ertyg
g
g
Aplus001gwertyug
, ertyg
g
Chapterg01:gCommunity-gandgPrevention-OrientedgPracticegtogImprovegPopulationg
Healthg g
g
MULTIPLEgCHOICEg
g
1. Whichgofgthegfollowinggbestgdescribesgcommunity-basedgnursing?g
a. Agpracticegingwhichgcaregisgprovidedgforgindividualsgandgfamiliesg
b. Providinggcaregwithgagfocusgongtheggroup’sgneedsg
c. Givinggcaregwithgagfocusgongthegaggregate’sgneedsg
d. Agvaluegsystemgingwhichgallgclientsgreceivegoptimalgcareg
ANS:gAg
Bygdefinition,gcommunity-basedgnursinggisgagsetting-
specificgpracticegingwhichgcaregisgprovidedgforg“sick”gindividualsgandgfamiliesgwheregtheygliv
e,gwork,gandgattendgschool.gThegemphasisgisgongacutegandgchronicgcaregandgthegprovisiongofgc
omprehensive,gcoordinated,gandgcontinuousgcare.gThesegnursesgmaygbeggeneralistsgorgspeciali
stsgingmaternal–infant,gpediatric,gadult,gorgpsychiatricgmentalghealthgnursing.gCommunity-
basedgnursinggemphasizesgacutegandgchronicgcaregtogindividualsgandgfamilies,grathergthangfoc
usinggonggroups,gaggregates,gorgsystems.g
g
2. Whichgofgthegfollowinggbestgdescribesgcommunity-orientedgnursing?g
a. Focusinggongthegprovisiongofgcaregtogindividualsgandgfamiliesg
b. Providinggcaregtogmanagegacutegorgchronicgconditionsg
N
c. Givinggdirectgcaregtogillgin diUv
R idu aI ls g wGgitandhBingdisease.thCeirMfagprev
g S N
g g
entionmilygsettinggg
d. Havinggtheggoalgofghealthgpromotion
ANS:gDg
Bygdefinition,gcommunity-
orientedgnursingghasgtheggoalgofgpreserving,gprotecting,gorgmaintainingghealthgandgpreventingg
diseasegtogpromotegthegqualitygofglife.gAllgnursesgmaygfocusgongindividualsgandgfamilies,ggive
gdirectgcaregtogillgpersonsgwithingtheirgfamilygsetting,gandghelpgmanagegacutegorgchronicgcondi
tions.gThesegdefinitionsgaregnotgspecificgtogcommunity-orientedgnursing.g
g
3. Whichgofgthegfollowinggisgthegprimarygfocusgofgpublicghealthgnursing?g
a.Familiesgandggroupsg
b.Illness-orientedgcareg
c.Individualsgwithingthegfamilygunitg
d.Healthgcaregofgcommunitiesgandgpopulationsg
ANS:gDg
Ingpublicghealthgnursinggthegprimarygfocusgisgongtheghealthgcaregofgcommunitiesgandgpopulati
onsgrathergthangongindividuals,ggroups,gandgfamilies.gTheggoalgisgtogpreventgdiseasegandgprese
rve,gpromote,grestore,gandgprotectghealthgforgthegcommunitygandgthegpopulationgwithingit.gCo
mmunity-basedgnursesgdealgprimarilygwithgillness-
orientedgcaregofgindividualsgandgfamiliesgacorssgtheglifegspan.gThegaimgisgtogamanagegacutegan
dgchronicghealthgconditionsgingthegcommunity,gandgthegfocusgofgpracticegisgongindividualgorgfa
mily-centeredgillnessgcare.g
4. Whichgofgthegfollowinggisgresponsiblegforgthegdramaticgincreaseginglifegexpectancygduringgth
eg20thgcentury?g
a. Technologygincreasesgingthegfieldgofgmedicalglaboratorygresearchg
Aplus001gwertyug
, ertyg
g
b. Advancesgingsurgicalgtechniquesgandgproceduresg
c. Sanitationgandgothergpopulation-basedgpreventiongprogramsg
d. Usegofgantibioticsgtogfightginfectionsg
ANS:gCg
Improvementsgingcontrolgofginfectiousgdiseasesgthroughgimmunizations,gsanitation,gandgotherg
population-
basedgpreventiongprogramsgledgtogthegincreaseginglifegexpectancygfromglessgthang50gyearsging1
900gtogmoregthang78gyearsging2013.gAlthoughgpeoplegaregexcitedgwhengagnewgdruggisgdiscove
redgthatgcuresgagdiseasegorgwhengagnewgwaygtogtransplantgorgansgisgperfected,gitgisgimportantgt
ogknowgaboutgthegsignificantggainsgingtheghealthgofgpopulationsgthatghavegcomeglargelygfromg
publicghealthgaccomplishments.g
g
5. Agnursegisgdevelopinggagplangtogdecreasegthegnumbergofgprematuregdeathsgingthegcommunity.
g
Whichgofgthegfollowingginterventionsgwouldgmostglikelygbegimplementedgbygthegnurse?
ga.gIncreasegthegcommunity’sgknowledgegaboutghospicegcare.g
b. Promoteghealthyglifestylegbehaviorgchoicesgamonggthegcommunitygmembers.g
c. Encouragegemployersgtoghavegwellnessgcentersgatgeachgindustrialgsite.g
d. Ensuregtimelygandgeffectivegmedicalginterventiongandgtreatmentgforgcommunitygmembers.g
ANS:gBg
Publicghealthgapproachesgcouldghelpgpreventgprematuregdeathsgbyginfluencinggthegwaygpeople
geat,gdrink,gdrive,gengagegingexercise,gandgtreatgthegenvironment.gIncreasinggknowledgegofgho
spicegcare,gencouraginggon-
sitegwellnessgcenters,gandgensuringgtimelygtreatmentgofgmedicalgconditionsgdognotgaddressgthe
NfUocRusSoIfNimGpTroBv.inCggOovMerallghealthgthroughghealthgpromotiongstrategie
s.gThisgisgthegmajorgmethodgthatgisgsuggestedgtogdecreasegthegincidencegofgprematuregdeath.g
6. Whichgofgthegfollowinggisgagbasicgassumptiongofgpublicghealthgefforts?g
a.Healthgdisparitiesgamongganyggroupsgaregmorallygandglegallygwrong.g
b.Healthgcaregisgthegmostgimportantgpriorityginggovernmentgplanninggandgfunding.g
c.Theghealthgofgindividualsgcannotgbegseparatedgfromgtheghealthgofgthegcommunity.g
d.TheggovernmentgisgresponsiblegforglengtheninggtheglifegspangofgAmericans.g
ANS:gCg
Publicghealthgpracticegfocusesgongthegcommunitygasgagwhole,gandgthegeffectgofgthegcommunity
’sghealthgstatusg(resources)gongtheghealthgofgindividuals,gfamilies,gandggroups.gTheggoalgisgtog
preventgdiseasegandgdisabilitygandgpromotegandgprotectgtheghealthgofgthegcommunitygasgagwho
le.gPublicghealthgcangbegdescribedgasgwhatgsocietygcollectivelygdoesgtogensuregthatgconditionsg
existgingwhichgpeoplegcangbeghealthy.gThegbasicgassumptionsgofgpublicghealthgdognotgjudgegth
egmoralitygofghealthgdisparities.gThegfocusgisgongpreventiongofgillnessgnotgongspendinggmorego
ngillnessgcare.gAdditionally,gindividualgresponsibilitygforgmakingghealthygchoicesgisgthegdirect
ivegforglengtheningglifegspangnotgthegrolegofgtheggovernment.g
g
7. Whichgofgthegfollowinggactionsgwouldgmostglikelygbegperformedgbygagpublicghealthgnurse?g
a. Askinggcommunitygleadersgwhatginterventionsgshouldgbegchoseng
b. Assessinggthegcommunitygandgdecidinggongappropriateginterventionsg
c. Usinggdatagfromgthegmainghealthgcareginstitutionsgingthegcommunitygtogdetermineg
neededghealthgservicesg
d. Workinggwithgcommunityggroupsgtogcreategpoliciesgtogimprovegthegenvironmentg
ANS:gDg
Aplus001gwertyug
, ertyg
g
Althoughgthegpublicghealthgnursegmightgengageginganygofgthegtasksglisted,ghegorgshegworksgpri
marilygwithgmembersgofgthegcommunitygtogcarrygoutgcoregpublicghealthgfunctions,gincludingga
ssessmentgofgthegpopulationgasgagwholegandgengaginggingpromotingghealthgandgimprovinggtheg
environment.gTheginterventionsgofgaskinggcommunitygleadersgwhichginterventionsgshouldgbeg
chosen,gasessinggthegcommunitygandgdecidinggongappropriateginterventions,gandgusinggdatagfr
omghealthgcareginstitutionsgdognotgdemonstrategthegengagementgofgthegcommunitygwhengmaki
nggdecisionsgaboutgwhatgthegcommunitygactuallygwantsgandgneeds.g
g
8. Whichgofgthegfollowinggpublicghealthgnursesgmostgclearlygfulfillsgthegresponsibilitiesgofgthisg
role?g
a. Thegnursegwhogmetgwithgseveralggroupsgtogdiscussgcommunitygrecreationgissuesg
b. Thegnursegwhogspentgthegdaygattendinggmeetingsgofgvariousghealthgagenciesg
c. Thegnursegwhogtalkedgtogseveralgpeoplegaboutgtheirgparticularghealthgconcernsg
d. Thegnursegwhogwatchedgthegcitygcouncilgmeetinggonglocalgcablegtelevisiong
ANS:gBg
Anygofgthesegdescriptionsgmightgrepresentgagnursegcommunicating,gcooperating,gorgcollaborati
nggwithgcommunitygresidentsgorggroupsgaboutghealthgconcerns.gHowever,gthegnursegwhogspen
tgthegdaygattendinggmeetingsgofgvariousghealthgagenciesgisgthegmostgrepresentative,gbecausegin
gpublicghealth,gconcernsgaregaddressedgfromgagbroadergperspective.gIngpublicghealth,gbroadgco
ncernsgofgthegcommunitygshouldgbegaddressed.gConcernsgaregbroadergthangrecreation,gindivid
ualgconcernsgaregnotgasgimportantgasgaggregategpriorities,gandgwatchinggtelevisiong(agone-
waygformgofgcommunication)gisglessgeffectivegthanginteractinggwithgothers.g
g
9. Whichgofgthegfollowinggbestgdefinesgaggregate?g
a. Aglargeggroupgofgpersonsg
b. Agcollectiongofgindividualsgandgfamiliesg
c. Agcollectiongofgpeoplegwhogsharegonegorgmoregcharacteristicsg
d. Anothergnamegforgdemographicggroupg
ANS:gCg
Angaggregategisgdefinedgagcollectiongofgpeoplegwhogsharegonegorgmoregpersonalgorgenvironme
ntalgcharacteristics.gMembersgofgagcommunitygcangbegdefinedgingtermsgofgeitherggeographyg(e
.g.,gagcounty,gaggroupgofgcounties,gorgagstate)gorgagspecialginterestg(e.g.,gchildrengattendinggagp
articulargschool).gThesegmembersgmakegupgagpopulation.gThegtermgpopulationgmaygbegusedgin
terchangeablygwithgthegtermgaggregate.gAglargeggroupgofgpersons,gagcollectiongofgindividualsg
andgfamilies,gandganothergnamegforgdemograhpicggroupgaregnotgaccurategdefinitionsgofgthegter
mgaggregate.g
g
10. Agregisteredgnursegwasgjustgemployedgasgagpublicghealthgnurse.gWhichgquestiongwouldgbegth
egmostgrelevantgforgthegnursegtogask?g
a. “Whichggroupsgaregatgtheggreatestgriskgforgproblems?”g
b. “WhichgpatientsgshouldgIgseegfirstgasgIgbegingmygday?”g
c. “WithgwhichgphysiciansgwillgIgbegmostgcloselygcollaborating?”g
d. “WithgwhichgnursinggassistantsgwillgIgpartnergthegmost?”g
ANS:gAg
Askinggwhichggroupsgaregatggreatestgriskgreflectsgagcommunity-
orientedgperspective.gThegincorrectgresponsesgreflectgagfocusgongindividualsgrathergthangagcom
munity-orientedgperspective.g
g
11. Makinggsuregthatgessentialgcommunity-
orientedghealthgservicesgaregavailablegdefinesgwhichgofgthegcoregpublicghealthgfunctions?ga.gP
olicygdevelopmentg
Aplus001gwertyug
g
g
Aplus001gwertyug
, ertyg
g
Chapterg01:gCommunity-gandgPrevention-OrientedgPracticegtogImprovegPopulationg
Healthg g
g
MULTIPLEgCHOICEg
g
1. Whichgofgthegfollowinggbestgdescribesgcommunity-basedgnursing?g
a. Agpracticegingwhichgcaregisgprovidedgforgindividualsgandgfamiliesg
b. Providinggcaregwithgagfocusgongtheggroup’sgneedsg
c. Givinggcaregwithgagfocusgongthegaggregate’sgneedsg
d. Agvaluegsystemgingwhichgallgclientsgreceivegoptimalgcareg
ANS:gAg
Bygdefinition,gcommunity-basedgnursinggisgagsetting-
specificgpracticegingwhichgcaregisgprovidedgforg“sick”gindividualsgandgfamiliesgwheregtheygliv
e,gwork,gandgattendgschool.gThegemphasisgisgongacutegandgchronicgcaregandgthegprovisiongofgc
omprehensive,gcoordinated,gandgcontinuousgcare.gThesegnursesgmaygbeggeneralistsgorgspeciali
stsgingmaternal–infant,gpediatric,gadult,gorgpsychiatricgmentalghealthgnursing.gCommunity-
basedgnursinggemphasizesgacutegandgchronicgcaregtogindividualsgandgfamilies,grathergthangfoc
usinggonggroups,gaggregates,gorgsystems.g
g
2. Whichgofgthegfollowinggbestgdescribesgcommunity-orientedgnursing?g
a. Focusinggongthegprovisiongofgcaregtogindividualsgandgfamiliesg
b. Providinggcaregtogmanagegacutegorgchronicgconditionsg
N
c. Givinggdirectgcaregtogillgin diUv
R idu aI ls g wGgitandhBingdisease.thCeirMfagprev
g S N
g g
entionmilygsettinggg
d. Havinggtheggoalgofghealthgpromotion
ANS:gDg
Bygdefinition,gcommunity-
orientedgnursingghasgtheggoalgofgpreserving,gprotecting,gorgmaintainingghealthgandgpreventingg
diseasegtogpromotegthegqualitygofglife.gAllgnursesgmaygfocusgongindividualsgandgfamilies,ggive
gdirectgcaregtogillgpersonsgwithingtheirgfamilygsetting,gandghelpgmanagegacutegorgchronicgcondi
tions.gThesegdefinitionsgaregnotgspecificgtogcommunity-orientedgnursing.g
g
3. Whichgofgthegfollowinggisgthegprimarygfocusgofgpublicghealthgnursing?g
a.Familiesgandggroupsg
b.Illness-orientedgcareg
c.Individualsgwithingthegfamilygunitg
d.Healthgcaregofgcommunitiesgandgpopulationsg
ANS:gDg
Ingpublicghealthgnursinggthegprimarygfocusgisgongtheghealthgcaregofgcommunitiesgandgpopulati
onsgrathergthangongindividuals,ggroups,gandgfamilies.gTheggoalgisgtogpreventgdiseasegandgprese
rve,gpromote,grestore,gandgprotectghealthgforgthegcommunitygandgthegpopulationgwithingit.gCo
mmunity-basedgnursesgdealgprimarilygwithgillness-
orientedgcaregofgindividualsgandgfamiliesgacorssgtheglifegspan.gThegaimgisgtogamanagegacutegan
dgchronicghealthgconditionsgingthegcommunity,gandgthegfocusgofgpracticegisgongindividualgorgfa
mily-centeredgillnessgcare.g
4. Whichgofgthegfollowinggisgresponsiblegforgthegdramaticgincreaseginglifegexpectancygduringgth
eg20thgcentury?g
a. Technologygincreasesgingthegfieldgofgmedicalglaboratorygresearchg
Aplus001gwertyug
, ertyg
g
b. Advancesgingsurgicalgtechniquesgandgproceduresg
c. Sanitationgandgothergpopulation-basedgpreventiongprogramsg
d. Usegofgantibioticsgtogfightginfectionsg
ANS:gCg
Improvementsgingcontrolgofginfectiousgdiseasesgthroughgimmunizations,gsanitation,gandgotherg
population-
basedgpreventiongprogramsgledgtogthegincreaseginglifegexpectancygfromglessgthang50gyearsging1
900gtogmoregthang78gyearsging2013.gAlthoughgpeoplegaregexcitedgwhengagnewgdruggisgdiscove
redgthatgcuresgagdiseasegorgwhengagnewgwaygtogtransplantgorgansgisgperfected,gitgisgimportantgt
ogknowgaboutgthegsignificantggainsgingtheghealthgofgpopulationsgthatghavegcomeglargelygfromg
publicghealthgaccomplishments.g
g
5. Agnursegisgdevelopinggagplangtogdecreasegthegnumbergofgprematuregdeathsgingthegcommunity.
g
Whichgofgthegfollowingginterventionsgwouldgmostglikelygbegimplementedgbygthegnurse?
ga.gIncreasegthegcommunity’sgknowledgegaboutghospicegcare.g
b. Promoteghealthyglifestylegbehaviorgchoicesgamonggthegcommunitygmembers.g
c. Encouragegemployersgtoghavegwellnessgcentersgatgeachgindustrialgsite.g
d. Ensuregtimelygandgeffectivegmedicalginterventiongandgtreatmentgforgcommunitygmembers.g
ANS:gBg
Publicghealthgapproachesgcouldghelpgpreventgprematuregdeathsgbyginfluencinggthegwaygpeople
geat,gdrink,gdrive,gengagegingexercise,gandgtreatgthegenvironment.gIncreasinggknowledgegofgho
spicegcare,gencouraginggon-
sitegwellnessgcenters,gandgensuringgtimelygtreatmentgofgmedicalgconditionsgdognotgaddressgthe
NfUocRusSoIfNimGpTroBv.inCggOovMerallghealthgthroughghealthgpromotiongstrategie
s.gThisgisgthegmajorgmethodgthatgisgsuggestedgtogdecreasegthegincidencegofgprematuregdeath.g
6. Whichgofgthegfollowinggisgagbasicgassumptiongofgpublicghealthgefforts?g
a.Healthgdisparitiesgamongganyggroupsgaregmorallygandglegallygwrong.g
b.Healthgcaregisgthegmostgimportantgpriorityginggovernmentgplanninggandgfunding.g
c.Theghealthgofgindividualsgcannotgbegseparatedgfromgtheghealthgofgthegcommunity.g
d.TheggovernmentgisgresponsiblegforglengtheninggtheglifegspangofgAmericans.g
ANS:gCg
Publicghealthgpracticegfocusesgongthegcommunitygasgagwhole,gandgthegeffectgofgthegcommunity
’sghealthgstatusg(resources)gongtheghealthgofgindividuals,gfamilies,gandggroups.gTheggoalgisgtog
preventgdiseasegandgdisabilitygandgpromotegandgprotectgtheghealthgofgthegcommunitygasgagwho
le.gPublicghealthgcangbegdescribedgasgwhatgsocietygcollectivelygdoesgtogensuregthatgconditionsg
existgingwhichgpeoplegcangbeghealthy.gThegbasicgassumptionsgofgpublicghealthgdognotgjudgegth
egmoralitygofghealthgdisparities.gThegfocusgisgongpreventiongofgillnessgnotgongspendinggmorego
ngillnessgcare.gAdditionally,gindividualgresponsibilitygforgmakingghealthygchoicesgisgthegdirect
ivegforglengtheningglifegspangnotgthegrolegofgtheggovernment.g
g
7. Whichgofgthegfollowinggactionsgwouldgmostglikelygbegperformedgbygagpublicghealthgnurse?g
a. Askinggcommunitygleadersgwhatginterventionsgshouldgbegchoseng
b. Assessinggthegcommunitygandgdecidinggongappropriateginterventionsg
c. Usinggdatagfromgthegmainghealthgcareginstitutionsgingthegcommunitygtogdetermineg
neededghealthgservicesg
d. Workinggwithgcommunityggroupsgtogcreategpoliciesgtogimprovegthegenvironmentg
ANS:gDg
Aplus001gwertyug
, ertyg
g
Althoughgthegpublicghealthgnursegmightgengageginganygofgthegtasksglisted,ghegorgshegworksgpri
marilygwithgmembersgofgthegcommunitygtogcarrygoutgcoregpublicghealthgfunctions,gincludingga
ssessmentgofgthegpopulationgasgagwholegandgengaginggingpromotingghealthgandgimprovinggtheg
environment.gTheginterventionsgofgaskinggcommunitygleadersgwhichginterventionsgshouldgbeg
chosen,gasessinggthegcommunitygandgdecidinggongappropriateginterventions,gandgusinggdatagfr
omghealthgcareginstitutionsgdognotgdemonstrategthegengagementgofgthegcommunitygwhengmaki
nggdecisionsgaboutgwhatgthegcommunitygactuallygwantsgandgneeds.g
g
8. Whichgofgthegfollowinggpublicghealthgnursesgmostgclearlygfulfillsgthegresponsibilitiesgofgthisg
role?g
a. Thegnursegwhogmetgwithgseveralggroupsgtogdiscussgcommunitygrecreationgissuesg
b. Thegnursegwhogspentgthegdaygattendinggmeetingsgofgvariousghealthgagenciesg
c. Thegnursegwhogtalkedgtogseveralgpeoplegaboutgtheirgparticularghealthgconcernsg
d. Thegnursegwhogwatchedgthegcitygcouncilgmeetinggonglocalgcablegtelevisiong
ANS:gBg
Anygofgthesegdescriptionsgmightgrepresentgagnursegcommunicating,gcooperating,gorgcollaborati
nggwithgcommunitygresidentsgorggroupsgaboutghealthgconcerns.gHowever,gthegnursegwhogspen
tgthegdaygattendinggmeetingsgofgvariousghealthgagenciesgisgthegmostgrepresentative,gbecausegin
gpublicghealth,gconcernsgaregaddressedgfromgagbroadergperspective.gIngpublicghealth,gbroadgco
ncernsgofgthegcommunitygshouldgbegaddressed.gConcernsgaregbroadergthangrecreation,gindivid
ualgconcernsgaregnotgasgimportantgasgaggregategpriorities,gandgwatchinggtelevisiong(agone-
waygformgofgcommunication)gisglessgeffectivegthanginteractinggwithgothers.g
g
9. Whichgofgthegfollowinggbestgdefinesgaggregate?g
a. Aglargeggroupgofgpersonsg
b. Agcollectiongofgindividualsgandgfamiliesg
c. Agcollectiongofgpeoplegwhogsharegonegorgmoregcharacteristicsg
d. Anothergnamegforgdemographicggroupg
ANS:gCg
Angaggregategisgdefinedgagcollectiongofgpeoplegwhogsharegonegorgmoregpersonalgorgenvironme
ntalgcharacteristics.gMembersgofgagcommunitygcangbegdefinedgingtermsgofgeitherggeographyg(e
.g.,gagcounty,gaggroupgofgcounties,gorgagstate)gorgagspecialginterestg(e.g.,gchildrengattendinggagp
articulargschool).gThesegmembersgmakegupgagpopulation.gThegtermgpopulationgmaygbegusedgin
terchangeablygwithgthegtermgaggregate.gAglargeggroupgofgpersons,gagcollectiongofgindividualsg
andgfamilies,gandganothergnamegforgdemograhpicggroupgaregnotgaccurategdefinitionsgofgthegter
mgaggregate.g
g
10. Agregisteredgnursegwasgjustgemployedgasgagpublicghealthgnurse.gWhichgquestiongwouldgbegth
egmostgrelevantgforgthegnursegtogask?g
a. “Whichggroupsgaregatgtheggreatestgriskgforgproblems?”g
b. “WhichgpatientsgshouldgIgseegfirstgasgIgbegingmygday?”g
c. “WithgwhichgphysiciansgwillgIgbegmostgcloselygcollaborating?”g
d. “WithgwhichgnursinggassistantsgwillgIgpartnergthegmost?”g
ANS:gAg
Askinggwhichggroupsgaregatggreatestgriskgreflectsgagcommunity-
orientedgperspective.gThegincorrectgresponsesgreflectgagfocusgongindividualsgrathergthangagcom
munity-orientedgperspective.g
g
11. Makinggsuregthatgessentialgcommunity-
orientedghealthgservicesgaregavailablegdefinesgwhichgofgthegcoregpublicghealthgfunctions?ga.gP
olicygdevelopmentg
Aplus001gwertyug
