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Chapter 01: Community-Oriented Nursing and Community-Based Nursing

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1. Which of the following best describes community-based nursing? a. A philosophy that guides family-centered illness care 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 nursing that focuses on family-centered illness care to individuals and families in the community. DIF: Cognitive Level: Understand (Comprehension) REF: p. 2-3 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 individuals within their family 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 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 conditions. DIF: Cognitive Level: Understand (Comprehension) REF: pp. 2, 10 3. Which of the following is the primary focus of public health nursing? a. Families and groups b. Illness-oriented care c. Individuals within the family unit d. Promotion of quality of life ANS: D The key difference between community-based and community-oriented nursing is that community-based nurses deal primarily with illness-oriented care, whereas community-oriented nurses—or public health nurses—provide health care to promote quality of life. DIF: Cognitive Level: Understand (Comprehension) REF: p. 2 4. Which of the following is responsible for the dramatic increase in life expectancy during the twentieth century? a. Technology increases in the field of medical laboratory research b. Advances in surgical techniques and procedures c. Sanitation and other public health activities d. Use of antibiotics to fight infections ANS: C Improvement in control of infectious diseases through immunizations, sanitation, and other public health activities led to the increase in life expectancy from less than 50 years in 1900 to more than 77 years in 2002.

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Chapter 01: Community-Oriented Nursing and Community-Based Nursing

1. Which of the following best describes community-based nursing?


a. A philosophy that guides family-centered illness care



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 nursing that focuses on family-centered
illness care to individuals and families in the community.

DIF: Cognitive Level: Understand (Comprehension) REF: p. 2-3

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 individuals within their family 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 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 conditions.

DIF: Cognitive Level: Understand (Comprehension) REF: pp. 2, 10

3. Which of the following is the primary focus of public health nursing?


a. Families and groups



b. Illness-oriented care



c. Individuals within the family unit



d. Promotion of quality of life


ANS: D

The key difference between community-based and community-oriented nursing is that
community-based nurses deal primarily with illness-oriented care, whereas
community-oriented nurses—or public health nurses—provide health care to promote
quality of life.

DIF: Cognitive Level: Understand (Comprehension) REF: p. 2

4. Which of the following is responsible for the dramatic increase in life expectancy
during the twentieth century?


a. Technology increases in the field of medical laboratory research

,b. Advances in surgical techniques and procedures



c. Sanitation and other public health activities



d. Use of antibiotics to fight infections


ANS: C

Improvement in control of infectious diseases through immunizations, sanitation, and
other public health activities led to the increase in life expectancy from less than 50
years in 1900 to more than 77 years in 2002.

5. A nurse is developing a plan to decrease the number of premature deaths in the
community. Which of the following interventions would most likely be implemented
by the nurse?


a. Increase the community’s knowledge about hospice care.



b. Promote healthy lifestyle behavior choices among the community
members.


c. Encourage employers to have wellness centers at each industrial site.



d. Ensure timely and effective medical intervention and treatment for
community members.


ANS: B

Public health approaches could help prevent about 70% of early deaths by influencing
the way people eat, drink, drive, engage in exercise, and treat the environment.

, 6. Which of the following is a basic assumption of public health efforts?


a. Health disparities among any groups are morally and legally wrong.



b. Health care is the most important priority in government planning and
funding.


c. The health of individuals cannot be separated from the health of the
community.


d. The government is responsible for lengthening the life span of
Americans.


ANS: C

Public health can be described as what society collectively does to ensure that
conditions exist in which people can be healthy.

7. Which of the following actions would most likely be performed by a public health
nurse?


a. Asking community leaders what interventions should be chosen



b. Assessing the community and deciding on appropriate interventions



c. Using data from the main health care institutions in the community to
determine needed health services


d. Working with community groups to create policies to improve the

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