iniCommunity/PubliciHealthiNursing,i6thiEdition
MULTIPLEiCHOIC9
vE
1. Whichistatementibestidescribesicommunity-basedinursing?
a. Aipracticeiiniwhichicareiisiprovidediforiindividualsiandifamilies.
b. Providingicareiwithiaifocusionitheigroup’sineeds.
c. Givingicareiwithiaifocusionitheiaggregate’sineeds.
d. Aivalueisystemiiniwhichialliclientsireceiveioptimalicare.
ANS:i9v A
Byidefinition,icommunity-basedinursingiisiaisetting-
9vspecificipracticeiiniwhichicareiisiprovidedifori“sick”iindividualsiandifamiliesiwhereitheyilive,iwork,iandiattendisch
o9vol.iTheiemphasisiisioniacuteiandichronicicareianditheiprovisionioficomprehensive,icoordinated,iandicontinuousicare.i
9vTheseinursesimayibeigeneralistsiorispecialistsiinimaternal–
9vinfant,ipediatric,iadult,ioripsychiatricimentalihealthinursing.iCommunity-
9vbasedinursingiemphasizesiacuteiandichronicicareitoiindividualsiandifamilies,iratherithanifocusingionigroups,iaggreg
a9vtes,iorisystems.
2. Whichistatementibestidescribesitheigoalioficommunity-orientedinursing?
a. Providingicareitoiindividualsiandifamilies
b. Providingicareitoimanageiacuteiorichroniciconditions
, c. Givingidirecticareitoiilliindividualsiwithinitheirifamilyisetting
d. Toipreserve,iprotect,ipromote,iorimaintainihealthiandipreventidisease
ANS:i9v D
Byidefinition,icommunity-
9vorientedinursingihasitheigoaliofipreserving,iprotecting,iorimaintainingihealthiandipreventingidiseaseitoipromoteitheiq9v
ualityiofilife.iAllinursesimayifocusioniindividualsiandifamilies,igiveidirecticareitoiillipersonsiwithinitheirifamilyisetti9
vng,iandihelpimanageiacuteiorichroniciconditions.iTheseidefinitionsiareinotispecificitoicommunity-orientedinursing.
3. Whichiofitheifollowingiisitheiprimaryifocusiofipublicihealthinursing?
a. Familiesiandigroups
b. Illness-orientedicare
c. Individualsiwithinitheifamilyiunit
d. Healthicareioficommunitiesiandipopulations
ANS:i9v D
Inipublicihealthinursing,itheiprimaryifocusiisionitheihealthicareioficommunitiesiandipopulationsiratherithanioniindivi9vd
uals,igroups,iandifamilies.iTheigoaliisitoipreventidiseaseiandipreserve,ipromote,irestore,iandiprotectihealthiforitheic9v
ommunityianditheipopulationiwithiniit.iCommunity-basedinursesidealiprimarilyiwithiillness-
9vorientedicareiofiindividualsiandifamiliesiacrossitheilifeispan.iTheiaimiisitoimanageiacuteiandichronicihealthiconditi
o9vnsiinitheicommunity,ianditheifocusiofipracticeiisioniindividualior
family-centerediillnessicare.
4. Whichiofitheifollowingiisiresponsibleiforitheidramaticiincreaseiinilifeiexpectancyiduringithei20thicentury?
a. Technologyiincreasesiinitheifieldiofimedicalilaboratoryiresearch
b. Advancesiinisurgicalitechniquesiandiprocedures
c. Sanitationiandiotheripopulation-basedipreventioniprograms
d. Useiofiantibioticsitoifightiinfections
ANS:i9v C
Thereihasitoibeiindisputableievidenceicollectedioveritimeithatipublicihealthipoliciesiandiprogramsiwereiprimarilyirespon9vsibleiforiincre
asingitheiaverageilifeispanifromi47iini1900itoi78.6iyearsiini2017,ianiincreaseiofiapproximatelyi60%iinijusti9voveriaicenturyiplusithroughii
mprovementsiini(1)isanitation,i(2)icleaniwaterisupplies,i(3)imakingiworkplacesisafer,i(4)iim9vprovingifoodiandidrugisafety,9v(5)iimmuni
zingichildren,iandi(6)iimprovinginutrition,ihygiene,iandihousing.iAlthoughipeopleiareiexcitediwheniaine9vwidrugiisidiscoveredithaticure
siaidiseaseioriwheniainewiwayitoitransplantiorgansiisiperfected,iitiisiimportantitoiknowi9vaboutitheisignificantigainsiinitheihealthiofipop
ulationsithatihaveicomeilargelyifromipublicihealthiaccomplishments.
5. Ainurseiisidevelopingiaiplanitoidecreaseitheinumberiofiprematureideathsiinitheicommunity.iWhichiofitheifollowing
iinterventionsiwouldimostilikelyibeiimplementedibyitheinurse?
a. Provideifreeihealthicareitoiallicitizens
b. Toiincreaseitheinumberiofiindividualsiwithiaccessitoieffectiveihealthicareibenefits
c. LoweritheicostiofihealthicareitoitheiAmericanipopulation
d. ToilessenitheigovernmentaliburdeniofiprovidingihealthicareitoiAmericans
ANS:i9v B
TheicentralifeatureiinitheiPatientiProtectioniandiAffordableiCareiActi(ACA)iofi2010iareitheimechanismsitoiincreasei9
vtheinumberiofipeopleiwithihealthiinsurance.iTheicareiprovidediisinotinecessarilyifree.iWhileitheicostiofihealthicareian9v
ditheiburdeniitiplacesionitheiAmericanigovernmentiareiseriousiconcerns,itheyiareinotitheiprimaryifocusiofiACA.
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, 6. WhatiisitheibasiciassumptionistatedibyiHealthyiPeoplei2010iasiitirelatesitoipublicihealthiefforts?
a. Healthidisparitiesiamongianyigroupsiareimorallyiandilegallyiwrong.
b. Healthicareiisitheimostiimportantipriorityiinigovernmentiplanningiandifunding.
c. Theihealthiofiindividualsicannotibeiseparatedifromitheihealthiofitheicommunity.
d. TheigovernmentiisiresponsibleiforilengtheningitheilifeispaniofiAmericans.
ANS:i9v C
TheimajoripremiseiofiHealthyiPeoplei2010iwasithatitheihealthiofitheiindividualicannotibeientirelyiseparateifromitheihealthiofitheilar
9vgericommunity.iPublicihealthipracticeifocusesionitheicommunityiasiaiwhole,ianditheieffectiofitheicommunity’sihealthistatusi(resou
r9vces)ionitheihealthiofiindividuals,ifamilies,iandigroups.iTheigoaliisitoipreventidiseaseiandidisabilityiandipromoteiandiprotectitheihealt9
vhiofitheicommunityiasiaiwhole.iPublicihealthicanibeidescribediasiwhatisocietyicollectivelyidoesitoiensureithaticonditionsiexistiiniw
h9vichipeopleicanibeihealthy.iTheibasiciassumptionsiofipublicihealthidoinotijudgeitheimoralityiofihealthidisparities.iTheifocusiisionip
re9vventioniofiillnessinotionispendingimoreioniillnessicare.iAdditionally,iindividualiresponsibilityiforimakingihealthyichoicesiisithei
dire9vctiveiforilengtheningilifeispaninotitheiroleiofitheigovernment.
7. Whichiofitheifollowingiactionsiwouldimostilikelyibeiperformedibyiaipublicihealthinurse?
a. Askingicommunityileadersiwhatiinterventionsishouldibeichosen
b. Assessingitheicommunityiandidecidingioniappropriateiinterventions
c. Usingidataifromitheimainihealthicareiinstitutionsiinitheicommunityitoideterminei9v
neededihealthiservices
d. Workingiwithicommunityigroupsitoicreateipoliciesitoiimproveitheienvironment
ANS:i9v D
Althoughitheipublicihealthinurseimightiengageiinianyiofitheitasksilisted,iheiorisheiworksiprimarilyiwithimembersiofitheicommunityit9voicarryiouti
coreipublicihealthifunctions,iincludingiassessmentiofitheipopulationiasiaiwholeiandiengagingiinipromotingihealthiandiim9vprovingitheienviron
ment.iTheiinterventionsiofiaskingicommunityileadersiwhichiinterventionsishouldibeichosen,iassessingitheicomm9vunityiandidecidingioniapprop
riateiinterventions,iandiusingidataifromihealthicareiinstitutionsidoinotidemonstrateitheiengagementiofit9vheicommunityiwhenimakingidecisionsi
aboutiwhatitheicommunityiactuallyiwantsiandineeds.
8. Whichipublicihealthinurseimosticlearlyifulfillsitheiresponsibilitiesiofithisirole?
a. Theinurseiwhoimetiwithiseveraligroupsitoidiscussicommunityirecreationiissues
b. Theinurseiwhoispentitheidayiattendingimeetingsiofivariousihealthiagencies
c. Theinurseiwhoitalkeditoiseveralipeopleiaboutitheiriparticularihealthiconcerns
d. Theinurseiwhoiwatcheditheicityicouncilimeetingionilocalicableitelevision
ANS:i9v B
Anyiofitheseidescriptionsimightirepresentiainurseicommunicating,icooperating,ioricollaboratingiwithicommunityiresidentsiorigroup9
vsiaboutihealthiconcerns.iAimajorichallengeiforitheifutureiisitheineediforipublicihealthinursingispecialistsitoibeimoreiaggressiveiiniw9
vorkingicollaborativelyiwithivariousigroupsiinitheicommunityiasiwelliasiprofessionalicolleaguesiiniinstitutionalisettingsitoidealiwithi9
vbarriersitoihealth.iHowever,itheinurseiwhoispentitheidayiattendingimeetingsiofivariousihealthiagenciesiisitheimostirepresentative,ib
e9vcauseiinipublicihealth,iconcernsiareiaddressedifromiaibroaderiperspective.iInipublicihealth,ibroadiconcernsiofitheicommunityisho
uld9vibeiaddressed.iConcernsiareibroaderithanirecreation,iindividualiconcernsiareinotiasiimportantiasiaggregateipriorities,iandiwatchingi
te9vlevisioni(aione-wayiformioficommunication)iisilessieffectiveithaniinteractingiwithiothers.
9. Whichiofitheifollowingibestidefinesiaggregate?
a. Ailargeigroupiofipersons
b. Aicollectioniofiindividualsiandifamilies
c. Aicollectioniofipeopleiwhoishareioneiorimoreicharacteristics
d. Anotherinameiforidemographicigroup
ANS:i9v C
Aniaggregateiisidefinediaicollectioniofipeopleiwhoishareioneiorimoreipersonaliorienvironmentalicharacteristics.iMembersiofiaicom9vmunityica
nibeidefinediinitermsiofieitherigeographyi(e.g.,iaicounty,iaigroupioficounties,ioriaistate)ioriaispecialiinteresti(e.g.,ichildreni9 v attendingiaiparticulari
school).iTheseimembersimakeiupiaipopulation.iTheitermipopulationimayibeiusediinterchangeablyiwithitheiter9vmiaggregate.iAilargeigroupiofi
persons,iaicollectioniofiindividualsiandifamilies,iandianotherinameiforidemographicigroupiareinotiac9vcurateidefinitionsiofitheitermiaggregate.
10. Whichiquestioniaskedibyiainoviceinurseiwouldibeitheimostireflectiveiofianiunderstandingiofitheiroleiofiaipublicihealthinurse?
a. “Whichigroupsiareiatitheigreatestiriskiforiproblems?”
b. “WhichipatientsishouldiIiseeifirstiasiIibeginimyiday?”
c. “WithiwhichiphysiciansiwilliIibeimosticloselyicollaborating?”
d. “WithiwhichinursingiassistantsiwilliIipartneritheimost?”
ANS:i9v A
Askingiwhichigroupsiareiatigreatestiriskireflectsiaicommunity-
9vorientediperspective.iTheiincorrectiresponsesireflectiaifocusioniindividualsiratherithaniaicommunity-orientediperspective.
11. Makingisureithatiessentialicommunity-orientedihealthiservicesiareiavailableidefinesiwhichiofitheicoreipublicihealthifunctions?
a. Policyidevelopment
b. Assessment
c. Assurance
d. Scientificiknowledge-basedicare
ANS:i9v C
Assuranceiincludesimakingisureithatiessentialicommunity-
9vorientedihealthiservicesiareiavailableiinitheicommunity.iTheidefinitionidoesinotifititheitermsiassessment,ipolicyidevelopment.iScient9
v ificiknowledge-basedicareiisinotiaicoreifunctioniofipublicihealth.
Assessmentiisisystematicidataicollectionionitheipopulation,imonitoringitheipopulation’sihealthistatus,iandimakingiinformationiavail
9vableiaboutitheihealthiofitheicommunity.iPolicyidevelopmentirefersitoieffortsitoidevelopipoliciesithatisupportitheihealthiofitheipopula9v
tion,iincludingiusingiaiscientificiknowledgeibaseitoimakeipolicyidecisions.
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