FOUNDATIONSFORPOPULATIONHEALTHIN COMMUNITY/PUBLIC
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b HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6TH EDITION
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, Table of Contents b b
Chapter01: PublicHealthNursing and PopulationHealth
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Chapter 02:The History of Public Health and Public and Community Health Nursing Stanhope: Chapter 03:
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b US and Global Health Care
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Chapter04: Government,theLaw, and Policy Activism
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b Chapter 05: Economics of US Health Care Delivery
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Chapter06: Ethics inPublicand CommunityHealth Nursing Practice
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Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapter
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09: Evidence-Based Practice Chapter10:
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EpidemiologicalApplications
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Chapter 11: Infectious Disease Prevention and Control
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b Chapter12:CommunicableandInfectionDiseaseRisks
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b Chapter 13: Community Assessment and Evaluation
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b Chapter 14: Health Education in the Community Chapter
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15: Case Management
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Chapter 16: DisasterManagement
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Chapter17:PublicHealthSurveillanceandOutbreakInvestigation
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Chapter 18: Program Management
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Chapter19: Healthcare Improvement in the Community
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Chapter20: FamilyDevelopment,FamilyNursingAssessment,and Genomics
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Chapter 21: Family Health Risks
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Chapter22: Health Risks Across theLife Span
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Chapter23:HealthEquity and CareofVulnerable Populations Chapter
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24: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapter
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26: Alcohol,Tobacco,and OtherDrug Problems in theCommunity Chapter 27:
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b Violence and Human Abuse b b b
Chapter 28: Nursing Practice at theLocal, State, and National Levels in PublicHealth Chapter
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29: The Faith Community Nurse
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Chapter 30: TheNurse in Public Health,Home Health, Palliative Care, and Hospice Chapter 31:
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The Nurse in the Schools
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Chapter32: TheNurse inOccupational Health
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, Chapter 01:Public HealthNursing andPopulation Health b b b b b b b
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6th Edition b b b b b b b b b b
MULTIPLE CHOICE b
1. WHICH statement best describes community-based nursing?
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a. A practice in WHICH care is provided for individuals and families.
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b. Providing care with a focus on the group’s needs. b b b b b b b b
c. Giving care with a focus on the aggregate’s needs. b b b b b b b b
d. A value system in WHICH all clients receive optimal care.
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ANS A b
By definition, community-based nursing is a setting-specific practice in WHICH care is provided for “sick” individuals and families where
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they live, work, and attend school. The emphasis is on acute and chronic care and the provision of comprehensive, coordinated, and
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continuous care. These Nurses may be generalists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing.
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Community-based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on groups, aggregates, or
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systems.
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2. WHICH statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families b b b b b
b. Providing care to manage acute or chronic conditions b b b b b b b
c. Giving direct care to ill individuals within their family setting b b b b b b b b b
d. To preserve, protect, promote, or maintain health and prevent disease
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ANS D b
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health and preventing disease to promote
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the quality of life. All Nurses may focus on individuals and families, give direct care to ill persons within their family setting, and help
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manage acute or chronic conditions. These definitions are not specific to community-oriented nursing.
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3. WHICH of the Following is the primary focus of public health nursing?
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a. Families and groups b b
b. Illness-oriented care b
c. Individuals within the family unit b b b b
d. Health care of communities and populations b b b b b
ANS D b
In public health nursing, the primary focus is on the health care of communities and populations rather than on individuals, groups, and
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families. The goal is to prevent disease and preserve, promote, restore, and protect health for the community and the population within it.
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Community-based Nurses deal primarily with illness-oriented care of individuals and families across the life span. The aim is to
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manage acute and chronic health conditions in the community, and the focus of practice is on individual or
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family-centered illness care. b b
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th century?
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a. Technology increases in the field of medical laboratory research b b b b b b b b
b. Advances in surgical techniques and procedures b b b b b
c. Sanitation and other population-based prevention programs b b b b b
d. Use of antibiotics to fight infections b b b b b
ANS C b
There has to be indisputable evidence collected over time that public health policies and programs were primarily responsible for increasing
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the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60% in just over a century plus through improvements in
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(1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improving food and drug safety,
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excited when a new drug is discovered
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that cures a disease or when a new way to transplant organs is perfected, it is important to know about the significant gains in the health of
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populations that have come largely from public health accomplishments.
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5. A Nurse is developing a plan to decrease the number of premature deaths in the community. WHICH of the Following
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interventions would most likely be implemented by the Nurse?
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a. Provide free health care to all citizens b b b b b b
b. To increase the number of individuals with access to effective health care benefits
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c. Lower the cost of health care to the American population b b b b b b b b b
d. To lessen the governmental burden of providing health care to Americans
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ANS B b
The central feature in the Patient Protection and Affordable Care Act (ACA) of 2010 are the mechanisms to increase the number of people
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with health insurance. The care provided is not necessarily free. While the cost of health care and the burden it places on the American
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government are serious concerns, they are not the primary focus of ACA.
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. 1
, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
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a. Health disparities among any groups are morally and legally wrong. b b b b b b b b b
b. Health care is the most important priority in government planning and funding. b b b b b b b b b b b
c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS C b
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely separate from the health of the larger
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community. Public health practice focuses on the community as a whole, and the effect of the community’s health status (resources) on
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the health of individuals, families, and groups. The goal is to prevent disease and disability and promote and protect the health of the
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community as a whole. Public health can be described as what society collectively does to ensure that conditions exist in WHICH people
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can be healthy. The basic assumptions of public health do not judge the morality of health disparities. The focus is on prevention of illness
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not on spending more on illness care. Additionally, individual responsibility for making healthy choices is the directive for lengthening
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life span not the role of the government.
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7. WHICH of the Following actions would most likely be performed by a public health Nurse?
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a. Asking community leaders what interventions should be chosen b b b b b b b
b. Assessing the community and deciding on appropriate interventions b b b b b b b
c. Using data from the main health care institutions in the community to determine b b b b b b b b b b b b
needed health services
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d. Working with community groups to create policies to improve the environment b b b b b b b b b b
ANS D b
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily with members of the community to
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carry out core public health functions, including assessment of the population as a whole and engaging in promoting health and
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improving the environment. The interventions of asking community leaders WHICH interventions should be chosen, assessing the
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community and deciding on appropriate interventions, and using data from health care institutions do not demonstrate the engagement of
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the community when making decisions about what the community actually wants and needs.
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8. WHICH public health Nurse most clearly fulfills the responsibilities of this role?
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a. The Nurse who met with several groups to discuss community recreation issues
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b. The Nurse who spent the day attending meetings of various health agencies
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c. The Nurse who talked to several people about their particular health concerns
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d. The Nurse who watched the city council meeting on local cable television
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ANS B b
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with community residents or groups
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about health concerns. A major challenge for the future is the need for public health nursing specialists to be more aggressive in working
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collaboratively with various groups in the community as well as professional colleagues in institutional settings to deal with barriers to
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health. However, the Nurse who spent the day attending meetings of various health agencies is the most representative, because in public
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health, concerns are addressed from a broader perspective. In public health, broad concerns of the community should beaddressed.
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Concerns are broader than recreation, individual concerns are not as important as aggregate priorities, and watching television (a one-way
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form of communication) is less effective than interacting with others.
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9. WHICH of the Following best defines aggregate? b b b b b b
a. A large group of persons b b b b
b. A collection of individuals and families
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c. A collection of people who share one or more characteristics
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d. Another name for demographic group b b b b
ANS C b
An aggregate is defined a collection of people who share one or more personal or environmental characteristics. Members of a
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community can be defined in terms of either geography (e.g., a county, a group of counties, or a state) or a special interest (e.g., children
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attending a particular school). These members make up a population. The term population may beused interchangeably with the term
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aggregate. A large group of persons, a collection of individuals and families, and another name for demographic group are not accurate
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definitions of the term aggregate.
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10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role of a public health Nurse?
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a. “WHICH groups are at the greatest risk for problems?” b b b b b b b b
b. “WHICH patients should I see first as I begin my day?” b b b b b b b b b b
c. “With WHICH physicians will I be most closely collaborating?” b b b b b b b b
d. “With WHICH nursing assistants will I partner the most?” b b b b b b b b
ANS A b
Asking WHICH groups are at greatest risk reflects a community-oriented perspective. The incorrect responses reflect a focus on individuals
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rather than a community-oriented perspective.
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11. Making sure that essential community-oriented health services are available defines WHICH of the core public health functions?
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a. Policy development b
b. Assessment
c. Assurance
d. Scientific knowledge-based care b b
ANS C b
Assurance includes making sure that essential community-oriented health services are available in the community. The definition does not
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fit the terms assessment, policy development. Scientific knowledge-based care is not a core function of public health.
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Assessment is systematic data collection on the population, monitoring the population’s health status, and making information available
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about the health of the community. Policy development refers to efforts to develop policies that support the health of the population,
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including using a scientific knowledge base to make policy decisions.
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