Stanhope:iFoundations iforiPopulation iHealth iin iCommunity/Public iHealth iNursing, i6th iEdit
MULTIPLEiCHOICm
E
1. Whichistatement ibest idescribesicommunity-basedinursing?
a. Aipracticeiiniwhichicareiisiprovided iforiindividualsiand ifamilies.
b. Providingicareiwithiaifocusionitheigroup’sineeds.
c. Givingicareiwithiaifocusionitheiaggregate’sineeds.
d. Aivalueisystemiiniwhichialliclientsireceiveioptimalicare.
ANS:im A
Byidefinition,icommunity-based inursingiisiaisetting-
mspecificipracticeiiniwhichicareiisiprovided ifori“sick”iindividualsiand ifamiliesiwhereitheyilive,iwo
l.iTheiemphasisiisioniacuteiand ichronicicareiand itheiprovisioniof icomprehensive,icoordinated,iand
eseinursesimayibeigeneralistsiorispecialistsiinimaternal–
minfant,ipediatric,iadult,ioripsychiatricimentalihealthinursing.iCommunity-
mbased inursingiemphasizesiacuteiand ichronicicareitoiindividualsiand ifamilies,iratherithanifocusing
es,iorisystems.
2. Whichistatement ibest idescribesitheigoaliof icommunity-orientedinursing?
a. Providingicareitoiindividualsiand ifamilies
b. Providingicareitoimanageiacuteiorichroniciconditions
c. Givingidirect icareitoiilliindividualsiwithinitheirifamilyisetting
d. Toipreserve,iprotect,ipromote,iorimaintainihealthiand iprevent idisease
ANS:im D
Byidefinition,icommunity-
moriented inursingihasitheigoaliof ipreserving,iprotecting,iorimaintainingihealthiand ipreventingidise
ualityiof ilife.iAllinursesimayifocusioniindividualsiand ifamilies,igiveidirect icareitoiillipersonsiwithi
g,iand ihelpimanageiacuteiorichroniciconditions.iTheseidefinitionsiareinot ispecificitoicommunity-o
3. Whichiof itheifollowingiisitheiprimaryifocusiof ipublicihealthinursing?
a. Familiesiand igroups
b. Illness-oriented icare
c. Individualsiwithinitheifamilyiunit
d. Healthicareiof icommunitiesiand ipopulations
ANS:im D
Inipublicihealthinursing,itheiprimaryifocusiisionitheihealthicareiof icommunitiesiand ipopulationsira
uals,igroups,iand ifamilies.iTheigoaliisitoiprevent idiseaseiand ipreserve,ipromote,irestore,iand iprote
munityiand itheipopulationiwithiniit.iCommunity-based inursesidealiprimarilyiwithiillness-
moriented icareiof iindividualsiand ifamiliesiacrossitheilifeispan.iTheiaimiisitoimanageiacuteiand ichro
nsiinitheicommunity,iand itheifocusiof ipracticeiisioniindividualior
family-centered iillnessicare.
4. Whichiof itheifollowingiisiresponsibleiforitheidramaticiincreaseiinilifeiexpectancyiduringithei20thi
a. Technologyiincreasesiinitheifield iof imedicalilaboratoryiresearch
b. Advancesiinisurgicalitechniquesiand iprocedures
c. Sanitationiand iotheripopulation-based ipreventioniprograms
d. Useiof iantibioticsitoifight iinfections
ANS:im C
Thereihasitoibeiindisputableievidenceicollected ioveritimeithat ipublicihealthipoliciesiand iprograms
ncreasingitheiaverageilifeispanifromi47iini1900itoi78.6iyearsiini2017,ianiincreaseiof iapproximately
,Copyrighti©i2022,iElsevieriInc.iAllirightsireserved.
, 6. What iisitheibasiciassumptionistated ibyiHealthyiPeoplei2010iasiit irelatesitoipublicihealthiefforts?
a. Healthidisparitiesiamongianyigroupsiareimorallyiand ilegallyiwrong.
b. Healthicareiisitheimost iimportant ipriorityiinigovernment iplanningiand ifunding.
c. Theihealthiof iindividualsicannot ibeiseparated ifromitheihealthiof itheicommunity.
d. Theigovernment iisiresponsibleiforilengtheningitheilifeispaniof iAmericans.
ANS:im C
Theimajoripremise iof iHealthyiPeoplei2010iwasithat itheihealthiof itheiindividualicannot ibeientirelyiseparat
ericommunity.iPublic ihealthipracticeifocusesionitheicommunityiasia iwhole,iand itheieffect iof itheicommun
)ionitheihealthiof iindividuals,ifamilies,iand igroups.iTheigoal iis itoiprevent idiseaseiand idisabilityiand iprom
theicommunityiasiaiwhole.iPublic ihealthicanibeidescribed iasiwhat isocietyicollectivelyidoesitoiensureithat
opleicanibeihealthy.iTheibasic iassumptionsiof ipublic ihealthidoinot ijudgeitheimoralityiof ihealthidisparities
of iillnessinot ionispendingimoreion iillnessicare. iAdditionally,iindividualiresponsibilityiforimakingihealthy
engtheningilifeispaninot itheiroleiof itheigovernment.
7. Whichiof itheifollowingiactionsiwould imost ilikelyibeiperformed ibyiaipublicihealthinurse?
a. Askingicommunityileadersiwhat iinterventionsishould ibeichosen
b. Assessingitheicommunityiand idecidingioniappropriateiinterventions
c. Usingidataifromitheimainihealthicareiinstitutionsiinitheicommunityitoidetermineim
needed ihealthiservices
d. Workingiwithicommunityigroupsitoicreateipoliciesitoiimproveitheienvironment
ANS:im D
Althoughitheipublicihealthinurseimight iengageiinianyiof itheitasksilisted,iheiorishe iworksiprimarily iwithim
icarryiout icore ipublicihealthifunctions,iincludingiassessment iof itheipopulationiasiaiwholeiand iengagingiin
vingitheienvironment.iTheiinterventionsiof iaskingicommunityileadersiwhichiinterventionsishould ibeichos
iand idecidingioniappropriateiinterventions,iand iusingidataifromihealthicareiinstitutionsidoinot idemonstrat
munityiwhenimakingidecisionsiabout iwhat itheicommunityiactuallyiwantsiand ineeds.
8. Whichipublicihealthinurseimost iclearlyifulfillsitheiresponsibilitiesiof ithisirole?
a. Theinurseiwhoimet iwithiseveraligroupsitoidiscussicommunityirecreationiissues
b. Theinurseiwhoispent itheidayiattendingimeetingsiof ivariousihealthiagencies
c. Theinurseiwhoitalked itoiseveralipeopleiabout itheiriparticularihealthiconcerns
d. Theinurseiwhoiwatched itheicityicouncilimeetingionilocalicableitelevision
ANS:im B
Anyiof itheseidescriptionsimight irepresent iainurseicommunicating,icooperating,ioricollaboratingiwithicom
bout ihealthiconcerns.iAimajorichallenge iforitheifutureiisitheineed iforipublicihealthinursingispecialistsitoib
gicollaborativelyiwithivariousigroups iinitheicommunityiasiwell iasiprofessionalicolleaguesiiniinstitutional
toihealth.iHowever,itheinurseiwhoispent itheidayiattendingimeetingsiof ivariousihealthiagenciesiis itheimost
ublicihealth,iconcernsiare iaddressed ifromiaibroaderiperspective.iInipublicihealth,ibroad iconcernsiof itheico
ed.iConcernsiareibroaderithanirecreation,iindividualiconcernsiareinot ias iimportant iasiaggregateipriorities,
ne-wayiformiof icommunication)iisilessieffectiveithaniinteractingiwithiothers.
9. Whichiof itheifollowingibest idefinesiaggregate?
a. A ilargeigroupiof ipersons
b. A icollectioniof iindividualsiand ifamilies
c. A icollectioniof ipeopleiwhoishareioneiorimoreicharacteristics
d. Anotherinameiforidemographicigroup
ANS:im C
Aniaggregateiisidefined iaicollectioniof ipeopleiwhoishareioneiorimoreipersonaliorienvironmentalicharacter
icanibeidefined iinitermsiof ieitherigeographyi(e.g.,iaicounty,iaigroupiof icounties,ioriaistate)ioriaispecialiinte
articularischool).iTheseimembersimakeiupiaipopulation.iTheitermipopulationimayibeiused iinterchangeabl
geigroupiof ipersons,iaicollectioniof iindividualsiand ifamilies,iand ianotherinameiforidemographicigroupiar
ermiaggregate.
10. Whichiquestioniasked ibyiainoviceinurseiwould ibeitheimost ireflectiveiof ianiunderstandingiof itheiroleiof ia
a. “Whichigroupsiareiat itheigreatest iriskiforiproblems?”
b. “Whichipatientsishould iI iseeifirst iasiI ibeginimyiday?”