Foundations for Population Health in Community Public Health Nursing 6th Edition by Marcia Stanhope

FoundationsgforgPopulationgHealthgingCommunitygPublicgHealthgNursingg5thgEditiongStanhopegTestgBan
k
Chapterg01:gCommunity-gandgPrevention-
OrientedgPracticegtogImprovegPopulationgHealth
Stanhope:gFoundationsgforgPopulationgHealthgingCommunity/PublicgHealthgNursing,g5t
hgEdition


MULTIPLEgCHOICE

1. Whichgofgthegfollowinggbestgdescribesgcommunity-basedgnursing?
a. Agpracticegingwhichgcaregisgprovidedgforgindividualsgandgfamilies
b. Providinggcaregwithgagfocusgongtheggroup’sgneeds
c. Givinggcaregwithgagfocusgongthegaggregate’sgneeds
d. Agvaluegsystemgingwhichgallgclientsgreceivegoptimalgcare
ANS:g A
Bygdefinition,gcommunity-basedgnursinggisgagsetting-
specificgpracticegingwhichgcaregisgprovidedgforg“sick”gindividualsgandgfamiliesgwheregtheygliv
e,gwork,gandgattendgschool.gThegemphasisgisgongacutegandgchronicgcaregandgthegprovisiongofgc
omprehensive,gcoordinated,gandgcontinuousgcare.gThesegnursesgmaygbeggeneralistsgorgspeciali
stsgingmaternal–infant,gpediatric,gadult,gorgpsychiatricgmentalghealthgnursing.gCommunity-
basedgnursinggemphasizesgacutegandgchronicgcaregtogindividualsgandgfamilies,grathergthangfoc
usinggonggroups,gaggregates,gorgsystems.

2. Whichgofgthegfollowinggbestgdescribesgcommunity-orientedgnursing?
a. Focusinggongthegprovisiongofgcaregtogindividualsgandgfamilies
b. Providinggcaregtogmanagegacutegorgchronicgconditions
c. Givinggdirectg caregtog illg inNdivR
iduaIls g wGithB
in.thCeir M
familygsetting
d. Havinggtheggoalgofghealthgpromotion UgSgNgT gand gdiseasegprevention

ANS:g D
Bygdefinition,gcommunity-
orientedgnursingghasgtheggoalgofgpreserving,gprotecting,gorgmaintainingghealthgandgpreventing
gdiseasegtogpromotegthegqualitygofglife.gAllgnursesgmaygfocusgongindividualsgandgfamilies,ggiv
egdirectgcaregtogillgpersonsgwithingtheirgfamilygsetting,gandghelpgmanagegacutegorgchronicgcon
ditions.gThesegdefinitionsgaregnotgspecificgtogcommunity-orientedgnursing.

3. Whichgofgthegfollowinggisgthegprimarygfocusgofgpublicghealthgnursing?
a. Familiesgandggroups
b. Illness-orientedgcare
c. Individualsgwithingthegfamilygunit
d. Healthgcaregofgcommunitiesgandgpopulations
ANS:g D
Ingpublicghealthgnursinggthegprimarygfocusgisgongtheghealthgcaregofgcommunitiesgandgpopulati
onsgrathergthangongindividuals,ggroups,gandgfamilies.gTheggoalgisgtogpreventgdiseasegandgpreser
ve,gpromote,grestore,gandgprotectghealthgforgthegcommunitygandgthegpopulationgwithingit.gCom
munity-basedgnursesgdealgprimarilygwithgillness-
orientedgcaregofgindividualsgandgfamiliesgacorssgtheglifegspan.gThegaimgisgtogamanagegacutegan
dgchronicghealthgconditionsgingthegcommunity,gandgthegfocusgofgpracticegisgongindividualgorgfa
mily-centeredgillnessgcare.

,FoundationsgforgPopulationgHealthgingCommunitygPublicgHealthgNursingg5thgEditiongStanhopegTestgBan
k
4. Whichgofgthegfollowinggisgresponsiblegforgthegdramaticgincreaseginglifegexpectancygduringgth
eg20thgcentury?
a. Technologygincreasesgingthegfieldgofgmedicalglaboratorygresearch
b. Advancesgingsurgicalgtechniquesgandgprocedures
c. Sanitationgandgothergpopulation-basedgpreventiongprograms
d. Usegofgantibioticsgtogfightginfections
ANS:g C
Improvementsgingcontrolgofginfectiousgdiseasesgthroughgimmunizations,gsanitation,gandgother
gpopulation-
basedgpreventiongprogramsgledgtogthegincreaseginglifegexpectancygfromglessgthang50gyearsging1
900gtogmoregthang78gyearsging2013.gAlthoughgpeoplegaregexcitedgwhengagnewgdruggisgdiscove
redgthatgcuresgagdiseasegorgwhengagnewgwaygtogtransplantgorgansgisgperfected,gitgisgimportantg
togknowgaboutgthegsignificantggainsgingtheghealthgofgpopulationsgthatghavegcomeglargelygfrom
gpublicghealthgaccomplishments.


5. Agnursegisgdevelopinggagplangtogdecreasegthegnumbergofgprematuregdeathsgingthegcommunit
y.gWhichgofgthegfollowingginterventionsgwouldgmostglikelygbegimplementedgbygthegnurse?
a. Increasegthegcommunity’sgknowledgegaboutghospicegcare.
b. Promoteghealthyglifestylegbehaviorgchoicesgamonggthegcommunitygmembers.
c. Encouragegemployersgtoghavegwellnessgcentersgatgeachgindustrialgsite.
d. Ensuregtimelygandgeffectivegmedicalginterventiongandgtreatmentgforgcommunit
ygmembers.
ANS:g B
Publicghealthgapproachesgcouldghelpgpreventgprematuregdeathsgbyginfluencinggthegwaygpeople
geat,gdrink,gdrive,gengagegingexercise,gandgtreatgthegenvironment.gIncreasinggknowledgegofgho
spicegcare,gencouraginggon-sitegwellnessgcenters,gandgensuringgtimelygtreatmentgofgmedical
conditionsgdognotgaddressgtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l ghealthgthroughghealthgpromotiongst
ggO
rategies.gThisgisgthegmajorgmethodgthatgisgsuggestedgtogdecreasegthegincidencegofgpremature
death.
6. Whichgofgthegfollowinggisgagbasicgassumptiongofgpublicghealthgefforts?
a. Healthgdisparitiesgamongganyggroupsgaregmorallygandglegallygwrong.
b. Healthgcaregisgthegmostgimportantgpriorityginggovernmentgplanninggandgfunding.
c. Theghealthgofgindividualsgcannotgbegseparatedgfromgtheghealthgofgthegcommunity.
d. TheggovernmentgisgresponsiblegforglengtheninggtheglifegspangofgAmericans.
ANS:g C
Publicghealthgpracticegfocusesgongthegcommunitygasgagwhole,gandgthegeffectgofgtheg communit
y’sghealthgstatusg(resources)gongtheghealthgofgindividuals,gfamilies,gandggroups.gTheggoalgisgto
gpreventgdiseasegandgdisabilitygandgpromotegandgprotectgtheghealthgofgthegcommunitygasgagwh
ole.gPublicghealthgcangbegdescribedgasgwhatgsocietygcollectivelygdoesgtogensuregthatgcondition
sgexistgingwhichgpeoplegcangbeghealthy.gThegbasicgassumptionsgofgpublicghealthgdognotgjudgegt
hegmoralitygofghealthgdisparities.gThegfocusgisgongpreventiongofgillnessgnotgongspendinggmoreg
ongillnessgcare.gAdditionally,gindividualgresponsibilitygforgmakingghealthygchoicesgisgthegdirec
tivegforglengtheningglifegspangnotgthegrolegofgtheggovernment.

7. Whichgofgthegfollowinggactionsgwouldgmostglikelygbegperformedgbygagpublicghealthgnurse?
a. Askinggcommunitygleadersgwhatginterventionsgshouldgbegchosen
b. Assessinggthegcommunitygandgdecidinggongappropriateginterventions
c. Usinggdatagfromgthegmainghealthgcareginstitutionsgingthegcommunitygtogdetermine

,FoundationsgforgPopulationgHealthgingCommunitygPublicgHealthgNursingg5thgEditiongStanhopegTestgBan
k
neededghealthgservices
d. Workinggwithgcommunityggroupsgtogcreategpoliciesgtogimprovegthegenvironment
ANS:g D
Althoughgthegpublicghealthgnursegmightgengageginganygofgthegtasksglisted,ghegorgshegworksgpr
imarilygwithgmembersgofgthegcommunitygtogcarrygoutgcoregpublicghealthgfunctions,gincludingg
assessmentgofgthegpopulationgasgagwholegandgengaginggingpromotingghealthgandgimprovinggth
egenvironment.gTheginterventionsgofgaskinggcommunitygleadersgwhichginterventionsgshouldgb
egchosen,gasessinggthegcommunitygandgdecidinggongappropriateginterventions,gandgusinggdatag
fromghealthgcareginstitutionsgdognotgdemonstrategthegengagementgofgthegcommunitygwhengma
kinggdecisionsgaboutgwhatgthegcommunitygactuallygwantsgandgneeds.

8. Whichgofgthegfollowinggpublicghealthgnursesgmostgclearlygfulfillsgthegresponsibilitiesgofgthi
sgrole?
a. Thegnursegwhogmetgwithgseveralggroupsgtogdiscussgcommunitygrecreationgissues
b. Thegnursegwhogspentgthegdaygattendinggmeetingsgofgvariousghealthgagencies
c. Thegnursegwhogtalkedgtogseveralgpeoplegaboutgtheirgparticularghealthgconcerns
d. Thegnursegwhogwatchedgthegcitygcouncilgmeetinggonglocalgcablegtelevision

ANS:g B
Anygofgthesegdescriptionsgmightgrepresentgagnursegcommunicating,gcooperating,gorgcollabora
tinggwithgcommunitygresidentsgorggroupsgaboutghealthgconcerns.gHowever,gthegnursegwhogsp
entgthegdaygattendinggmeetingsgofgvariousghealthgagenciesgisgthegmostgrepresentative,gbecaus
egingpublicghealth,gconcernsgaregaddressedgfromgagbroadergperspective.gIngpublicghealth,gbroa
dgconcernsgofgthegcommunitygshouldgbegaddressed.gConcernsgaregbroadergthangrecreation,gin
dividualgconcernsgaregnotgasgimportantgasgaggregategpriorities,gandgwatchinggtelevisiong(agon
e-waygformgofgcommunication)gisglessgeffectivegthanginteractinggwithgothers.
NURSINGTB.COM
9. Whichgofgthegfollowinggbestgdefinesgaggregate?
a. Aglargeggroupgofgpersons
b. Agcollectiongofgindividualsgandgfamilies
c. Agcollectiongofgpeoplegwhogsharegonegorgmoregcharacteristics
d. Anothergnamegforgdemographicggroup
ANS:g C
Angaggregategisgdefinedgagcollectiongofgpeoplegwhogsharegonegorgmoregpersonalgorgenvironm
entalgcharacteristics.gMembersgofgagcommunitygcangbegdefinedgingtermsgofgeitherggeographyg
(e.g.,gagcounty,gaggroupgofgcounties,gorgagstate)gorgagspecialginterestg(e.g.,gchildrengattendingga
gparticulargschool).gThesegmembersgmakegupgagpopulation.gThegtermgpopulationgmaygbegused
ginterchangeablygwithgthegtermgaggregate.gAglargeggroupgofgpersons,gagcollectiongofgindividu
alsgandgfamilies,gandganothergnamegforgdemograhpicggroupgaregnotgaccurategdefinitionsgofgth
egtermgaggregate.

10. Agregisteredgnursegwasgjustgemployedgasgagpublicghealthgnurse.gWhichgquestiongwouldgbegth
egmostgrelevantgforgthegnursegtogask?
a. “Whichggroupsgaregatgtheggreatestgriskgforgproblems?”
b. “WhichgpatientsgshouldgIgseegfirstgasgIgbegingmygday?”
c. “WithgwhichgphysiciansgwillgIgbegmostgcloselygcollaborating?”
d. “WithgwhichgnursinggassistantsgwillgIgpartnergthegmost?”
ANS:g A

, FoundationsgforgPopulationgHealthgingCommunitygPublicgHealthgNursingg5thgEditiongStanhopegTestgBan
k
Askinggwhichggroupsgaregatggreatestgriskgreflectsgagcommunity-
orientedgperspective.gThegincorrectgresponsesgreflectgagfocusgongindividualsgrathergthangagco
mmunity-orientedgperspective.

11. Makinggsuregthatgessentialgcommunity-
orientedghealthgservicesgaregavailablegdefinesgwhichgofgthegcoregpublicghealthgfunctions?
a. Policygdevelopment
b. Assessment
c. Assurance
d. Scientificgknowledge-basedgcare
ANS:g C
Assurancegincludesgmakinggsuregthatgessentialgcommunity-
orientedghealthgservicesgaregavailablegingthegcommunity.gThegdefinitiongdoesgnotgfitgthegterms
gassessment,gpolicygdevelopment.gScientificgknowledge-
basedgcaregisgnotgagcoregfunctiongofgpublicghealth.gAssessmentgisgsystematicgdatagcollectiongo
ngthegpopulation,gmonitoringgthegpopulation’sghealthgstatus,gandgmakingginformationgavailable
gaboutgtheghealthgofgthegcommunity.gPolicygdevelopmentgrefersgtogeffortsgtogdevelopgpoliciesg
thatgsupportgtheghealthgofgthegpopulation,gincludinggusinggagscientificgknowledgegbasegtogmak
egpolicygdecisions.

12. Whengtalkinggtogagwomen’sggroupgatgthegseniorgcitizens’gcenter,gthegnursegremindedgthemgth
atgthegonlygwaygthegcentergwouldgbegablegtogaffordgtogprovidegtransportationgservicesgforgthe
mgwouldgbegforgthemgtogcontinuegtogwriteglettersgtogtheirglocalgcitygcouncilgrepresentativesgr
equestinggfundinggforgsuchgagservice.gWhatgwasgthegnursegtryinggtogaccomplishgthroughgthis
gaction?
a. Ensuregthatgthegwomengdidgnotgexpectgthegnursegtogsolvegtheirgproblem.
b. Demonstrateg thatg thegnursNe g u R
n d e rIs t o oGd gthBe.wComM
en’sg concernsg andg needs.
c. Expressgempathy,gsupport,gU gSggconcern.
and NgT
d. Helpgthegwomengengagegingpoliticalgaction.
ANS:g D
Publicghealthgnursesgengagegthemselvesgandgothersgingpolicygdevelopmentgandgencouragegan
dgassistgpersonsgtogcommunicategtheirgneedsgtogthosegwithgthegpowergtogtakegaction.gThegnurs
egisgdemonstratinggthegrolegofgadvocategthroughgthisgaction,gitggoesgbeyondgmerelygunderstani
dnggthegwomen’sgconcern,gandginsteadgmobilizesgthemgtogtakegaction.gThisgactiongdoesgnotgd
emonstrategthegnursegshowinggempathygrathergthegnursegisgempoweringgthesegwomen.

13. Thegpublicghealthgnurseghasgagcleargvisiongofgwhatgneedsgtogbegdonegandgwheregtogbeging
togimprovegtheghealthgofgthegcommunity.gWhygwouldgthegnursegspendgtimegmeetinggwith
gcommunityggroupsgtogdiscussgthegmostgimportantgtaskgtogbegaddressedgfirst?
a. Togincreasegtheggroup’sgself-esteem
b. Togmaintaingcommunicationglinksgwithgtheggroups
c. Togmakegtheggroupsgfeelggoodgaboutgtheirgcontribution
d. Togworkgwithgtheggroups,gnotgforgtheggroups
ANS:g D