Chapter 01: Community- and Prevention-
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Oriented Practice to Improve Population Health
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Stanhope: Foundations for Population Health in Community/Public Health Nursing, 5t
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h Edition
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MULTIPLEuCHOICE
1. Whichuofutheufollowingubestudescribesucommunity-basedunursing?
a. Aupracticeuinuwhichucareuisuprovideduforuindividualsuandufamilies
b. Providingucareuwithuaufocusuonutheugroup’suneeds
c. Givingucareuwithuaufocusuonutheuaggregate’suneeds
d. Auvalueusystemuinuwhichualluclientsureceiveuoptimalucare
ANS:u A
Byudefinition,ucommunity-basedunursinguisuausetting-specificupracticeuinuwhichucareuis
provideduforu“sick”uindividualsuandufamiliesuwhereutheyulive,uwork,uanduattenduschool.uTheuemp
hasisuisuonuacuteuanduchronicucareuandutheuprovisionuofucomprehensive,ucoordinated,uanducontin
uousucare.uTheseunursesumayubeugeneralistsuoruspecialistsuinumaternal–
infant,upediatric,uadult,uorupsychiatricumentaluhealthunursing.uCommunity-
basedunursinguemphasizesuacuteuanduchronicucareutouindividualsuandufamilies,uratheruthanufocusi
nguonugroups,uaggregates,uorusystems.
2. Whichuofutheufollowingubestudescribesucommunity-orientedunursing?
a. Focusinguonutheuprovisionuofucareutouindividualsuandufamilies
b. Providingucareutoumanageuacuteuoruchronicuconditions
c. Givingu directu careu tou illu inNdivR
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in.thCeir O
d. Havingutheugoaluofuhealthupromotionuandudiseaseuprevention
Mfamilyu setting
ANS:u D
Byudefinition,ucommunity-
orientedunursinguhasutheugoaluofupreserving,uprotecting,uorumaintaininguhealthuandupreventingudi
seaseutoupromoteutheuqualityuofulife.uAllunursesumayufocusuonuindividualsuandufamilies,ugiveudirec
tucareutouillupersonsuwithinutheirufamilyusetting,uanduhelpumanageuacuteuoruchronicuconditions.uTh
eseudefinitionsuareunotuspecificutoucommunity-orientedunursing.
3. Whichuofutheufollowinguisutheuprimaryufocusuofupublicuhealthunursing?
a. Familiesuandugroups
b. Illness-orienteducare
c. Individualsuwithinutheufamilyuunit
d. Healthucareuofucommunitiesuandupopulations
ANS:u D
Inupublicuhealthunursingutheuprimaryufocusuisuonutheuhealthucareuofucommunitiesuandupopulationsu
ratheruthanuonuindividuals,ugroups,uandufamilies.uTheugoaluisutoupreventudiseaseuandupreserve,upro
mote,urestore,uanduprotectuhealthuforutheucommunityuandutheupopulationuwithinuit.uCommunity-
basedunursesudealuprimarilyuwithuillness-
orienteducareuofuindividualsuandufamiliesuacorssutheulifeuspan.uTheuaimuisutouamanageuacuteuanduc
hronicuhealthuconditionsuinutheucommunity,uandutheufocusuofupracticeuisuonuindividualuorufamily-
centereduillnessucare.
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4. Whichuofutheufollowinguisuresponsibleuforutheudramaticuincreaseuinulifeuexpectancyuduringutheu2
0thucentury?
a. Technologyuincreasesuinutheufielduofumedicalulaboratoryuresearch
b. Advancesuinusurgicalutechniquesuanduprocedures
c. Sanitationuanduotherupopulation-basedupreventionuprograms
d. Useuofuantibioticsutoufightuinfections
ANS:u C
Improvementsuinucontroluofuinfectiousudiseasesuthroughuimmunizations,usanitation,uanduotherup
opulation-
basedupreventionuprogramsuledutoutheuincreaseuinulifeuexpectancyufromulessuthanu50uyearsuinu190
0utoumoreuthanu78uyearsuinu2013.uAlthoughupeopleuareuexciteduwhenuaunewudruguisudiscovereduth
atucuresuaudiseaseuoruwhenuaunewuwayutoutransplantuorgansuisuperfected,uituisuimportantutouknowu
aboututheusignificantugainsuinutheuhealthuofupopulationsuthatuhaveucomeulargelyufromupublicuheal
thuaccomplishments.
5. Aunurseuisudevelopinguauplanutoudecreaseutheunumberuofuprematureudeathsuinutheucommunity.u
Whichuofutheufollowinguinterventionsuwouldumostulikelyubeuimplementedubyutheunurse?
a. Increaseutheucommunity’suknowledgeuaboutuhospiceucare.
b. Promoteuhealthyulifestyleubehavioruchoicesuamongutheucommunityumembers.
c. Encourageuemployersutouhaveuwellnessucentersuatueachuindustrialusite.
d. Ensureutimelyuandueffectiveumedicaluinterventionuandutreatmentuforucommunityu
members.
ANS:u B
Publicuhealthuapproachesucoulduhelpupreventuprematureudeathsubyuinfluencingutheuwayupeopleuea
t,udrink,udrive,uengageuinuexercise,uandutreatutheuenvironment.uIncreasinguknowledgeuofuhospiceu
care,uencouraginguon-siteuwellnessucenters,uanduensuringutimelyutreatmentuofumedical
conditionsudounotuaddressutheNfU
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inC o vMe r a l l uhealthuthroughuhealthupromotion
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strategies.uThisuisutheumajorumethoduthatuisusuggestedutoudecreaseutheuincidenceuofupremature
death.
6. Whichuofutheufollowinguisuaubasicuassumptionuofupublicuhealthuefforts?
a. Healthudisparitiesuamonguanyugroupsuareumorallyuandulegallyuwrong.
b. Healthucareuisutheumostuimportantupriorityuinugovernmentuplanninguandufunding.
c. Theuhealthuofuindividualsucannotubeuseparatedufromutheuhealthuofutheucommunity.
d. TheugovernmentuisuresponsibleuforulengtheningutheulifeuspanuofuAmericans.
ANS:u C
Publicuhealthupracticeufocusesuonutheucommunityuasuauwhole,uandutheueffectuofuthe
community’suhealthustatusu(resources)uonutheuhealthuofuindividuals,ufamilies,uandugroups.uTheugo
aluisutoupreventudiseaseuandudisabilityuandupromoteuanduprotectutheuhealthuofutheucommunityuasuau
whole.uPublicuhealthucanubeudescribeduasuwhatusocietyucollectivelyudoesutouensureuthatucondition
suexistuinuwhichupeopleucanubeuhealthy.uTheubasicuassumptionsuofupublicuhealthudounotujudgeutheu
moralityuofuhealthudisparities.uTheufocusuisuonupreventionuofuillnessunotuonuspendingumoreuonuilln
essucare.uAdditionally,uindividualuresponsibilityuforumakinguhealthyuchoicesuisutheudirectiveuforul
engtheningulifeuspanunotutheuroleuofutheugovernment.
7. Whichuofutheufollowinguactionsuwouldumostulikelyubeuperformedubyuaupublicuhealthunurse?
a. Askingucommunityuleadersuwhatuinterventionsushouldubeuchosen
b. Assessingutheucommunityuandudecidinguonuappropriateuinterventions
c. Usingudataufromutheumainuhealthucareuinstitutionsuinutheucommunityutoudetermine
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d. Workinguwithucommunityugroupsutoucreateupoliciesutouimproveutheuenvironment
ANS:u D
Althoughutheupublicuhealthunurseumightuengageuinuanyuofutheutasksulisted,uheuorusheuworksuprimar
ilyuwithumembersuofutheucommunityutoucarryuoutucoreupublicuhealthufunctions,uincludinguassessm
entuofutheupopulationuasuauwholeuanduengaginguinupromotinguhealthuanduimprovingutheuenvironm
ent.uTheuinterventionsuofuaskingucommunityuleadersuwhichuinterventionsushouldubeuchosen,uases
singutheucommunityuandudecidinguonuappropriateuinterventions,uanduusingudataufromuhealthucareu
institutionsudounotudemonstrateutheuengagementuofutheucommunityuwhenumakingudecisionsuabou
tuwhatutheucommunityuactuallyuwantsuanduneeds.
8. Whichuofutheufollowingupublicuhealthunursesumostuclearlyufulfillsutheuresponsibilitiesuofuthisur
ole?
a. Theunurseuwhoumetuwithuseveralugroupsutoudiscussucommunityurecreationuissues
b. Theunurseuwhouspentutheudayuattendingumeetingsuofuvariousuhealthuagencies
c. Theunurseuwhoutalkedutouseveralupeopleuaboututheiruparticularuhealthuconcerns
d. Theunurseuwhouwatchedutheucityucouncilumeetinguonulocalucableutelevision
ANS:u B
Anyuofutheseudescriptionsumighturepresentuaunurseucommunicating,ucooperating,uorucollaborati
nguwithucommunityuresidentsuorugroupsuaboutuhealthuconcerns.uHowever,utheunurseuwhouspentut
heudayuattendingumeetingsuofuvariousuhealthuagenciesuisutheumosturepresentative,ubecauseuinupu
blicuhealth,uconcernsuareuaddressedufromuaubroaderuperspective.uInupublicuhealth,ubroaduconcern
suofutheucommunityushouldubeuaddressed.uConcernsuareubroaderuthanurecreation,uindividualucon
cernsuareunotuasuimportantuasuaggregateupriorities,uanduwatchingutelevisionu(auone-
wayuformuofucommunication)uisulessueffectiveuthanuinteractinguwithuothers.
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9. Whichuofutheufollowingubestudefinesuaggregate?
a. Aulargeugroupuofupersons
b. Aucollectionuofuindividualsuandufamilies
c. Aucollectionuofupeopleuwhoushareuoneuorumoreucharacteristics
d. Anotherunameuforudemographicugroup
ANS:u C
Anuaggregateuisudefineduaucollectionuofupeopleuwhoushareuoneuorumoreupersonaluoruenvironment
alucharacteristics.uMembersuofuaucommunityucanubeudefineduinutermsuofueitherugeographyu(e.g.,ua
ucounty,uaugroupuofucounties,uoruaustate)uoruauspecialuinterestu(e.g.,uchildrenuattendinguauparticular
uschool).uTheseumembersumakeuupuaupopulation.uTheutermupopulationumayubeuuseduinterchangea
blyuwithutheutermuaggregate.uAulargeugroupuofupersons,uaucollectionuofuindividualsuandufamilies,u
anduanotherunameuforudemograhpicugroupuareunotuaccurateudefinitionsuofutheutermuaggregate.
10. Auregisteredunurseuwasujustuemployeduasuaupublicuhealthunurse.uWhichuquestionuwouldubeutheu
mosturelevantuforutheunurseutouask?
a. “Whichugroupsuareuatutheugreatesturiskuforuproblems?”
b. “WhichupatientsushoulduIuseeufirstuasuIubeginumyuday?”
c. “WithuwhichuphysiciansuwilluIubeumostucloselyucollaborating?”
d. “WithuwhichunursinguassistantsuwilluIupartnerutheumost?”
ANS:u A
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