, Chapter 01: Community- and Prevention-
M M M M
Oriented Practice to Improve Population Health
M M M M M
MULTIPLEMCHOICE
1. WhichMofMtheMfollowingMbestMdescribesMcommunity-basedMnursing?
a. AMpracticeMinMwhichMcareMisMprovidedMforMindividualsMandMfamilies
b. ProvidingMcareMwithMaMfocusMonMtheMgroup’sMneeds
c. GivingMcareMwithMaMfocusMonMtheMaggregate’sMneeds
d. AMvalueMsystemMinMwhichMallMclientsMreceiveMoptimalMcare
ANS:M A
ByMdefinition,Mcommunity-basedMnursingMisMaMsetting-
specificMpracticeMinMwhichMcareMisMprovidedMforM“sick”MindividualsMandMfamiliesMwhereMthe
yMlive,Mwork,MandMattendMschool.MTheMemphasisMisMonMacuteMandMchronicMcareMandMtheMprov
isionMofMcomprehensive,Mcoordinated,MandMcontinuousMcare.MTheseMnursesMmayMbeMgeneralis
tsMorMspecialistsMinMmaternal–
infant,Mpediatric,Madult,MorMpsychiatricMmentalMhealthMnursing.MCommunity-
basedMnursingMemphasizesMacuteMandMchronicMcareMtoMindividualsMandMfamilies,MratherMthanM
focusingMonMgroups,Maggregates,MorMsystems.
2. WhichMofMtheMfollowingMbestMdescribesMcommunity-orientedMnursing?
a. FocusingMonMtheMprovisionMofMcareMtoMindividualsMandMfamilies
b. ProvidingMcareMtoMmanageMacuteMorMchronicMconditions
c. GivingMdirectMcareMtoMillMinNdivRiduaIlsMw
GithB
in.thCeirM
familyMsetting
U MSMN
d. HavingMtheMgoalMofMhealthMpromotionMandMdiseaseMprevention
ANS:M D
ByMdefinition,Mcommunity-
orientedMnursingMhasMtheMgoalMofMpreserving,Mprotecting,MorMmaintainingMhealthMandMpreventi
ngMdiseaseMtoMpromoteMtheMqualityMofMlife.MAllMnursesMmayMfocusMonMindividualsMandMfamilies,
MgiveMdirectMcareMtoMillMpersonsMwithinMtheirMfamilyMsetting,MandMhelpM
manageMacuteMorMchron
icMconditions.MTheseMdefinitionsMareMnotMspecificMtoMcommunity-orientedMnursing.
3. WhichMofMtheMfollowingMisMtheMprimaryMfocusMofMpublicMhealthMnursing?
a. FamiliesMandMgroups
b. Illness-orientedMcare
c. IndividualsMwithinMtheMfamilyMunit
d. HealthMcareMofMcommunitiesMandMpopulations
ANS:M D
InMpublicMhealthMnursingMtheMprimaryMfocusMisMonMtheMhealthMcareMofMcommunitiesMandMpopul
ationsMratherMthanMonMindividuals,Mgroups,MandMfamilies.MTheMgoalMisMtoMpreventMdiseaseMandMp
reserve,Mpromote,Mrestore,MandMprotectMhealthMforMtheMcommunityMandMtheMpopulationMwithinM
it.MCommunity-basedMnursesMdealMprimarilyMwithMillness-
orientedMcareMofMindividualsMandMfamiliesMacorssMtheMlifeMspan.MTheMaimMisMtoMamanageMacut
eMandMchronicMhealthMconditionsMinMtheMcommunity,MandMtheMfocusMofMpracticeMisMonMindividu
alMorMfamily-centeredMillnessMcare.
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, 4. WhichMofMtheMfollowingMisMresponsibleMforMtheMdramaticMincreaseMinMlifeMexpectancyMdurin
gMtheM20thMcentury?
a. TechnologyMincreasesMinMtheMfieldMofMmedicalMlaboratoryMresearch
b. AdvancesMinMsurgicalMtechniquesMandMprocedures
c. SanitationMandMotherMpopulation-basedMpreventionMprograms
d. UseMofMantibioticsMtoMfightMinfections
ANS:M C
ImprovementsMinMcontrolMofMinfectiousMdiseasesMthroughMimmunizations,Msanitation,MandMoth
erMpopulation-
basedMpreventionMprogramsMledMtoMtheMincreaseMinMlifeMexpectancyMfromMlessMthanM50MyearsMi
nM1900MtoMmoreMthanM78MyearsMinM2013.MAlthoughMpeopleMareMexcitedMwhenMaMnewMdrugMisMd
iscoveredMthatMcuresMaMdiseaseMorMwhenMaMnewMwayMtoMtransplantMorgansMisMperfected,MitMisMi
mportantMtoMknowMaboutMtheMsignificantMgainsMinMtheMhealthMofMpopulationsMthatMhaveMcomeM
largelyMfromMpublicMhealthMaccomplishments.
5. AMnurseMisMdevelopingMaMplanMtoMdecreaseMtheMnumberMofMprematureMdeathsMinMtheMcommu
nity.MWhichMofMtheMfollowingMinterventionsMwouldMmostMlikelyMbeMimplementedMbyMtheMnur
se?
a. IncreaseMtheMcommunity’sMknowledgeMaboutMhospiceMcare.
b. PromoteMhealthyMlifestyleMbehaviorMchoicesMamongMtheMcommunityMmembers.
c. EncourageMemployersMtoMhaveMwellnessMcentersMatMeachMindustrialMsite.
d. EnsureMtimelyMandMeffectiveMmedicalMinterventionMandMtreatmentMforMcommun
ityMmembers.
ANS:M B
PublicMhealthMapproachesMcouldMhelpMpreventMprematureMdeathsMbyMinfluencingMtheMwayMpe
opleMeat,Mdrink,Mdrive,MengageMinMexercise,MandMtreatMtheMenvironment.MIncreasingMknowledg
eMofMhospiceMcare,MencouragingMon-
siteMwellnessMcenters,MandMensuringMtimelyMtreatmentMofMmedical
conditionsMdoMnotMaddressMtheNfU
ocR
usSoIf N
imGpT
roBv.
inC ovMerallMhealthMthroughMhealthMpromotionMst
gMO
rategies.MThisMisMtheMmajorMmethodMthatMisMsuggestedMtoMdecreaseMtheMincidenceMofMprematu
re
death.
6. WhichMofMtheMfollowingMisMaMbasicMassumptionMofMpublicMhealthMefforts?
a. HealthMdisparitiesMamongManyMgroupsMareMmorallyMandMlegallyMwrong.
b. HealthMcareMisMtheMmostMimportantMpriorityMinMgovernmentMplanningMandMfunding.
c. TheMhealthMofMindividualsMcannotMbeMseparatedMfromMtheMhealthMofMtheMcommunity.
d. TheMgovernmentMisMresponsibleMforMlengtheningMtheMlifeMspanMofMAmericans.
ANS:M C
PublicMhealthMpracticeMfocusesMonMtheMcommunityMasMaMwhole,MandMtheMeffectM ofMtheMcommu
nity’sMhealthMstatusM(resources)MonMtheMhealthMofMindividuals,Mfamilies,MandMgroups.MTheMgoal
MisMtoMpreventMdiseaseMandMdisabilityMandMpromoteMandMprotectMtheMhealthMofMtheMcommunityM
asMaMwhole.MPublicMhealthMcanMbeMdescribedMasMwhatMsocietyMcollectivelyMdoesMtoMensureMthat
MconditionsMexistMinMwhichMpeopleMcanMbeMhealthy. MTheMbasicMassumptionsMofMpublicMhealthMd
oMnotMjudgeMtheMmoralityMofMhealthMdisparities.MTheMfocusMisMonMpreventionMofMillnessMnotMonM
spendingMmoreMonMillnessMcare.MAdditionally,MindividualMresponsibilityMforMmakingMhealthyMc
hoicesMisMtheMdirectiveMforMlengtheningMlifeMspanMnotMtheMroleMofMtheMgovernment.
7. WhichMofMtheMfollowingMactionsMwouldMmostMlikelyMbeMperformedMbyMaMpublicMhealthMnurse?
a. AskingMcommunityMleadersMwhatMinterventionsMshouldMbeMchosen
b. AssessingMtheMcommunityMandMdecidingMonMappropriateMinterventions
c. UsingMdataMfromMtheMmainMhealthMcareMinstitutionsMinMtheMcommunityMtoMdetermine
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, neededMhealthMservices
d. WorkingMwithMcommunityMgroupsMtoMcreateMpoliciesMtoMimproveMtheMenvironment
ANS:M D
AlthoughMtheMpublicMhealthMnurseMmightMengageMinManyMofMtheMtasksMlisted,MheMorMsheMworks
MprimarilyMwithMmembersMofMtheMcommunityMtoMcarryMoutMcoreMpublicMhealthMfunctions,Mincl
udingMassessmentMofMtheMpopulationMasMaMwholeMandMengagingMinMpromotingMhealthMandMimpr
ovingMtheMenvironment.MTheMinterventionsMofMaskingMcommunityMleadersMwhichMintervention
sMshouldMbeMchosen,MasessingMtheMcommunityMandMdecidingMonMappropriateMinterventions,Man
dMusingMdataMfromMhealthMcareMinstitutionsMdoMnotMdemonstrateMtheMengagementMofMtheMcom
munityMwhenMmakingMdecisionsMaboutMwhatMtheMcommunityMactuallyMwantsMandMneeds.
8. WhichMofMtheMfollowingMpublicMhealthMnursesMmostMclearlyMfulfillsMtheMresponsibilitiesMof
MthisMrole?
a. TheMnurseMwhoMmetMwithMseveralMgroupsMtoMdiscussMcommunityMrecreationMissues
b. TheMnurseMwhoMspentMtheMdayMattendingMmeetingsMofMvariousMhealthMagencies
c. TheMnurseMwhoMtalkedMtoMseveralMpeopleMaboutMtheirMparticularMhealthMconcerns
d. TheMnurseMwhoMwatchedMtheMcityMcouncilMmeetingMonMlocalMcableMtelevision
ANS:M B
AnyMofMtheseMdescriptionsMmightMrepresentMaMnurseMcommunicating,Mcooperating,MorMcollab
oratingMwithMcommunityMresidentsMorMgroupsMaboutMhealthMconcerns.MHowever,MtheMnurseMw
hoMspentMtheMdayMattendingMmeetingsMofMvariousMhealthMagenciesMisMtheMmostMrepresentative,
MbecauseMinMpublicMhealth,MconcernsMareMaddressedMfromMaMbroaderMperspective.M InMpublicMh
ealth,MbroadMconcernsMofMtheMcommunityMshouldMbeMaddressed.MConcernsMareMbroaderMthanMr
ecreation,MindividualMconcernsMareMnotMasMimportantMasMaggregateMpriorities,MandMwatchingMt
elevisionM(aMone-
wayMformMofMcommunication)MisMlessMeffectiveMthanMinteractingMwithMothers.
9. WhichMofMtheMfollowingMbestMdefinesMaggregate?
a. AMlargeMgroupMofMpersons
b. AMcollectionMofMindividualsMandMfamilies
c. AMcollectionMofMpeopleMwhoMshareMoneMorMmoreMcharacteristics
d. AnotherMnameMforMdemographicMgroup
ANS:M C
AnMaggregateMisMdefinedMaMcollectionMofMpeopleMwhoMshareMoneMorMmoreMpersonalMorMenvir
onmentalMcharacteristics.MMembersMofMaMcommunityMcanMbeMdefinedMinMtermsMofMeitherMgeo
graphyM(e.g.,MaMcounty,MaMgroupMofMcounties,MorMaMstate)MorMaMspecialMinterestM(e.g.,Mchildre
nMattendingMaMparticularMschool).MTheseMmembersMmakeMupMaMpopulation.MTheMtermMpopula
tionMmayMbeMusedMinterchangeablyMwithMtheMtermMaggregate.MAMlargeMgroupMofMpersons,MaMc
ollectionMofMindividualsMandMfamilies,MandManotherMnameMforMdemograhpicMgroupMareMnotMac
curateMdefinitionsMofMtheMtermMaggregate.
10. AMregisteredMnurseMwasMjustMemployedMasMaMpublicMhealthMnurse.MWhichMquestionMwouldMb
eMtheMmostMrelevantMforMtheMnurseMtoMask?
a. “WhichMgroupsMareMatMtheMgreatestMriskMforMproblems?”
b. “WhichMpatientsMshouldMIMseeMfirstMasM IMbeginMmyMday?”
c. “WithMwhichMphysiciansMwillMIMbeMmostMcloselyMcollaborating?”
d. “WithMwhichMnursingMassistantsMwillMIMpartnerMtheMmost?”
ANS:M A
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