Stanhope:i Foundationsi fori Populationi Healthi ini Community/Publici Healthi Nursing,i 6thi E
MULTIPLEi CHOIC
E
1. Whichistatementibestidescribesicommunity-basedinursing?
a. Aipracticeiiniwhichicareiisiprovidediforiindividualsiandifamilies.
b. Providingicareiwithiaifocusionitheigroup’sineeds.
c. Givingicareiwithiaifocusionitheiaggregate’sineeds.
d. Aivalueisystemiiniwhichialliclientsireceiveioptimalicare.
ANS:i A
Byidefinition,icommunity-basedinursingiisiaisetting-
specificipracticeiiniwhichicareiisiprovidedifori“sick”iindividualsiandifamiliesiwhereitheyilive,iw
ol.iTheiemphasisiisioniacuteiandichronicicareianditheiprovisionioficomprehensive,icoordinated,i
Theseinursesimayibeigeneralistsiorispecialistsiinimaternal–
infant,ipediatric,iadult,ioripsychiatricimentalihealthinursing.iCommunity-
basedinursingiemphasizesiacuteiandichronicicareitoiindividualsiandifamilies,iratherithanifocusin
tes,iorisystems.
2. Whichistatementibestidescribesitheigoalioficommunity-orientedinursing?
a. Providingicareitoiindividualsiandifamilies
b. Providingicareitoimanageiacuteiorichroniciconditions
c. Givingidirecticareitoiilliindividualsiwithinitheirifamilyisetting
d. Toipreserve,iprotect,ipromote,iorimaintainihealthiandipreventidisease
ANS:i D
Byidefinition,icommunity-
orientedinursingihasitheigoaliofipreserving,iprotecting,iorimaintainingihealthiandipreventingidis
ualityiofilife.iAllinursesimayifocusioniindividualsiandifamilies,igiveidirecticareitoiillipersonsiwi
ng,iandihelpimanageiacuteiorichroniciconditions.iTheseidefinitionsiareinotispecificitoicommunit
3. Whichiofitheifollowingiisitheiprimaryifocusiofipublicihealthinursing?
a. Familiesiandigroups
b. Illness-orientedicare
c. Individualsiwithinitheifamilyiunit
d. Healthicareioficommunitiesiandipopulations
ANS:i D
Inipublicihealthinursing,itheiprimaryifocusiisionitheihealthicareioficommunitiesiandipopulations
duals,igroups,iandifamilies.iTheigoaliisitoipreventidiseaseiandipreserve,ipromote,irestore,iandipr
ommunityianditheipopulationiwithiniit.iCommunity-basedinursesidealiprimarilyiwithiillness-
orientedicareiofiindividualsiandifamiliesiacrossitheilifei span.iTheiaimiisitoimanageiacuteiandich
nsiinitheicommunity,ianditheifocusiofipracticeiisioniindividualior
family-centerediillnessicare.
4. Whichiofitheifollowingiisiresponsibleiforitheidramaticiincreaseiinilifeiexpectancyiduringithei20t
a. Technologyiincreasesiinitheifieldiofimedicalilaboratoryiresearch
b. Advancesiinisurgicalitechniquesiandiprocedures
c. Sanitationiandiotheripopulation-basedipreventioniprograms
d. Useiofiantibioticsitoifightiinfections
ANS:i C
Thereihasitoibeiindisputableievidenceicollectedioveritimeithatipublicihealthipoliciesiandiprogram
sibleiforiincreasingitheiaverageilifeispanifromi47iini1900itoi78.6iyearsiini2017,ianiincreaseiofiap
,Copyrighti©i2022,iElsevieriInc.iAllirightsireserved.
, 6. WhatiisitheibasiciassumptionistatedibyiHealthyiPeoplei2010iasiitirelatesitoipublicihealthiefforts?
a. Healthidisparitiesiamongianyigroupsiareimorallyiandilegallyiwrong.
b. Healthicareiisitheimostiimportantipriorityiinigovernmentiplanningiandifunding.
c. Theihealthiofiindividualsicannotibeiseparatedifromitheihealthiofitheicommunity.
d. TheigovernmentiisiresponsibleiforilengtheningitheilifeispaniofiAmericans.
ANS:i C
TheimajoripremiseiofiHealthyiPeoplei2010iwasithatitheihealthiofitheiindividualicannotibeientirelyisepa
gericommunity.iPublicihealthipracticeifocusesionitheicommunityiasiaiwhole,ianditheieffectiofitheicomm
ces)ionitheihealthiofiindividuals,ifamilies,iandigroups.iTheigoaliisitoipreventidiseaseiandidisabilityiandi
hiofitheicommunityiasiaiwhole.iPublicihealthicanibeidescribediasiwhatisocietyicollectivelyidoesitoiensu
ichipeopleicanibeihealthy.iTheibasiciassumptionsiofipublicihealthidoinotijudgeitheimoralityiofihealthidi
ventioniofiillnessinotionispendingimoreioniillnessicare.iAdditionally,iindividualiresponsibilityiforimaki
ctiveiforilengtheningilifeispaninotitheiroleiofitheigovernment.
7. Whichiofitheifollowingiactionsiwouldimostilikelyibeiperformedibyiaipublicihealthinurse?
a. Askingicommunityileadersiwhatiinterventionsishouldibeichosen
b. Assessingitheicommunityiandidecidingioniappropriateiinterventions
c. Usingidataifromitheimainihealthicareiinstitutionsiinitheicommunityitoideterminei
neededihealthiservices
d. Workingiwithicommunityigroupsitoicreateipoliciesitoiimproveitheienvironment
ANS:i D
Althoughitheipublicihealthinurseimightiengageiinianyiofitheitasksilisted,iheiorisheiworksiprimarilyiwith
oicarryiouticoreipublicihealthifunctions,iincludingiassessmentiofitheipopulationiasiaiwholeiandiengagin
provingitheienvironment.iTheiinterventionsiofiaskingicommunityileadersiwhichiinterventionsishouldibe
unityiandidecidingioniappropriateiinterventions,iandiusingidataifromihealthicareiinstitutionsidoinotidem
heicommunityiwhenimakingidecisionsiaboutiwhatitheicommunityiactuallyiwantsiandineeds.
8. Whichipublicihealthinurseimosticlearlyifulfillsitheiresponsibilitiesiofithisirole?
a. Theinurseiwhoimetiwithiseveraligroupsitoidiscussicommunityirecreationiissues
b. Theinurseiwhoispentitheidayiattendingimeetingsiofivariousihealthiagencies
c. Theinurseiwhoitalkeditoiseveralipeopleiaboutitheiriparticularihealthiconcerns
d. Theinurseiwhoiwatcheditheicityicouncilimeetingionilocalicableitelevision
ANS:i B
Anyiofitheseidescriptionsimightirepresentiainurseicommunicating,icooperating,ioricollaboratingiwithico
siaboutihealthiconcerns.iAimajorichallengeiforitheifutureiisitheineediforipublicihealthinursingispecialist
orkingicollaborativelyiwithivariousigroupsiinitheicommunityiasiwelliasiprofessionalicolleaguesiiniinstit
barriersitoihealth.iHowever,itheinurseiwhoispentitheidayiattendingimeetingsiofivariousihealthiagenciesi
causeiinipublicihealth,iconcernsiareiaddressedifromiaibroaderiperspective.iInipublicihealth,ibroadiconce
ibeiaddressed.iConcernsiareibroaderithanirecreation,iindividualiconcernsiareinotiasiimportantiasiaggrega
levisioni(aione-wayiformioficommunication)iisilessieffectiveithaniinteractingiwithiothers.
9. Whichiofitheifollowingibestidefinesiaggregate?
a. Ailargeigroupiofipersons
b. Aicollectioniofiindividualsiandifamilies
c. Aicollectioniofipeopleiwhoishareioneiorimoreicharacteristics
d. Anotherinameiforidemographicigroup
ANS:i C
Aniaggregateiisidefinediaicollectioniofipeopleiwhoishareioneiorimoreipersonaliorienvironmentalicharac
munityicanibeidefinediinitermsiofieitherigeographyi(e.g.,iaicounty,iaigroupioficounties,ioriaistate)ioriais
attendingiaiparticularischool).iTheseimembersimakeiupiaipopulation.iTheitermipopulationimayibeiusedi
miaggregate.iAilargeigroupiofipersons,iaicollectioniofiindividualsiandifamilies,iandianotherinameiforid
curateidefinitionsiofitheitermiaggregate.
10. Whichiquestioniaskedibyiainoviceinurseiwouldibeitheimostireflectiveiofianiunderstandingiofitheiroleiof
a. “Whichigroupsiareiatitheigreatestiriskiforiproblems?”
b. “WhichipatientsishouldiIiseeifirstiasiIibeginimyiday?”