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Chapter 02: Historical Factors: Community Health Nursing in Context

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Chapter 02: Historical Factors: Community Health Nursing in Context

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Community Public Health Nursing 7th Edition Nies Test Bank


Chapter 02: Historical Factors: Community Health Nursing in Context
Nies: Community/Public Health Nursing, 7th Edition


MULTIPLE CHOICE

1. Which best describes the time period when communities began to agree on collective action to
stay healthy?
a. When industrialization occurred
b. When large urban centers began to develop and the population expanded
c. When people gathered together to settle in villages
d. When people were nomads engaged in hunting and gathering

ANS: D
Primitive prehistorical societies had health practices to ensure their survival. Isolation and
fumigation were used for thousands of years. This time period is best described by when
people were nomads engaged in hunting and gathering. Industrialization, development of
large urban centers, and settlement into villages do not describe this time period.

DIF: Cognitive Level: Understand (Comprehension)

2. Which best describes the first measures used by large communities to ensure community
health?
a. Building safe sewage disposal systems
b. Healthy food choices and exercise
c. Praying to the gods for preservation
d. Use of medicine and other herbal remedies
N R I G B.C M
U S N T O
ANS: A
In classical times, large cities grew, and elaborate drainage systems were constructed. In
Leviticus, the Hebrews formulated the first hygiene code. This hygiene code protected water
and food by creating laws that governed personal and community hygiene, such as contagion,
disinfection, and sanitation. This is best described through the building of safe sewage
disposal systems. Healthy food choices and exercise, praying to the gods for preservation, and
the use of medicine and other herbal measures were not among the first measures used by
large communities to ensure health.

DIF: Cognitive Level: Understand (Comprehension)

3. A nurse has determined that there is always a consistent level of people in the population who
experience pneumonia. Which best describes the prevalence of this disease?
a. Prevalent
b. Endemic
c. Epidemic
d. Pandemic
ANS: B
By definition, when diseases are always present in a population they are called endemic.
Diseases which were occasionally present and often fairly widespread are called epidemic.
Pandemic is used to describe the existence of a disease in a large proportion of the population.
Prevalent means widespread, and would not be the best term to describe this disease.

, Community Public Health Nursing 7th Edition Nies Test Bank


DIF: Cognitive Level: Apply (Application)

4. Which best describes an innovation introduced by the Romans?
a. Citizenship duties
b. Immunizations
c. Hospitals and nursing homes
d. Daily exercise
ANS: C
The Romans introduced many health innovations such as fresh water, public physicians,
hospitals, surgeries, infirmaries, and nursing homes. Unfortunately, these services were only
for the wealthy. Citizenship duties, immunizations, and daily exercise were not innovations
introduced by the Romans.

DIF: Cognitive Level: Understand (Comprehension)

5. Which best describes a modern public health practice that was originally developed as a
means of self-protection from the Black Death (bubonic plague)?
a. Care in a hospital
b. Chemical intervention
c. Isolation and quarantine
d. Herbal remedies
ANS: C
Modern public health practices, such as isolation, disinfection, and ship quarantines, emerged
in response to the bubonic plague. Care in a hospital was originally developed by the Romans.
Chemical intervention and heNrbaR Ied
l rem GiesTw
Be.reCnoMt used to self-protect from the Black
Death.
U S N O
DIF: Cognitive Level: Understand (Comprehension)

6. Which disease provided immunity to smallpox?
a. Cowpox
b. Measles
c. Mumps
d. Scarlet fever
ANS: A
Those that had an infection of cowpox were thereafter immune from smallpox, which was
endemic and killed about 10% of the population. Measles, mumps, and scarlet fever did not
provide immunity to smallpox.

DIF: Cognitive Level: Understand (Comprehension)

7. A scholar during the Sanitary Revolution created medical topographies. What was the
advantage of these surveys?
a. Citizens knew which wells were safe to use for drinking water.
b. People knew what housing areas to avoid.
c. Results demonstrated geographical factors related to regional disease.
d. The king could isolate areas of disease from safe areas.

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