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Chapter 02: History of Public Health and Public and Community Health Nursing Stanhope: Public
Health Nursing: Population-Centered Health Care in the Community, 10th Edition
1. In the past, what term was used to identify population-centered nurses?
a. District nurses
b. Almshouse nurses
c. Soldier nurses
d. Sisters
((answers))ANS: A
In the past, population-centered nurses have been called public health nurses (PHNs), district nurses,
visiting nurses, school nurses, occupational health nurses, and home health nurses. Many women who
performed nursing functions in almshouses and early hospitals in Great Britain were poorly educated,
untrained, and often undependable. The original soldier nurses worked with Florence Nightingale at
Scutari. Various groups of "sisters" have been used throughout history to care for the poor.)
-2. A nurse is working in a public health nursing setting. Which statement best describes why this
specialty is appealing to nurses?
a. Interactions with wealthy contributors to secure funding
b. Autonomy and independence of practice
c. Ability to locate the source of diseases and cure patients
d. Opportunities to meet a variety of people
((answers))ANS: B
, Community health nurses have a long history of autonomous practice, problem solving, and decision
making. Community health care nurses engage in the other activities as well, but overall, they have been
best known for autonomy of practice.)
-3. What are the newest threats to health in the United States that community health nurses deal with?
a. Diphtheria, cholera, and hepatitis
b. HIV, influenza, and bioterrorism
c. Avian flu, tuberculosis (TB), and radiation
d. Polluted water and air
((answers))ANS: B
The newest threats to health that PHNs are involved in are HIV, H1N1 influenza, and bioterrorism.
Hepatitis is also a current threat, but diphtheria and cholera are not concerns in the United States. Avian
flu may be a threat, but radiation and TB are ongoing. Environmental pollution has been reduced;
however, there are pollution issues that do raise concerns.)
-4. A nurse is working to reform a program that was based on the Elizabethan Poor Law of 1601. Which
of the following programs is the nurse most likely working on?
a. Welfare
b. Food Stamps
c. Medicaid
d. Medicare
((answers))ANS: C
The Poor Law guaranteed medical care for poor, blind, and "lame" individuals, making it most similar to
Medicaid since this program provides medical insurance to these types of individuals. Welfare provides
more than health care. Food stamps do not provide medical care. The Medicare program provides
medical care to the elderly population.)
-5. In early colonial North America, a colonist worked in the public health sector. Which
activity would have most likely been the focus?