Stanhope:iFoundationsiforiPopulationiHealthiiniCommunity/PubliciHealthiNursing,i6thiEdition
MULTIPLEiCHOIC
cxE
1. Whichistatementibestidescribesicommunity-basedinursing?
a. Aipracticeiiniwhichicareiisiprovidediforiindividualsiandifamilies.
b. Providingicareiwithiaifocusionitheigroup’sineeds.
c. Givingicareiwithiaifocusionitheiaggregate’sineeds.
d. Aivalueisystemiiniwhichialliclientsireceiveioptimalicare.
ANS:i cx A
Byidefinition,icommunity-basedinursingiisiaisetting-
cxspecificipracticeiiniwhichicareiisiprovidedifori“sick”iindividualsiandifamiliesiwhereitheyilive,iwork,iandiattendisch
o
cxol.iTheiemphasisiisioniacuteiandichronicicareianditheiprovisionioficomprehensive,icoordinated,iandicontinuousicare.i
cxTheseinursesimayibeigeneralistsiorispecialistsiinimaternal–
cxinfant,ipediatric,iadult,ioripsychiatricimentalihealthinursing.iCommunity-
cxbasedinursingiemphasizesiacuteiandichronicicareitoiindividualsiandifamilies,iratherithanifocusingionigroups,iaggreg
a cxtes,iorisystems.
2. Whichistatementibestidescribesitheigoalioficommunity-orientedinursing?
a. Providingicareitoiindividualsiandifamilies
, b. Providingicareitoimanageiacuteiorichroniciconditions
c. Givingidirecticareitoiilliindividualsiwithinitheirifamilyisetting
d. Toipreserve,iprotect,ipromote,iorimaintainihealthiandipreventidisease
ANS:i cx D
Byidefinition,icommunity-
cxorientedinursingihasitheigoaliofipreserving,iprotecting,iorimaintainingihealthiandipreventingidiseaseitoipromoteitheiq
cxualityiofilife.iAllinursesimayifocusioniindividualsiandifamilies,igiveidirecticareitoiillipersonsiwithinitheirifamilyisett
i cxng,iandihelpimanageiacuteiorichroniciconditions.iTheseidefinitionsiareinotispecificitoicommunity-
orientedinursing.
3. Whichiofitheifollowingiisitheiprimaryifocusiofipublicihealthinursing?
a. Familiesiandigroups
b. Illness-orientedicare
c. Individualsiwithinitheifamilyiunit
d. Healthicareioficommunitiesiandipopulations
ANS:i cx D
Inipublicihealthinursing,itheiprimaryifocusiisionitheihealthicareioficommunitiesiandipopulationsiratherithanioniindivi
cxduals,igroups,iandifamilies.iTheigoaliisitoipreventidiseaseiandipreserve,ipromote,irestore,iandiprotectihealthiforithei
c cxommunityianditheipopulationiwithiniit.iCommunity-basedinursesidealiprimarilyiwithiillness-
cxorientedicareiofiindividualsiandifamiliesiacrossitheilifeispan.iTheiaimiisitoimanageiacuteiandichronicihealthiconditi
o cxnsiinitheicommunity,ianditheifocusiofipracticeiisioniindividualior
family-centerediillnessicare.
4. Whichiofitheifollowingiisiresponsibleiforitheidramaticiincreaseiinilifeiexpectancyiduringithei20thicentury?
a. Technologyiincreasesiinitheifieldiofimedicalilaboratoryiresearch
b. Advancesiinisurgicalitechniquesiandiprocedures
c. Sanitationiandiotheripopulation-basedipreventioniprograms
d. Useiofiantibioticsitoifightiinfections
ANS:i cx C
Thereihasitoibeiindisputableievidenceicollectedioveritimeithatipublicihealthipoliciesiandiprogramsiwereiprimarilyirespon
cxsibleiforiincreasingitheiaverageilifeispanifromi47iini1900itoi78.6iyearsiini2017,ianiincreaseiofiapproximatelyi60%iinijusti
cxoveriaicenturyiplusithroughiimprovementsiini(1)isanitation,i(2)icleaniwaterisupplies,i(3)imakingiworkplacesisafer,i(4)iim
cxprovingifoodiandidrugisafety,
cx(5)iimmunizingichildren,iandi(6)iimprovinginutrition,ihygiene,iandihousing.iAlthoughipeopleiareiexcitediwheniaine
cxwidrugiisidiscoveredithaticuresiaidiseaseioriwheniainewiwayitoitransplantiorgansiisiperfected,iitiisiimportantitoiknowi
cxaboutitheisignificantigainsiinitheihealthiofipopulationsithatihaveicomeilargelyifromipublicihealthiaccomplishments.
5. Ainurseiisidevelopingiaiplanitoidecreaseitheinumberiofiprematureideathsiinitheicommunity.iWhichiofitheifollowing
iinterventionsiwouldimostilikelyibeiimplementedibyitheinurse?
a. Provideifreeihealthicareitoiallicitizens
b. Toiincreaseitheinumberiofiindividualsiwithiaccessitoieffectiveihealthicareibenefits
c. LoweritheicostiofihealthicareitoitheiAmericanipopulation
d. ToilessenitheigovernmentaliburdeniofiprovidingihealthicareitoiAmericans
ANS:i cx B
TheicentralifeatureiinitheiPatientiProtectioniandiAffordableiCareiActi(ACA)iofi2010iareitheimechanismsitoiincreasei
cxtheinumberiofipeopleiwithihealthiinsurance.iTheicareiprovidediisinotinecessarilyifree.iWhileitheicostiofihealthicareian
cxditheiburdeniitiplacesionitheiAmericanigovernmentiareiseriousiconcerns,itheyiareinotitheiprimaryifocusiofiACA.
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, 6. WhatiisitheibasiciassumptionistatedibyiHealthyiPeoplei2010iasiitirelatesitoipublicihealthiefforts?
a. Healthidisparitiesiamongianyigroupsiareimorallyiandilegallyiwrong.
b. Healthicareiisitheimostiimportantipriorityiinigovernmentiplanningiandifunding.
c. Theihealthiofiindividualsicannotibeiseparatedifromitheihealthiofitheicommunity.
d. TheigovernmentiisiresponsibleiforilengtheningitheilifeispaniofiAmericans.
ANS:i cx C
TheimajoripremiseiofiHealthyiPeoplei2010iwasithatitheihealthiofitheiindividualicannotibeientirelyiseparateifromitheihealthiofitheilar
cxgericommunity.iPublicihealthipracticeifocusesionitheicommunityiasiaiwhole,ianditheieffectiofitheicommunity’sihealthistatusi(resou
r cxces)ionitheihealthiofiindividuals,ifamilies,iandigroups.iTheigoaliisitoipreventidiseaseiandidisabilityiandipromoteiandiprotectitheihealt
cxhiofitheicommunityiasiaiwhole.iPublicihealthicanibeidescribediasiwhatisocietyicollectivelyidoesitoiensureithaticonditionsiexistiiniw
h
cxichipeopleicanibeihealthy.iTheibasiciassumptionsiofipublicihealthidoinotijudgeitheimoralityiofihealthidisparities.iTheifocusiisionipr
e
cxventioniofiillnessinotionispendingimoreioniillnessicare.iAdditionally,iindividualiresponsibilityiforimakingihealthyichoicesiisitheidir
e cxctiveiforilengtheningilifeispaninotitheiroleiofitheigovernment.
7. Whichiofitheifollowingiactionsiwouldimostilikelyibeiperformedibyiaipublicihealthinurse?
a. Askingicommunityileadersiwhatiinterventionsishouldibeichosen
b. Assessingitheicommunityiandidecidingioniappropriateiinterventions
c. Usingidataifromitheimainihealthicareiinstitutionsiinitheicommunityitoideterminei
neededihealthiservices
cx
d. Workingiwithicommunityigroupsitoicreateipoliciesitoiimproveitheienvironment
ANS:i cx D
Althoughitheipublicihealthinurseimightiengageiinianyiofitheitasksilisted,iheiorisheiworksiprimarilyiwithimembersiofitheicommunityit
cxoicarryiouticoreipublicihealthifunctions,iincludingiassessmentiofitheipopulationiasiaiwholeiandiengagingiinipromotingihealthiandiim
cxprovingitheienvironment.iTheiinterventionsiofiaskingicommunityileadersiwhichiinterventionsishouldibeichosen,iassessingitheicomm
cxunityiandidecidingioniappropriateiinterventions,iandiusingidataifromihealthicareiinstitutionsidoinotidemonstrateitheiengagementiofit
cxheicommunityiwhenimakingidecisionsiaboutiwhatitheicommunityiactuallyiwantsiandineeds.
8. Whichipublicihealthinurseimosticlearlyifulfillsitheiresponsibilitiesiofithisirole?
a. Theinurseiwhoimetiwithiseveraligroupsitoidiscussicommunityirecreationiissues
b. Theinurseiwhoispentitheidayiattendingimeetingsiofivariousihealthiagencies
c. Theinurseiwhoitalkeditoiseveralipeopleiaboutitheiriparticularihealthiconcerns
d. Theinurseiwhoiwatcheditheicityicouncilimeetingionilocalicableitelevision
ANS:i cx B
Anyiofitheseidescriptionsimightirepresentiainurseicommunicating,icooperating,ioricollaboratingiwithicommunityiresidentsiorigroup
cxsiaboutihealthiconcerns.iAimajorichallengeiforitheifutureiisitheineediforipublicihealthinursingispecialistsitoibeimoreiaggressiveiiniw
cxorkingicollaborativelyiwithivariousigroupsiinitheicommunityiasiwelliasiprofessionalicolleaguesiiniinstitutionalisettingsitoidealiwithi
cxbarriersitoihealth.iHowever,itheinurseiwhoispentitheidayiattendingimeetingsiofivariousihealthiagenciesiisitheimostirepresentative,ib
e
cxcauseiinipublicihealth,iconcernsiareiaddressedifromiaibroaderiperspective.iInipublicihealth,ibroadiconcernsiofitheicommunityishoul
d cxibeiaddressed.iConcernsiareibroaderithanirecreation,iindividualiconcernsiareinotiasiimportantiasiaggregateipriorities,iandiwatchingite
cxlevisioni(aione-wayiformioficommunication)iisilessieffectiveithaniinteractingiwithiothers.
9. Whichiofitheifollowingibestidefinesiaggregate?
a. Ailargeigroupiofipersons
b. Aicollectioniofiindividualsiandifamilies
c. Aicollectioniofipeopleiwhoishareioneiorimoreicharacteristics
d. Anotherinameiforidemographicigroup
ANS:i cx C
Aniaggregateiisidefinediaicollectioniofipeopleiwhoishareioneiorimoreipersonaliorienvironmentalicharacteristics.iMembersiofiaicom
cxmunityicanibeidefinediinitermsiofieitherigeographyi(e.g.,iaicounty,iaigroupioficounties,ioriaistate)ioriaispecialiinteresti(e.g.,ichildreni
c x attendingiaiparticularischool).iTheseimembersimakeiupiaipopulation.iTheitermipopulationimayibeiusediinterchangeablyiwithitheiter
cxmiaggregate.iAilargeigroupiofipersons,iaicollectioniofiindividualsiandifamilies,iandianotherinameiforidemographicigroupiareinotiac
cxcurateidefinitionsiofitheitermiaggregate.
10. Whichiquestioniaskedibyiainoviceinurseiwouldibeitheimostireflectiveiofianiunderstandingiofitheiroleiofiaipublicihealthinurse?
a. “Whichigroupsiareiatitheigreatestiriskiforiproblems?”
b. “WhichipatientsishouldiIiseeifirstiasiIibeginimyiday?”
c. “WithiwhichiphysiciansiwilliIibeimosticloselyicollaborating?”
d. “WithiwhichinursingiassistantsiwilliIipartneritheimost?”
ANS:i cx A
Askingiwhichigroupsiareiatigreatestiriskireflectsiaicommunity-
cxorientediperspective.iTheiincorrectiresponsesireflectiaifocusioniindividualsiratherithaniaicommunity-orientediperspective.
11. Makingisureithatiessentialicommunity-orientedihealthiservicesiareiavailableidefinesiwhichiofitheicoreipublicihealthifunctions?
a. Policyidevelopment
b. Assessment
c. Assurance
d. Scientificiknowledge-basedicare
ANS:i cx C
Assuranceiincludesimakingisureithatiessentialicommunity-
cxorientedihealthiservicesiareiavailableiinitheicommunity.iTheidefinitionidoesinotifititheitermsiassessment,ipolicyidevelopment.iScient
c x ificiknowledge-basedicareiisinotiaicoreifunctioniofipublicihealth.
Assessmentiisisystematicidataicollectionionitheipopulation,imonitoringitheipopulation’sihealthistatus,iandimakingiinformationiavail
cxableiaboutitheihealthiofitheicommunity.iPolicyidevelopmentirefersitoieffortsitoidevelopipoliciesithatisupportitheihealthiofitheipopula
cxtion,iincludingiusingiaiscientificiknowledgeibaseitoimakeipolicyidecisions.
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