NURSINGTB.COM
,FoundationseforePopulationeHealtheineCommunityePubliceHealtheNursinge5theEditioneStanhopeeTesteBank
Chapter 01: Community- and Prevention-
e e e e
Oriented Practice to Improve PopulationHealth
e e e e e
Stanhope: Foundations for Population Health in Community/Public Health Nursing,5
e e e e e e e e e
th Edition
e
MULTIPLEeCHOICE
1. Whicheofetheefollowingebestedescribesecommunity-basedenursing?
a. Aepracticeeinewhichecareeiseprovidedeforeindividualseandefamilies
b. Providingecareewitheaefocuseonetheegroup’seneeds
c. Givingecareewitheaefocuseonetheeaggregate’seneeds
d. Aevalueesystemeinewhichealleclientsereceiveeoptimalecare
ANS:e A
Byedefinition,ecommunity-basedenursingeiseaesetting-
specificepracticeeinewhichecareeiseprovidedefore“sick”eindividualseandefamiliesewhereetheyelive,e
work,eandeattendeschool.eTheeemphasiseiseoneacuteeandechronicecareeandetheeprovisioneofecompr
ehensive,ecoordinated,eandecontinuousecare.eTheseenursesemayebeegeneralistseorespecialistseinem
aternal–infant,epediatric,eadult,eorepsychiatricementalehealthenursing.eCommunity-
basedenursingeemphasizeseacuteeandechronicecareetoeindividualseandefamilies,eratherethanefocusi
ngeonegroups,eaggregates,eoresystems.
2. Whicheofetheefollowingebestedescribesecommunity-orientedenursing?
a. Focusingeonetheeprovisioneofecareetoeindividualseandefamilies
b. Providingecareetoemanageeacuteeorechroniceconditions
c. GivingedirectecareetoeilleinNdivR IlsewGithB
in.thCeirOM
Uidua
eSeNeT
familyesetting
d. Havingetheegoaleofehealthepromotioneandediseaseeprevention
ANS:e D
Byedefinition,ecommunity-
orientedenursingehasetheegoaleofepreserving,eprotecting,eoremaintainingehealtheandepreventingedis
easeetoepromoteetheequalityeofelife.eAllenursesemayefocuseoneindividualseandefamilies,egiveedirecte
careetoeillepersonsewithinetheirefamilyesetting,eandehelpemanageeacuteeorechroniceconditions.eThes
eedefinitionseareenotespecificetoecommunity-orientedenursing.
3. Whicheofetheefollowingeisetheeprimaryefocuseofepublicehealthenursing?
a. Familieseandegroups
b. Illness-orientedecare
c. Individualsewithinetheefamilyeunit
d. Healthecareeofecommunitieseandepopulations
ANS:e D
Inepublicehealthenursingetheeprimaryefocuseiseonetheehealthecareeofecommunitieseandepopulationser
atherethaneoneindividuals,egroups,eandefamilies.eTheegoaleisetoepreventediseaseeandepreserve,eprom
ote,erestore,eandeprotectehealtheforetheecommunityeandetheepopulationewithineit.eCommunity-
basedenursesedealeprimarilyewitheillness-
orientedecareeofeindividualseandefamilieseacorssetheelifeespan.eTheeaimeisetoeamanageeacuteeandech
ronicehealtheconditionseinetheecommunity,eandetheefocuseofepracticeeiseoneindividualeorefamily-
centeredeillnessecare.
NURSINGTB.COM
,FoundationseforePopulationeHealtheineCommunityePubliceHealtheNursinge5theEditioneStanhopeeTesteBank
4. Whicheofetheefollowingeiseresponsibleeforetheedramaticeincreaseeinelifeeexpectancyeduringethee2
0thecentury?
a. Technologyeincreaseseinetheefieldeofemedicalelaboratoryeresearch
b. Advanceseinesurgicaletechniqueseandeprocedures
c. Sanitationeandeotherepopulation-basedepreventioneprograms
d. Useeofeantibioticsetoefighteinfections
ANS:e C
Improvementseinecontroleofeinfectiousediseasesethrougheimmunizations,esanitation,eandeotherepo
pulation-
basedepreventioneprogramseledetoetheeincreaseeinelifeeexpectancyefromelessethane50eyearseine1900e
toemoreethane78eyearseine2013.eAlthoughepeopleeareeexcitedewheneaenewedrugeisediscoveredethatec
ureseaediseaseeorewheneaenewewayetoetransplanteorganseiseperfected,eiteiseimportantetoeknoweabout
etheesignificantegainseinetheehealtheofepopulationsethatehaveecomeelargelyefromepublicehealtheacc
omplishments.
5. Aenurseeisedevelopingeaeplanetoedecreaseetheenumbereofeprematureedeathseinetheecommunity.eW
hicheofetheefollowingeinterventionsewouldemostelikelyebeeimplementedebyetheenurse?
a. Increaseetheecommunity’seknowledgeeaboutehospiceecare.
b. Promoteehealthyelifestyleebehaviorechoiceseamongetheecommunityemembers.
c. Encourageeemployersetoehaveewellnessecenterseateeacheindustrialesite.
d. Ensureetimelyeandeeffectiveemedicaleinterventioneandetreatmenteforecommunitye
members.
ANS:e B
Publicehealtheapproachesecouldehelpepreventeprematureedeathsebyeinfluencingetheewayepeopleee
at,edrink,edrive,eengageeineexercise,eandetreatetheeenvironment.eIncreasingeknowledgeeofehospic
eecare,eencouragingeon-siteewellnessecenters,eandeensuringetimelyetreatmenteofemedical
conditionsedoenoteaddressetheNfUocRusSoIf N
imGpT
roBv.
inC ovMerallehealthethroughehealthepromotion
geO
strategies.eThiseisetheemajoremethodethateisesuggestedetoedecreaseetheeincidenceeofepremature
death.
6. Whicheofetheefollowingeiseaebasiceassumptioneofepublicehealtheefforts?
a. Healthedisparitieseamongeanyegroupseareemorallyeandelegallyewrong.
b. Healthecareeisetheemosteimportantepriorityeinegovernmenteplanningeandefunding.
c. Theehealtheofeindividualsecannotebeeseparatedefrometheehealtheofetheecommunity.
d. TheegovernmenteiseresponsibleeforelengtheningetheelifeespaneofeAmericans.
ANS:e C
Publicehealthepracticeefocuseseonetheecommunityeaseaewhole,eandetheeeffecteofethe
community’sehealthestatuse(resources)eonetheehealtheofeindividuals,efamilies,eandegroups.eTheego
aleisetoepreventediseaseeandedisabilityeandepromoteeandeprotectetheehealtheofetheecommunityeaseaew
hole.ePublicehealthecanebeedescribedeasewhatesocietyecollectivelyedoesetoeensureethateconditionsee
xisteinewhichepeopleecanebeehealthy.eTheebasiceassumptionseofepublicehealthedoenotejudgeetheemor
alityeofehealthedisparities.eTheefocuseiseonepreventioneofeillnessenoteonespendingemoreeoneillnessec
are.eAdditionally,eindividualeresponsibilityeforemakingehealthyechoiceseisetheedirectiveeforelength
eningelifeespanenotetheeroleeofetheegovernment.
7. Whicheofetheefollowingeactionsewouldemostelikelyebeeperformedebyeaepublicehealthenurse?
a. Askingecommunityeleadersewhateinterventionseshouldebeechosen
b. Assessingetheecommunityeandedecidingeoneappropriateeinterventions
c. Usingedataefrometheemainehealthecareeinstitutionseinetheecommunityetoedetermine
NURSINGTB.COM
, FoundationseforePopulationeHealtheineCommunityePubliceHealtheNursinge5theEditioneStanhopeeTesteBank
neededehealtheservices
d. Workingewithecommunityegroupsetoecreateepoliciesetoeimproveetheeenvironment
ANS:e D
Althoughetheepublicehealthenurseemighteengageeineanyeofetheetaskselisted,eheeoresheeworkseprimari
lyewithememberseofetheecommunityetoecarryeoutecoreepublicehealthefunctions,eincludingeassessme
nteofetheepopulationeaseaewholeeandeengagingeinepromotingehealtheandeimprovingetheeenvironmen
t.eTheeinterventionseofeaskingecommunityeleadersewhicheinterventionseshouldebeechosen,easessin
getheecommunityeandedecidingeoneappropriateeinterventions,eandeusingedataefromehealthecareeinst
itutionsedoenotedemonstrateetheeengagementeofetheecommunityewhenemakingedecisionseaboutewh
atetheecommunityeactuallyewantseandeneeds.
8. Whicheofetheefollowingepublicehealthenursesemosteclearlyefulfillsetheeresponsibilitieseofethisero
le?
a. Theenurseewhoemetewitheseveralegroupsetoediscussecommunityerecreationeissues
b. Theenurseewhoespentetheedayeattendingemeetingseofevariousehealtheagencies
c. Theenurseewhoetalkedetoeseveralepeopleeaboutetheireparticularehealtheconcerns
d. Theenurseewhoewatchedetheecityecouncilemeetingeonelocalecableetelevision
ANS:e B
Anyeofetheseedescriptionsemighterepresenteaenurseecommunicating,ecooperating,eorecollaboratin
gewithecommunityeresidentseoregroupseaboutehealtheconcerns.eHowever,etheenurseewhoespentethee
dayeattendingemeetingseofevariousehealtheagencieseisetheemosterepresentative,ebecauseeinepublice
health,econcernseareeaddressedefromeaebroadereperspective.eInepublicehealth,ebroadeconcernseofet
heecommunityeshouldebeeaddressed.eConcernseareebroaderethanerecreation,eindividualeconcernse
areenoteaseimportanteaseaggregateepriorities,eandewatchingetelevisione(aeone-
wayeformeofecommunication)eiselesseeffectiveethaneinteractingewitheothers.
NURSINGTB.COM
9. Whicheofetheefollowingebestedefineseaggregate?
a. Aelargeegroupeofepersons
b. Aecollectioneofeindividualseandefamilies
c. Aecollectioneofepeopleewhoeshareeoneeoremoreecharacteristics
d. Anotherenameeforedemographicegroup
ANS:e C
Aneaggregateeisedefinedeaecollectioneofepeopleewhoeshareeoneeoremoreepersonaleoreenvironment
alecharacteristics.eMemberseofeaecommunityecanebeedefinedeinetermseofeeitheregeographye(e.g.,e
aecounty,eaegroupeofecounties,eoreaestate)eoreaespecialeintereste(e.g.,echildreneattendingeaeparticul
areschool).eTheseemembersemakeeupeaepopulation.eTheetermepopulationemayebeeusedeinterchan
geablyewithetheetermeaggregate.eAelargeegroupeofepersons,eaecollectioneofeindividualseandefamili
es,eandeanotherenameeforedemograhpicegroupeareenoteaccurateedefinitionseofetheetermeaggregate.
10. Aeregisteredenurseewasejusteemployedeaseaepublicehealthenurse.eWhichequestionewouldebeetheem
osterelevanteforetheenurseetoeask?
a. “Whichegroupseareeatetheegreatesteriskeforeproblems?”
b. “WhichepatientseshouldeIeseeefirsteaseIebeginemyeday?”
c. “WithewhichephysiciansewilleIebeemostecloselyecollaborating?”
d. “WithewhichenursingeassistantsewilleIepartneretheemost?”
ANS:e A
NURSINGTB.COM