Chaptern01:nCommunity-nandnPrevention-OrientednPracticentonImprovennPopulationHealth
Stanhope:nFoundations nfornPopulationnHealthninnCommunity/PublicnHealthnnNursin
g,5thnEdition
MULTIPLEnCHOICE
1. Which nof nthenfollowingnbestndescribesncommunity-basednnursing?
a. Anpracticenin nwhich ncarenisnprovidednfornindividualsnandnfamilies
b. Providingncarenwith nanfocusnon nthengroup’snneeds
c. Givingncarenwith nanfocusnon nthenaggregate’snneeds
d. Anvaluensystemnin nwhich nall nclientsnreceivenoptimal ncare
ANS:n A
Byndefinition,ncommunity-basednnursingnisnansetting-
specificnpracticeninnwhichncarenisnprovidednforn“sick”nindividualsnandnfamiliesnwherentheyn
live,nwork,nandnattendnschool.nThenemphasisnisnonnacutenandnchronicncarenandnthenprovi
sion nof ncomprehensive,ncoordinated,nandcontinuousncare.nThesennursesnmaynbengener
alistsnornspecialistsnin nmaternal–
infant,npediatric,adult,nornpsychiatricnmentalnhealth nnursing.nCommunity-
n basednnursingnemphasizesnacutenandchronicncarentonindividualsnandnfamilies,nrathernth
an nfocusingnon ngroups,naggregates,nornsystems.
2. Which nof nthenfollowingnbestndescribesncommunity-orientednnursing?
a. Focusingnon nthenprovision nof ncarentonindividualsnandnfamilies
b. Providingncarentonmanagenacutenornchronicnconditions
c. Givingndirectncaren tonillninN
UdivR alIsn wG
SiduN Tith Bi nt.hCeir Mfa mily n setting
d. Havingnthengoal nof nhealth npromotion nandndiseasenprevention
ANS:n D
Byndefinition,ncommunity-
orientednnursingnhasnthengoal nof npreserving,nprotecting,nornmaintainingnhealth nandnprev
entingndiseasentonpromotenthenqualitynof nlife.nAllnnursesnmaynfocusonnindividualsnandnfa
milies,ngivendirectncarentonillnpersonsnwithinntheirnfamilynsetting,nandnhelpmanagenacuteno
rnchronicnconditions.nThesendefinitionsnarennotnspecificntoncommunity-orientednursing.
3. Which nof nthenfollowingnisnthenprimarynfocusnof npublicnhealth nnursing?
,Foundationsn forn Populationn Healthn inn Communityn Publicn Healthn Nursingn 5thn Editionn Stanhopen Test n Bank
a. Familiesnandngroups
b. Illness-orientedncare
c. Individualsnwithin nthenfamilynunit
d. Health ncarenof ncommunitiesnandnpopulations
ANS:n D
In npublicnhealthnnursingnthenprimarynfocusnisnonnthenhealthncarenofncommunitiesnandnpop
ulationsnrathernthannonnindividuals,ngroups,nandnfamilies.nThengoalnisntonpreventndisease
n andpreserve,npromote,nrestore,nandnprotectnhealth nfornthencommunitynandnthenpopulati
on nwithin nit.nCommunity-basednnursesndealnprimarilynwith nillness-
orientedncarenof nindividualsnandnfamiliesnacorssnthenlifenspan.nThenaimnisntonamanagenac
utenandnchronicnhealthnconditionsninnthencommunity,nandnthenfocusnofnpracticenisnonnindi
vidual nornfamily-centerednillnessncare.
,Foundationsn forn Populationn Healthn inn Communityn Publicn Healthn Nursingn 5thn Editionn Stanhopen Test n Bank
4. Which nofnthenfollowingnisnresponsiblenfornthendramaticnincreasenin nlifenexpectancyn
duringnthe20th ncentury?
a. Technologynincreasesnin nthenfieldnof nmedical nlaboratorynresearch
b. Advancesnin nsurgical ntechniquesnandnprocedures
c. Sanitation nandnothernpopulation-basednprevention nprograms
d. Usenof nantibioticsntonfightninfections
ANS:n C
Improvementsnin ncontrol nofninfectiousndiseasesnthroughnimmunizations,nsanitation,nan
dnothernpopulation-
basednprevention nprogramsnledntonthenincreaseninnlifenexpectancynfromnlessnthan n50ye
arsnin n1900ntonmorenthann78nyearsninn2013.nAlthoughnpeoplenarenexcitednwhennannew nd
rugnisdiscoverednthatncuresnandiseasenornwhennannewnwayntontransplantnorgansnisnperf
ected,nitnisnimportantntonknow naboutnthensignificantngainsninnthenhealthnofnpopulationsnth
atnhavencomenlargelynfromnpublicnhealth naccomplishments.
5. Annursenisndevelopingnanplanntondecreasenthennumbernofnprematurendeathsninnthenco
mmunity.Whichnofnthenfollowingninterventionsnwouldnmostnlikelynbenimplementednbyn
thennurse?
a. Increasenthencommunity’snknowledgenaboutnhospicencare.
b. Promotenhealthynlifestylenbehaviornchoicesnamongnthencommunitynmembers.
c. Encouragenemployersntonhavenwellnessncentersnatneach nindustrial nsite.
d. Ensurentimelynandneffectivenmedicalninterventionnandntreatmentnforn
communitymembers.
ANS:n B
Publicnhealth napproachesncouldnhelpnpreventnprematurendeathsnbyninfluencingnthenway
n peopleeat,ndrink,ndrive,nengagenin nexercise,nandntreatnthenenvironment.
Increasingnknowledgenof nhospicencare,nencouragingnon-
sitenwellnessncenters,nandnensuringntimelyntreatmentnof nmedical
conditionsndonnotnaddressntheNfU
ocR
usSofINGpTroBvi.nC
im gnOo vMe r a l l nhealth nthroughnhealth npromotio
n
strategies.nThisnisnthenmajornmethodnthatnisnsuggestedntondecreasenthenincidencenof npremat
ure
death.
6. Which nof nthenfollowingnisnanbasicnassumption nof npublicnhealth nefforts?
, Foundationsn forn Populationn Healthn inn Communityn Publicn Healthn Nursingn 5thn Editionn Stanhopen Test n Bank
a. Health ndisparitiesnamongnanyngroupsnarenmorallynandnlegallynwrong.
b. Health ncarenisnthenmostnimportantnprioritynin ngovernmentnplanningnandnfunding.
c. Thenhealth nof nindividualsncannotnbenseparatednfromnthenhealth nof nthencommunity.
d. Thengovernmentnisnresponsiblenfornlengtheningnthenlifenspan nof nAmericans.
ANS:n C
Publicnhealthnpracticenfocusesnonnthencommunitynasnanwhole,nandntheneffectnof nthencom
munity’snhealthnstatusn(resources)nonnthenhealthnofnindividuals,nfamilies,nandngroups.nTh
engoal nisntonpreventndiseasenandndisabilitynandnpromotenandnprotectnthenhealthnof nthenco
mmunitynasnanwhole.nPublicnhealthncannbendescribednasnwhatnsocietyncollectivelyndoesnt
onensurenthatnconditionsnexistninnwhichnpeoplencannbenhealthy.nThenbasicnassumptionsn
of npublicnhealthndonnotjudgenthenmoralitynofnhealthndisparities.nThenfocusnisnonnpreventio
n nof nillnessnnotnonnspendingnmorenonnillnessncare.nAdditionally,nindividual nresponsibilitynf
ornmakingnhealthynchoicesnisnthendirectivenfornlengtheningnlifenspannnotnthenrolenofnthengo
vernment.
7. Which nofnthenfollowingnactionsnwouldnmostnlikelynbenperformednbynanpublicnhealthnn
urse?
a. Askingncommunitynleadersnwhatninterventionsnshouldnbenchosen
b. Assessingnthencommunitynandndecidingnon nappropriateninterventions
c. Usingndatanfromnthenmain nhealth ncareninstitutionsnin nthencommunityntondetermine