Aplus001
, Chapterj01:jCommunity-jandjPrevention-
OrientedjPracticejtojImprovejPopulationjHealth
MULTIPLEjCHOICE
1. Whichjofjthejfollowingjbestjdescribesjcommunity-basedjnursing?
a. Ajpracticejinjwhichjcarejisjprovidedjforjindividualsjandjfamilies
b. Providingjcarejwithjajfocusjonjthejgroup’sjneeds
c. Givingjcarejwithjajfocusj onjthejaggregate’sjneeds
d. Ajvaluejsystemjinjwhichjalljclientsjreceivejoptimaljcare
ANS:j A
Byjdefinition,jcommunity-basedjnursingjisjajsetting-
specificjpracticejinjwhichjcarejisjprovidedjforj“sick”jindividualsjandjfamiliesjwherejtheyjlive,jw
ork,jandjattendjschool.jThejemphasisjisjonjacutejandjchronicjcarejandjthejprovisionjofjcomprehe
nsive,jcoordinated,jandjcontinuousjcare.jThesejnursesjmayjbejgeneralistsjorjspecialistsjinjmatern
al–infant,jpediatric,jadult,jorjpsychiatricjmentaljhealthjnursing.jCommunity-
basedjnursingjemphasizesjacutejandjchronicjcarejtojindividualsjandjfamilies,jratherjthanjfocusin
gjonjgroups,jaggregates,jorjsystems.
2. Whichjofjthejfollowingjbestjdescribesjcommunity-orientedjnursing?
a. Focusingjonjthejprovisionjofjcarejtojindividualsjandjfamilies
b. Providingjcarejtojmanagejacutejorjchronicjconditions
c. Givingjdirectj carejtoj illj inNdivR
iduaIls j wGithB
i n.thCeir M
family jsetting
d. Havingjthejgoaljofjhealthjpromotion UjSjN jandjdiseasejprevention
ANS:j D
Byjdefinition,jcommunity-
orientedjnursingjhasjthejgoaljofjpreserving,jprotecting,jorjmaintainingjhealthjandjpreventingjdis
easejtojpromotejthejqualityjofjlife.jAlljnursesjmayjfocusjonjindividualsjandjfamilies,jgivejdirectjc
arejtojilljpersonsjwithinjtheirjfamilyjsetting,jandjhelpjmanagejacutejorjchronicjconditions.jThesej
definitionsjarejnotjspecificjtojcommunity-orientedjnursing.
3. Whichjofjthejfollowingjisjthejprimaryjfocusjofjpublicjhealthjnursing?
a. Familiesjandjgroups
b. Illness-orientedj care
c. Individualsjwithinjthejfamilyjunit
d. Healthjcarejofjcommunitiesjandjpopulations
ANS:j D
Injpublicjhealthjnursingjthejprimaryjfocusjisjonjthejhealthjcarejofjcommunitiesjandjpopulationsjr
atherjthanjonjindividuals,jgroups,jandjfamilies.jThejgoaljisjtojpreventjdiseasejandjpreserve,jpromo
te,jrestore,jandjprotectjhealthjforjthejcommunityjandjthejpopulationjwithinjit.jCommunity-
basedjnursesjdealjprimarilyjwithjillness-
orientedjcarejofjindividualsjandjfamiliesjacorssjthejlifejspan.jThejaimjisjtojamanagejacutejandjchr
onicjhealthjconditionsjinjthejcommunity,jandjthejfocusjofjpracticejisjonjindividualjorjfamily-
centeredjillnessjcare.
Aplus001
, 4. Whichjofjthejfollowingjisjresponsiblejforjthejdramaticjincreasejinjlifejexpectancyjduringjthej20
thjcentury?
a. Technologyjincreasesjinjthejfieldjofjmedicaljlaboratoryjresearch
b. Advancesjinjsurgicaljtechniquesjandjprocedures
c. Sanitationjandjotherjpopulation-basedjpreventionjprograms
d. Usejofjantibioticsjtojfightjinfections
ANS:j C
Improvementsjinjcontroljofjinfectiousjdiseasesjthroughjimmunizations,jsanitation,jandjotherjpo
pulation-
basedjpreventionjprogramsjledjtojthejincreasejinjlifejexpectancyjfromjlessjthanj50jyearsjinj1900jt
ojmorejthanj78jyearsjinj2013.jAlthoughjpeoplejarejexcitedjwhenjajnewjdrugjisjdiscoveredjthatjcu
resjajdiseasejorjwhenjajnewjwayjtojtransplantjorgansjisjperfected,jitjisjimportantjtojknowjaboutjth
ejsignificantjgainsjinjthejhealthjofjpopulationsjthatjhavejcomejlargelyjfromjpublicjhealthjaccomp
lishments.
5. Ajnursejisjdevelopingjajplanjtojdecreasejthejnumberjofjprematurejdeathsjinjthejcommunity.jW
hichjofjthejfollowingjinterventionsjwouldjmostjlikelyjbejimplementedjbyjthejnurse?
a. Increasejthejcommunity’sjknowledgejaboutjhospicejcare.
b. Promotejhealthyjlifestylejbehaviorjchoicesjamongjthejcommunityjmembers.
c. Encouragejemployersjtojhavejwellnessjcentersjatjeachjindustrialjsite.
d. Ensurejtimelyjandjeffectivejmedicaljinterventionjandjtreatmentjforjcommunityjm
embers.
ANS:j B
Publicjhealthjapproachesjcouldjhelpjpreventjprematurejdeathsjbyjinfluencingjthejwayjpeoplejeat,
jdrink,jdrive,jengagejinjexercise,jandjtreatjthejenvironment.jIncreasingjknowledgejofjhospicejcar
e,jencouragingjon-sitejwellnessjcenters,jandjensuringjtimelyjtreatmentjofjmedical
conditionsjdojnotjaddressjtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l jhealthjthroughjhealthjpromotionjstrateg
gjO
ies.jThisjisjthejmajorjmethodjthatjisjsuggestedjtojdecreasejthejincidencejofjpremature
death.
6. Whichjofjthejfollowingjisjajbasicjassumptionjofjpublicjhealthjefforts?
a. Healthjdisparitiesjamongjanyjgroupsjarejmorallyjandjlegallyjwrong.
b. Healthjcarejisjthejmostjimportantjpriorityjinjgovernmentjplanningjandjfunding.
c. Thejhealthjofjindividualsjcannotjbejseparatedjfromjthejhealthjofjthejcommunity.
d. ThejgovernmentjisjresponsiblejforjlengtheningjthejlifejspanjofjAmericans.
ANS:j C
Publicjhealthjpracticejfocusesjonjthejcommunityjasjajwhole,jandjthejeffectj ofjthejcommunity’sjh
ealthjstatusj(resources)jonjthejhealthjofjindividuals,jfamilies,jandjgroups.jThejgoaljisjtojpreventjd
iseasejandjdisabilityjandjpromotejandjprotectjthejhealthjofjthejcommunityjasjajwhole.jPublicjheal
thjcanjbejdescribedjasjwhatjsocietyjcollectivelyjdoesjtojensurejthatjconditionsjexistjinjwhichjpeop
lejcanjbejhealthy.jThejbasicjassumptionsjofjpublicjhealthjdojnotjjudgejthejmoralityjofjhealthjdispa
rities.jThejfocusjisjonjpreventionjofjillnessjnotjonjspendingjmorejonjillnessjcare.jAdditionally,jin
dividualjresponsibilityjforjmakingjhealthyjchoicesjisjthejdirectivejforjlengtheningjlifejspanjnotjth
ejrolejofjthejgovernment.
7. Whichjofjthejfollowingjactionsjwouldjmostjlikelyjbejperformedjbyjajpublicjhealthjnurse?
a. Askingjcommunityjleadersjwhatjinterventionsjshouldjbejchosen
b. Assessingjthejcommunityjandjdecidingjonjappropriatejinterventions
c. Usingjdatajfromjthejmainjhealthjcarejinstitutionsjinjthejcommunityjtojdetermine
Aplus001
, neededjhealthjservices
d. Workingjwithjcommunityjgroupsjtojcreatejpoliciesjtojimprovejthejenvironment
ANS:j D
Althoughjthejpublicjhealthjnursejmightjengagejinjanyjofjthejtasksjlisted,jhejorjshejworksjprimaril
yjwithjmembersjofjthejcommunityjtojcarryjoutjcorejpublicjhealthjfunctions,jincludingjassessmen
tjofjthejpopulationjasjajwholejandjengagingjinjpromotingjhealthjandjimprovingjthejenvironment.
jThejinterventionsjofjaskingjcommunityjleadersjwhichjinterventionsjshouldjbejchosen,jasessingj
thejcommunityjandjdecidingjonjappropriatejinterventions,jandjusingjdatajfromjhealthjcarejinstit
utionsjdojnotjdemonstratejthejengagementjofjthejcommunityjwhenjmakingjdecisionsjaboutjwhat
jthejcommunityjactuallyjwantsjandjneeds.
8. Whichjofjthejfollowingjpublicjhealthjnursesjmostjclearlyjfulfillsjthejresponsibilitiesjofjthisjrol
e?
a. Thejnursejwhojmetjwithjseveraljgroupsjtojdiscussjcommunityjrecreationjissues
b. Thejnursejwhojspentjthejdayjattendingjmeetingsjofjvariousjhealthjagencies
c. Thejnursejwhojtalkedjtojseveraljpeoplejaboutjtheirjparticularjhealthjconcerns
d. Thejnursejwhojwatchedjthejcityjcounciljmeetingjonjlocaljcablejtelevision
ANS:j B
Anyjofjthesejdescriptionsjmightjrepresentjajnursejcommunicating,jcooperating,jorjcollaboratin
gjwithjcommunityjresidentsjorjgroupsjaboutjhealthjconcerns.jHowever,jthejnursejwhojspentjthej
dayjattendingjmeetingsjofjvariousjhealthjagenciesjisjthejmostjrepresentative,jbecausejinjpublicjh
ealth,jconcernsjarejaddressedjfromjajbroaderjperspective.jInjpublicjhealth,jbroadjconcernsjofjthej
communityjshouldjbejaddressed.jConcernsjarejbroaderjthanjrecreation,jindividualjconcernsjarej
notjasjimportantjasjaggregatejpriorities,jandjwatchingjtelevisionj(ajone-
wayjformjofjcommunication)jisjlessjeffectivejthanjinteractingjwithjothers.
9. Whichjofjthejfollowingjbestjdefinesjaggregate?
a. Ajlargejgroupjofjpersons
b. Ajcollectionjofjindividualsjandjfamilies
c. Ajcollectionjofjpeoplejwhojsharejonejorjmorejcharacteristics
d. Anotherjnamejforjdemographicjgroup
ANS:j C
Anjaggregatejisjdefinedjajcollectionjofjpeoplejwhojsharejonejorjmorejpersonaljorjenvironmentalj
characteristics.jMembersjofjajcommunityjcanjbejdefinedjinjtermsjofjeitherjgeographyj(e.g.,jajco
unty,jajgroupjofjcounties,jorjajstate)jorjajspecialjinterestj(e.g.,jchildrenjattendingjajparticularjsch
ool).jThesejmembersjmakejupjajpopulation.jThejtermjpopulationjmayjbejusedjinterchangeablyjw
ithjthejtermjaggregate.jAjlargejgroupjofjpersons,jajcollectionjofjindividualsjandjfamilies,jandjano
therjnamejforjdemograhpicjgroupjarejnotjaccuratejdefinitionsjofjthejtermjaggregate.
10. Ajregisteredjnursejwasjjustjemployedjasjajpublicjhealthjnurse.jWhichjquestionjwouldjbejthejmo
stjrelevantjforjthejnursejtojask?
a. “Whichjgroupsjarejatjthejgreatestjriskjforjproblems?”
b. “Whichjpatientsjshouldj Ijseejfirstjasj Ijbeginjmyjday?”
c. “WithjwhichjphysiciansjwilljIjbejmostjcloselyjcollaborating?”
d. “WithjwhichjnursingjassistantsjwilljIjpartnerjthejmost?”
ANS:j A
Aplus001
, Chapterj01:jCommunity-jandjPrevention-
OrientedjPracticejtojImprovejPopulationjHealth
MULTIPLEjCHOICE
1. Whichjofjthejfollowingjbestjdescribesjcommunity-basedjnursing?
a. Ajpracticejinjwhichjcarejisjprovidedjforjindividualsjandjfamilies
b. Providingjcarejwithjajfocusjonjthejgroup’sjneeds
c. Givingjcarejwithjajfocusj onjthejaggregate’sjneeds
d. Ajvaluejsystemjinjwhichjalljclientsjreceivejoptimaljcare
ANS:j A
Byjdefinition,jcommunity-basedjnursingjisjajsetting-
specificjpracticejinjwhichjcarejisjprovidedjforj“sick”jindividualsjandjfamiliesjwherejtheyjlive,jw
ork,jandjattendjschool.jThejemphasisjisjonjacutejandjchronicjcarejandjthejprovisionjofjcomprehe
nsive,jcoordinated,jandjcontinuousjcare.jThesejnursesjmayjbejgeneralistsjorjspecialistsjinjmatern
al–infant,jpediatric,jadult,jorjpsychiatricjmentaljhealthjnursing.jCommunity-
basedjnursingjemphasizesjacutejandjchronicjcarejtojindividualsjandjfamilies,jratherjthanjfocusin
gjonjgroups,jaggregates,jorjsystems.
2. Whichjofjthejfollowingjbestjdescribesjcommunity-orientedjnursing?
a. Focusingjonjthejprovisionjofjcarejtojindividualsjandjfamilies
b. Providingjcarejtojmanagejacutejorjchronicjconditions
c. Givingjdirectj carejtoj illj inNdivR
iduaIls j wGithB
i n.thCeir M
family jsetting
d. Havingjthejgoaljofjhealthjpromotion UjSjN jandjdiseasejprevention
ANS:j D
Byjdefinition,jcommunity-
orientedjnursingjhasjthejgoaljofjpreserving,jprotecting,jorjmaintainingjhealthjandjpreventingjdis
easejtojpromotejthejqualityjofjlife.jAlljnursesjmayjfocusjonjindividualsjandjfamilies,jgivejdirectjc
arejtojilljpersonsjwithinjtheirjfamilyjsetting,jandjhelpjmanagejacutejorjchronicjconditions.jThesej
definitionsjarejnotjspecificjtojcommunity-orientedjnursing.
3. Whichjofjthejfollowingjisjthejprimaryjfocusjofjpublicjhealthjnursing?
a. Familiesjandjgroups
b. Illness-orientedj care
c. Individualsjwithinjthejfamilyjunit
d. Healthjcarejofjcommunitiesjandjpopulations
ANS:j D
Injpublicjhealthjnursingjthejprimaryjfocusjisjonjthejhealthjcarejofjcommunitiesjandjpopulationsjr
atherjthanjonjindividuals,jgroups,jandjfamilies.jThejgoaljisjtojpreventjdiseasejandjpreserve,jpromo
te,jrestore,jandjprotectjhealthjforjthejcommunityjandjthejpopulationjwithinjit.jCommunity-
basedjnursesjdealjprimarilyjwithjillness-
orientedjcarejofjindividualsjandjfamiliesjacorssjthejlifejspan.jThejaimjisjtojamanagejacutejandjchr
onicjhealthjconditionsjinjthejcommunity,jandjthejfocusjofjpracticejisjonjindividualjorjfamily-
centeredjillnessjcare.
Aplus001
, 4. Whichjofjthejfollowingjisjresponsiblejforjthejdramaticjincreasejinjlifejexpectancyjduringjthej20
thjcentury?
a. Technologyjincreasesjinjthejfieldjofjmedicaljlaboratoryjresearch
b. Advancesjinjsurgicaljtechniquesjandjprocedures
c. Sanitationjandjotherjpopulation-basedjpreventionjprograms
d. Usejofjantibioticsjtojfightjinfections
ANS:j C
Improvementsjinjcontroljofjinfectiousjdiseasesjthroughjimmunizations,jsanitation,jandjotherjpo
pulation-
basedjpreventionjprogramsjledjtojthejincreasejinjlifejexpectancyjfromjlessjthanj50jyearsjinj1900jt
ojmorejthanj78jyearsjinj2013.jAlthoughjpeoplejarejexcitedjwhenjajnewjdrugjisjdiscoveredjthatjcu
resjajdiseasejorjwhenjajnewjwayjtojtransplantjorgansjisjperfected,jitjisjimportantjtojknowjaboutjth
ejsignificantjgainsjinjthejhealthjofjpopulationsjthatjhavejcomejlargelyjfromjpublicjhealthjaccomp
lishments.
5. Ajnursejisjdevelopingjajplanjtojdecreasejthejnumberjofjprematurejdeathsjinjthejcommunity.jW
hichjofjthejfollowingjinterventionsjwouldjmostjlikelyjbejimplementedjbyjthejnurse?
a. Increasejthejcommunity’sjknowledgejaboutjhospicejcare.
b. Promotejhealthyjlifestylejbehaviorjchoicesjamongjthejcommunityjmembers.
c. Encouragejemployersjtojhavejwellnessjcentersjatjeachjindustrialjsite.
d. Ensurejtimelyjandjeffectivejmedicaljinterventionjandjtreatmentjforjcommunityjm
embers.
ANS:j B
Publicjhealthjapproachesjcouldjhelpjpreventjprematurejdeathsjbyjinfluencingjthejwayjpeoplejeat,
jdrink,jdrive,jengagejinjexercise,jandjtreatjthejenvironment.jIncreasingjknowledgejofjhospicejcar
e,jencouragingjon-sitejwellnessjcenters,jandjensuringjtimelyjtreatmentjofjmedical
conditionsjdojnotjaddressjtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l jhealthjthroughjhealthjpromotionjstrateg
gjO
ies.jThisjisjthejmajorjmethodjthatjisjsuggestedjtojdecreasejthejincidencejofjpremature
death.
6. Whichjofjthejfollowingjisjajbasicjassumptionjofjpublicjhealthjefforts?
a. Healthjdisparitiesjamongjanyjgroupsjarejmorallyjandjlegallyjwrong.
b. Healthjcarejisjthejmostjimportantjpriorityjinjgovernmentjplanningjandjfunding.
c. Thejhealthjofjindividualsjcannotjbejseparatedjfromjthejhealthjofjthejcommunity.
d. ThejgovernmentjisjresponsiblejforjlengtheningjthejlifejspanjofjAmericans.
ANS:j C
Publicjhealthjpracticejfocusesjonjthejcommunityjasjajwhole,jandjthejeffectj ofjthejcommunity’sjh
ealthjstatusj(resources)jonjthejhealthjofjindividuals,jfamilies,jandjgroups.jThejgoaljisjtojpreventjd
iseasejandjdisabilityjandjpromotejandjprotectjthejhealthjofjthejcommunityjasjajwhole.jPublicjheal
thjcanjbejdescribedjasjwhatjsocietyjcollectivelyjdoesjtojensurejthatjconditionsjexistjinjwhichjpeop
lejcanjbejhealthy.jThejbasicjassumptionsjofjpublicjhealthjdojnotjjudgejthejmoralityjofjhealthjdispa
rities.jThejfocusjisjonjpreventionjofjillnessjnotjonjspendingjmorejonjillnessjcare.jAdditionally,jin
dividualjresponsibilityjforjmakingjhealthyjchoicesjisjthejdirectivejforjlengtheningjlifejspanjnotjth
ejrolejofjthejgovernment.
7. Whichjofjthejfollowingjactionsjwouldjmostjlikelyjbejperformedjbyjajpublicjhealthjnurse?
a. Askingjcommunityjleadersjwhatjinterventionsjshouldjbejchosen
b. Assessingjthejcommunityjandjdecidingjonjappropriatejinterventions
c. Usingjdatajfromjthejmainjhealthjcarejinstitutionsjinjthejcommunityjtojdetermine
Aplus001
, neededjhealthjservices
d. Workingjwithjcommunityjgroupsjtojcreatejpoliciesjtojimprovejthejenvironment
ANS:j D
Althoughjthejpublicjhealthjnursejmightjengagejinjanyjofjthejtasksjlisted,jhejorjshejworksjprimaril
yjwithjmembersjofjthejcommunityjtojcarryjoutjcorejpublicjhealthjfunctions,jincludingjassessmen
tjofjthejpopulationjasjajwholejandjengagingjinjpromotingjhealthjandjimprovingjthejenvironment.
jThejinterventionsjofjaskingjcommunityjleadersjwhichjinterventionsjshouldjbejchosen,jasessingj
thejcommunityjandjdecidingjonjappropriatejinterventions,jandjusingjdatajfromjhealthjcarejinstit
utionsjdojnotjdemonstratejthejengagementjofjthejcommunityjwhenjmakingjdecisionsjaboutjwhat
jthejcommunityjactuallyjwantsjandjneeds.
8. Whichjofjthejfollowingjpublicjhealthjnursesjmostjclearlyjfulfillsjthejresponsibilitiesjofjthisjrol
e?
a. Thejnursejwhojmetjwithjseveraljgroupsjtojdiscussjcommunityjrecreationjissues
b. Thejnursejwhojspentjthejdayjattendingjmeetingsjofjvariousjhealthjagencies
c. Thejnursejwhojtalkedjtojseveraljpeoplejaboutjtheirjparticularjhealthjconcerns
d. Thejnursejwhojwatchedjthejcityjcounciljmeetingjonjlocaljcablejtelevision
ANS:j B
Anyjofjthesejdescriptionsjmightjrepresentjajnursejcommunicating,jcooperating,jorjcollaboratin
gjwithjcommunityjresidentsjorjgroupsjaboutjhealthjconcerns.jHowever,jthejnursejwhojspentjthej
dayjattendingjmeetingsjofjvariousjhealthjagenciesjisjthejmostjrepresentative,jbecausejinjpublicjh
ealth,jconcernsjarejaddressedjfromjajbroaderjperspective.jInjpublicjhealth,jbroadjconcernsjofjthej
communityjshouldjbejaddressed.jConcernsjarejbroaderjthanjrecreation,jindividualjconcernsjarej
notjasjimportantjasjaggregatejpriorities,jandjwatchingjtelevisionj(ajone-
wayjformjofjcommunication)jisjlessjeffectivejthanjinteractingjwithjothers.
9. Whichjofjthejfollowingjbestjdefinesjaggregate?
a. Ajlargejgroupjofjpersons
b. Ajcollectionjofjindividualsjandjfamilies
c. Ajcollectionjofjpeoplejwhojsharejonejorjmorejcharacteristics
d. Anotherjnamejforjdemographicjgroup
ANS:j C
Anjaggregatejisjdefinedjajcollectionjofjpeoplejwhojsharejonejorjmorejpersonaljorjenvironmentalj
characteristics.jMembersjofjajcommunityjcanjbejdefinedjinjtermsjofjeitherjgeographyj(e.g.,jajco
unty,jajgroupjofjcounties,jorjajstate)jorjajspecialjinterestj(e.g.,jchildrenjattendingjajparticularjsch
ool).jThesejmembersjmakejupjajpopulation.jThejtermjpopulationjmayjbejusedjinterchangeablyjw
ithjthejtermjaggregate.jAjlargejgroupjofjpersons,jajcollectionjofjindividualsjandjfamilies,jandjano
therjnamejforjdemograhpicjgroupjarejnotjaccuratejdefinitionsjofjthejtermjaggregate.
10. Ajregisteredjnursejwasjjustjemployedjasjajpublicjhealthjnurse.jWhichjquestionjwouldjbejthejmo
stjrelevantjforjthejnursejtojask?
a. “Whichjgroupsjarejatjthejgreatestjriskjforjproblems?”
b. “Whichjpatientsjshouldj Ijseejfirstjasj Ijbeginjmyjday?”
c. “WithjwhichjphysiciansjwilljIjbejmostjcloselyjcollaborating?”
d. “WithjwhichjnursingjassistantsjwilljIjpartnerjthejmost?”
ANS:j A
Aplus001
