FOUNDATIONS FOR POPULATION HEALTH IN COMMUNITY/PUBLIC H
m m m m m m
EALTH NURSING 6TH EDITION BY MARCIA STANHOPE
m m m m m m
,CH:m01:mCommunity-mandmPrevention-
OrientedmPracticemtomImprovemPopulationmHealthmStanhope:mFoundationsmformPopulationmHeal
thminmCommunity/PublicmHealthmNursing,m6THmEdition
MULTIPLEmCHOICE
1. Whichmofmthemfollowingmbestmdescribesmcommunity-basedmnursing?
a. Ampracticeminmwhichmcaremismprovidedmformindividualsmandmfamilies
b. Providingmcaremwithmamfocusmonmthemgroup’smneeds
c. Givingmcaremwithmamfocusmonmthemaggregate’smneeds
d. Amvaluemsystemminmwhichmallmhospitalmclientsmreceivemoptimalmcare
PRECISEmCHOICE:-A
Reasoning:->>>Bymdefinition,mcommunity-basedmnursingmismamsetting-
specificmpracticeminmwhichmcaremismprovidedmform“sick”mindividualsmandmfamiliesmwheremtheymlive,mwork,
mandmattendmschool.mThememphasismismonmacutemandmchronicmcaremandmthemprovisionmofmcomprehensi
ve,mcoordinated,mandmcontinuousmcare.mThesemnursingmattendantsmmaymbemgeneralistsmormspecialistsmi
nmmaternal–infant,mpediatric,madult,mormpsychiatricmmentalmhealthmnursing.mCommunity-
basedmnursingmemphasizesmacutemandmchronicmcaremtomindividualsmandmfamilies,mrathermthanmfocusing
monmgroups,maggregates,mormsystems.
2. Whichmofmthemfollowingmbestmdescribesmcommunity-orientedmnursing?
a. Focusingmonmthemprovisionmofmcaremtomindividualsmandmfamilies
b. Providingmcaremtommanagemacutemormchronicmconditions
c. GivingmdirectmcaremtomilminNdivU
Rmidua
S mN
IlsmwGithBin.thCeirMfamilymseting
d. Havingmthemgoalmofmhealthmpromotionmandmdiseasemprevention
PRECISEmCHOICE:-D
Reasoning:->>>Bymdefinition,mcommunity-
orientedmnursingmhasmthemgoalmofmpreserving,mprotecting,mormmaintainingmhealthmandmpreventingmdisea
semtompromotemthemqualitymofmlife.mAllmnursingmattendantsmmaymfocusmonmindividualsmandmfamilies,mgive
mdirectmcaremtomsickmpersonsmwithinmtheirmfamilymsetting,mandmhelpmmanagemacutemormchronicmcondition
s.mThesemdefinitionsmaremnotmspecificmtomcommunity-orientedmnursing.
3. Whichmofmthemfollowingmismthemprimarymfocusmofmpublicmhealthmnursing?
a. Familiesmandmgroups
b. Sickness-orientedmcare
c. Individualsmwithinmthemfamilymunit
d. Healthmcaremofmcommunitiesmandmpopulations
PRECISEmCHOICE:-D
Reasoning:-
>>>Inmpublicmhealthmnursingmthemprimarymfocusmismonmthemhealthmcaremofmcommunitiesmandmpopulations
mrathermthanmonmindividuals,mgroups,mandmfamilies.mThemgoalmismtompreventmdiseasem andmpreserve,mpro
mote,mrestore,mandmprotectmhealthmformthemcommunitymandmthempopulationmwithinmit.mCommunity-
basedmnursingmattendantsmdealmprimarilymwithmsickness-
morientedmcaremofmindividualsmandmfamiliesmacorssmthemlifemspan.mThemaimmismtomamanagemacutemandmch
ronicmhealthmconditionsminmthemcommunity,mandmthemfocusmofmpracticemismonmindividualmormfamily-
centeredmsicknessmcare.
,4. Whichmofmthemfollowingmismresponsiblemformthemdramaticmincreaseminmlifemexpectancymduringmthem2
0thmcentury?
a. Technologymincreasesminmthemfieldmofmmedicalmlaboratorymresearch
b. Advancesminmsurgicalmtechniquesmandmprocedures
c. Sanitationmandmothermpopulation-basedmpreventionmprograms
d. Usemofmantibioticsmtomfightminfections
PRECISEmCHOICE:-C
Reasoning:-
>>>Improvementsminmcontrolmofminfectiousmdiseasesmthroughmimmunizations,msanitation,mandmothermpop
ulation-
basedmpreventionmprogramsmledmtomthemincreaseminmlifemexpectancymfrommlessmthanm 50myearsminm1900m
tommoremthanm78myearsminm2013.mAlthoughmpeoplemaremexcitedmwhenmamnewmdrugmismdiscoveredmthatmc
uresmamdiseasemormwhenmamnewmwaymtomtransplantmorgansmismperfected,mitmismimportantmtomknowmaboutm
themsignificantmgainsminmthemhealthmofmpopulationsmthatmhavemcomemlargelymfrommpublicmhealthmaccompli
shments.
5. Amnursingmattendantmismdevelopingmamplanmtomreducemthemnumbermofmprematuremdeathsminmthemcomm
unity.mWhichmofmthemfollowingminterventionsmwouldmmostmlikelymbemimplementedmbymthemnursingmatte
ndant?
a. Increasemthemcommunity’smknowledgemaboutmclinicmcare.
b. Promotemhealthymlifestylembehaviormchoicesmamongmthemcommunitymmembers.
c. Encouragememployersmtomhavemwellnessmcentersmatmeachmindustrialmsite.
d. Ensuremtimelymandmeffectivemmedicalminterventionmandmtreatmentmformcommunitymmemb
ers.
PRECISEmCHOICE:-B
Reasoning:-
>>>Publicmhealthmapproachesmcouldmhelpmpreventmprematuremdeathsmbyminfluencingmthemwaympeoplemea
t,mdrink,mdrive,mengageminmexercise,mandmtreatmthemenvironment.mIncreasingmknowledgemofmclinicmcare,m
encouragingmon-sitemwellnessmcenters,mandmensuringmtimelymtreatmentmofmmedical
conditionsmdomnotmaddressmtheNfUocRusSoIfNimGpTroBv.inCgmOomvMermamlmlm healthmthroughmhealthmpro
motion
strategies.mThismismthemmajormmethodmthatmismsuggestedmtomreducemthemincidencemofmprematuremdeath.
6. Whichmofmthemfollowingmismambasicmassumptionmofmpublicmhealthmefforts?
a. Healthmdisparitiesmamongmanymgroupsmaremmorallymandmlegallymwrong.
b. Healthmcaremismthemmostmimportantmpriorityminmgovernmentmplanningmandmfunding.
c. Themhealthmofmindividualsmcannotmbemseparatedmfrommthemhealthmofmthemcommunity.
d. ThemgovernmentmismresponsiblemformlengtheningmthemlifemspanmofmAmericans.
PRECISEmCHOICE:-C
Reasoning:-
>>>Publicmhealthmpracticemfocusesmonmthemcommunitymasmamwhole,mandmthemeffectmofmthem community’sm
healthmstatusm(resources)monmthemhealthmofmindividuals,mfamilies,mandmgroups.mThemgoalmismtompreventmd
iseasemandmdisabilitymandmpromotemandmprotectmthemhealthmofmthemcommunitymasmamwhole.mPublicmhealt
hmcanmbemdescribedmasmwhatmsocietymcollectivelymdoesmtomensuremthatmconditionsmexistminmwhichmpeopl
emcanmbemhealthy.mThembasicmassumptionsmofmpublicmhealthmdomnotmjudgemthemmoralitymofmhealthmdispari
ties.mThemfocusmismonmpreventionmofmsicknessmnotmonmspendingmmoremonmsicknessmcare.mAdditionally,min
dividualmresponsibilitymformmakingmhealthymchoicesmismthemdirectivemformlengtheningmlifemspanmnotmthemrol
emofmthemgovernment.
7. Whichmofmthemfollowingmactionsmwouldmmostmlikelymbemperformedmbymampublicmhealthmnursingmattendant?
, a. Askingmcommunitymleadersmwhatminterventionsmshouldmbemchosen
b. Assessingmthemcommunitymandmdecidingmonmappropriateminterventions
c. Usingmdatamfrommthemmainmhealthmcareminstitutionsminmthemcommunitymtomdetermine
neededmhealthmservices
d. Workingmwithmcommunitymgroupsmtomcreatempoliciesmtomimprovemthemenvironment
PRECISEmCHOICE:-D
Reasoning:-
>>>Althoughmthempublicmhealthmnursingmattendantmmightmengageminmanymofmthemtasksmlisted,mhemormshe
mworksmprimarilymwithmmembersmofmthemcommunitymtomcarrymoutmcorempublicmhealthmfunctions,mincluding
massessmentmofmthempopulationmasmamwholemandmengagingminmpromotingmhealthmandmimprovingmthemen
vironment.mTheminterventionsmofmaskingmcommunitymleadersmwhichminterventionsmshouldmbemchosen,mas
essingmthemcommunitymandmdecidingmonmappropriateminterventions,mandmusingmdatamfrommhealthmcaremin
stitutionsmdomnotmdemonstratemthemengagementmofmthemcommunitymwhenmmakingmdecisionsmaboutmwha
tmthemcommunitymactuallymwantsmandmneeds.
8. Whichmofmthemfollowingmpublicmhealthmnursingmattendantsmmostmclearlymfulfillsmthemrespon
sibilitiesmofmthismrole?
a. Themnursingmattendantmwhommetmwithmseveralmgroupsmtomdiscussmcommunitymrecreationmissues
b. Themnursingmattendantmwhomspentmthemdaymattendingmmeetingsmofmvariousmhealthmagencies
c. Themnursingmattendantmwhomtalkedmtomseveralmpeoplemaboutmtheirmparticularmhealthmconcerns
d. Themnursingmattendantmwhomwatchedmthemcitymcouncilmmeetingmonmlocalmcablemtelevision
PRECISEmCHOICE:-B
Reasoning:-
>>>Anymofmthesemdescriptionsmmightmrepresentmamnursingmattendantmcommunicating,mcooperating,morm
collaboratingmwithmcommunitymresidentsmormgroupsmaboutmhealthmconcerns.mHowever,mthemnursingmatt
endantmwhomspentmthemdaymattendingmmeetingsmofmvariousmhealthmagenciesmismthemmostmrepresentativ
e,mbecauseminmpublicmhealth,mconcernsmaremaddressedmfrommambroadermperspective.mInmpublicmhealth,
mbroadmconcernsmofmthemcommunitymshouldmbemaddressed.mConcernsmarembroadermthanmrecreation,min
dividualmconcernsmaremnotmasmimportantmasmaggregatempriorities,mandmwatchingmtelevisionm(amone-
waymformmofmcommunication)mismlessmeffectivemthanminteractingmwithmothers.
9. Whichmofmthemfollowingmbestmdefinesmaggregate?
a. Amlargemgroupmofmpersons
b. Amcollectionmofmindividualsmandmfamilies
c. Amcollectionmofmpeoplemwhomsharemonemormmoremcharacteristics
d. Anothermnamemformdemographicmgroup
PRECISEmCHOICE:-C
Reasoning:-
>>>Anmaggregatemismdefinedmamcollectionmofmpeoplemwhomsharemonemormmorempersonalmormenvironment
almcharacteristics.mMembersmofmamcommunitymcanmbemdefinedminmtermsmofmeithermgeographym(e.g.,mamco
unty,mamgroupmofmcounties,mormamstate)mormamspecialminterestm(e.g.,mchildrenmattendingmamparticularmscho
ol).mThesemmembersmmakemupmampopulation.mThemtermmpopulationmmaymbemusedminterchangeablymwith
mthemtermmaggregate.mAmlargemgroupmofmpersons,mamcollectionmofmindividualsmandmfamilies,mandmanotherm
namemformdemograhpicmgroupmaremnotmaccuratemdefinitionsmofmthemtermmaggregate.
10. Amregisteredmnursingmattendantmwasmjustmemployedmasmampublicmhealthmnursingmattendant.mWhic
hmquestionmwouldmbemthemmostmrelevantmformthemnursingmattendantmtomask?
a. “Whichmgroupsmarematmthemgreatestmriskmformproblems?”
b. “WhichmvictimsmshouldmImseemfirstmasmImbeginmmymday?”
c. “WithmwhichmphysiciansmwillmImbemmostmcloselymcollaborating?”
d. “WithmwhichmnursingmassistantsmwillmImpartnermthemmost?”
PRECISEmCHOICE:-A
m m m m m m
EALTH NURSING 6TH EDITION BY MARCIA STANHOPE
m m m m m m
,CH:m01:mCommunity-mandmPrevention-
OrientedmPracticemtomImprovemPopulationmHealthmStanhope:mFoundationsmformPopulationmHeal
thminmCommunity/PublicmHealthmNursing,m6THmEdition
MULTIPLEmCHOICE
1. Whichmofmthemfollowingmbestmdescribesmcommunity-basedmnursing?
a. Ampracticeminmwhichmcaremismprovidedmformindividualsmandmfamilies
b. Providingmcaremwithmamfocusmonmthemgroup’smneeds
c. Givingmcaremwithmamfocusmonmthemaggregate’smneeds
d. Amvaluemsystemminmwhichmallmhospitalmclientsmreceivemoptimalmcare
PRECISEmCHOICE:-A
Reasoning:->>>Bymdefinition,mcommunity-basedmnursingmismamsetting-
specificmpracticeminmwhichmcaremismprovidedmform“sick”mindividualsmandmfamiliesmwheremtheymlive,mwork,
mandmattendmschool.mThememphasismismonmacutemandmchronicmcaremandmthemprovisionmofmcomprehensi
ve,mcoordinated,mandmcontinuousmcare.mThesemnursingmattendantsmmaymbemgeneralistsmormspecialistsmi
nmmaternal–infant,mpediatric,madult,mormpsychiatricmmentalmhealthmnursing.mCommunity-
basedmnursingmemphasizesmacutemandmchronicmcaremtomindividualsmandmfamilies,mrathermthanmfocusing
monmgroups,maggregates,mormsystems.
2. Whichmofmthemfollowingmbestmdescribesmcommunity-orientedmnursing?
a. Focusingmonmthemprovisionmofmcaremtomindividualsmandmfamilies
b. Providingmcaremtommanagemacutemormchronicmconditions
c. GivingmdirectmcaremtomilminNdivU
Rmidua
S mN
IlsmwGithBin.thCeirMfamilymseting
d. Havingmthemgoalmofmhealthmpromotionmandmdiseasemprevention
PRECISEmCHOICE:-D
Reasoning:->>>Bymdefinition,mcommunity-
orientedmnursingmhasmthemgoalmofmpreserving,mprotecting,mormmaintainingmhealthmandmpreventingmdisea
semtompromotemthemqualitymofmlife.mAllmnursingmattendantsmmaymfocusmonmindividualsmandmfamilies,mgive
mdirectmcaremtomsickmpersonsmwithinmtheirmfamilymsetting,mandmhelpmmanagemacutemormchronicmcondition
s.mThesemdefinitionsmaremnotmspecificmtomcommunity-orientedmnursing.
3. Whichmofmthemfollowingmismthemprimarymfocusmofmpublicmhealthmnursing?
a. Familiesmandmgroups
b. Sickness-orientedmcare
c. Individualsmwithinmthemfamilymunit
d. Healthmcaremofmcommunitiesmandmpopulations
PRECISEmCHOICE:-D
Reasoning:-
>>>Inmpublicmhealthmnursingmthemprimarymfocusmismonmthemhealthmcaremofmcommunitiesmandmpopulations
mrathermthanmonmindividuals,mgroups,mandmfamilies.mThemgoalmismtompreventmdiseasem andmpreserve,mpro
mote,mrestore,mandmprotectmhealthmformthemcommunitymandmthempopulationmwithinmit.mCommunity-
basedmnursingmattendantsmdealmprimarilymwithmsickness-
morientedmcaremofmindividualsmandmfamiliesmacorssmthemlifemspan.mThemaimmismtomamanagemacutemandmch
ronicmhealthmconditionsminmthemcommunity,mandmthemfocusmofmpracticemismonmindividualmormfamily-
centeredmsicknessmcare.
,4. Whichmofmthemfollowingmismresponsiblemformthemdramaticmincreaseminmlifemexpectancymduringmthem2
0thmcentury?
a. Technologymincreasesminmthemfieldmofmmedicalmlaboratorymresearch
b. Advancesminmsurgicalmtechniquesmandmprocedures
c. Sanitationmandmothermpopulation-basedmpreventionmprograms
d. Usemofmantibioticsmtomfightminfections
PRECISEmCHOICE:-C
Reasoning:-
>>>Improvementsminmcontrolmofminfectiousmdiseasesmthroughmimmunizations,msanitation,mandmothermpop
ulation-
basedmpreventionmprogramsmledmtomthemincreaseminmlifemexpectancymfrommlessmthanm 50myearsminm1900m
tommoremthanm78myearsminm2013.mAlthoughmpeoplemaremexcitedmwhenmamnewmdrugmismdiscoveredmthatmc
uresmamdiseasemormwhenmamnewmwaymtomtransplantmorgansmismperfected,mitmismimportantmtomknowmaboutm
themsignificantmgainsminmthemhealthmofmpopulationsmthatmhavemcomemlargelymfrommpublicmhealthmaccompli
shments.
5. Amnursingmattendantmismdevelopingmamplanmtomreducemthemnumbermofmprematuremdeathsminmthemcomm
unity.mWhichmofmthemfollowingminterventionsmwouldmmostmlikelymbemimplementedmbymthemnursingmatte
ndant?
a. Increasemthemcommunity’smknowledgemaboutmclinicmcare.
b. Promotemhealthymlifestylembehaviormchoicesmamongmthemcommunitymmembers.
c. Encouragememployersmtomhavemwellnessmcentersmatmeachmindustrialmsite.
d. Ensuremtimelymandmeffectivemmedicalminterventionmandmtreatmentmformcommunitymmemb
ers.
PRECISEmCHOICE:-B
Reasoning:-
>>>Publicmhealthmapproachesmcouldmhelpmpreventmprematuremdeathsmbyminfluencingmthemwaympeoplemea
t,mdrink,mdrive,mengageminmexercise,mandmtreatmthemenvironment.mIncreasingmknowledgemofmclinicmcare,m
encouragingmon-sitemwellnessmcenters,mandmensuringmtimelymtreatmentmofmmedical
conditionsmdomnotmaddressmtheNfUocRusSoIfNimGpTroBv.inCgmOomvMermamlmlm healthmthroughmhealthmpro
motion
strategies.mThismismthemmajormmethodmthatmismsuggestedmtomreducemthemincidencemofmprematuremdeath.
6. Whichmofmthemfollowingmismambasicmassumptionmofmpublicmhealthmefforts?
a. Healthmdisparitiesmamongmanymgroupsmaremmorallymandmlegallymwrong.
b. Healthmcaremismthemmostmimportantmpriorityminmgovernmentmplanningmandmfunding.
c. Themhealthmofmindividualsmcannotmbemseparatedmfrommthemhealthmofmthemcommunity.
d. ThemgovernmentmismresponsiblemformlengtheningmthemlifemspanmofmAmericans.
PRECISEmCHOICE:-C
Reasoning:-
>>>Publicmhealthmpracticemfocusesmonmthemcommunitymasmamwhole,mandmthemeffectmofmthem community’sm
healthmstatusm(resources)monmthemhealthmofmindividuals,mfamilies,mandmgroups.mThemgoalmismtompreventmd
iseasemandmdisabilitymandmpromotemandmprotectmthemhealthmofmthemcommunitymasmamwhole.mPublicmhealt
hmcanmbemdescribedmasmwhatmsocietymcollectivelymdoesmtomensuremthatmconditionsmexistminmwhichmpeopl
emcanmbemhealthy.mThembasicmassumptionsmofmpublicmhealthmdomnotmjudgemthemmoralitymofmhealthmdispari
ties.mThemfocusmismonmpreventionmofmsicknessmnotmonmspendingmmoremonmsicknessmcare.mAdditionally,min
dividualmresponsibilitymformmakingmhealthymchoicesmismthemdirectivemformlengtheningmlifemspanmnotmthemrol
emofmthemgovernment.
7. Whichmofmthemfollowingmactionsmwouldmmostmlikelymbemperformedmbymampublicmhealthmnursingmattendant?
, a. Askingmcommunitymleadersmwhatminterventionsmshouldmbemchosen
b. Assessingmthemcommunitymandmdecidingmonmappropriateminterventions
c. Usingmdatamfrommthemmainmhealthmcareminstitutionsminmthemcommunitymtomdetermine
neededmhealthmservices
d. Workingmwithmcommunitymgroupsmtomcreatempoliciesmtomimprovemthemenvironment
PRECISEmCHOICE:-D
Reasoning:-
>>>Althoughmthempublicmhealthmnursingmattendantmmightmengageminmanymofmthemtasksmlisted,mhemormshe
mworksmprimarilymwithmmembersmofmthemcommunitymtomcarrymoutmcorempublicmhealthmfunctions,mincluding
massessmentmofmthempopulationmasmamwholemandmengagingminmpromotingmhealthmandmimprovingmthemen
vironment.mTheminterventionsmofmaskingmcommunitymleadersmwhichminterventionsmshouldmbemchosen,mas
essingmthemcommunitymandmdecidingmonmappropriateminterventions,mandmusingmdatamfrommhealthmcaremin
stitutionsmdomnotmdemonstratemthemengagementmofmthemcommunitymwhenmmakingmdecisionsmaboutmwha
tmthemcommunitymactuallymwantsmandmneeds.
8. Whichmofmthemfollowingmpublicmhealthmnursingmattendantsmmostmclearlymfulfillsmthemrespon
sibilitiesmofmthismrole?
a. Themnursingmattendantmwhommetmwithmseveralmgroupsmtomdiscussmcommunitymrecreationmissues
b. Themnursingmattendantmwhomspentmthemdaymattendingmmeetingsmofmvariousmhealthmagencies
c. Themnursingmattendantmwhomtalkedmtomseveralmpeoplemaboutmtheirmparticularmhealthmconcerns
d. Themnursingmattendantmwhomwatchedmthemcitymcouncilmmeetingmonmlocalmcablemtelevision
PRECISEmCHOICE:-B
Reasoning:-
>>>Anymofmthesemdescriptionsmmightmrepresentmamnursingmattendantmcommunicating,mcooperating,morm
collaboratingmwithmcommunitymresidentsmormgroupsmaboutmhealthmconcerns.mHowever,mthemnursingmatt
endantmwhomspentmthemdaymattendingmmeetingsmofmvariousmhealthmagenciesmismthemmostmrepresentativ
e,mbecauseminmpublicmhealth,mconcernsmaremaddressedmfrommambroadermperspective.mInmpublicmhealth,
mbroadmconcernsmofmthemcommunitymshouldmbemaddressed.mConcernsmarembroadermthanmrecreation,min
dividualmconcernsmaremnotmasmimportantmasmaggregatempriorities,mandmwatchingmtelevisionm(amone-
waymformmofmcommunication)mismlessmeffectivemthanminteractingmwithmothers.
9. Whichmofmthemfollowingmbestmdefinesmaggregate?
a. Amlargemgroupmofmpersons
b. Amcollectionmofmindividualsmandmfamilies
c. Amcollectionmofmpeoplemwhomsharemonemormmoremcharacteristics
d. Anothermnamemformdemographicmgroup
PRECISEmCHOICE:-C
Reasoning:-
>>>Anmaggregatemismdefinedmamcollectionmofmpeoplemwhomsharemonemormmorempersonalmormenvironment
almcharacteristics.mMembersmofmamcommunitymcanmbemdefinedminmtermsmofmeithermgeographym(e.g.,mamco
unty,mamgroupmofmcounties,mormamstate)mormamspecialminterestm(e.g.,mchildrenmattendingmamparticularmscho
ol).mThesemmembersmmakemupmampopulation.mThemtermmpopulationmmaymbemusedminterchangeablymwith
mthemtermmaggregate.mAmlargemgroupmofmpersons,mamcollectionmofmindividualsmandmfamilies,mandmanotherm
namemformdemograhpicmgroupmaremnotmaccuratemdefinitionsmofmthemtermmaggregate.
10. Amregisteredmnursingmattendantmwasmjustmemployedmasmampublicmhealthmnursingmattendant.mWhic
hmquestionmwouldmbemthemmostmrelevantmformthemnursingmattendantmtomask?
a. “Whichmgroupsmarematmthemgreatestmriskmformproblems?”
b. “WhichmvictimsmshouldmImseemfirstmasmImbeginmmymday?”
c. “WithmwhichmphysiciansmwillmImbemmostmcloselymcollaborating?”
d. “WithmwhichmnursingmassistantsmwillmImpartnermthemmost?”
PRECISEmCHOICE:-A
