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Chapters 01:s Publics Healths Nursings ands Populations Health
Stanhope:s Foundationss fors Populations Healths ins Community/Publics Healths Nursing,s 6ths Edition
MULTIPLEs CHOICE
1. Whichsstatementsbestsdescribesscommunity-basedsnursing?
a. Aspracticesinswhichscaresissprovidedsforsindividualssandsfamilies.
b. Providingscareswithsasfocussonsthesgroup’ssneeds.
c. Givingscareswithsasfocussonsthesaggregate’ssneeds.
d. Asvaluessystemsinswhichsallsclientssreceivesoptimalscare.
ANS:s A
Bysdefinition,scommunity-basedsnursingsissassetting-
specificspracticesinswhichscaresissprovidedsfors“sick”sindividualssandsfamilies wherestheyslive,swork,sandsattendsschool.sThese
mphasississonsacutesandschronicscaresandsthesprovisionsofscomprehensive,s coordinated,sandscontinuousscare.sThesesnursessma
ysbesgeneralistssorsspecialistssinsmaternal–infant,spediatric,sadult,sorspsychiatris mentalshealthsnursing.sCommunity-
basedsnursingsemphasizessacutesandschronicscarestosindividualssandsfamilies,srathersthans focusingsonsgroups,saggregates,sorss
ystems.
2. Whichsstatementsbestsdescribessthesgoalsofscommunity-orientedsnursing?
a. Providingscarestosindividualssandsfamilies
b. Providingscarestosmanagesacutesorschronicsconditions
c. Givingsdirectscarestosills individualsswithinstheirsfamilyssetting
d. Tospreserve,sprotect,spromote,sorsmaintainshealthsandsprevent sdisease
ANS:s D
Bysdefinition,scommunity-
orientedsnursingshassthesgoalsofspreserving,sprotecting,sorsmaintainingshealthsandspreventingsdiseasestos promotesthesqualitysof
slife.sAllsnursessmaysfocussonsindividualssandsfamilies,sgivesdirectscarestosillspersonsswithinstheir sfamilys setting,sandshelpsma
nagesacutesorschronicsconditions.sThesesdefinitionssaresnotsspecificstoscommunity-orientedsnursing.
3. Whichsofsthesfollowingsissthesprimarysfocussofspublicshealthsnursing?
a. Familiessandsgroups
b. Illness-orientedscare
c. Individualsswithinsthesfamilysunit
d. Healthscaresofscommunitiessandspopulations
ANS:s D
Inspublicshealthsnursing,sthesprimarysfocussissonstheshealthscaresofscommunitiessandspopulationssrathersthansonsindividuals,sgro
ups andsfamilies.sThesgoalsisstospreventsdiseasesandspreserve,spromote,srestore,sandsprotectshealthsforsthescommunitysandsthesp
opulatis withinsit.sCommunity-basedsnursessdealsprimarilyswithsillness-
orientedscaresofsindividualssandsfamiliessacrossstheslifesspan.sThes aimsisstosmanagesacutesandschronicshealthsconditionssinsthe
scommunity, sandsthesfocussofspracticesissonsindividualsor
family-centeredsillnessscare.
4. Whichsofsthesfollowingsissresponsiblesforsthesdramaticsincreasesinslifesexpectancysduringsthes20thscentury?
a. Technologysincreasessinsthesfieldsofsmedicalslaboratorysresearch
b. Advancessinssurgicalstechniquessandsprocedures
c. Sanitationsandsotherspopulation-basedspreventionsprograms
d. Usesofsantibioticsstosfightsinfections
ANS:s C
Thereshasstosbesindisputablesevidencescollectedsoverstimesthatspublicshealthspoliciessandsprogramssweresprimarilysresponsibles
fors increasingsthesaverageslifesspansfroms47sins1900stos78.6syearssins2017,sansincreasesofsapproximatelys60%sinsjustsoversasce
nturyspls throughsimprovementssins(1)ssanitation,s(2)scleanswaterssupplies, s(3)smakingsworkplacesssafer,s(4)simprovingsfoodsa
ndsdrugssafet
(5)simmunizingschildren,sands(6)simprovingsnutrition,shygiene,sandshousing.sAlthoughspeoplesaresexcitedswhensasnewsdrugsis
s discoveredsthatscuressasdiseasesorswhensasnewswaystostransplant sorganssissperfected,sitsissimportant stosknowsaboutsthessignifi
cants gainssinstheshealthsofspopulationssthatshavescomeslargelysfromspublicshealthsaccomplishments.
5. Asnursesissdevelopingsasplanstosdecreasesthesnumbersofsprematuresdeathssinsthescommunity. sWhichsofsthesfollowingsinterventi
onss wouldsmostslikelysbesimplementedsbysthesnurse?
a. Providesfreeshealthscarestosallscitizens
b. Tosincreasesthesnumbersofsindividualsswithsaccessstoseffectiveshealthscaresbenefits
c. LowersthescostsofshealthscarestosthesAmericanspopulation
d. ToslessensthesgovernmentalsburdensofsprovidingshealthscarestosAmericans
ANS:s B
ThescentralsfeaturesinsthesPatientsProtectionsandsAffordablesCaresActs(ACA)sofs2010saresthesmechanismsstosincreasesthesnum
bers peopleswithshealthsinsurance.sThescaresprovidedsissnotsnecessarilysfree.sWhilesthescostsofshealthscaresandsthesburdensitspl
acessonsts Americansgovernment saresserioussconcerns,stheysaresnotsthesprimarysfocussofsACA.
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6. WhatsissthesbasicsassumptionsstatedsbysHealthysPeoples2010sassitsrelatesstospublicshealthsefforts?
a. Healthsdisparitiessamongsanysgroupssaresmorallysandslegallyswrong.
b. Healthscaresissthesmostsimportantsprioritysinsgovernmentsplanningsandsfunding.
c. Theshealthsofsindividualsscannotsbesseparatedsfromstheshealthsofsthescommunity.
d. ThesgovernmentsissresponsiblesforslengtheningstheslifesspansofsAmericans.
ANS:s C
ThesmajorspremisesofsHealthysPeoples2010swassthatstheshealthsofsthesindividualscannotsbesentirelysseparatesfromstheshealthsofs
thes largerscommunity.sPublicshealthspracticesfocusessonsthescommunitysassaswhole,sandstheseffectsofsthescommunity’sshealths
statuss (resources)sonstheshealthsofsindividuals,sfamilies,sandsgroups.sThesgoalsisstospreventsdiseasesandsdisabilitysandspromote
sandsprotes theshealthsofsthescommunitysassaswhole.sPublicshealthscansbesdescribedsasswhatssocietyscollectivelysdoesstosensures
thatsconditionss existsinswhichspeoplescansbeshealthy.sThesbasicsassumptionssofspublicshealthsdosnotsjudgesthesmoralitysofshea
lthsdisparities.sThes focussissonspreventionsofsillnesssnotsonsspendingsmoresonsillnessscare.sAdditionally, sindividualsresponsibil
itysforsmakingshealthys choicessissthesdirectivesforslengtheningslifesspansnotsthesrolesofsthesgovernment.
7. Whichsofsthesfollowingsactionsswouldsmostslikelysbesperformedsbysaspublicshealthsnurse?
a. Askingscommunitysleadersswhatsinterventionssshouldsbeschosen
b. Assessingsthescommunitysandsdecidingsonsappropriatesinterventions
c. Usingsdatasfromsthesmainshealthscaresinstitutionssinsthescommunitystosdetermi
nes neededshealthsservices
d. Workingswithscommunitysgroupsstoscreatespoliciesstosimprovesthesenvironment
ANS:s D
Althoughsthespublicshealthsnursesmightsengagesinsanysofsthestasksslisted,shesorsshesworkssprimarilyswithsmemberssofsthescom
muns toscarrysoutscorespublicshealthsfunctions,sincludingsassessmentsofsthespopulationsassaswholesandsengagingsinspromotingsh
ealthsands improvingsthesenvironment.sThesinterventionssofsaskingscommunitysleadersswhichsinterventionssshouldsbeschosen,sa
ssessingsthes communitysandsdecidingsonsappropriatesinterventions,sandsusingsdatasfromshealthscaresinstitutionssdosnotsdemons
tratesthes engagementsofsthescommunityswhensmakingsdecisionssaboutswhatsthescommunitysactuallyswantssandsneeds.
8. Whichspublicshealthsnursesmostsclearlysfulfillssthesresponsibilitiessofsthissrole?
a. Thesnurseswhosmetswithsseveralsgroupsstosdiscussscommunitysrecreationsissues
b. Thesnurseswhosspentsthesdaysattendingsmeetingssofsvariousshealthsagencies
c. Thesnurseswhostalkedstosseveralspeoplesaboutstheirsparticularshealthsconcerns
d. Thesnurseswhoswatchedsthescityscouncilsmeetingsonslocalscablestelevision
ANS:s B
Anysofsthesesdescriptionssmightsrepresentsasnursescommunicating,scooperating,sorscollaboratingswithscommunitysresidentssors
groupssaboutshealthsconcerns.sAsmajorschallengesforsthesfuturesissthesneedsforspublicshealthsnursingsspecialistsstosbesmores ag
gressivesinsworkingscollaborativelyswithsvarioussgroupssinsthescommunitysasswellsassprofessionalscolleaguessinsinstitutionals s
ettingsstosdealswithsbarriersstoshealth.sHowever,sthesnurseswhosspentsthesdaysattendingsmeetingssofsvariousshealthsagenciessisst
hes mostsrepresentative,sbecausesinspublicshealth,sconcernssaresaddressedsfromsasbroadersperspective.sInspublicshealth,sbroadsc
oncerns ofsthescommunitysshouldsbesaddressed.sConcernssaresbroadersthansrecreation,sindividualsconcernssaresnotsassimportants
assaggregas priorities,sandswatchingstelevisions(asone-
waysformsofscommunication)sisslessseffectivesthansinteractingswithsothers.
9. Whichsofsthesfollowingsbestsdefinessaggregate?
a. Aslargesgroupsofspersons
b. Ascollectionsofsindividualssandsfamilies
c. Ascollectionsofspeopleswhossharesonesorsmorescharacteristics
d. Anothersnamesforsdemographicsgroup
ANS:s C
Ansaggregatesissdefinedsascollectionsofspeopleswhossharesonesorsmorespersonalsorsenvironmentalscharacteristics.sMemberssofs
as communityscansbesdefinedsinstermssofseithersgeographys(e.g.,sascounty,sasgroupsofscounties,sorsasstate)sorsasspecialsinterests
(e.g.,s childrensattendingsasparticularsschool).sThesesmemberssmakesupsaspopulation.sThestermspopulationsmaysbesusedsintercha
ngeablys withsthestermsaggregate.sAslargesgroupsofspersons,sascollectionsofsindividualssandsfamilies,sandsanothersnamesforsde
mographics groupsaresnotsaccuratesdefinitionssofsthestermsaggregate.
10. Whichsquestionsaskedsbysasnovicesnurseswouldsbesthesmostsreflectivesofsansunderstandingsofsthesrolesofsaspublicshealthsnurse?
a. “Whichsgroupssaresatsthesgreatestsrisksforsproblems?”
b. “WhichspatientssshouldsIsseesfirstsassIsbeginsmysday?”
c. “WithswhichsphysiciansswillsIsbesmostscloselyscollaborating?”
d. “WithswhichsnursingsassistantsswillsIspartnersthesmost?”
ANS:s A
Askingswhichsgroupssaresatsgreatestsrisksreflectssascommunity-
orientedsperspective.sThesincorrectsresponsessreflectsasfocussons individualssrathersthansascommunity-orientedsperspective.
11. Makingssuresthatsessentialscommunity-orientedshealthsservicessaresavailablesdefinesswhichsofsthescorespublicshealthsfunctions?
a. Policysdevelopment
b. Assessment
c. Assurance
d. Scientificsknowledge-basedscare
ANS:s C
Assurancesincludessmakingssuresthatsessentialscommunity-
orientedshealthsservicessaresavailablesinsthescommunity. sThesdefinitions doessnotsfitsthestermssassessment,spolicysdevelopment.s
Scientificsknowledge-basedscaresissnotsascoresfunctionsofspublicshealth.
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Assessmentsisssystematic sdatascollectionsonsthespopulation,smonitoringsthespopulation’sshealthsstatus,sandsmakingsinformation
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