, lOMoAR
ss
Chapter 01: Public Health Nursing and Population Health
ss ss ss ss ss ss ss
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Edition
ss ss ss ss ss ss ss ss ss ss
MULTIPLE
ssCHOICE
1. Which s s statement s s best s s describes s s community-based s s nursing?
a. A s s practice s s in s s which s s care s s is s s provided s s for s s individuals s s and s s families.
b. Providing s s care s s with s s a s s focus s s on s s the s s group‘s s s needs.
c. Giving s s care s s with s s a s s focus s s on s s the s s aggregate‘s s s needs.
d. A s s value s s system s s in s s which s s all s s clients s s receive s s optimal s s care.
ANS: s s A
By s s definition, s s community-based s s nursing s s is s s a s s setting-specific s s practice s s in s s which s s care s s is s s provided s s for s s ―sick‖
s s individuals s s and ssfamilieswhere s s they s s live, s s work, s s and s s attend s s school. s s The s s emphasis s s is s s on s s acute s s and s s chronic
s s care s s and s s the s s provision s s of sscomprehensive, s s coordinated, s s and s s continuous s s care. s s These s s nurses s s may s s be
s s generalists s s or s s specialists s s in s s maternal–infant, sspediatric, s s adult, s s or s s psychiatricmental s s health s s nursing. s s Community-
based s s nursing s s emphasizes s s acute s s and s s chronic s s care s s to ssindividuals s s and s s families, s s rather s s than s s focusing s s on
s s groups, s s aggregates, s s or s s systems.
2. Which s s statement s s best s s describes s s the s s goal s s of s s community-oriented s s nursing?
a. Providing s s care s s to s s individuals s s and s s families
b. Providing s s care s s to s s manage s s acute s s or s s chronic s s conditions
c. Giving s s direct s s care s s to s s ill s s individuals s s within s s their s s family s s setting
d. To s s preserve, s s protect, s s promote, s s or s s maintain s s health s s and s s prevent s s disease
ANS: s s D
By s s definition, s s community-oriented s s nursing s s has s s the s s goal s s of s s preserving, s s protecting, s s or s s maintaining s s health s s and
s s preventing ssdisease s s to promote s s the s s quality s s of s s life. s s All s s nurses s s may s s focus s s on s s individuals s s and s s families, s s give
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s s direct s s care s s to s s ill s s persons sswithin s s their s s family s s setting, s s and s s help s s manage s s acute s s or s s chronic s s conditions.
s s These s s definitions s s are s s not s s specific s s to s s community- ssoriented s s nursing.
3. Which s s of s s the s s following s s is s s the s s primary s s focus s s of ss public s s health s s nursing?
a. Families s s and s s groups
b. Illness-oriented s s care
c. Individuals s s within s s the s s family s s unit
d. Health s s care s s of s s communities s s and s s populations
ANS: s s D
In s s public s s health s s nursing, s s the s s primary s s focus s s is s s on s s the s s health s s care s s of s s communities s s and s s populations s s rather
s s than s s on s s individuals, ssgroups, s s and s s families. s s The s s goal s s is s s to s s prevent s s disease s s and s s preserve, s s promote, s s restore,
s s and s s protect s s health s s for s s the s s community ssand s s the s s population within s s it. s s Community-based s s nurses s s deal s s primarily
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s s with s s illness-oriented s s care s s of s s individuals s s and s s families ssacross s s the s s life s s span. s s The s s aim s s is s s to s s manage s s acute
s s and s s chronic s s health s s conditions s s in s s the s s community, s s and s s the s s focus s s of s s practice s s is s s on s s individual s s or
family-centered s s illness s s care.
4. Which s s of s s the s s following s s is s s responsible s s for s s the s s dramatic s s increase s s in ss life s s expectancy s s during s s the s s 20th s s century?
a. Technology s s increases s s in s s the s s field s s of s s medical s s laboratory s s research
b. Advances s s in s s surgical s s techniques s s and s s procedures
c. Sanitation s s and s s other s s population-based s s prevention s s programs
d. Use s s of s s antibiotics s s to s s fight s s infections
ANS: s s C
There s s has s s to s s be s s indisputable s s evidence s s collected s s over s s time s s that s s public s s health s s policies s s and s s programs s s were
s s primarily s s responsible s s for s s increasing s s the s s average s s life s s span s s from s s 47 s s in s s 1900 s s to s s 78.6 s s years s s in s s 2017, s s an
s s increase s s of s s approximately s s 60% ssin s s just s s over s s a s s century s s plusthrough s s improvements s s in s s (1) s s sanitation, s s (2)
s s clean s s water s s supplies, s s (3) s s making s s workplaces s s safer, s s (4) ssimproving s s food ssand s s drug s s safety,
(5) s s immunizing s s children, s s and s s (6) s s improving s s nutrition, s s hygiene, s s and s s housing. s s Although s s people s s are s s excited
s s when s s a s s new ssdrug s s is s s discovered s s that s s cures s s a s s disease s s or s s when s s a s s new s s way s s to s s transplant s s organs s s is
s s perfected, s s it s s is s s important s s to s s know ssabout s s the s s significant gains s s in s s the s s health s s of s s populations s s that s s have
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s s come s s largely s s from s s public s s health s s accomplishments.
5. A s s nurse s s is s s developing s s a s s plan s s to s s decrease s s the s s number s s of s s premature s s deaths s s in s s the s s community.
ss Which s s of s s the s s following ssinterventionswould s s most s s likely s s be s s implemented s s by s s the s s nurse?
a. Provide s s free s s health s s care s s to s s all s s citizens
b. To s s increase s s the s s number s s of s s individuals s s with s s access s s to s s effective s s health s s care s s benefits
c. Lower s s the s s cost s s of s s health s s care s s to s s the s s American s s population
d. To s s lessen s s the s s governmental s s burden s s of s s providing s s health s s care s s to s s Americans
ANS: s s B
The s s central s s feature s s in s s the s s Patient s s Protection s s and s s Affordable s s Care s s Act s s (ACA) s s of s s 2010 s s are s s the
s s mechanisms s s to s s increase s s the ssnumber s s ofpeople s s with s s health s s insurance. s s The s s care s s provided s s is s s not s s necessarily
s s free. s s While s s the s s cost s s of s s health s s care s s and s s the ssburden s s it s s places s s on s s theAmerican s s government s s are s s serious
s s concerns, s s they s s are s s not s s the s s primary s s focus s s of s s ACA.
Copyright s s © s s 2022, s s Elsevier s s Inc. s s All 1
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6. What s s is s s the s s basic s s assumption s s stated s s by s s Healthy s s People s s 2010 s s as s s it s s relates s s to s s public s s health ss efforts?
a. Health s s disparities s s among s s any s s groups s s are s s morally s s and s s legally s s wrong.
b. Health s s care s s is s s the s s most s s important s s priority s s in s s government s s planning s s and s s funding.
c. The s s health s s of s s individuals s s cannot s s be s s separated s s from s s the s s health s s of s s the s s community.
d. The s s government s s is s s responsible s s for s s lengthening s s the s s life s s span s s of s s Americans.
ANS: s s C
The s s major s s premise s s of s s Healthy s s People s s 2010 s s was s s that s s the s s health s s of s s the s s individual s s cannot s s be s s entirely
s s separate s s from s s the s s health ssof s s the s s larger s s community. s s Public s s health s s practice s s focuses s s on s s the s s community s s as
s s a s s whole, s s and s s the s s effect s s of s s the s s community‘s sshealth s s status s s (resources) s s on s s the s s health s s of s s individuals,
s s families, s s and s s groups. s s The s s goal s s is s s to s s prevent s s disease s s and s s disability s s and sspromote s s and s s protectthe s s health s s of
s s the s s community s s as s s a s s whole. s s Public s s health s s can s s be s s described s s as s s what s s society s s collectively ssdoes s s to s s ensure
s s that s s conditions s s exist s s in s s which s s people s s can s s be s s healthy. s s The s s basic s s assumptions s s of s s public s s health s s do s s not
s s judge ssthe s s morality s s of s s health s s disparities. s s The s s focus s s is s s on s s prevention s s of s s illness s s not s s on s s spending s s more
s s on s s illness s s care. s s Additionally, ssindividual s s responsibility s s for s s making s s healthy s s choices s s is s s the s s directive s s for
s s lengthening s s life s s span s s not s s the s s role s s of s s the s s government.
7. Which s s of s s the s s following s s actions s s would s s most s s likely s s be s s performed s s by s s a s s public s s health ss nurse?
a. Asking s s community s s leaders s s what s s interventions s s should s s be s s chosen
b. Assessing s s the s s community s s and s s deciding s s on s s appropriate s s interventions
c. Using s s data s s from s s the s s main s s health s s care s s institutions s s in s s the
community s s to ssdetermine needed s s health s s services
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d. Working s s with s s community s s groups s s to s s create s s policies s s to s s improve s s the s s environment
ANS: s s D
Although s s the s s public s s health s s nurse s s might s s engage s s in s s any s s of s s the s s tasks s s listed, s s he s s or s s she s s works s s primarily
s s with s s members s s of s s the sscommunityto s s carry s s out s s core s s public s s health s s functions, s s including s s assessment s s of s s the
s s population s s as s s a s s whole s s and s s engaging s s in sspromoting s s health s s and s s improving s s the s s environment. s s The s s interventions
s s of s s asking s s community s s leaders s s which s s interventions s s should ssbe s s chosen, s s assessing s s the s s community s s and s s deciding
s s on s s appropriate s s interventions, s s and s s using s s data s s from s s health s s care s s institutions ssdo s s not s s demonstrate s s the
s s engagement s s of s s the s s community s s when s s making s s decisions s s about s s what s s the s s community s s actually s s wants s s and
s s needs.
8. Which s s public s s health s s nurse s s most s s clearly s s fulfills s s the s s responsibilities s s of s s this s s role?
a. The s s nurse s s who s s met s s with s s several s s groups s s to s s discuss s s community s s recreation s s issues
b. The s s nurse s s who s s spent s s the s s day s s attending s s meetings s s of s s various s s health s s agencies
c. The s s nurse s s who s s talked s s to s s several s s people s s about s s their s s particular s s health s s concerns
d. The s s nurse s s who s s watched s s the s s city s s council s s meeting s s on s s local s s cable s s television
ANS: s s B
Any s s of s s these s s descriptions s s might s s represent s s a s s nurse s s communicating, s s cooperating, s s or s s collaborating s s with
s s community s s residents ssor s s groups s s about s s health s s concerns. s s A s s major s s challenge s s for s s the s s future s s is s s the s s need
s s for s s public s s health s s nursing s s specialists s s to s s be ssmore s s aggressive s s in s s working s s collaboratively s s with s s various
s s groups s s in s s the s s community s s as s s well s s as s s professional s s colleagues s s in ssinstitutional s s settings s s to s s deal s s with
s s barriers s s to s s health. s s However, s s the s s nurse s s who s s spent s s the s s day s s attending s s meetings s s of s s various sshealth s s agencies
s s is s s the s s most s s representative, s s because s s in s s public s s health, s s concerns s s are s s addressed s s from s s a s s broader s s perspective.
s s In sspublic s s health, s s broad s s concerns s s of s s the s s community s s should s s be s s addressed. s s Concerns s s are s s broader s s than
s s recreation, s s individual ssconcerns s s are s s not s s as s s important s s as s s aggregatepriorities, s s and s s watching s s television s s (a
s s one-way s s form s s of s s communication) s s is s s less sseffective s s than s s interacting s s with s s others.
9. Which s s of s s the s s following s s best s s defines s s aggregate?
a. A s s large s s group s s of s s persons
b. A s s collection s s of s s individuals s s and s s families
c. A s s collection s s of s s people s s who s s share s s one s s or s s more s s characteristics
d. Another s s name s s for s s demographic s s group
ANS: s s C
An s s aggregate s s is s s defined s s a s s collection s s of s s people s s who s s share s s one s s or s s more s s personal s s or s s environmental
s s characteristics. ssMembers s s of s s a s s community s s can s s be s s defined s s in s s terms s s of s s either s s geography s s (e.g., s s a s s county,
s s a s s group s s of s s counties, s s or s s a s s state) ssor s s a s s special s s interest s s (e.g., s s children s s attending s s a s s particular s s school).
s s These s s members s s make s s up s s a s s population. s s The s s term sspopulation s s may s s be s s used s s interchangeablywith s s the
s s term s s aggregate. s s A s s large s s group s s of s s persons, s s a s s collection s s of s s individuals ssand s s families, s s and s s another
s s name s s for s s demographic s s group s s are s s not s s accurate s s definitions s s of s s the s s term s s aggregate.
10. Which s s question s s asked s s by s s a ssnovice s s nurse s s would s s be s s the s s most s s reflective s s of s s an s s understanding s s of s s the
s s role s s of s s a s s public s s health ssnurse?
a. ―Which s s groups s s are s s at s s the s s greatest s s risk s s for s s problems?‖
b. ―Which s s patients s s should s s I s s see s s first s s as s s I s s begin s s my s s day?‖
c. ―With s s which s s physicians s s will s s I s s be s s most s s closely s s collaborating?‖
d. ―With s s which s s nursing s s assistants s s will s s I s s partner s s the s s most?‖
ANS: s s A
Asking s s which s s groups s s are s s at s s greatest s s risk s s reflects s s a s s community-oriented s s perspective. s s The s s incorrect
s s responses s s reflect s s a ssfocus s s on individuals s s rather s s than s s a s s community-oriented s s perspective.
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11. Making s s sure s s that s s essential s s community-oriented ss health s s services s s are s s available s s defines s s which s s of s s the s s core s s public
sshealth s s functions?
a. Policy s s development
b. Assessment
c. Assurance
d. Scientific s s knowledge-based s s care
ANS: s s C
Assurance s s includes s s making s s sure s s that s s essential s s community-oriented s s health s s services s s are s s available s s in s s the
Copyright s s © s s 2022, s s Elsevier s s Inc. s s All 2
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sscommunity. s s The ssdefinitiondoes s s not s s fit s s the s s terms s s assessment, s s policy s s development. s s Scientific s s knowledge-based
sscare s s is s s not s s a s s core s s function s s of sspublic s s health.
Assessment s s is s s systematic s s data s s collection s s on s s the s s population, s s monitoring s s the s s population‘s s s health s s status, s s and
s s making ssinformation s s available s s about s s the s s health s s of s s the s s community. s s Policy s s development s s refers s s to s s efforts s s to
s s develop s s policies s s that sssupport s s the s s health s s of s s thepopulation, s s including s s using s s a s s scientific s s knowledge s s base s s to
s s make s s policy s s decisions.
Copyright s s © s s 2022, s s Elsevier s s Inc. s s All 3
rights
ss
Chapter 01: Public Health Nursing and Population Health
ss ss ss ss ss ss ss
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Edition
ss ss ss ss ss ss ss ss ss ss
MULTIPLE
ssCHOICE
1. Which s s statement s s best s s describes s s community-based s s nursing?
a. A s s practice s s in s s which s s care s s is s s provided s s for s s individuals s s and s s families.
b. Providing s s care s s with s s a s s focus s s on s s the s s group‘s s s needs.
c. Giving s s care s s with s s a s s focus s s on s s the s s aggregate‘s s s needs.
d. A s s value s s system s s in s s which s s all s s clients s s receive s s optimal s s care.
ANS: s s A
By s s definition, s s community-based s s nursing s s is s s a s s setting-specific s s practice s s in s s which s s care s s is s s provided s s for s s ―sick‖
s s individuals s s and ssfamilieswhere s s they s s live, s s work, s s and s s attend s s school. s s The s s emphasis s s is s s on s s acute s s and s s chronic
s s care s s and s s the s s provision s s of sscomprehensive, s s coordinated, s s and s s continuous s s care. s s These s s nurses s s may s s be
s s generalists s s or s s specialists s s in s s maternal–infant, sspediatric, s s adult, s s or s s psychiatricmental s s health s s nursing. s s Community-
based s s nursing s s emphasizes s s acute s s and s s chronic s s care s s to ssindividuals s s and s s families, s s rather s s than s s focusing s s on
s s groups, s s aggregates, s s or s s systems.
2. Which s s statement s s best s s describes s s the s s goal s s of s s community-oriented s s nursing?
a. Providing s s care s s to s s individuals s s and s s families
b. Providing s s care s s to s s manage s s acute s s or s s chronic s s conditions
c. Giving s s direct s s care s s to s s ill s s individuals s s within s s their s s family s s setting
d. To s s preserve, s s protect, s s promote, s s or s s maintain s s health s s and s s prevent s s disease
ANS: s s D
By s s definition, s s community-oriented s s nursing s s has s s the s s goal s s of s s preserving, s s protecting, s s or s s maintaining s s health s s and
s s preventing ssdisease s s to promote s s the s s quality s s of s s life. s s All s s nurses s s may s s focus s s on s s individuals s s and s s families, s s give
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s s direct s s care s s to s s ill s s persons sswithin s s their s s family s s setting, s s and s s help s s manage s s acute s s or s s chronic s s conditions.
s s These s s definitions s s are s s not s s specific s s to s s community- ssoriented s s nursing.
3. Which s s of s s the s s following s s is s s the s s primary s s focus s s of ss public s s health s s nursing?
a. Families s s and s s groups
b. Illness-oriented s s care
c. Individuals s s within s s the s s family s s unit
d. Health s s care s s of s s communities s s and s s populations
ANS: s s D
In s s public s s health s s nursing, s s the s s primary s s focus s s is s s on s s the s s health s s care s s of s s communities s s and s s populations s s rather
s s than s s on s s individuals, ssgroups, s s and s s families. s s The s s goal s s is s s to s s prevent s s disease s s and s s preserve, s s promote, s s restore,
s s and s s protect s s health s s for s s the s s community ssand s s the s s population within s s it. s s Community-based s s nurses s s deal s s primarily
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s s with s s illness-oriented s s care s s of s s individuals s s and s s families ssacross s s the s s life s s span. s s The s s aim s s is s s to s s manage s s acute
s s and s s chronic s s health s s conditions s s in s s the s s community, s s and s s the s s focus s s of s s practice s s is s s on s s individual s s or
family-centered s s illness s s care.
4. Which s s of s s the s s following s s is s s responsible s s for s s the s s dramatic s s increase s s in ss life s s expectancy s s during s s the s s 20th s s century?
a. Technology s s increases s s in s s the s s field s s of s s medical s s laboratory s s research
b. Advances s s in s s surgical s s techniques s s and s s procedures
c. Sanitation s s and s s other s s population-based s s prevention s s programs
d. Use s s of s s antibiotics s s to s s fight s s infections
ANS: s s C
There s s has s s to s s be s s indisputable s s evidence s s collected s s over s s time s s that s s public s s health s s policies s s and s s programs s s were
s s primarily s s responsible s s for s s increasing s s the s s average s s life s s span s s from s s 47 s s in s s 1900 s s to s s 78.6 s s years s s in s s 2017, s s an
s s increase s s of s s approximately s s 60% ssin s s just s s over s s a s s century s s plusthrough s s improvements s s in s s (1) s s sanitation, s s (2)
s s clean s s water s s supplies, s s (3) s s making s s workplaces s s safer, s s (4) ssimproving s s food ssand s s drug s s safety,
(5) s s immunizing s s children, s s and s s (6) s s improving s s nutrition, s s hygiene, s s and s s housing. s s Although s s people s s are s s excited
s s when s s a s s new ssdrug s s is s s discovered s s that s s cures s s a s s disease s s or s s when s s a s s new s s way s s to s s transplant s s organs s s is
s s perfected, s s it s s is s s important s s to s s know ssabout s s the s s significant gains s s in s s the s s health s s of s s populations s s that s s have
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s s come s s largely s s from s s public s s health s s accomplishments.
5. A s s nurse s s is s s developing s s a s s plan s s to s s decrease s s the s s number s s of s s premature s s deaths s s in s s the s s community.
ss Which s s of s s the s s following ssinterventionswould s s most s s likely s s be s s implemented s s by s s the s s nurse?
a. Provide s s free s s health s s care s s to s s all s s citizens
b. To s s increase s s the s s number s s of s s individuals s s with s s access s s to s s effective s s health s s care s s benefits
c. Lower s s the s s cost s s of s s health s s care s s to s s the s s American s s population
d. To s s lessen s s the s s governmental s s burden s s of s s providing s s health s s care s s to s s Americans
ANS: s s B
The s s central s s feature s s in s s the s s Patient s s Protection s s and s s Affordable s s Care s s Act s s (ACA) s s of s s 2010 s s are s s the
s s mechanisms s s to s s increase s s the ssnumber s s ofpeople s s with s s health s s insurance. s s The s s care s s provided s s is s s not s s necessarily
s s free. s s While s s the s s cost s s of s s health s s care s s and s s the ssburden s s it s s places s s on s s theAmerican s s government s s are s s serious
s s concerns, s s they s s are s s not s s the s s primary s s focus s s of s s ACA.
Copyright s s © s s 2022, s s Elsevier s s Inc. s s All 1
rights
, lOMoAR
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6. What s s is s s the s s basic s s assumption s s stated s s by s s Healthy s s People s s 2010 s s as s s it s s relates s s to s s public s s health ss efforts?
a. Health s s disparities s s among s s any s s groups s s are s s morally s s and s s legally s s wrong.
b. Health s s care s s is s s the s s most s s important s s priority s s in s s government s s planning s s and s s funding.
c. The s s health s s of s s individuals s s cannot s s be s s separated s s from s s the s s health s s of s s the s s community.
d. The s s government s s is s s responsible s s for s s lengthening s s the s s life s s span s s of s s Americans.
ANS: s s C
The s s major s s premise s s of s s Healthy s s People s s 2010 s s was s s that s s the s s health s s of s s the s s individual s s cannot s s be s s entirely
s s separate s s from s s the s s health ssof s s the s s larger s s community. s s Public s s health s s practice s s focuses s s on s s the s s community s s as
s s a s s whole, s s and s s the s s effect s s of s s the s s community‘s sshealth s s status s s (resources) s s on s s the s s health s s of s s individuals,
s s families, s s and s s groups. s s The s s goal s s is s s to s s prevent s s disease s s and s s disability s s and sspromote s s and s s protectthe s s health s s of
s s the s s community s s as s s a s s whole. s s Public s s health s s can s s be s s described s s as s s what s s society s s collectively ssdoes s s to s s ensure
s s that s s conditions s s exist s s in s s which s s people s s can s s be s s healthy. s s The s s basic s s assumptions s s of s s public s s health s s do s s not
s s judge ssthe s s morality s s of s s health s s disparities. s s The s s focus s s is s s on s s prevention s s of s s illness s s not s s on s s spending s s more
s s on s s illness s s care. s s Additionally, ssindividual s s responsibility s s for s s making s s healthy s s choices s s is s s the s s directive s s for
s s lengthening s s life s s span s s not s s the s s role s s of s s the s s government.
7. Which s s of s s the s s following s s actions s s would s s most s s likely s s be s s performed s s by s s a s s public s s health ss nurse?
a. Asking s s community s s leaders s s what s s interventions s s should s s be s s chosen
b. Assessing s s the s s community s s and s s deciding s s on s s appropriate s s interventions
c. Using s s data s s from s s the s s main s s health s s care s s institutions s s in s s the
community s s to ssdetermine needed s s health s s services
ss uu
d. Working s s with s s community s s groups s s to s s create s s policies s s to s s improve s s the s s environment
ANS: s s D
Although s s the s s public s s health s s nurse s s might s s engage s s in s s any s s of s s the s s tasks s s listed, s s he s s or s s she s s works s s primarily
s s with s s members s s of s s the sscommunityto s s carry s s out s s core s s public s s health s s functions, s s including s s assessment s s of s s the
s s population s s as s s a s s whole s s and s s engaging s s in sspromoting s s health s s and s s improving s s the s s environment. s s The s s interventions
s s of s s asking s s community s s leaders s s which s s interventions s s should ssbe s s chosen, s s assessing s s the s s community s s and s s deciding
s s on s s appropriate s s interventions, s s and s s using s s data s s from s s health s s care s s institutions ssdo s s not s s demonstrate s s the
s s engagement s s of s s the s s community s s when s s making s s decisions s s about s s what s s the s s community s s actually s s wants s s and
s s needs.
8. Which s s public s s health s s nurse s s most s s clearly s s fulfills s s the s s responsibilities s s of s s this s s role?
a. The s s nurse s s who s s met s s with s s several s s groups s s to s s discuss s s community s s recreation s s issues
b. The s s nurse s s who s s spent s s the s s day s s attending s s meetings s s of s s various s s health s s agencies
c. The s s nurse s s who s s talked s s to s s several s s people s s about s s their s s particular s s health s s concerns
d. The s s nurse s s who s s watched s s the s s city s s council s s meeting s s on s s local s s cable s s television
ANS: s s B
Any s s of s s these s s descriptions s s might s s represent s s a s s nurse s s communicating, s s cooperating, s s or s s collaborating s s with
s s community s s residents ssor s s groups s s about s s health s s concerns. s s A s s major s s challenge s s for s s the s s future s s is s s the s s need
s s for s s public s s health s s nursing s s specialists s s to s s be ssmore s s aggressive s s in s s working s s collaboratively s s with s s various
s s groups s s in s s the s s community s s as s s well s s as s s professional s s colleagues s s in ssinstitutional s s settings s s to s s deal s s with
s s barriers s s to s s health. s s However, s s the s s nurse s s who s s spent s s the s s day s s attending s s meetings s s of s s various sshealth s s agencies
s s is s s the s s most s s representative, s s because s s in s s public s s health, s s concerns s s are s s addressed s s from s s a s s broader s s perspective.
s s In sspublic s s health, s s broad s s concerns s s of s s the s s community s s should s s be s s addressed. s s Concerns s s are s s broader s s than
s s recreation, s s individual ssconcerns s s are s s not s s as s s important s s as s s aggregatepriorities, s s and s s watching s s television s s (a
s s one-way s s form s s of s s communication) s s is s s less sseffective s s than s s interacting s s with s s others.
9. Which s s of s s the s s following s s best s s defines s s aggregate?
a. A s s large s s group s s of s s persons
b. A s s collection s s of s s individuals s s and s s families
c. A s s collection s s of s s people s s who s s share s s one s s or s s more s s characteristics
d. Another s s name s s for s s demographic s s group
ANS: s s C
An s s aggregate s s is s s defined s s a s s collection s s of s s people s s who s s share s s one s s or s s more s s personal s s or s s environmental
s s characteristics. ssMembers s s of s s a s s community s s can s s be s s defined s s in s s terms s s of s s either s s geography s s (e.g., s s a s s county,
s s a s s group s s of s s counties, s s or s s a s s state) ssor s s a s s special s s interest s s (e.g., s s children s s attending s s a s s particular s s school).
s s These s s members s s make s s up s s a s s population. s s The s s term sspopulation s s may s s be s s used s s interchangeablywith s s the
s s term s s aggregate. s s A s s large s s group s s of s s persons, s s a s s collection s s of s s individuals ssand s s families, s s and s s another
s s name s s for s s demographic s s group s s are s s not s s accurate s s definitions s s of s s the s s term s s aggregate.
10. Which s s question s s asked s s by s s a ssnovice s s nurse s s would s s be s s the s s most s s reflective s s of s s an s s understanding s s of s s the
s s role s s of s s a s s public s s health ssnurse?
a. ―Which s s groups s s are s s at s s the s s greatest s s risk s s for s s problems?‖
b. ―Which s s patients s s should s s I s s see s s first s s as s s I s s begin s s my s s day?‖
c. ―With s s which s s physicians s s will s s I s s be s s most s s closely s s collaborating?‖
d. ―With s s which s s nursing s s assistants s s will s s I s s partner s s the s s most?‖
ANS: s s A
Asking s s which s s groups s s are s s at s s greatest s s risk s s reflects s s a s s community-oriented s s perspective. s s The s s incorrect
s s responses s s reflect s s a ssfocus s s on individuals s s rather s s than s s a s s community-oriented s s perspective.
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11. Making s s sure s s that s s essential s s community-oriented ss health s s services s s are s s available s s defines s s which s s of s s the s s core s s public
sshealth s s functions?
a. Policy s s development
b. Assessment
c. Assurance
d. Scientific s s knowledge-based s s care
ANS: s s C
Assurance s s includes s s making s s sure s s that s s essential s s community-oriented s s health s s services s s are s s available s s in s s the
Copyright s s © s s 2022, s s Elsevier s s Inc. s s All 2
rights
, lOMoAR
ss
sscommunity. s s The ssdefinitiondoes s s not s s fit s s the s s terms s s assessment, s s policy s s development. s s Scientific s s knowledge-based
sscare s s is s s not s s a s s core s s function s s of sspublic s s health.
Assessment s s is s s systematic s s data s s collection s s on s s the s s population, s s monitoring s s the s s population‘s s s health s s status, s s and
s s making ssinformation s s available s s about s s the s s health s s of s s the s s community. s s Policy s s development s s refers s s to s s efforts s s to
s s develop s s policies s s that sssupport s s the s s health s s of s s thepopulation, s s including s s using s s a s s scientific s s knowledge s s base s s to
s s make s s policy s s decisions.
Copyright s s © s s 2022, s s Elsevier s s Inc. s s All 3
rights
