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FOUNDATIONSFORPOPULATIONHEALTHIN COMMU
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HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6
, Table of Contents vc vc
Chapter 01:PublicHealthNursing and Population Health
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Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope: Chapter 0
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US and Global Health Care
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Chapter 04: Government, theLaw, and Policy Activism Ch
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apter 05: Economics of US Health Care Delivery
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Chapter06: Ethics inPublic and Community Health Nursing Practice Cha
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pter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health Chapter vc vc vc vc
09: Evidence-
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Based Practice Chapter10:Epidemiologica vc vc vc vc
lApplications
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Chapter 11: Infectious Disease Prevention and Control Ch
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apter12:Communicableand Infection DiseaseRisks Chapt
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er 13: Community Assessment and Evaluation Chapter 14
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: Health Education in the Community Chapter 15: Case M
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anagement
Chapter 16:Disaster Management vc vc vc
Chapter17:PublicHealthSurveillance andOutbreak Investigation Chapt
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er 18: Program Management
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Chapter19: Healthcare Improvement in the Community vc vc vc vc vc vc
Chapter20: FamilyDevelopment, Family NursingAssessment,and Genomics Chap
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ter 21: Family Health Risks
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Chapter 22: Health Risks Across theLife Span vc vc vc vc vc vc vc
Chapter23:Health Equity and CareofVulnerable Populations Chapter 2
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4: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapter 2
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6: Alcohol, Tobacco, and Other Drug Problems in theCommunity Chapter 27: Viole
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nce and Human Abuse vc vc vc
Chapter 28:Nursing Practice at the Local, State, and National Levels in Public Health Chapter 2
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9: The Faith Community Nurse
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Chapter 30: TheNurse in Public Health, Home Health, Palliative Care, and Hospice Chapter 31:
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The Nurse in the Schools vc vc vc vc
Chapter 32: The Nurse in Occupational Health vc vc vc vc vc vc
, Chapter 01: Public Health Nursing and Population Health vc vc vc vc vc vc vc
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 6 vc vc vc vc vc vc vc vc vc
MULTIPLE CHOICE vc
1. WHICH statement best describes community-based nursing? vc vc vc vc vc
a. A practice in WHICH care is provided for individuals and families.
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b. Providing care with a focus on the group’s needs. vc vc vc vc vc vc vc vc
c. Giving care with a focus on the aggregate’s needs. vc vc vc vc vc vc vc vc
d. A value system in WHICH all clients receive optimal care.
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ANS A v c
By definition, community-based nursing is a setting-
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specific practice in WHICH care is provided for “sick” individuals and families where they live, work, and a
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s on acute and chronic care and the provision of comprehensive, coordinated, and continuous care. These N
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pecialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing. Community-
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based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on group
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2. WHICH statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families vc vc vc vc vc
b. Providing care to manage acute or chronic conditions vc vc vc vc vc vc vc
c. Giving direct care to ill individuals within their family setting vc vc vc vc vc vc vc vc vc
d. To preserve, protect, promote, or maintain health and prevent disease
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ANS D v c
By definition, community-
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oriented nursing has the goal of preserving, protecting, or maintaining health and preventing disease to prom
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rses may focus on individuals and families, give direct care to ill persons within their family setting, and he
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onditions. These definitions are not specific to community-oriented nursing. vc vc vc vc vc vc vc vc
3. WHICH of the Following is the primary focus of public health nursing?
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a. Families and groups vc vc
b. Illness-oriented care vc
c. Individuals within the family unit vc vc vc vc
d. Health care of communities and populations vc vc vc vc vc
ANS D v c
In public health nursing, the primary focus is on the health care of communities and populations rather than
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milies. The goal is to prevent disease and preserve, promote, restore, and protect health for the community an
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mmunity-based Nurses deal primarily with illness- vc vc vc vc vc
oriented care of individuals and families across the life span. The aim is to manage acute and chronic heal
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ty, and the focus of practice is on individual or
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family-centered illness care. vc vc
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th century
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a. Technology increases in the field of medical laboratory research vc vc vc vc vc vc vc vc
b. Advances in surgical techniques and procedures vc vc vc vc vc
c. Sanitation and other population-based prevention programs vc vc vc vc vc
d. Use of antibiotics to fight infections vc vc vc vc vc
ANS C v c
There has to be indisputable evidence collected over time that public health policies and programs were pr
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the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60% in just over a ce
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in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improving food and drug safety
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excited
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d that cures a disease or when a new way to transplant organs is perfected, it is important to know about the si
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f populations that have come largely from public health accomplishments.
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5. A Nurse is developing a plan to decrease the number of premature deaths in the community. WHICH of the Fo
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, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
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a. Health disparities among any groups are morally and legally wrong. vc vc vc vc vc vc vc vc vc
b. Health care is the most important priority in government planning and funding. vc vc vc vc vc vc vc vc vc vc vc
c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS C v c
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely separate
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community. Public health practice focuses on the community as a whole, and the effect of the community’ vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the health of individuals, families, and groups. The goal is to prevent disease and disability and promote and
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munity as a whole. Public health can be described as what society collectively does to ensure that condition
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be healthy. The basic assumptions of public health do not judge the morality of health disparities. The focus
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t on spending more on illness care. Additionally, individual responsibility for making healthy choices is th
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e span not the role of the government.
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7. WHICH of the Following actions would most likely be performed by a public health Nurse?
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a. Asking community leaders what interventions should be chosen vc vc vc vc vc vc vc
b. Assessing the community and deciding on appropriate interventions vc vc vc vc vc vc vc
c. Using data from the main health care institutions in the community to determine nee
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ded health services vc vc
d. Working with community groups to create policies to improve the environment vc vc vc vc vc vc vc vc vc vc
ANS D v c
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily with m
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arry out core public health functions, including assessment of the population as a whole and engaging in pr
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g the environment. The interventions of asking community leaders WHICH interventions should be chose
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nd deciding on appropriate interventions, and using data from health care institutions do not demonstrate th
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nity when making decisions about what the community actually wants and needs.
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8. WHICH public health Nurse most clearly fulfills the responsibilities of this role?
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a. The Nurse who met with several groups to discuss community recreation issues
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b. The Nurse who spent the day attending meetings of various health agencies
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c. The Nurse who talked to several people about their particular health concerns
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d. The Nurse who watched the city council meeting on local cable television
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ANS B v c
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with com
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bout health concerns. A major challenge for the future is the need for public health nursing specialists to be
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collaboratively with various groups in the community as well as professional colleagues in institutional se vc vc vc vc vc vc vc vc vc vc vc vc vc vc
health. However, the Nurse who spent the day attending meetings of various health agencies is the most re
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c health, concerns are addressed from a broader perspective. In public health, broad concerns of the commu
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ncerns are broader than recreation, individual concerns are not as important as aggregate priorities, and watc
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way form of communication) is less effective than interacting with others.
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9. WHICH of the Following best defines aggregate? vc vc vc vc vc vc
a. A large group of persons vc vc vc vc
b. A collection of individuals and families vc vc vc vc vc
c. A collection of people who share one or more characteristics
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d. Another name for demographic group vc vc vc vc
ANS C v c
An aggregate is defined a collection of people who share one or more personal or environmental character
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ity can be defined in terms of either geography (e.g., a county, a group of counties, or a state) or a special in
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g a particular school). These members make up a population. The term population may be used interchangea
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A large group of persons, a collection of individuals and families, and another name for demographic grou
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of the term aggregate.
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10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role of a
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a. “WHICH groups are at the greatest risk for problems?” vc vc vc vc vc vc vc vc
b. “WHICH patients should I see first as I begin my day?” vc vc vc vc vc vc vc vc vc vc