iniCommunity/PubliciHealthiNursing,i6thiEdition
MULTIPLEiCHOIC5
vE
1. Whichistatementibestidescribesicommunity-basedinursing?
a. Aipracticeiiniwhichicareiisiprovidediforiindividualsiandifamilies.
b. Providingicareiwithiaifocusionitheigroup’sineeds.
c. Givingicareiwithiaifocusionitheiaggregate’sineeds.
d. Aivalueisystemiiniwhichialliclientsireceiveioptimalicare.
ANS:i5v A
Byidefinition,icommunity-basedinursingiisiaisetting-
5vspecificipracticeiiniwhichicareiisiprovidedifori“sick”iindividualsiandifamiliesiwhereitheyilive,iwork,iandiattendisch
o5vol.iTheiemphasisiisioniacuteiandichronicicareianditheiprovisionioficomprehensive,icoordinated,iandicontinuousicare.i
5vTheseinursesimayibeigeneralistsiorispecialistsiinimaternal–
5vinfant,ipediatric,iadult,ioripsychiatricimentalihealthinursing.iCommunity-
5vbasedinursingiemphasizesiacuteiandichronicicareitoiindividualsiandifamilies,iratherithanifocusingionigroups,iaggreg
a5vtes,iorisystems.
2. Whichistatementibestidescribesitheigoalioficommunity-orientedinursing?
a. Providingicareitoiindividualsiandifamilies
b. Providingicareitoimanageiacuteiorichroniciconditions
, c. Givingidirecticareitoiilliindividualsiwithinitheirifamilyisetting
d. Toipreserve,iprotect,ipromote,iorimaintainihealthiandipreventidisease
ANS:i5v D
Byidefinition,icommunity-
5vorientedinursingihasitheigoaliofipreserving,iprotecting,iorimaintainingihealthiandipreventingidiseaseitoipromoteitheiq5v
ualityiofilife.iAllinursesimayifocusioniindividualsiandifamilies,igiveidirecticareitoiillipersonsiwithinitheirifamilyisetti5
vng,iandihelpimanageiacuteiorichroniciconditions.iTheseidefinitionsiareinotispecificitoicommunity-orientedinursing.
3. Whichiofitheifollowingiisitheiprimaryifocusiofipublicihealthinursing?
a. Familiesiandigroups
b. Illness-orientedicare
c. Individualsiwithinitheifamilyiunit
d. Healthicareioficommunitiesiandipopulations
ANS:i5v D
Inipublicihealthinursing,itheiprimaryifocusiisionitheihealthicareioficommunitiesiandipopulationsiratherithanioniindivi5vd
uals,igroups,iandifamilies.iTheigoaliisitoipreventidiseaseiandipreserve,ipromote,irestore,iandiprotectihealthiforitheic5v
ommunityianditheipopulationiwithiniit.iCommunity-basedinursesidealiprimarilyiwithiillness-
5vorientedicareiofiindividualsiandifamiliesiacrossitheilifeispan.iTheiaimiisitoimanageiacuteiandichronicihealthiconditi
o5vnsiinitheicommunity,ianditheifocusiofipracticeiisioniindividualior
family-centerediillnessicare.
4. Whichiofitheifollowingiisiresponsibleiforitheidramaticiincreaseiinilifeiexpectancyiduringithei20thicentury?
a. Technologyiincreasesiinitheifieldiofimedicalilaboratoryiresearch
b. Advancesiinisurgicalitechniquesiandiprocedures
c. Sanitationiandiotheripopulation-basedipreventioniprograms
d. Useiofiantibioticsitoifightiinfections
ANS:i5v C
Thereihasitoibeiindisputableievidenceicollectedioveritimeithatipublicihealthipoliciesiandiprogramsiwereiprimarilyirespon5vsibleiforiincre
asingitheiaverageilifeispanifromi47iini1900itoi78.6iyearsiini2017,ianiincreaseiofiapproximatelyi60%iinijusti5voveriaicenturyiplusithroughii
mprovementsiini(1)isanitation,i(2)icleaniwaterisupplies,i(3)imakingiworkplacesisafer,i(4)iim5vprovingifoodiandidrugisafety,5v(5)iimmuni
zingichildren,iandi(6)iimprovinginutrition,ihygiene,iandihousing.iAlthoughipeopleiareiexcitediwheniaine5vwidrugiisidiscoveredithaticure
siaidiseaseioriwheniainewiwayitoitransplantiorgansiisiperfected,iitiisiimportantitoiknowi5vaboutitheisignificantigainsiinitheihealthiofipop
ulationsithatihaveicomeilargelyifromipublicihealthiaccomplishments.
5. Ainurseiisidevelopingiaiplanitoidecreaseitheinumberiofiprematureideathsiinitheicommunity.iWhichiofitheifollowing
iinterventionsiwouldimostilikelyibeiimplementedibyitheinurse?
a. Provideifreeihealthicareitoiallicitizens
b. Toiincreaseitheinumberiofiindividualsiwithiaccessitoieffectiveihealthicareibenefits
c. LoweritheicostiofihealthicareitoitheiAmericanipopulation
d. ToilessenitheigovernmentaliburdeniofiprovidingihealthicareitoiAmericans
ANS:i5v B
TheicentralifeatureiinitheiPatientiProtectioniandiAffordableiCareiActi(ACA)iofi2010iareitheimechanismsitoiincreasei5
vtheinumberiofipeopleiwithihealthiinsurance.iTheicareiprovidediisinotinecessarilyifree.iWhileitheicostiofihealthicareian5v
ditheiburdeniitiplacesionitheiAmericanigovernmentiareiseriousiconcerns,itheyiareinotitheiprimaryifocusiofiACA.
,Copyrighti©i2022,iElsevieriInc.iAllirightsireserved. 1
, 6. WhatiisitheibasiciassumptionistatedibyiHealthyiPeoplei2010iasiitirelatesitoipublicihealthiefforts?
a. Healthidisparitiesiamongianyigroupsiareimorallyiandilegallyiwrong.
b. Healthicareiisitheimostiimportantipriorityiinigovernmentiplanningiandifunding.
c. Theihealthiofiindividualsicannotibeiseparatedifromitheihealthiofitheicommunity.
d. TheigovernmentiisiresponsibleiforilengtheningitheilifeispaniofiAmericans.
ANS:i5v C
TheimajoripremiseiofiHealthyiPeoplei2010iwasithatitheihealthiofitheiindividualicannotibeientirelyiseparateifromitheihealthiofitheilar
5vgericommunity.iPublicihealthipracticeifocusesionitheicommunityiasiaiwhole,ianditheieffectiofitheicommunity’sihealthistatusi(resou
r5vces)ionitheihealthiofiindividuals,ifamilies,iandigroups.iTheigoaliisitoipreventidiseaseiandidisabilityiandipromoteiandiprotectitheihealt5
vhiofitheicommunityiasiaiwhole.iPublicihealthicanibeidescribediasiwhatisocietyicollectivelyidoesitoiensureithaticonditionsiexistiiniw
h5vichipeopleicanibeihealthy.iTheibasiciassumptionsiofipublicihealthidoinotijudgeitheimoralityiofihealthidisparities.iTheifocusiisionip
re5vventioniofiillnessinotionispendingimoreioniillnessicare.iAdditionally,iindividualiresponsibilityiforimakingihealthyichoicesiisithei
dire5vctiveiforilengtheningilifeispaninotitheiroleiofitheigovernment.
7. Whichiofitheifollowingiactionsiwouldimostilikelyibeiperformedibyiaipublicihealthinurse?
a. Askingicommunityileadersiwhatiinterventionsishouldibeichosen
b. Assessingitheicommunityiandidecidingioniappropriateiinterventions
c. Usingidataifromitheimainihealthicareiinstitutionsiinitheicommunityitoideterminei5v
neededihealthiservices
d. Workingiwithicommunityigroupsitoicreateipoliciesitoiimproveitheienvironment
ANS:i5v D
Althoughitheipublicihealthinurseimightiengageiinianyiofitheitasksilisted,iheiorisheiworksiprimarilyiwithimembersiofitheicommunityit5voicarryiouti
coreipublicihealthifunctions,iincludingiassessmentiofitheipopulationiasiaiwholeiandiengagingiinipromotingihealthiandiim5vprovingitheienviron
ment.iTheiinterventionsiofiaskingicommunityileadersiwhichiinterventionsishouldibeichosen,iassessingitheicomm5vunityiandidecidingioniapprop
riateiinterventions,iandiusingidataifromihealthicareiinstitutionsidoinotidemonstrateitheiengagementiofit5vheicommunityiwhenimakingidecisionsi
aboutiwhatitheicommunityiactuallyiwantsiandineeds.
8. Whichipublicihealthinurseimosticlearlyifulfillsitheiresponsibilitiesiofithisirole?
a. Theinurseiwhoimetiwithiseveraligroupsitoidiscussicommunityirecreationiissues
b. Theinurseiwhoispentitheidayiattendingimeetingsiofivariousihealthiagencies
c. Theinurseiwhoitalkeditoiseveralipeopleiaboutitheiriparticularihealthiconcerns
d. Theinurseiwhoiwatcheditheicityicouncilimeetingionilocalicableitelevision
ANS:i5v B
Anyiofitheseidescriptionsimightirepresentiainurseicommunicating,icooperating,ioricollaboratingiwithicommunityiresidentsiorigroup5
vsiaboutihealthiconcerns.iAimajorichallengeiforitheifutureiisitheineediforipublicihealthinursingispecialistsitoibeimoreiaggressiveiiniw5
vorkingicollaborativelyiwithivariousigroupsiinitheicommunityiasiwelliasiprofessionalicolleaguesiiniinstitutionalisettingsitoidealiwithi5
vbarriersitoihealth.iHowever,itheinurseiwhoispentitheidayiattendingimeetingsiofivariousihealthiagenciesiisitheimostirepresentative,ib
e5vcauseiinipublicihealth,iconcernsiareiaddressedifromiaibroaderiperspective.iInipublicihealth,ibroadiconcernsiofitheicommunityisho
uld5vibeiaddressed.iConcernsiareibroaderithanirecreation,iindividualiconcernsiareinotiasiimportantiasiaggregateipriorities,iandiwatchingi
te5vlevisioni(aione-wayiformioficommunication)iisilessieffectiveithaniinteractingiwithiothers.
9. Whichiofitheifollowingibestidefinesiaggregate?
a. Ailargeigroupiofipersons
b. Aicollectioniofiindividualsiandifamilies
c. Aicollectioniofipeopleiwhoishareioneiorimoreicharacteristics
d. Anotherinameiforidemographicigroup
ANS:i5v C
Aniaggregateiisidefinediaicollectioniofipeopleiwhoishareioneiorimoreipersonaliorienvironmentalicharacteristics.iMembersiofiaicom5vmunityica
nibeidefinediinitermsiofieitherigeographyi(e.g.,iaicounty,iaigroupioficounties,ioriaistate)ioriaispecialiinteresti(e.g.,ichildreni5 v attendingiaiparticulari
school).iTheseimembersimakeiupiaipopulation.iTheitermipopulationimayibeiusediinterchangeablyiwithitheiter5vmiaggregate.iAilargeigroupiofi
persons,iaicollectioniofiindividualsiandifamilies,iandianotherinameiforidemographicigroupiareinotiac5vcurateidefinitionsiofitheitermiaggregate.
10. Whichiquestioniaskedibyiainoviceinurseiwouldibeitheimostireflectiveiofianiunderstandingiofitheiroleiofiaipublicihealthinurse?
a. “Whichigroupsiareiatitheigreatestiriskiforiproblems?”
b. “WhichipatientsishouldiIiseeifirstiasiIibeginimyiday?”
c. “WithiwhichiphysiciansiwilliIibeimosticloselyicollaborating?”
d. “WithiwhichinursingiassistantsiwilliIipartneritheimost?”
ANS:i5v A
Askingiwhichigroupsiareiatigreatestiriskireflectsiaicommunity-
5vorientediperspective.iTheiincorrectiresponsesireflectiaifocusioniindividualsiratherithaniaicommunity-orientediperspective.
11. Makingisureithatiessentialicommunity-orientedihealthiservicesiareiavailableidefinesiwhichiofitheicoreipublicihealthifunctions?
a. Policyidevelopment
b. Assessment
c. Assurance
d. Scientificiknowledge-basedicare
ANS:i5v C
Assuranceiincludesimakingisureithatiessentialicommunity-
5vorientedihealthiservicesiareiavailableiinitheicommunity.iTheidefinitionidoesinotifititheitermsiassessment,ipolicyidevelopment.iScient5
v ificiknowledge-basedicareiisinotiaicoreifunctioniofipublicihealth.
Assessmentiisisystematicidataicollectionionitheipopulation,imonitoringitheipopulation’sihealthistatus,iandimakingiinformationiavail
5vableiaboutitheihealthiofitheicommunity.iPolicyidevelopmentirefersitoieffortsitoidevelopipoliciesithatisupportitheihealthiofitheipopula5v
tion,iincludingiusingiaiscientificiknowledgeibaseitoimakeipolicyidecisions.
Copyrighti©i2022,iElsevieriInc.iAllirightsireserved. 2