FOUNDATIONS FOR POPULATION HEALTH IN
COMMUNITY/ PUBLIC HEALTH NURSING: (6TH
EDITION) TEST BANK BY MARCIA STANHOPE,
JEANETTE LANCASTER
Chapter 01: Community- and Prevention-Oriented Practice to
Improve PopulationHealth Stanhope: Foundations for Population
Health in Community/Public Health Nursing, 6th Edition
MULTIPLE CHOICE
1. Making sure that essential community-oriented health
services are available defines which of the core public health
functions?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance includes making sure that essential
communityoriented health services are available in the
community. The definition does not fit the terms assessment,
policy development. Scientific knowledge-based care is not a
core function of public health. Assessment is systematic data
collection on the population, monitoring the population’s
health status, and making information available about the
health of the community. Policy development refers to efforts
to develop policies that support the health of the population,
,Page 2 of 1082
including using a scientific knowledge base to make policy
decisions.
2. When talking to a women’s group at the senior citizens’
center, the nurse reminded them that the only way the center
would be able to afford to provide transportation services for
them would be for them to continue to write letters to their
local city council representatives requesting funding for such
a service. What was the nurse trying to accomplish through
this action?
a. Ensure that the women did not expect the nurse to solve
their problem.
b. Demonstrate that the nursNe uRnderIstooGd
thBe.wComMen’s concerns and needs.
c. Express empathy, support, and concern.
d. Help the women engage in political action.
ANS: D
Public health nurses engage themselves and others in policy
Historically, health care providers have been accused of
providing care for or to people without actually involving the
recipients in the decisions. Public health nursing is a “with the
people”—not a “to the people” or “for the people”—approach to
planning. The purpose of meeting with community groups is
not to increase their self-esteem or make them feel good
about their contribution, rather it is to allow them to act for
themselves to solve the problems they are facing. The first
task of working with the group should occur before
addressing maintaining communication links.
14. The nurse often has to make resource allocation decisions.
Which of the following best describes the criterion the nurse
should use in such cases?
,Page 3 of 1082
a. The specific moral or ethical principle related to the
situation
b. The cheapest, most economical approach
c. The most rational probable outcome
d. The needs of the aggregate rather than a few individuals
ANS: D
The dominant needs of the population outweigh the expressed
needs of one or a few people. All of the choices represent
components of a decision that the nurse might consider in
determining the needs of the aggregate.
15. Which of the following actions best represents public health
nursing?
a. Assessing the effectiveness of the high school health clinic
b. Caring for clients in their home following their outpatient
surgeries
c. Providing care to children and their families at the school
clinic
d. Administering follow-up care for pediatric clients at an
outpatient clinic
ANS: A
A public health or populationN-
fUocRuSseIdNapGpTroBac.hCwOoMuld look at the entire group
of children being served to determine whether available
services are effective in achieving the goal of improving the
health of the school population. Caring for clients and their
families focuses on individuals and families and not on the
entire population. Public health focuses on care of
populations.
, Page 4 of 1082
1. Which of the following best describes community-based
nursing?
a. A practice in which care is provided for individuals and
families
b. Providing care with a focus on the group’s needs
c. Giving care with a focus on the aggregate’s needs
d. A value system in which all clients receive optimal care
ANS: A
By definition, community-based nursing is a setting-specific
practice in which care is provided for “sick” individuals and
families where they live, work, and attend school. The
emphasis is on acute and chronic care and the provision of
comprehensive, coordinated, and continuous care. These
nurses may be generalists or specialists in maternal–infant,
pediatric, adult, or psychiatric mental health nursing.
Community-based nursing emphasizes acute and chronic care
to individuals and families, rather than focusing on groups,
aggregates, or systems.
2. Which of the following best describes community-oriented
nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill inNdivRiduaIls
wGithBin.thCeirMfamily setting
d. Having the goal of health promotion and disease prevention
ANS: D
By definition, community-oriented nursing has the goal of
preserving, protecting, or maintaining health and preventing
disease to promote the quality of life. All nurses may focus on
individuals and families, give direct care to ill persons within
their family setting, and help manage acute or chronic