f span. The aim is to manage acute and chronic
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health conditions in the community, and the focus of practice is on individual or
/ f / f / f / f / f / f / f / f / f /f / f / f / f / f
family-centered illness care. /f /f
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th century?
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a. Technology increases in the field of medical laboratory research /f /f / f /f / f /f /f /f
b. Advances in surgical techniques and procedures /f /f /f /f /f
c. Sanitation and other population-based prevention programs /f /f /f / f / f
d. Use of antibiotics to fight infections /f /f / f / f / f
ANS C
There has to be indisputable evidence collected over time that public health policies and programs were primarily
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/ fresponsible for increasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately
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60% in just over a century plus through improvements in (1) sanitation, (2) clean water supplies, (3) making
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workplaces safer, (4) improving food and drug safety,
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excited when
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a new drug is discovered that cures a disease or when a new way to transplant organs is perfected, it is
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/fimportant to know about the significant gains in the health of populations that have come largely from
/f /f /f / f /f / f / f / f / f / f / f / f / f / f / f / f
/ fpublic health accomplishments. / f / f
5. A Nurse is developing a plan to decrease the number of premature deaths in the community. WHICH of
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the Following interventions would most likely be implemented by the Nurse?
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a. Provide free health care to all citizens /f / f / f /f / f / f
b. To increase the number of individuals with access to effective health care benefits
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c. Lower the cost of health care to the American population /f / f / f / f / f /f / f / f / f
d. To lessen the governmental burden of providing health care to Americans
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ANS B
The central feature in the Patient Protection and Affordable Care Act (ACA) of 2010 are the mechanisms to
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increase the number of people with health insurance. The care provided is not necessarily free. While the
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cost of health care and the burden it places on the American government are serious concerns, they are not
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the primary focus of ACA.
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. 1
, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
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a. Health disparities among any groups are morally and legally wrong.
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b. Health care is the most important priority in government planning and funding.
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c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS C
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely separate
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from the health of the larger community. Public health practice focuses on the community as a whole, and
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the effect of the community‘s health status (resources) on the health of individuals, families, and groups. The
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goal is to prevent disease and disability and promote and protect the health of the community as a whole.
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Public health can be described as what society collectively does to ensure that conditions exist in WHICH
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people can be healthy. The basic assumptions of public health do not judge the morality of health disparities.
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The focus is on prevention of illness not on spending more on illness care. Additionally, individual
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responsibility for making healthy choices is the directive for lengthening life span not the role of the
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government.
/f
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/f /f /f /f /f /f /f
b. Assessing the community and deciding on appropriate interventions /f / f / f / f / f / f / f
c. Using data from the main health care institutions in the community to
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determine needed health services
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d. Working with community groups to create policies to improve the environment
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ANS D
Although the public health Nurse might engage / f / f / f / f / f / f in any of the tasks listed, he or she works primarily with
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members of the community to carry out core
/ f / f / f /f / f / f / f / f / f public health functions, including assessment of the population
/ f / f / f / f / f / f / f
as a whole and engaging in promoting health
/ f / f / f / f / f / f /f / f and improving the environment. The interventions of asking
/ f / f / f / f / f / f / f / f
community leaders WHICH interventions should
/ f / f / f / f /f / f be chosen, assessing the community and deciding on
/ f / f / f / f / f / f / f
appropriate interventions, and using data from
/ f / f / f / f / f / f / f health care institutions do not demonstrate the engagement of
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the community when making decisions about
/ f / f / f / f / f / f / f what the community actually wants and needs.
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8. WHICH public /f /f health Nurse most clearly fulfills the responsibilities of this role?
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a. The Nurse /f /f who met with several groups to discuss community recreation issues
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b. The Nurse /f /f who spent the day attending meetings of various health agencies
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c. The Nurse /f /f who talked to several people about their particular health concerns
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d. The Nurse /f /f who watched the city council meeting on local cable television
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ANS B
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with
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community residents or groups about health concerns. A major challenge for the future is the need for
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public health nursing specialists to be more aggressive in working collaboratively with various groups in the
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community as well as professional colleagues in institutional settings to deal with barriers to health.
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However, the Nurse who spent the day attending meetings of various health agencies is the most
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representative, because in public health, concerns are addressed from a broader perspective. In public health,
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broad concerns of the community should be addressed. Concerns are broader than recreation, individual concerns are
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not as important as aggregate priorities, and watching television (a one-way form of communication) is less
/f /f /f /f / f / f / f / f / f / f / f / f / f / f / f / f
effective than interacting with others.
/f / f / f / f / f
9. WHICH of the Following best defines aggregate?
/f /f / f / f / f / f
a. A large group of persons /f /f / f / f
b. A collection of individuals and families
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c. A collection of people who share one or more characteristics
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d. Another name for demographic group / f / f /f / f
ANS C
An aggregate is defined a collection of people who share one or more personal or environmental
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characteristics. Members of a community can be defined in terms of either geography (e.g., a county, a
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group of counties, or a state) or a special interest (e.g., children attending a particular school). These members
/ f / f / f / f / f / f / f / f / f /f / f / f /f / f /f /f /f /f
make up a population. The term population may be used interchangeably with the term aggregate. A large group
/f /f /f /f /f /f /f /f /f /f /f / f / f / f / f / f / f / f
of persons, a collection of individuals and families, and another name for demographic group are not
/ f / f / f / f / f / f / f / f / f / f /f / f / f / f / f / f
accurate definitions of the term aggregate.
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10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role of a
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public health Nurse?
/f /f /f
a. ―WHICH groups are at the greatest risk for problems?‖ /f /f /f /f /f /f /f /f
b. ―WHICH patients should I see first as I begin my day?‖ /f /f /f /f /f /f / f /f /f /f
c. ―With WHICH physicians will I be most closely collaborating?‖
/f /f /f /f /f /f /f /f
d. ―With WHICH nursing assistants will I partner the most?‖ /f /f /f /f /f /f /f /f
ANS A
Asking WHICH groups are at greatest risk reflects a community-oriented perspective. The incorrect responses reflect a focus
/f /f /f /f /f /f /f /f /f /f /f /f /f /f /f /f
on individuals rather than a community-oriented perspective.
/f /f / f / f / f / f / f
11. Making sure that essential community-oriented health services are available defines WHICH of the core public health
/f /f / f / f /f / f /f /f / f /f /f /f / f /f /f
functions?
/ f
a. Policy development / f
b. Assessment
c. Assurance
d. Scientific knowledge-based care /f / f
ANS C
Assurance includes making sure that essential community-oriented health services are available in the community. The
/f /f /f /f /f /f /f / f /f /f /f /f /f /f
definition does not fit the terms assessment, policy development. Scientific knowledge-based care is not a
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. 2
FOUNDATIONSFORPOPULATIONHEALTHIN
v
COMMUNITY/PUBLIC HEALTH NURSING
/f /f /f
byMarcia Stanhope,Jeanette Lancaster
/f /f /f /f
6TH EDITION
/f
, Table of Contents /f /f
Chapter 01: PublicHealthNursing and Population Health
/f /f /f /f /f /f /f
Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope:
/f /f /f /f /f /f /f /f /f /f /f /f
Chapter 03: US and Global Health Care
/f /f /f /f /f /f /f
Chapter 04: Government, the Law, and Policy Activism
/f /f /f /f /f /f /f
Chapter 05: Economics of US Health Care Delivery
/f /f /f / f /f / f /f /f
Chapter06: Ethics in Public and Community Health Nursing Practice
/f /f /f /f /f /f /f /f /f
Chapter 07: Culture of Populations in Communities
/f /f /f /f /f /f /f
Chapter 08: Environmental Health
/f /f /f
Chapter 09: Evidence-Based Practice
/f /f /f /f
Chapter 10: Epidemiological
/f /f /f
Applications
/f
Chapter 11: Infectious Disease Prevention and Control
/f /f /f /f /f /f
/f Chapter12: Communicable and Infection Disease Risks
/f /f /f /f /f /f
/f Chapter 13: Community Assessment and Evaluation
/f /f /f /f /f
/f Chapter 14: Health Education in the Community
/f /f /f /f /f /f
/f Chapter 15: Case Management
/f /f /f
Chapter 16: Disaster Management
/f /f /f
Chapter17: PublicHealthSurveillance andOutbreak Investigation
/f /f /f /f /f /f /f
Chapter 18: Program Management
/f /f /f /f
Chapter19: Healthcare Improvement in the Community
/f /f /f /f /f /f
Chapter20: Family Development, Family Nursing Assessment, and Genomics
/f /f /f /f /f /f /f /f
Chapter 21: Family Health Risks
/f /f /f /f /f
Chapter 22: Health Risks Across the Life Span
/f /f /f /f /f /f /f
Chapter 23: Health Equity and Care of Vulnerable Populations Chapter
/f /f /f /f /f /f /f /f /f
24: Rural Health and Migrant Health
/f /f /f /f /f /f
Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
/f /f /f /f /f /f /f /f
/f Chapter 26: Alcohol, Tobacco, and Other Drug Problems in the Community
/f /f /f /f /f /f /f /f /f /f
/f Chapter 27: Violence and Human Abuse
/f /f /f /f /f
Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health
/f /f /f /f /f /f /f /f /f /f /f /f /f
Chapter 29: The Faith Community Nurse
/f /f /f /f /f /f
Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice
/f /f /f /f /f /f /f /f /f /f /f /f
Chapter 31: The Nurse in the Schools
/f /f /f /f /f /f /f
Chapter 32: The Nurse in Occupational Health
/f /f /f /f /f /f
, Chapter 01: Public Health Nursing and Population Health /f /f /f /f /f /f /f
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Edition
/f /f /f /f /f /f /f /f /f /f
MULTIPLE CHOICE /f
1. WHICH statement best describes community-based nursing?
/f /f / f / f /f
a. A practice in WHICH care is provided for individuals and families.
/f /f / f /f / f / f / f /f /f / f
b. Providing care with a focus on the group‘s needs. /f / f / f /f /f / f / f /f
c. Giving care with a focus on the aggregate‘s needs. /f /f / f /f / f / f /f / f
d. A value system in WHICH all clients receive optimal care.
/f /f / f / f /f / f / f /f / f
ANS A
By definition, community-based nursing is a setting-specific practice in WHICH care is provided for ―sick‖ individuals and
/f /f /f /f /f /f /f /f /f /f /f /f /f /f /f /f
families where they live, work, and attend school. The emphasis is on acute and chronic care and the
/f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
provision of comprehensive, coordinated, and continuous care. These Nurses may be generalists or specialists
/ f / f /f / f / f / f / f / f / f / f / f / f / f / f
in maternal–infant, pediatric, adult, or psychiatric mental health nursing. Community-based nursing emphasizes
/ f / f /f / f / f / f / f / f / f / f / f / f
acute and chronic care to individuals and families, rather than focusing on groups, aggregates, or systems.
/ f / f / f / f / f /f / f / f / f / f / f / f / f / f / f / f
2. WHICH statement best describes the goal of community-oriented nursing?
/f / f /f /f /f / f /f /f
a. Providing care to individuals and families /f /f /f /f / f
b. Providing care to manage acute or chronic conditions / f /f / f / f / f / f / f
c. Giving direct care to ill individuals within their family setting
/f / f /f / f /f / f / f /f / f
d. To preserve, protect, promote, or maintain health and prevent disease
/f /f / f /f / f /f / f /f / f
ANS D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health and
/f /f /f /f /f /f /f /f /f /f /f /f /f
preventing disease to promote the quality of life. All Nurses may focus on individuals and families, give
/f /f /f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
direct care to ill persons within their family setting, and help manage acute or chronic conditions. These
/ f / f / f / f / f / f / f /f / f / f / f / f / f / f / f / f / f
definitions are not specific to community-oriented nursing.
/ f / f / f / f / f / f /f
3. WHICH of the Following is the primary focus of public health nursing?
/f / f /f / f /f / f / f / f / f /f / f
a. Families and groups /f /f
b. Illness-oriented care /f
c. Individuals within the family unit /f /f /f /f
d. Health care of communities and populations /f /f /f /f /f
ANS D
In public health nursing, the primary focus is on the health care of communities and populations rather than
/ f /f / f / f / f / f / f / f / f /f / f /f / f / f / f / f /f
on individuals, groups, and families. The goal is to prevent disease and preserve, promote, restore, and protect
/ f / f /f / f /f /f /f /f /f /f /f /f /f / f /f / f /f
/fhealth for the community and the population within it. Community-based Nurses deal primarily with illness-
/f /f / f /f /f /f / f / f / f / f / f / f / f / f
oriented care of individuals and families across the life
/ f span. The aim is to manage acute and chronic
/ f / f / f / f /f / f / f / f / f / f / f / f / f / f / f
health conditions in the community, and the focus of practice is on individual or
/ f / f / f / f / f / f / f / f / f /f / f / f / f / f
family-centered illness care. /f /f
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th century?
/f / f / f / f / f / f /f / f / f / f / f /f / f / f / f / f
a. Technology increases in the field of medical laboratory research /f /f / f /f / f /f /f /f
b. Advances in surgical techniques and procedures /f /f /f /f /f
c. Sanitation and other population-based prevention programs /f /f /f / f / f
d. Use of antibiotics to fight infections /f /f / f / f / f
ANS C
There has to be indisputable evidence collected over time that public health policies and programs were primarily
/ f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
/ fresponsible for increasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately
/f / f /f / f / f /f / f /f /f /f /f /f / f /f /f / f /f /f / f
60% in just over a century plus through improvements in (1) sanitation, (2) clean water supplies, (3) making
/ f /f /f /f /f /f /f / f /f / f /f /f / f /f / f /f / f /f
workplaces safer, (4) improving food and drug safety,
/ f / f / f /f / f /f / f / f
(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excited when
/ f / f / f / f / f / f / f / f / f / f / f / f / f / f
a new drug is discovered that cures a disease or when a new way to transplant organs is perfected, it is
/ f / f / f /f / f / f / f / f /f / f /f / f /f /f / f / f /f /f /f / f / f
/fimportant to know about the significant gains in the health of populations that have come largely from
/f /f /f / f /f / f / f / f / f / f / f / f / f / f / f / f
/ fpublic health accomplishments. / f / f
5. A Nurse is developing a plan to decrease the number of premature deaths in the community. WHICH of
/f /f /f /f /f /f /f /f /f /f /f /f /f /f /f /f /f
the Following interventions would most likely be implemented by the Nurse?
/f /f / f / f / f / f / f / f / f / f / f
a. Provide free health care to all citizens /f / f / f /f / f / f
b. To increase the number of individuals with access to effective health care benefits
/f /f /f /f /f / f / f / f /f /f / f /f
c. Lower the cost of health care to the American population /f / f / f / f / f /f / f / f / f
d. To lessen the governmental burden of providing health care to Americans
/f / f /f / f / f / f / f / f /f / f
ANS B
The central feature in the Patient Protection and Affordable Care Act (ACA) of 2010 are the mechanisms to
/ f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
increase the number of people with health insurance. The care provided is not necessarily free. While the
/ f / f /f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
cost of health care and the burden it places on the American government are serious concerns, they are not
/ f / f / f / f / f / f /f / f / f / f / f / f / f / f / f / f / f / f / f
the primary focus of ACA.
/ f / f / f / f / f
. 1
, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
/f / f /f / f / f / f / f /f /f /f / f / f /f /f /f / f
a. Health disparities among any groups are morally and legally wrong.
/f /f / f /f /f / f /f /f / f
b. Health care is the most important priority in government planning and funding.
/f /f / f / f / f / f / f / f / f / f / f
c. The health of individuals cannot be separated from the health of the community.
/f / f / f /f / f / f /f / f / f / f /f / f
d. The government is responsible for lengthening the life span of Americans.
/f / f / f / f /f / f /f /f / f / f
ANS C
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely separate
/ f / f / f / f /f /f /f / f / f / f / f / f / f / f / f / f / f
from the health of the larger community. Public health practice focuses on the community as a whole, and
/ f / f / f /f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
the effect of the community‘s health status (resources) on the health of individuals, families, and groups. The
/ f / f / f / f / f /f / f / f / f / f /f / f /f / f / f / f /f
goal is to prevent disease and disability and promote and protect the health of the community as a whole.
/f / f /f /f / f / f / f / f /f /f /f / f / f / f / f / f / f / f / f
Public health can be described as what society collectively does to ensure that conditions exist in WHICH
/ f / f / f / f / f / f / f / f / f /f / f / f / f / f / f / f / f
people can be healthy. The basic assumptions of public health do not judge the morality of health disparities.
/f / f / f / f / f /f / f / f / f / f / f / f / f /f / f / f / f / f
The focus is on prevention of illness not on spending more on illness care. Additionally, individual
/ f / f / f / f / f / f / f / f / f / f / f / f / f / f / f /f
responsibility for making healthy choices is the directive for lengthening life span not the role of the
/ f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
government.
/f
7. WHICH of the Following actions would most likely be performed by a public health Nurse?
/f / f / f / f /f / f / f /f / f / f / f / f /f / f
a. Asking community leaders what interventions should be chosen/f /f /f /f /f /f /f
b. Assessing the community and deciding on appropriate interventions /f / f / f / f / f / f / f
c. Using data from the main health care institutions in the community to
/f /f /f /f /f /f /f /f /f /f /f
determine needed health services
/f / f / f / f
d. Working with community groups to create policies to improve the environment
/f / f / f /f /f /f /f / f /f / f
ANS D
Although the public health Nurse might engage / f / f / f / f / f / f in any of the tasks listed, he or she works primarily with
/ f / f / f / f / f / f / f / f / f / f / f / f
members of the community to carry out core
/ f / f / f /f / f / f / f / f / f public health functions, including assessment of the population
/ f / f / f / f / f / f / f
as a whole and engaging in promoting health
/ f / f / f / f / f / f /f / f and improving the environment. The interventions of asking
/ f / f / f / f / f / f / f / f
community leaders WHICH interventions should
/ f / f / f / f /f / f be chosen, assessing the community and deciding on
/ f / f / f / f / f / f / f
appropriate interventions, and using data from
/ f / f / f / f / f / f / f health care institutions do not demonstrate the engagement of
/ f /f / f / f / f / f / f / f
the community when making decisions about
/ f / f / f / f / f / f / f what the community actually wants and needs.
/ f / f /f / f / f / f
8. WHICH public /f /f health Nurse most clearly fulfills the responsibilities of this role?
/ f / f / f /f /f / f /f /f /f
a. The Nurse /f /f who met with several groups to discuss community recreation issues
/f / f / f / f /f / f / f / f / f
b. The Nurse /f /f who spent the day attending meetings of various health agencies
/ f / f / f / f / f /f /f /f / f
c. The Nurse /f /f who talked to several people about their particular health concerns
/ f / f / f / f / f / f / f /f / f
d. The Nurse /f /f who watched the city council meeting on local cable television
/ f / f / f / f / f /f / f / f / f
ANS B
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with
/ f / f / f / f / f / f / f / f / f / f / f / f
community residents or groups about health concerns. A major challenge for the future is the need for
/ f / f /f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
public health nursing specialists to be more aggressive in working collaboratively with various groups in the
/ f / f / f / f / f / f /f / f / f / f / f / f / f / f / f / f
community as well as professional colleagues in institutional settings to deal with barriers to health.
/ f / f / f / f / f / f / f /f / f / f / f / f / f / f / f
However, the Nurse who spent the day attending meetings of various health agencies is the most
/ f / f / f / f / f / f / f / f / f / f / f /f / f / f / f / f
representative, because in public health, concerns are addressed from a broader perspective. In public health,
/ f / f /f / f / f / f / f /f / f / f / f / f / f /f / f
broad concerns of the community should be addressed. Concerns are broader than recreation, individual concerns are
/ f / f / f /f /f /f /f /f / f / f /f /f /f / f /f /f
not as important as aggregate priorities, and watching television (a one-way form of communication) is less
/f /f /f /f / f / f / f / f / f / f / f / f / f / f / f / f
effective than interacting with others.
/f / f / f / f / f
9. WHICH of the Following best defines aggregate?
/f /f / f / f / f / f
a. A large group of persons /f /f / f / f
b. A collection of individuals and families
/f /f /f / f / f
c. A collection of people who share one or more characteristics
/f / f / f / f / f /f /f / f / f
d. Another name for demographic group / f / f /f / f
ANS C
An aggregate is defined a collection of people who share one or more personal or environmental
/ f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
characteristics. Members of a community can be defined in terms of either geography (e.g., a county, a
/ f / f /f / f / f / f / f / f / f / f / f / f / f / f / f / f / f
group of counties, or a state) or a special interest (e.g., children attending a particular school). These members
/ f / f / f / f / f / f / f / f / f /f / f / f /f / f /f /f /f /f
make up a population. The term population may be used interchangeably with the term aggregate. A large group
/f /f /f /f /f /f /f /f /f /f /f / f / f / f / f / f / f / f
of persons, a collection of individuals and families, and another name for demographic group are not
/ f / f / f / f / f / f / f / f / f / f /f / f / f / f / f / f
accurate definitions of the term aggregate.
/ f / f / f / f / f / f
10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role of a
/f / f / f / f /f /f /f / f / f / f / f / f / f / f / f / f /f / f / f
public health Nurse?
/f /f /f
a. ―WHICH groups are at the greatest risk for problems?‖ /f /f /f /f /f /f /f /f
b. ―WHICH patients should I see first as I begin my day?‖ /f /f /f /f /f /f / f /f /f /f
c. ―With WHICH physicians will I be most closely collaborating?‖
/f /f /f /f /f /f /f /f
d. ―With WHICH nursing assistants will I partner the most?‖ /f /f /f /f /f /f /f /f
ANS A
Asking WHICH groups are at greatest risk reflects a community-oriented perspective. The incorrect responses reflect a focus
/f /f /f /f /f /f /f /f /f /f /f /f /f /f /f /f
on individuals rather than a community-oriented perspective.
/f /f / f / f / f / f / f
11. Making sure that essential community-oriented health services are available defines WHICH of the core public health
/f /f / f / f /f / f /f /f / f /f /f /f / f /f /f
functions?
/ f
a. Policy development / f
b. Assessment
c. Assurance
d. Scientific knowledge-based care /f / f
ANS C
Assurance includes making sure that essential community-oriented health services are available in the community. The
/f /f /f /f /f /f /f / f /f /f /f /f /f /f
definition does not fit the terms assessment, policy development. Scientific knowledge-based care is not a
/ f / f / f / f / f / f / f /f /f /f / f / f / f / f / f
. 2
