,FoundationssforsPopulationsHealthsinsCommunitysPublicsHealthsNursings5thsEditionsStanhopesTestsBank
Chapter 01: Community- and Prevention-
s s s s
Oriented Practice to Improve PopulationHealth
s s s s s
Stanhope: Foundations for Population Health in Community/Public Health Nursing,5t
s s s s s s s s s
h Edition
s
MULTIPLEsCHOICE
1. Whichsofsthesfollowingsbestsdescribesscommunity-basedsnursing?
a. Aspracticesinswhichscaresissprovidedsforsindividualssandsfamilies
b. Providingscareswithsasfocussonsthesgroup’ssneeds
c. Givingscareswithsasfocussonsthesaggregate’ssneeds
d. Asvaluessystemsinswhichsallsclientssreceivesoptimalscare
ANS:s A
Bysdefinition,scommunity-basedsnursingsissassetting-
specificspracticesinswhichscaresissprovidedsfors“sick”sindividualssandsfamiliesswherestheyslive,s
work,sandsattendsschool.sThesemphasississonsacutesandschronicscaresandsthesprovisionsofscompr
ehensive,scoordinated,sandscontinuousscare.sThesesnursessmaysbesgeneralistssorsspecialistssinsm
aternal–infant,spediatric,sadult,sorspsychiatricsmentalshealthsnursing.sCommunity-
basedsnursingsemphasizessacutesandschronicscarestosindividualssandsfamilies,srathersthansfocusi
ngsonsgroups,saggregates,sorssystems.
2. Whichsofsthesfollowingsbestsdescribesscommunity-orientedsnursing?
a. Focusingsonsthesprovisionsofscarestosindividualssandsfamilies
b. Providingscarestosmanagesacutesorschronicsconditions
c. GivingsdirectscarestosillsinNdivR IlsswGithB
in.thCeirO
Mfamilyssetting
Uidua
sSsNsT
d. Havingsthesgoalsofshealthspromotionsandsdiseasesprevention
ANS:s D
Bysdefinition,scommunity-
orientedsnursingshassthesgoalsofspreserving,sprotecting,sorsmaintainingshealthsandspreventingsdis
easestospromotesthesqualitysofslife.sAllsnursessmaysfocussonsindividualssandsfamilies,sgivesdirectsc
arestosillspersonsswithinstheirsfamilyssetting,sandshelpsmanagesacutesorschronicsconditions.sTheses
definitionssaresnotsspecificstoscommunity-orientedsnursing.
3. Whichsofsthesfollowingsissthesprimarysfocussofspublicshealthsnursing?
a. Familiessandsgroups
b. Illness-orientedscare
c. Individualsswithinsthesfamilysunit
d. Healthscaresofscommunitiessandspopulations
ANS:s D
Inspublicshealthsnursingsthesprimarysfocussissonstheshealthscaresofscommunitiessandspopulationssra
thersthansonsindividuals,sgroups,sandsfamilies.sThesgoalsisstospreventsdiseasesandspreserve,spromot
e,srestore,sandsprotectshealthsforsthescommunitysandsthespopulationswithinsit.sCommunity-
basedsnursessdealsprimarilyswithsillness-
orientedscaresofsindividualssandsfamiliessacorssstheslifesspan.sThesaimsisstosamanagesacutesandschr
onicshealthsconditionssinsthescommunity,sandsthesfocussofspracticesissonsindividualsorsfamily-
centeredsillnessscare.
NURSINGTB.COM
,FoundationssforsPopulationsHealthsinsCommunitysPublicsHealthsNursings5thsEditionsStanhopesTestsBank
4. Whichsofsthesfollowingsissresponsiblesforsthesdramaticsincreasesinslifesexpectancysduringsthes20
thscentury?
a. Technologysincreasessinsthesfieldsofsmedicalslaboratorysresearch
b. Advancessinssurgicalstechniquessandsprocedures
c. Sanitationsandsotherspopulation-basedspreventionsprograms
d. Usesofsantibioticsstosfightsinfections
ANS:s C
Improvementssinscontrolsofsinfectioussdiseasessthroughsimmunizations,ssanitation,sandsotherspo
pulation-
basedspreventionsprogramssledstosthesincreasesinslifesexpectancysfromslesssthans50syearssins1900st
osmoresthans78syearssins2013.sAlthoughspeoplesaresexcitedswhensasnewsdrugsissdiscoveredsthatscu
ressasdiseasesorswhensasnewswaystostransplantsorganssissperfected,sitsissimportantstosknowsaboutst
hessignificantsgainssinstheshealthsofspopulationssthatshavescomeslargelysfromspublicshealthsacco
mplishments.
5. Asnursesissdevelopingsasplanstosdecreasesthesnumbersofsprematuresdeathssinsthescommunity.sW
hichsofsthesfollowingsinterventionsswouldsmostslikelysbesimplementedsbysthesnurse?
a. Increasesthescommunity’ssknowledgesaboutshospicescare.
b. Promoteshealthyslifestylesbehaviorschoicessamongsthescommunitysmembers.
c. Encouragesemployersstoshaveswellnessscenterssatseachsindustrialssite.
d. Ensurestimelysandseffectivesmedicalsinterventionsandstreatmentsforscommunitysm
embers.
ANS:s B
Publicshealthsapproachesscouldshelpspreventsprematuresdeathssbysinfluencingstheswayspeoplesea
t,sdrink,sdrive,sengagesinsexercise,sandstreatsthesenvironment.sIncreasingsknowledgesofshospices
care,sencouragingson-siteswellnessscenters,sandsensuringstimelystreatmentsofsmedical
conditionssdosnotsaddressstheNfUocRusSoIf N
imGpT
roBv.
inC ovMerallshealthsthroughshealthspromotion
gsO
strategies.sThississthesmajorsmethodsthatsisssuggestedstosdecreasesthesincidencesofspremature
death.
6. Whichsofsthesfollowingsissasbasicsassumptionsofspublicshealthsefforts?
a. Healthsdisparitiessamongsanysgroupssaresmorallysandslegallyswrong.
b. Healthscaresissthesmostsimportantsprioritysinsgovernmentsplanningsandsfunding.
c. Theshealthsofsindividualsscannotsbesseparatedsfromstheshealthsofsthescommunity.
d. ThesgovernmentsissresponsiblesforslengtheningstheslifesspansofsAmericans.
ANS:s C
Publicshealthspracticesfocusessonsthescommunitysassaswhole,sandstheseffectsofsthe
community’sshealthsstatuss(resources)sonstheshealthsofsindividuals,sfamilies,sandsgroups.sThesgoa
lsisstospreventsdiseasesandsdisabilitysandspromotesandsprotectstheshealthsofsthescommunitysassaswh
ole.sPublicshealthscansbesdescribedsasswhatssocietyscollectivelysdoesstosensuresthatsconditionssexis
tsinswhichspeoplescansbeshealthy.sThesbasicsassumptionssofspublicshealthsdosnotsjudgesthesmoralitys
ofshealthsdisparities.sThesfocussissonspreventionsofsillnesssnotsonsspendingsmoresonsillnessscare.sA
dditionally,sindividualsresponsibilitysforsmakingshealthyschoicessissthesdirectivesforslengtheningsl
ifesspansnotsthesrolesofsthesgovernment.
7. Whichsofsthesfollowingsactionsswouldsmostslikelysbesperformedsbysaspublicshealthsnurse?
a. Askingscommunitysleadersswhatsinterventionssshouldsbeschosen
b. Assessingsthescommunitysandsdecidingsonsappropriatesinterventions
c. Usingsdatasfromsthesmainshealthscaresinstitutionssinsthescommunitystosdetermine
NURSINGTB.COM
, FoundationssforsPopulationsHealthsinsCommunitysPublicsHealthsNursings5thsEditionsStanhopesTestsBank
neededshealthsservices
d. Workingswithscommunitysgroupsstoscreatespoliciesstosimprovesthesenvironment
ANS:s D
Althoughsthespublicshealthsnursesmightsengagesinsanysofsthestasksslisted,shesorsshesworkssprimaril
yswithsmemberssofsthescommunitystoscarrysoutscorespublicshealthsfunctions,sincludingsassessment
sofsthespopulationsassaswholesandsengagingsinspromotingshealthsandsimprovingsthesenvironment.s
Thesinterventionssofsaskingscommunitysleadersswhichsinterventionssshouldsbeschosen,sasessingst
hescommunitysandsdecidingsonsappropriatesinterventions,sandsusingsdatasfromshealthscaresinstitut
ionssdosnotsdemonstratesthesengagementsofsthescommunityswhensmakingsdecisionssaboutswhatsth
escommunitysactuallyswantssandsneeds.
8. Whichsofsthesfollowingspublicshealthsnursessmostsclearlysfulfillssthesresponsibilitiessofsthissrol
e?
a. Thesnurseswhosmetswithsseveralsgroupsstosdiscussscommunitysrecreationsissues
b. Thesnurseswhosspentsthesdaysattendingsmeetingssofsvariousshealthsagencies
c. Thesnurseswhostalkedstosseveralspeoplesaboutstheirsparticularshealthsconcerns
d. Thesnurseswhoswatchedsthescityscouncilsmeetingsonslocalscablestelevision
ANS:s B
Anysofsthesesdescriptionssmightsrepresentsasnursescommunicating,scooperating,sorscollaboratin
gswithscommunitysresidentssorsgroupssaboutshealthsconcerns.sHowever,sthesnurseswhosspentsthes
daysattendingsmeetingssofsvariousshealthsagenciessissthesmostsrepresentative,sbecausesinspublicsh
ealth,sconcernssaresaddressedsfromsasbroadersperspective.sInspublicshealth,sbroadsconcernssofsthes
communitysshouldsbesaddressed.sConcernssaresbroadersthansrecreation,sindividualsconcernssares
notsassimportantsassaggregatespriorities,sandswatchingstelevisions(asone-
waysformsofscommunication)sisslessseffectivesthansinteractingswithsothers.
NURSINGTB.COM
9. Whichsofsthesfollowingsbestsdefinessaggregate?
a. Aslargesgroupsofspersons
b. Ascollectionsofsindividualssandsfamilies
c. Ascollectionsofspeopleswhossharesonesorsmorescharacteristics
d. Anothersnamesforsdemographicsgroup
ANS:s C
Ansaggregatesissdefinedsascollectionsofspeopleswhossharesonesorsmorespersonalsorsenvironmenta
lscharacteristics.sMemberssofsascommunityscansbesdefinedsinstermssofseithersgeographys(e.g.,sasc
ounty,sasgroupsofscounties,sorsasstate)sorsasspecialsinterests(e.g.,schildrensattendingsasparticularssc
hool).sThesesmemberssmakesupsaspopulation.sThestermspopulationsmaysbesusedsinterchangeabl
yswithsthestermsaggregate.sAslargesgroupsofspersons,sascollectionsofsindividualssandsfamilies,san
dsanothersnamesforsdemograhpicsgroupsaresnotsaccuratesdefinitionssofsthestermsaggregate.
10. Asregisteredsnurseswassjustsemployedsassaspublicshealthsnurse.sWhichsquestionswouldsbesthesmo
stsrelevantsforsthesnursestosask?
a. “Whichsgroupssaresatsthesgreatestsrisksforsproblems?”
b. “WhichspatientssshouldsIsseesfirstsassIsbeginsmysday?”
c. “WithswhichsphysiciansswillsIsbesmostscloselyscollaborating?”
d. “WithswhichsnursingsassistantsswillsIspartnersthesmost?”
ANS:s A
NURSINGTB.COM
Chapter 01: Community- and Prevention-
s s s s
Oriented Practice to Improve PopulationHealth
s s s s s
Stanhope: Foundations for Population Health in Community/Public Health Nursing,5t
s s s s s s s s s
h Edition
s
MULTIPLEsCHOICE
1. Whichsofsthesfollowingsbestsdescribesscommunity-basedsnursing?
a. Aspracticesinswhichscaresissprovidedsforsindividualssandsfamilies
b. Providingscareswithsasfocussonsthesgroup’ssneeds
c. Givingscareswithsasfocussonsthesaggregate’ssneeds
d. Asvaluessystemsinswhichsallsclientssreceivesoptimalscare
ANS:s A
Bysdefinition,scommunity-basedsnursingsissassetting-
specificspracticesinswhichscaresissprovidedsfors“sick”sindividualssandsfamiliesswherestheyslive,s
work,sandsattendsschool.sThesemphasississonsacutesandschronicscaresandsthesprovisionsofscompr
ehensive,scoordinated,sandscontinuousscare.sThesesnursessmaysbesgeneralistssorsspecialistssinsm
aternal–infant,spediatric,sadult,sorspsychiatricsmentalshealthsnursing.sCommunity-
basedsnursingsemphasizessacutesandschronicscarestosindividualssandsfamilies,srathersthansfocusi
ngsonsgroups,saggregates,sorssystems.
2. Whichsofsthesfollowingsbestsdescribesscommunity-orientedsnursing?
a. Focusingsonsthesprovisionsofscarestosindividualssandsfamilies
b. Providingscarestosmanagesacutesorschronicsconditions
c. GivingsdirectscarestosillsinNdivR IlsswGithB
in.thCeirO
Mfamilyssetting
Uidua
sSsNsT
d. Havingsthesgoalsofshealthspromotionsandsdiseasesprevention
ANS:s D
Bysdefinition,scommunity-
orientedsnursingshassthesgoalsofspreserving,sprotecting,sorsmaintainingshealthsandspreventingsdis
easestospromotesthesqualitysofslife.sAllsnursessmaysfocussonsindividualssandsfamilies,sgivesdirectsc
arestosillspersonsswithinstheirsfamilyssetting,sandshelpsmanagesacutesorschronicsconditions.sTheses
definitionssaresnotsspecificstoscommunity-orientedsnursing.
3. Whichsofsthesfollowingsissthesprimarysfocussofspublicshealthsnursing?
a. Familiessandsgroups
b. Illness-orientedscare
c. Individualsswithinsthesfamilysunit
d. Healthscaresofscommunitiessandspopulations
ANS:s D
Inspublicshealthsnursingsthesprimarysfocussissonstheshealthscaresofscommunitiessandspopulationssra
thersthansonsindividuals,sgroups,sandsfamilies.sThesgoalsisstospreventsdiseasesandspreserve,spromot
e,srestore,sandsprotectshealthsforsthescommunitysandsthespopulationswithinsit.sCommunity-
basedsnursessdealsprimarilyswithsillness-
orientedscaresofsindividualssandsfamiliessacorssstheslifesspan.sThesaimsisstosamanagesacutesandschr
onicshealthsconditionssinsthescommunity,sandsthesfocussofspracticesissonsindividualsorsfamily-
centeredsillnessscare.
NURSINGTB.COM
,FoundationssforsPopulationsHealthsinsCommunitysPublicsHealthsNursings5thsEditionsStanhopesTestsBank
4. Whichsofsthesfollowingsissresponsiblesforsthesdramaticsincreasesinslifesexpectancysduringsthes20
thscentury?
a. Technologysincreasessinsthesfieldsofsmedicalslaboratorysresearch
b. Advancessinssurgicalstechniquessandsprocedures
c. Sanitationsandsotherspopulation-basedspreventionsprograms
d. Usesofsantibioticsstosfightsinfections
ANS:s C
Improvementssinscontrolsofsinfectioussdiseasessthroughsimmunizations,ssanitation,sandsotherspo
pulation-
basedspreventionsprogramssledstosthesincreasesinslifesexpectancysfromslesssthans50syearssins1900st
osmoresthans78syearssins2013.sAlthoughspeoplesaresexcitedswhensasnewsdrugsissdiscoveredsthatscu
ressasdiseasesorswhensasnewswaystostransplantsorganssissperfected,sitsissimportantstosknowsaboutst
hessignificantsgainssinstheshealthsofspopulationssthatshavescomeslargelysfromspublicshealthsacco
mplishments.
5. Asnursesissdevelopingsasplanstosdecreasesthesnumbersofsprematuresdeathssinsthescommunity.sW
hichsofsthesfollowingsinterventionsswouldsmostslikelysbesimplementedsbysthesnurse?
a. Increasesthescommunity’ssknowledgesaboutshospicescare.
b. Promoteshealthyslifestylesbehaviorschoicessamongsthescommunitysmembers.
c. Encouragesemployersstoshaveswellnessscenterssatseachsindustrialssite.
d. Ensurestimelysandseffectivesmedicalsinterventionsandstreatmentsforscommunitysm
embers.
ANS:s B
Publicshealthsapproachesscouldshelpspreventsprematuresdeathssbysinfluencingstheswayspeoplesea
t,sdrink,sdrive,sengagesinsexercise,sandstreatsthesenvironment.sIncreasingsknowledgesofshospices
care,sencouragingson-siteswellnessscenters,sandsensuringstimelystreatmentsofsmedical
conditionssdosnotsaddressstheNfUocRusSoIf N
imGpT
roBv.
inC ovMerallshealthsthroughshealthspromotion
gsO
strategies.sThississthesmajorsmethodsthatsisssuggestedstosdecreasesthesincidencesofspremature
death.
6. Whichsofsthesfollowingsissasbasicsassumptionsofspublicshealthsefforts?
a. Healthsdisparitiessamongsanysgroupssaresmorallysandslegallyswrong.
b. Healthscaresissthesmostsimportantsprioritysinsgovernmentsplanningsandsfunding.
c. Theshealthsofsindividualsscannotsbesseparatedsfromstheshealthsofsthescommunity.
d. ThesgovernmentsissresponsiblesforslengtheningstheslifesspansofsAmericans.
ANS:s C
Publicshealthspracticesfocusessonsthescommunitysassaswhole,sandstheseffectsofsthe
community’sshealthsstatuss(resources)sonstheshealthsofsindividuals,sfamilies,sandsgroups.sThesgoa
lsisstospreventsdiseasesandsdisabilitysandspromotesandsprotectstheshealthsofsthescommunitysassaswh
ole.sPublicshealthscansbesdescribedsasswhatssocietyscollectivelysdoesstosensuresthatsconditionssexis
tsinswhichspeoplescansbeshealthy.sThesbasicsassumptionssofspublicshealthsdosnotsjudgesthesmoralitys
ofshealthsdisparities.sThesfocussissonspreventionsofsillnesssnotsonsspendingsmoresonsillnessscare.sA
dditionally,sindividualsresponsibilitysforsmakingshealthyschoicessissthesdirectivesforslengtheningsl
ifesspansnotsthesrolesofsthesgovernment.
7. Whichsofsthesfollowingsactionsswouldsmostslikelysbesperformedsbysaspublicshealthsnurse?
a. Askingscommunitysleadersswhatsinterventionssshouldsbeschosen
b. Assessingsthescommunitysandsdecidingsonsappropriatesinterventions
c. Usingsdatasfromsthesmainshealthscaresinstitutionssinsthescommunitystosdetermine
NURSINGTB.COM
, FoundationssforsPopulationsHealthsinsCommunitysPublicsHealthsNursings5thsEditionsStanhopesTestsBank
neededshealthsservices
d. Workingswithscommunitysgroupsstoscreatespoliciesstosimprovesthesenvironment
ANS:s D
Althoughsthespublicshealthsnursesmightsengagesinsanysofsthestasksslisted,shesorsshesworkssprimaril
yswithsmemberssofsthescommunitystoscarrysoutscorespublicshealthsfunctions,sincludingsassessment
sofsthespopulationsassaswholesandsengagingsinspromotingshealthsandsimprovingsthesenvironment.s
Thesinterventionssofsaskingscommunitysleadersswhichsinterventionssshouldsbeschosen,sasessingst
hescommunitysandsdecidingsonsappropriatesinterventions,sandsusingsdatasfromshealthscaresinstitut
ionssdosnotsdemonstratesthesengagementsofsthescommunityswhensmakingsdecisionssaboutswhatsth
escommunitysactuallyswantssandsneeds.
8. Whichsofsthesfollowingspublicshealthsnursessmostsclearlysfulfillssthesresponsibilitiessofsthissrol
e?
a. Thesnurseswhosmetswithsseveralsgroupsstosdiscussscommunitysrecreationsissues
b. Thesnurseswhosspentsthesdaysattendingsmeetingssofsvariousshealthsagencies
c. Thesnurseswhostalkedstosseveralspeoplesaboutstheirsparticularshealthsconcerns
d. Thesnurseswhoswatchedsthescityscouncilsmeetingsonslocalscablestelevision
ANS:s B
Anysofsthesesdescriptionssmightsrepresentsasnursescommunicating,scooperating,sorscollaboratin
gswithscommunitysresidentssorsgroupssaboutshealthsconcerns.sHowever,sthesnurseswhosspentsthes
daysattendingsmeetingssofsvariousshealthsagenciessissthesmostsrepresentative,sbecausesinspublicsh
ealth,sconcernssaresaddressedsfromsasbroadersperspective.sInspublicshealth,sbroadsconcernssofsthes
communitysshouldsbesaddressed.sConcernssaresbroadersthansrecreation,sindividualsconcernssares
notsassimportantsassaggregatespriorities,sandswatchingstelevisions(asone-
waysformsofscommunication)sisslessseffectivesthansinteractingswithsothers.
NURSINGTB.COM
9. Whichsofsthesfollowingsbestsdefinessaggregate?
a. Aslargesgroupsofspersons
b. Ascollectionsofsindividualssandsfamilies
c. Ascollectionsofspeopleswhossharesonesorsmorescharacteristics
d. Anothersnamesforsdemographicsgroup
ANS:s C
Ansaggregatesissdefinedsascollectionsofspeopleswhossharesonesorsmorespersonalsorsenvironmenta
lscharacteristics.sMemberssofsascommunityscansbesdefinedsinstermssofseithersgeographys(e.g.,sasc
ounty,sasgroupsofscounties,sorsasstate)sorsasspecialsinterests(e.g.,schildrensattendingsasparticularssc
hool).sThesesmemberssmakesupsaspopulation.sThestermspopulationsmaysbesusedsinterchangeabl
yswithsthestermsaggregate.sAslargesgroupsofspersons,sascollectionsofsindividualssandsfamilies,san
dsanothersnamesforsdemograhpicsgroupsaresnotsaccuratesdefinitionssofsthestermsaggregate.
10. Asregisteredsnurseswassjustsemployedsassaspublicshealthsnurse.sWhichsquestionswouldsbesthesmo
stsrelevantsforsthesnursestosask?
a. “Whichsgroupssaresatsthesgreatestsrisksforsproblems?”
b. “WhichspatientssshouldsIsseesfirstsassIsbeginsmysday?”
c. “WithswhichsphysiciansswillsIsbesmostscloselyscollaborating?”
d. “WithswhichsnursingsassistantsswillsIspartnersthesmost?”
ANS:s A
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