Foundations for Population Health in Community/Public Health Nursing, 6th Edition | Core Textbook & Guide

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hJEdition
ChapterJ01:JCommunity-JandJPrevention-
OrientedJPracticeJtoJImproveJPopulationJHealth


MULTIPLEJCHOICE

1. WhichJofJtheJfollowingJbestJdescribesJcommunity-basedJnursing?
a. AJpracticeJinJwhichJcareJisJprovidedJforJindividualsJandJfamilies
b. ProvidingJcareJwithJaJfocusJonJtheJgroup’sJneeds
c. GivingJcareJwithJaJfocusJonJtheJaggregate’sJneeds
d. AJvalueJsystemJinJwhichJallJclientsJreceiveJoptimalJcare

ANS:J A
ByJdefinition,Jcommunity-basedJnursingJisJaJsetting-
specificJpracticeJinJwhichJcareJisJprovidedJforJ“sick”JindividualsJandJfamiliesJwhereJtheyJlive,
Jwork,JandJattendJschool.JTheJemphasisJisJonJacuteJandJchronicJcareJandJtheJprovisionJofJcom
prehensive,Jcoordinated,JandJcontinuousJcare.JTheseJnursesJmayJbeJgeneralistsJorJspecialistsJi
nJmaternal–infant,Jpediatric,Jadult,JorJpsychiatricJmentalJhealthJnursing.JCommunity-
basedJnursingJemphasizesJacuteJandJchronicJcareJtoJindividualsJandJfamilies,JratherJthanJfocus
ingJonJgroups,Jaggregates,JorJsystems.

2. WhichJofJtheJfollowingJbestJdescribesJcommunity-orientedJnursing?
a. FocusingJonJtheJprovisionJofJcareJtoJindividualsJandJfamilies
b. ProvidingJcareJtoJmanageJacuteJorJchronicJconditions
c. GivingJdirectJ careJtoJ illJ inNdivR
iduaIls J wGithB
i n.thCeir M
family J setting
U JSJN
d. HavingJtheJgoalJofJhealthJpromotionJandJdiseaseJprevention
ANS:J D
ByJdefinition,Jcommunity-
orientedJnursingJhasJtheJgoalJofJpreserving,Jprotecting,JorJmaintainingJhealthJandJpreventingJd
iseaseJtoJpromoteJtheJqualityJofJlife.JAllJnursesJmayJfocusJonJindividualsJandJfamilies,JgiveJdir
ectJcareJtoJillJpersonsJwithinJtheirJfamilyJsetting,JandJhelpJmanageJacuteJorJchronicJconditions.J
TheseJdefinitionsJareJnotJspecificJtoJcommunity-orientedJnursing.

3. WhichJofJtheJfollowingJisJtheJprimaryJfocusJofJpublicJhealthJnursing?
a. FamiliesJandJgroups
b. Illness-orientedJ care
c. IndividualsJwithinJtheJfamilyJunit
d. HealthJcareJofJcommunitiesJandJpopulations

ANS:J D
InJpublicJhealthJnursingJtheJprimaryJfocusJisJonJtheJhealthJcareJofJcommunitiesJandJpopulation
sJratherJthanJonJindividuals,Jgroups,JandJfamilies.JTheJgoalJisJtoJpreventJdiseaseJandJpreserve,Jp
romote,Jrestore,JandJprotectJhealthJforJtheJcommunityJandJtheJpopulationJwithinJit.JCommunity
-basedJnursesJdealJprimarilyJwithJillness-
orientedJcareJofJindividualsJandJfamiliesJacorssJtheJlifeJspan.JTheJaimJisJtoJamanageJacuteJandJ
chronicJhealthJconditionsJinJtheJcommunity,JandJtheJfocusJofJpracticeJisJonJindividualJorJfamil
y-centeredJillnessJcare.


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, 4. WhichJofJtheJfollowingJisJresponsibleJforJtheJdramaticJincreaseJinJlifeJexpectancyJduringJtheJ
20thJcentury?
a. TechnologyJincreasesJinJtheJfieldJofJmedicalJlaboratoryJresearch
b. AdvancesJinJsurgicalJtechniquesJandJprocedures
c. SanitationJandJotherJpopulation-basedJpreventionJprograms
d. UseJofJantibioticsJtoJfightJinfections
ANS:J C
ImprovementsJinJcontrolJofJinfectiousJdiseasesJthroughJimmunizations,Jsanitation,JandJotherJp
opulation-
basedJpreventionJprogramsJledJtoJtheJincreaseJinJlifeJexpectancyJfromJlessJthanJ50JyearsJinJ190
0JtoJmoreJthanJ78JyearsJinJ2013.JAlthoughJpeopleJareJexcitedJwhenJaJnewJdrugJisJdiscoveredJt
hatJcuresJaJdiseaseJorJwhenJaJnewJwayJtoJtransplantJorgansJisJperfected,JitJisJimportantJtoJkno
wJaboutJtheJsignificantJgainsJinJtheJhealthJofJpopulationsJthatJhaveJcomeJlargelyJfromJpublicJh
ealthJaccomplishments.

5. AJnurseJisJdevelopingJaJplanJtoJdecreaseJtheJnumberJofJprematureJdeathsJinJtheJcommunity.J
WhichJofJtheJfollowingJinterventionsJwouldJmostJlikelyJbeJimplementedJbyJtheJnurse?
a.IncreaseJtheJcommunity’sJknowledgeJaboutJhospiceJcare.
b.PromoteJhealthyJlifestyleJbehaviorJchoicesJamongJtheJcommunityJmembers.
c.EncourageJemployersJtoJhaveJwellnessJcentersJatJeachJindustrialJsite.
d.EnsureJtimelyJandJeffectiveJmedicalJinterventionJandJtreatmentJforJcommunityJ
members.
ANS:J B
PublicJhealthJapproachesJcouldJhelpJpreventJprematureJdeathsJbyJinfluencingJtheJwayJpeopleJe
at,Jdrink,Jdrive,JengageJinJexercise,JandJtreatJtheJenvironment.JIncreasingJknowledgeJofJhospic
eJcare,JencouragingJon-siteJwellnessJcenters,JandJensuringJtimelyJtreatmentJofJmedical
conditionsJdoJnotJaddressJtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l JhealthJthroughJhealthJpromotionJstra
gJO
tegies.JThisJisJtheJmajorJmethodJthatJisJsuggestedJtoJdecreaseJtheJincidenceJofJpremature
death.
6. WhichJofJtheJfollowingJisJaJbasicJassumptionJofJpublicJhealthJefforts?
a. HealthJdisparitiesJamongJanyJgroupsJareJmorallyJandJlegallyJwrong.
b. HealthJcareJisJtheJmostJimportantJpriorityJinJgovernmentJplanningJandJfunding.
c. TheJhealthJofJindividualsJcannotJbeJseparatedJfromJtheJhealthJofJtheJcommunity.
d. TheJgovernmentJisJresponsibleJforJlengtheningJtheJlifeJspanJofJAmericans.

ANS:J C
PublicJhealthJpracticeJfocusesJonJtheJcommunityJasJaJwhole,JandJtheJeffectJ ofJtheJcommunity’
sJhealthJstatusJ(resources)JonJtheJhealthJofJindividuals,Jfamilies,JandJgroups.JTheJgoalJisJtoJpre
ventJdiseaseJandJdisabilityJandJpromoteJandJprotectJtheJhealthJofJtheJcommunityJasJaJwhole.JP
ublicJhealthJcanJbeJdescribedJasJwhatJsocietyJcollectivelyJdoesJtoJensureJthatJconditionsJexistJi
nJwhichJpeopleJcanJbeJhealthy.JTheJbasicJassumptionsJofJpublicJhealthJdoJnotJjudgeJtheJmoralit
yJofJhealthJdisparities.JTheJfocusJisJonJpreventionJofJillnessJnotJonJspendingJmoreJonJillnessJca
re.JAdditionally,JindividualJresponsibilityJforJmakingJhealthyJchoicesJisJtheJdirectiveJforJlengt
heningJlifeJspanJnotJtheJroleJofJtheJgovernment.

7. WhichJofJtheJfollowingJactionsJwouldJmostJlikelyJbeJperformedJbyJaJpublicJhealthJnurse?
a. AskingJcommunityJleadersJwhatJinterventionsJshouldJbeJchosen
b. AssessingJtheJcommunityJandJdecidingJonJappropriateJinterventions

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, c. UsingJdataJfromJtheJmainJhealthJcareJinstitutionsJinJtheJcommunityJtoJdetermine




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