Ba.nk
Foundations for Population Health in Community Public
Health Nursing 5th Edition Stanhope Test Bank
Cha.pter 01; Community- a.nd Prevention-Oriented Pra.ctice to Improve
Popula.tionHea.lth
Sta.nhope; Founda.tions for Popula.tion Hea.lth in Community/Public Hea.lth
Nursing,5th Edition
MULTIPLE CHOICE
1. Which of the following best describes community-ba.sed nursing?
a. A. pra.ctice in which ca.re is provided for individua.ls a.nd fa.milies
b. Providing ca.re with a. focus on the group’s needs
c. Giving ca.re with a. focus on the a.ggrega.te’s needs
d. A. va.lue system in which a.ll clients receive optima.l ca.re
A.NS; A.
By definition, community-ba.sed nursing is a. setting-specific pra.ctice in which ca.re is
provided for ―sick‖ individua.ls a.nd fa.milies where they live, work, a.nd a.ttend school.
The empha.sis is on a.cute a.nd chronic ca.re a.nd the provision of comprehensive,
coordina.ted, a.ndcontinuous ca.re. These nurses ma.y be genera.lists or specia.lists in
ma.terna.l–infa.nt, pedia.tric,a.dult, or psychia.tric menta.l hea.lth nursing. Community-
ba.sed nursing empha.sizes a.cute a.ndchronic ca.re to individua.ls a.nd fa.milies, ra.ther
tha.n focusing on groups, a.ggrega.tes, or systems.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of ca.re to individua.ls a.nd fa.milies
b. Providing ca.re to ma.na.ge a.cute or chronic conditions
c. Giving direct ca.re to ill inNdivR
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d. Ha.ving the goa.l of hea.lth promotion a.nd disea.se prevention
A.NS; D
By definition, community-oriented nursing ha.s the goa.l of preserving, protecting, or
ma.inta.ining hea.lth a.nd preventing disea.se to promote the qua.lity of life. A.ll nurses ma.y
focuson individua.ls a.nd fa.milies, give direct ca.re to ill persons within their fa.mily setting,
a.nd helpma.na.ge a.cute or chronic conditions. These definitions a.re not specific to
community-orientednursing.
3. Which of the following is the prima.ry focus of public hea.lth nursing?
a. Fa.milies a.nd groups
b. Illness-oriented ca.re
c. Individua.ls within the fa.mily unit
d. Hea.lth ca.re of communities a.nd popula.tions
A.NS; D
In public hea.lth nursing the prima.ry focus is on the hea.lth ca.re of communities a.nd
popula.tions ra.ther tha.n on individua.ls, groups, a.nd fa.milies. The goa.l is to prevent
disea.se a.ndpreserve, promote, restore, a.nd protect hea.lth for the community a.nd the
popula.tion within it. Community-ba.sed nurses dea.l prima.rily with illness-oriented ca.re of
individua.ls a.nd fa.milies a.corss the life spa.n. The a.im is to a.ma.na.ge a.cute a.nd chronic
hea.lth conditions in the community, a.nd the focus of pra.ctice is on individua.l or fa.mily-
centered illness ca.re.
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4. Which of the following is responsible for the dra.ma.tic increa.se in life expecta.ncy during
the20th century?
a. Technology increa.ses in the field of medica.l la.bora.tory resea.rch
b. A.dva.nces in surgica.l techniques a.nd procedures
c. Sa.nita.tion a.nd other popula.tion-ba.sed prevention progra.ms
d. Use of a.ntibiotics to fight infections
A.NS; C
Improvements in control of infectious disea.ses through immuniza.tions, sa.nita.tion, a.nd
other popula.tion-ba.sed prevention progra.ms led to the increa.se in life expecta.ncy from
less tha.n 50yea.rs in 1900 to more tha.n 78 yea.rs in 2013. A.lthough people a.re excited
when a. new drug isdiscovered tha.t cures a. disea.se or when a. new wa.y to tra.nspla.nt
orga.ns is perfected, it is importa.nt to know a.bout the significa.nt ga.ins in the hea.lth of
popula.tions tha.t ha.ve come la.rgely from public hea.lth a.ccomplishments.
5. A. nurse is developing a. pla.n to decrea.se the number of prema.ture dea.ths in the
community.Which of the following interventions would most likely be implemented by the
nurse?
a. Increa.se the community’s knowledge a.bout hospice ca.re.
b. Promote hea.lthy lifestyle beha.vior choices a.mong the community members.
c. Encoura.ge employers to ha.ve wellness centers a.t ea.ch industria.l site.
d. Ensure timely a.nd effective medica.l intervention a.nd trea.tment for
communitymembers.
A.NS; B
Public hea.lth a.pproa.ches could help prevent prema.ture dea.ths by influencing the wa.y
peopleea.t, drink, drive, enga.ge in exercise, a.nd trea.t the environment. Increa.sing
knowledge of hospice ca.re, encoura.ging on-site wellness centers, a.nd ensuring timely
trea.tment of medica.l
conditions do not a.ddress theNfUocR
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gOovMera.ll hea.lth through hea.lth promotion
stra.tegies. This is the ma.jor method tha.t is suggested to decrea.se the incidence of prema.ture
dea.th.
6. Which of the following is a. ba.sic a.ssumption of public hea.lth efforts?
a. Hea.lth dispa.rities a.mong a.ny groups a.re mora.lly a.nd lega.lly wrong.
b. Hea.lth ca.re is the most importa.nt priority in government pla.nning a.nd funding.
c. The hea.lth of individua.ls ca.nnot be sepa.ra.ted from the hea.lth of the community.
d. The government is responsible for lengthening the life spa.n of A.merica.ns.
A.NS; C
Public hea.lth pra.ctice focuses on the community a.s a. whole, a.nd the effect of the
community’s hea.lth sta.tus (resources) on the hea.lth of individua.ls, fa.milies, a.nd groups.
The goa.l is to prevent disea.se a.nd disa.bility a.nd promote a.nd protect the hea.lth of the
community a.s a. whole. Public hea.lth ca.n be described a.s wha.t society collectively does to
ensure tha.t conditions exist in which people ca.n be hea.lthy. The ba.sic a.ssumptions of
public hea.lth do notjudge the mora.lity of hea.lth dispa.rities. The focus is on prevention of
illness not on spending more on illness ca.re. A.dditiona.lly, individua.l responsibility for
ma.king hea.lthy choices is the directive for lengthening life spa.n not the role of the
government.
7. Which of the following a.ctions would most likely be performed by a. public hea.lth nurse?
a. A.sking community lea.ders wha.t interventions should be chosen
b. A.ssessing the community a.nd deciding on a.ppropria.te interventions
c. Using da.ta. from the ma.in hea.lth ca.re institutions in the community to determine
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,Founda.tions for Popula.tion Hea.lth in Community Public Hea.lth Nursing 5th Edition Sta.nhope Test
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needed hea.lth services
d. Working with community groups to crea.te policies to improve the environment
A.NS; D
A.lthough the public hea.lth nurse might enga.ge in a.ny of the ta.sks listed, he or she works
prima.rily with members of the community to ca.rry out core public hea.lth functions,
includinga.ssessment of the popula.tion a.s a. whole a.nd enga.ging in promoting hea.lth a.nd
improving theenvironment. The interventions of a.sking community lea.ders which
interventions should be chosen, a.sessing the community a.nd deciding on a.ppropria.te
interventions, a.nd using da.ta. from hea.lth ca.re institutions do not demonstra.te the
enga.gement of the community when ma.king decisions a.bout wha.t the community
a.ctua.lly wa.nts a.nd needs.
8. Which of the following public hea.lth nurses most clea.rly fulfills the responsibilities of
thisrole?
a. The nurse who met with severa.l groups to discuss community recrea.tion issues
b. The nurse who spent the da.y a.ttending meetings of va.rious hea.lth a.gencies
c. The nurse who ta.lked to severa.l people a.bout their pa.rticula.r hea.lth concerns
d. The nurse who wa.tched the city council meeting on loca.l ca.ble television
A.NS; B
A.ny of these descriptions might represent a. nurse communica.ting, coopera.ting, or
colla.bora.ting with community residents or groups a.bout hea.lth concerns. However, the
nursewho spent the da.y a.ttending meetings of va.rious hea.lth a.gencies is the most
representa.tive, beca.use in public hea.lth, concerns a.re a.ddressed from a. broa.der
perspective. In public hea.lth,broa.d concerns of the community should be a.ddressed.
Concerns a.re broa.der tha.n recrea.tion,individua.l concerns a.re not a.s importa.nt a.s
a.ggrega.te priorities, a.nd wa.tching television (a. one-wa.y form of communica.tion) is less
effective tha.n intera.cting with others.
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9. Which of the following best defines a.ggrega.te?
a. A. la.rge group of persons
b. A. collection of individua.ls a.nd fa.milies
c. A. collection of people who sha.re one or more cha.ra.cteristics
d. A.nother na.me for demogra.phic group
A.NS; C
A.n a.ggrega.te is defined a. collection of people who sha.re one or more persona.l or
environmenta.l cha.ra.cteristics. Members of a. community ca.n be defined in terms of either
geogra.phy (e.g., a. county, a. group of counties, or a. sta.te) or a. specia.l interest (e.g.,
children a.ttending a. pa.rticula.r school). These members ma.ke up a. popula.tion. The term
popula.tion ma.y be used intercha.ngea.bly with the term a.ggrega.te. A. la.rge group of
persons, a. collectionof individua.ls a.nd fa.milies, a.nd a.nother na.me for demogra.hpic
group a.re not a.ccura.te definitions of the term a.ggrega.te.
10. A. registered nurse wa.s just employed a.s a. public hea.lth nurse. Which question would be
themost releva.nt for the nurse to a.sk?
a. ―Which groups a.re a.t the grea.test risk for problems?‖
b. ―Which pa.tients should I see first a.s I begin my da.y?‖
c. ―With which physicia.ns will I be most closely colla.bora.ting?‖
d. ―With which nursing a.ssista.nts will I pa.rtner the most?‖
A.NS; A.
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A.sking which groups a.re a.t grea.test risk reflects a. community-oriented perspective.
Theincorrect responses reflect a. focus on individua.ls ra.ther tha.n a. community-
oriented perspective.
11. Ma.king sure tha.t essentia.l community-oriented hea.lth services a.re a.va.ila.ble defines
which ofthe core public hea.lth functions?
a. Policy development
b. A.ssessment
c. A.ssura.nce
d. Scientific knowledge-ba.sed ca.re
A.NS; C
A.ssura.nce includes ma.king sure tha.t essentia.l community-oriented hea.lth services a.re
a.va.ila.ble in the community. The definition does not fit the terms a.ssessment, policy
development. Scientific knowledge-ba.sed ca.re is not a. core function of public hea.lth.
A.ssessment is systema.tic da.ta. collection on the popula.tion, monitoring the popula.tion’s
hea.lthsta.tus, a.nd ma.king informa.tion a.va.ila.ble a.bout the hea.lth of the community.
Policy development refers to efforts to develop policies tha.t support the hea.lth of the
popula.tion, including using a. scientific knowledge ba.se to ma.ke policy decisions.
12. When ta.lking to a. women’s group a.t the senior citizens’ center, the nurse reminded them
tha.tthe only wa.y the center would be a.ble to a.fford to provide tra.nsporta.tion services for
them would be for them to continue to write letters to their loca.l city council
representa.tives requesting funding for such a. service. Wha.t wa.s the nurse trying to
a.ccomplish through this a.ction?
a. Ensure tha.t the women did not expect the nurse to solve their problem.
b. Demonstra.te tha.t the nursNe uR
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c. Express empa.thy, support, a.nd concern. T
d. Help the women enga.ge in politica.l a.ction.
A.NS; D
Public hea.lth nurses enga.ge themselves a.nd others in policy development a.nd encoura.ge
a.nda.ssist persons to communica.te their needs to those with the power to ta.ke a.ction. The
nurse isdemonstra.ting the role of a.dvoca.te through this a.ction, it goes beyond merely
understa.nidng the women’s concern, a.nd instea.d mobilizes them to ta.ke a.ction. This
a.ction does not demonstra.te the nurse showing empa.thy ra.ther the nurse is empowering
these women.
13. The public hea.lth nurse ha.s a. clea.r vision of wha.t needs to be done a.nd where to
begin toimprove the hea.lth of the community. Why would the nurse spend time meeting
with community groups to discuss the most importa.nt ta.sk to be a.ddressed first?
a. To increa.se the group’s self-esteem
b. To ma.inta.in communica.tion links with the groups
c. To ma.ke the groups feel good a.bout their contribution
d. To work with the groups, not for the groups
A.NS; D
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