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Chapter1 The Journey Begins: Introduction
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1. After teaching a group of nursing students about the similarities and differences between
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public health and community health, which of the following statements by a nursing student
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would indicate knowledge of the similaritiesanddifferencesbetweenpublichealthandcommunity
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health?
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A) “Community health nursing is defined as gh gh gh gh gh
nursing care that is provided in a community setting, ratherthan an institutionalsetting.”
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B) “Public health nursing is defined as nursing care that is
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C) “Public health nursing is focused on gh gh gh gh gh
the healthofindividuals.”
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D) “Community health nursing can shape the quality of community health services
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and improvethehealthofthegeneralpublic.”
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Ans: gh D Feedback:
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Operating within an environment of rapid change and increasingly complex challenges, this nursing
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specialtyholds the potential toshape thequalityofcommunityhealthservicesand
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improve the healthof the general public.
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2. Which of the following statements would best
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describe the difference between publichealth nursing and community health nursing?
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A) Public health nursing is focused on the private aspects of health, and community health
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nursing is focusedonthepublicaspectsof
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health.
B) In our textbook, the term community health practice refers to a focus on specific,
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designated communitiesandisapart of the
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largerpublichealth effort. gh
C) Public health nursing and community health nursing relate to the very same types of services
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and perspectives.
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D) Both public health nursing and community health nursing are practiced exclusively
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within institutions.
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Ans: gh B Feedback:
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,In this textbook, community health practice refers to a focus on specific, designated communities.
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It is a part of the larger public health effort and recognizes the fundamental concepts and
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principles of public health as its birthright and foundation for practice. Public health nursing is
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focused on the public aspects of health. Public health nursing and community health nursing
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have distinctive types of services and perspectives. Neither public health nursing nor community
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health nursing is practiced excl usively within institutions.
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3. Whichof the followingismostaccurate about the conceptof community?
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A) A community is a collection of people who share some important features of theirlives.
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B) Community members live in the same geographiclocation. gh gh gh gh gh gh
C) Community members are biologically related. gh gh gh gh
D) A community is made up of people who do notnecessarily interact with one anotherand do
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not necessarilyshareasenseofbelonging
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to that group. Ans: A
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Feedback:
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The broad definition of a community is a collection of people who share some important features of
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their lives. Community members may not live in the same geographic location as in a common-
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interest communityora communityofsolution.Apopulationismadeup ofpeople
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who do not necessarily interact with one another and do not necessarily share a sense of
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belongingto thatgroup.
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4. A group of students are reviewing material for a test on populations, communities,
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and aggregates.Whichofthefollowing indicates
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that the students understand theseconcepts?
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A) Members of a population share asense of belonging. gh gh g h gh gh gh gh
B) Communities and populations are types of aggregates. gh gh gh gh gh gh
C) Individuals of acommunity are loosely connected. gh gh gh gh gh
D) Members of an aggregate share a strong bond. Ans: gh gh gh gh gh gh gh gh
B Feedback:
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An aggregate referstoa mass of groupingof distinctindividuals who are considered as a
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whole and who are loosely associated with one another. Communities and populations are types
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of aggregates. A population is made up of people who do not necessarily interact with one another
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and do not necessarilyshareasenseofbelongingtothe group.A communityisa
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collection of people who chose to interact with one another because of common interests,
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characteristics,orgoals,whichformthebasis for a senseofunityor
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belonging.
5. Which of the following would a community health nurse identify as a community of
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common interest?
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, A) The global community
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B) Small rural townin a northern state C) National professional organizationD)
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addressingwaterpollutionAns: C
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Feedback:
A common-interest community shares acommon interestorgoal thatbinds the members
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together. Membership in a national professional organization is one example. The global
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communityanda small rural town in a northern state would be examples of a geographic
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community. Counties addressing awaterpollutionproblemwouldbe anexample
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of a communityof solution.
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6. The nurse is working with a community of solution. Which of the following would the
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nurse expecttofind?
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A) A health problem affectingthe group
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B) Common goal binding members together gh gh gh gh
C) Sharingof a similargoal gh g h
D) Locational
boundaries Ans: A
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Feedback:
A community of solution involves agroup of people coming togetherto solve aproblem
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that affects them. A common-interest community involves a collection of people widely scattered
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geographically who have an interest or goal that binds the members together. A geographical
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communityisonedefinedbyitsgeographicalorlocational
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boundaries.
7. Which one of the following statements made by a student would the nurse educator
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recognize as evidencethatastudent
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understands the health continuum? gh gh gh
A) The distinction between health and illness is well demarcated.
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B) Illness refers to a state of being relatively unhealthy.
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C) The term health is limited to reflect an individual's state.
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D) Treatment of acute conditions reflects gh gh gh gh
the currentfocus ofhealthcare.Ans: B
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Feedback:
Although society typically depicts an absolute line of difference between being either
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well or ill, health is considered a relative term. Thus, illness is viewed as a state of being
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relatively unhealthy. Health is typically described as a continuum that involves a range of degrees
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from optimal health at one end to total disabilityor death at the other. The line of demarcation
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is not clear. Health applies to individuals, families, and communities. Traditionally, mosthealthcare
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has focused onthe
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