Chapter 01: Community- and Prevention-
b b b b
Oriented Practice to Improve Population Health
b b b b b
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 5t
b b b b b b b b b
h Edition
b
MULTIPLEbCHOICE communitybonebfile.
1. Whichbofbthebfollowingbbestbdescribesbcommunity-basedbnursing?
a. Abpracticebinbwhichbcarebisbprovidedbforbindividualsbandbfamilies
b. Providingbcarebwithbabfocusbonbthebgroup’sbneeds
c. Givingbcarebwithbabfocusbonbthebaggregate’sbneeds
d. Abvaluebsystembinbwhichballbclientsbreceiveboptimalbcare
ANS:b A
Bybdefinition,bcommunity-basedbnursingbisbabsetting-specificbpracticebinbwhichbcarebis
providedbforb“sick”bindividualsbandbfamiliesbwherebtheyblive,bwork,bandbattendbschool.bThebemp
hasisbisbonbacutebandbchronicbcarebandbthebprovisionbofbcomprehensive,bcoordinated,bandbcontin
uousbcare.bThesebnursesbmaybbebgeneralistsborbspecialistsbinbmaternal–
infant,bpediatric,badult,borbpsychiatricbmentalbhealthbnursing.bCommunity-
basedbnursingbemphasizesbacutebandbchronicbcarebtobindividualsbandbfamilies,bratherbthanbfocusi
ngbonbgroups,baggregates,borbsystems.
2. Whichbofbthebfollowingbbestbdescribesbcommunity-orientedbnursing?
a. Focusingbonbthebprovisionbofbcarebtobindividualsbandbfamilies
b. Providingbcarebtobmanagebacuteborbchronicbconditions
c. Givingb directb carebtob illb inNdivR
UIlsSb wGith
idua N BinT.thCeirO
d. Havingbthebgoalbofbhealthbpromotionbandbdiseasebprevention
Mfamilyb setting
ANS:b D
Bybdefinition,bcommunity-
orientedbnursingbhasbthebgoalbofbpreserving,bprotecting,borbmaintainingbhealthbandbpreventingbdi
seasebtobpromotebthebqualitybofblife.bAllbnursesbmaybfocusbonbindividualsbandbfamilies,bgivebdirec
tbcarebtobillbpersonsbwithinbtheirbfamilybsetting,bandbhelpbmanagebacuteborbchronicbconditions.bTh
esebdefinitionsbarebnotbspecificbtobcommunity-orientedbnursing.
3. Whichbofbthebfollowingbisbthebprimarybfocusbofbpublicbhealthbnursing?
a. Familiesbandbgroups
b. Illness-orientedbcare
c. Individualsbwithinbthebfamilybunit
d. Healthbcarebofbcommunitiesbandbpopulations
ANS:b D
Inbpublicbhealthbnursingbthebprimarybfocusbisbonbthebhealthbcarebofbcommunitiesbandbpopulationsb
ratherbthanbonbindividuals,bgroups,bandbfamilies.bThebgoalbisbtobpreventbdiseasebandbpreserve,bpro
mote,brestore,bandbprotectbhealthbforbthebcommunitybandbthebpopulationbwithinbit.bCommunity-
basedbnursesbdealbprimarilybwithbillness-
orientedbcarebofbindividualsbandbfamiliesbacorssbtheblifebspan.bThebaimbisbtobamanagebacutebandbc
hronicbhealthbconditionsbinbthebcommunity,bandbthebfocusbofbpracticebisbonbindividualborbfamily-
centeredbillnessbcare.
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,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
4. Whichbofbthebfollowingbisbresponsiblebforbthebdramaticbincreasebinblifebexpectancybduringbtheb2
0thbcentury?
a. Technologybincreasesbinbthebfieldbofbmedicalblaboratorybresearch
b. Advancesbinbsurgicalbtechniquesbandbprocedures
c. Sanitationbandbotherbpopulation-basedbpreventionbprograms
d. Usebofbantibioticsbtobfightbinfections
ANS:b C
Improvementsbinbcontrolbofbinfectiousbdiseasesbthroughbimmunizations,bsanitation,bandbotherbp
opulation-
basedbpreventionbprogramsbledbtobthebincreasebinblifebexpectancybfromblessbthanb50byearsbinb190
0btobmorebthanb78byearsbinb2013.bAlthoughbpeoplebarebexcitedbwhenbabnewbdrugbisbdiscoveredbth
atbcuresbabdiseaseborbwhenbabnewbwaybtobtransplantborgansbisbperfected,bitbisbimportantbtobknowb
aboutbthebsignificantbgainsbinbthebhealthbofbpopulationsbthatbhavebcomeblargelybfrombpublicbheal
thbaccomplishments.
5. Abnursebisbdevelopingbabplanbtobdecreasebthebnumberbofbprematurebdeathsbinbthebcommunity.b
Whichbofbthebfollowingbinterventionsbwouldbmostblikelybbebimplementedbbybthebnurse?
a. Increasebthebcommunity’sbknowledgebaboutbhospicebcare.
b. Promotebhealthyblifestylebbehaviorbchoicesbamongbthebcommunitybmembers.
c. Encouragebemployersbtobhavebwellnessbcentersbatbeachbindustrialbsite.
d. Ensurebtimelybandbeffectivebmedicalbinterventionbandbtreatmentbforbcommunityb
members.
ANS:b B
Publicbhealthbapproachesbcouldbhelpbpreventbprematurebdeathsbbybinfluencingbthebwaybpeoplebea
t,bdrink,bdrive,bengagebinbexercise,bandbtreatbthebenvironment.bIncreasingbknowledgebofbhospiceb
care,bencouragingbon-sitebwellnessbcenters,bandbensuringbtimelybtreatmentbofbmedical
conditionsbdobnotbaddressbtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l bhealthbthroughbhealthbpromotion
gbO
strategies.bThisbisbthebmajorbmethodbthatbisbsuggestedbtobdecreasebthebincidencebofbpremature
death.
6. Whichbofbthebfollowingbisbabbasicbassumptionbofbpublicbhealthbefforts?
a. Healthbdisparitiesbamongbanybgroupsbarebmorallybandblegallybwrong.
b. Healthbcarebisbthebmostbimportantbprioritybinbgovernmentbplanningbandbfunding.
c. Thebhealthbofbindividualsbcannotbbebseparatedbfrombthebhealthbofbthebcommunity.
d. ThebgovernmentbisbresponsiblebforblengtheningbtheblifebspanbofbAmericans.
ANS:b C
Publicbhealthbpracticebfocusesbonbthebcommunitybasbabwhole,bandbthebeffectbofbthe
community’sbhealthbstatusb(resources)bonbthebhealthbofbindividuals,bfamilies,bandbgroups.bThebgo
albisbtobpreventbdiseasebandbdisabilitybandbpromotebandbprotectbthebhealthbofbthebcommunitybasbab
whole.bPublicbhealthbcanbbebdescribedbasbwhatbsocietybcollectivelybdoesbtobensurebthatbcondition
sbexistbinbwhichbpeoplebcanbbebhealthy.bThebbasicbassumptionsbofbpublicbhealthbdobnotbjudgebtheb
moralitybofbhealthbdisparities.bThebfocusbisbonbpreventionbofbillnessbnotbonbspendingbmorebonbilln
essbcare.bAdditionally,bindividualbresponsibilitybforbmakingbhealthybchoicesbisbthebdirectivebforbl
engtheningblifebspanbnotbthebrolebofbthebgovernment.
7. Whichbofbthebfollowingbactionsbwouldbmostblikelybbebperformedbbybabpublicbhealthbnurse?
a. Askingbcommunitybleadersbwhatbinterventionsbshouldbbebchosen
b. Assessingbthebcommunitybandbdecidingbonbappropriatebinterventions
c. Usingbdatabfrombthebmainbhealthbcarebinstitutionsbinbthebcommunitybtobdetermine
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,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
neededbhealthbservices
d. Workingbwithbcommunitybgroupsbtobcreatebpoliciesbtobimprovebthebenvironment
ANS:b D
Althoughbthebpublicbhealthbnursebmightbengagebinbanybofbthebtasksblisted,bheborbshebworksbprima
rilybwithbmembersbofbthebcommunitybtobcarryboutbcorebpublicbhealthbfunctions,bincludingbassess
mentbofbthebpopulationbasbabwholebandbengagingbinbpromotingbhealthbandbimprovingbthebenviron
ment.bThebinterventionsbofbaskingbcommunitybleadersbwhichbinterventionsbshouldbbebchosen,bas
essingbthebcommunitybandbdecidingbonbappropriatebinterventions,bandbusingbdatabfrombhealthbca
rebinstitutionsbdobnotbdemonstratebthebengagementbofbthebcommunitybwhenbmakingbdecisionsbab
outbwhatbthebcommunitybactuallybwantsbandbneeds.
8. Whichbofbthebfollowingbpublicbhealthbnursesbmostbclearlybfulfillsbthebresponsibilitiesbofbthisbr
ole?
a. Thebnursebwhobmetbwithbseveralbgroupsbtobdiscussbcommunitybrecreationbissues
b. Thebnursebwhobspentbthebdaybattendingbmeetingsbofbvariousbhealthbagencies
c. Thebnursebwhobtalkedbtobseveralbpeoplebaboutbtheirbparticularbhealthbconcerns
d. Thebnursebwhobwatchedbthebcitybcouncilbmeetingbonblocalbcablebtelevision
ANS:b B
Anybofbthesebdescriptionsbmightbrepresentbabnursebcommunicating,bcooperating,borbcollaborati
ngbwithbcommunitybresidentsborbgroupsbaboutbhealthbconcerns.bHowever,bthebnursebwhobspentbt
hebdaybattendingbmeetingsbofbvariousbhealthbagenciesbisbthebmostbrepresentative,bbecausebinbpu
blicbhealth,bconcernsbarebaddressedbfrombabbroaderbperspective.bInbpublicbhealth,bbroadbconcern
sbofbthebcommunitybshouldbbebaddressed.bConcernsbarebbroaderbthanbrecreation,bindividualbcon
cernsbarebnotbasbimportantbasbaggregatebpriorities,bandbwatchingbtelevisionb(abone-
waybformbofbcommunication)bisblessbeffectivebthanbinteractingbwithbothers.
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9. Whichbofbthebfollowingbbestbdefinesbaggregate?
a. Ablargebgroupbofbpersons
b. Abcollectionbofbindividualsbandbfamilies
c. Abcollectionbofbpeoplebwhobshareboneborbmorebcharacteristics
d. Anotherbnamebforbdemographicbgroup
ANS:b C
Anbaggregatebisbdefinedbabcollectionbofbpeoplebwhobshareboneborbmorebpersonalborbenvironment
albcharacteristics.bMembersbofbabcommunitybcanbbebdefinedbinbtermsbofbeitherbgeographyb(e.g.,ba
bcounty,babgroupbofbcounties,borbabstate)borbabspecial binterestb(e.g.,bchildrenbattendingbabparticular
bschool).bThesebmembersbmakebupbabpopulation.bThebtermbpopulationbmaybbebusedbinterchangea
blybwithbthebtermbaggregate.bAblargebgroupbofbpersons,babcollectionbofbindividualsbandbfamilies,b
andbanotherbnamebforbdemograhpicbgroupbarebnotbaccuratebdefinitionsbofbthebtermbaggregate.
10. Abregisteredbnursebwasbjustbemployedbasbabpublicbhealthbnurse.bWhichbquestionbwouldbbebtheb
mostbrelevantbforbthebnursebtobask?
a. “Whichbgroupsbarebatbthebgreatestbriskbforbproblems?”
b. “WhichbpatientsbshouldbIbseebfirstbasbIbbeginbmybday?”
c. “WithbwhichbphysiciansbwillbIbbebmostbcloselybcollaborating?”
d. “WithbwhichbnursingbassistantsbwillbIbpartnerbthebmost?”
ANS:b A
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, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
Askingbwhichbgroupsbarebatbgreatestbriskbreflectsbabcommunity-
orientedbperspective.bThebincorrectbresponsesbreflectbabfocusbonbindividualsbratherbthanbabcomm
unity-orientedbperspective.
11. Makingbsurebthatbessentialbcommunity-
orientedbhealthbservicesbarebavailablebdefinesbwhichbofbthebcorebpublicbhealthbfunctions?
a. Policybdevelopment
b. Assessment
c. Assurance
d. Scientificbknowledge-basedbcare
ANS:b C
Assurancebincludesbmakingbsurebthatbessentialbcommunity-
orientedbhealthbservicesbarebavailablebinbthebcommunity.bThebdefinitionbdoesbnotbfitbthebtermsbas
sessment,b policybdevelopment.bScientificbknowledge-
basedbcarebisbnotbabcorebfunctionbofbpublicbhealth.
Assessmentbisbsystematicbdatabcollectionbonbthebpopulation,bmonitoringbthebpopulation’sbhealthbs
tatus,bandbmakingbinformationbavailablebaboutbthebhealthbofbthebcommunity.bPolicybdevelopmen
tbrefersbtobeffortsbtobdevelopbpoliciesbthatbsupportbthebhealthbofbthebpopulation,bincludingbusingbab
scientificbknowledgebbasebtobmakebpolicybdecisions.
12. Whenbtalkingbtobabwomen’sbgroupbatbthebseniorbcitizens’bcenter,bthebnursebremindedbthembthatbt
hebonlybwaybthebcenterbwouldbbebablebtobaffordbtobprovidebtransportationbservicesbforbthembwou
ldbbebforbthembtobcontinuebtobwriteblettersbtobtheirblocalbcitybcouncilbrepresentativesbrequestingbf
undingbforbsuchbabservice.bWhatbwasbthebnursebtryingbtobaccomplishbthroughbthisbaction?
a. Ensurebthatbthebwomenbdidbnotbexpectbthebnursebtobsolvebtheirbproblem.
b. Demonstrateb thatb theb nursNe b u R
n d erIs t o oGd b the
B.wCO
omM
en’sb concernsb andb needs.
U
c. Expressbempathy,bsupport,bandbconcern. S N T
d. Helpbthebwomenbengagebinbpoliticalbaction.
ANS:b D
Publicbhealthbnursesbengagebthemselvesbandbothersbinbpolicybdevelopmentbandbencouragebandba
ssistbpersonsbtobcommunicatebtheirbneedsbtobthosebwithbthebpowerbtobtakebaction.bThebnursebisbde
monstratingbthebrolebofbadvocatebthroughbthisbaction,bitbgoesbbeyondbmerelybunderstanidngbtheb
women’sbconcern,bandbinsteadbmobilizesbthembtobtakebaction.bThisbactionbdoesbnotbdemonstrateb
thebnursebshowingbempathybratherbthebnursebisbempoweringbthesebwomen.
13. Thebpublicbhealthbnursebhasbabclearbvisionbofbwhatbneedsbtobbebdonebandbwherebtobbeginbtobi
mprovebthebhealthbofbthebcommunity.bWhybwouldbthebnursebspendbtimebmeetingbwithbcom
munitybgroupsbtobdiscussbthebmostbimportantbtaskbtobbebaddressedbfirst?
a. Tobincreasebthebgroup’sbself-esteem
b. Tobmaintainbcommunicationblinksbwithbthebgroups
c. Tobmakebthebgroupsbfeelbgoodbaboutbtheirbcontribution
d. Tobworkbwithbthebgroups,bnotbforbthebgroups
ANS:b D
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