,FoundationsmformPopulationmHealthminmCommunitymPublicmHealthmNursingm5thmEditionmStanhopemTest mBa
nk
Chapter m01:mCommunity-mandmPrevention-
OrientedmPractice mtomImprove mPopulationmHealth
Stanhope:mFoundations mformPopulationmHealthminmCommunity/Public mHealthmNursing,m
5thmEdition
MULTIPLEmCHOICE
1. Whichmof mthemfollowingmbest mdescribesmcommunity-basedmnursing?
a. Ampracticeminmwhichmcaremismprovided mformindividualsmand mfamilies
b. Providingmcaremwithmamfocusmonmthemgroup’smneeds
c. Givingmcaremwithmamfocusmonmthemaggregate’smneeds
d. Amvaluemsystemminmwhichmallmclientsmreceivemoptimalmcare
ANS:m A
Bymdefinition,mcommunity-based mnursingmismamsetting-specificmpracticeminmwhichmcaremis
provided mform“sick”mindividualsmand mfamiliesmwheremtheymlive,mwork,mand mattend mschool.mThem
emphasismismonmacutemand mchronicmcaremand mthemprovisionmof mcomprehensive, mcoordinated,man
d mcontinuousmcare.mThesemnursesmmaymbemgeneralistsmormspecialistsminmmaternal–
infant,mpediatric,madult,mormpsychiatricmmentalmhealthmnursing.mCommunity-
based mnursingmemphasizesmacutemand mchronicmcaremtomindividualsmand mfamilies,mrathermthanmfo
cusingmonmgroups,maggregates,mormsystems.
2. Whichmof mthemfollowingmbest mdescribesmcommunity-orientedmnursing?
a. Focusingmonmthemprovisionmof mcaremtomindividualsmand mfamilies
b. Providingmcaremtommanagemacutemormchronicmconditions
c. Givingm directm carem tom illm inNd ivR
idUuaIls mwGithBin.thCeirOMf amily msetting
mS mN mT
d. Havingmthemgoalmof mhealthmpromotionmand mdiseasemprevention
ANS:m D
Bymdefinition,mcommunity-
oriented mnursingmhasmthemgoalmof mpreserving,mprotecting,mormmaintainingmhealthmand mpreventin
gmdiseasemtompromotemthemqualitymof mlife.mAllmnursesmmaymfocusmonmindividualsmand mfamilies,mg
ivemdirect mcaremtomillmpersonsmwithinmtheirmfamilymsetting,mand mhelpmmanagemacutemormchronicmc
onditions.mThesemdefinitionsmaremnot mspecificmtomcommunity-oriented mnursing.
3. Whichmof mthemfollowingmismthemprimarymfocusmof mpublicmhealthmnursing?
a. Familiesmand mgroups
b. Illness-oriented mcare
c. Individualsmwithinmthemfamilymunit
d. Healthmcaremof mcommunitiesmand mpopulations
ANS:m D
Inmpublicmhealthmnursingmthemprimarymfocusmismonmthemhealthmcare mof mcommunitiesmand mpopulat
ionsmrathermthanmonmindividuals,mgroups,mand mfamilies.mThemgoalmismtomprevent mdiseasemand mpres
erve,mpromote,mrestore,mand mprotect mhealthmformthemcommunitymand mthempopulationmwithinmit.mC
ommunity-based mnursesmdealmprimarilymwithmillness-
oriented mcaremof mindividualsmand mfamiliesmacorssmthemlifemspan.mThemaim mismtomamanagemacutema
nd mchronicmhealthmconditionsminmthemcommunity,mand mthemfocusmof mpracticemismonmindividualmor
mfamily-centered millnessmcare.
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,FoundationsmformPopulationmHealthminmCommunitymPublicmHealthmNursingm5thmEditionmStanhopemTest mBa
nk
4. Whichmof mthemfollowingmismresponsiblemformthemdramaticmincreaseminmlifemexpectancymduringmt
hem20thmcentury?
a. Technologymincreasesminmthemfield mof mmedicalmlaboratorymresearch
b. Advancesminmsurgicalmtechniquesmand mprocedures
c. Sanitationmand mothermpopulation-based mpreventionmprograms
d. Usemof mantibioticsmtomfight minfections
ANS:m C
Improvementsminmcontrolmof minfectiousmdiseasesmthroughmimmunizations,msanitation,mand mothe
rmpopulation-
based mpreventionmprogramsmled mtomthemincreaseminmlifemexpectancymfrommlessmthanm50myearsmin
m1900mtommoremthanm78myearsminm2013.mAlthoughmpeoplemaremexcited mwhenmamnew mdrugmismdisc
overed mthat mcuresmamdiseasemormwhenmamnew mwaymtomtransplant morgansmismperfected,mit mismimpo
rtant mtomknowmabout mthemsignificant mgainsminmthemhealthmof mpopulationsmthat mhavemcomemlargel
ymfrommpublicmhealthmaccomplishments.
5. A mnursemismdevelopingmamplanmtomdecreasemthemnumbermof mprematuremdeathsminmthemcommuni
ty.mWhichmof mthemfollowingminterventionsmwould mmost mlikelymbemimplemented mbymthemnurse
?
a. Increasemthemcommunity’smknowledgemabout mhospicemcare.
b. Promotemhealthymlifestylembehaviormchoicesmamongmthemcommunitymmembers.
c. Encouragememployersmtomhavemwellnessmcentersmat meachmindustrialmsite.
d. Ensuremtimelymand meffectivemmedicalminterventionmand mtreatment mformcommunit
ymmembers.
ANS:m B
Publicmhealthmapproachesmcould mhelpmprevent mprematuremdeathsmbyminfluencingmthemwaympeopl
emeat,mdrink,mdrive,mengageminmexercise,mand mtreat mthemenvironment.mIncreasingmknowledgemof m
hospicemcare,mencouragingmon-
sitemwellnessmcenters,mand mensuringmtimelymtreatment mof mmedical
conditionsmdomnot maddressmtheNfUocR
usSoIf NGpTroBv.
im inC
gmOo vMe r a ll mhealthmthroughmhealthmpromotion
strategies.mThismismthemmajormmethod mthat mismsuggested mtomdecreasemthemincidencemof mpremature
death.
6. Whichmof mthemfollowingmismambasicmassumptionmof mpublicmhealthmefforts?
a. Healthmdisparitiesmamongmanymgroupsmaremmorallymand mlegallymwrong.
b. Healthmcaremismthemmost mimportant mpriorityminmgovernment mplanningmand mfunding.
c. Themhealthmof mindividualsmcannot mbemseparated mfrommthemhealthmof mthemcommunity.
d. Themgovernment mismresponsiblemformlengtheningmthemlifemspanmof mAmericans.
ANS:m C
Publicmhealthmpracticemfocusesmonmthemcommunitymasmamwhole,mand mthemeffect mof mthe
community’smhealthmstatusm(resources)monmthemhealthmof mindividuals,mfamilies,mand mgroups.m Th
emgoalmismtomprevent mdiseasemand mdisabilitymand mpromotemand mprotect mthemhealthmof mthemcommu
nitymasmamwhole.mPublicmhealthmcanmbemdescribed masmwhat msocietymcollectivelymdoesmtomensuremt
hat mconditionsmexist minmwhichmpeoplemcanmbemhealthy.mThembasicmassumptionsmof mpublicmhealthm
domnot mjudgemthemmoralitymof mhealthmdisparities.mThemfocusmismonmpreventionmof millnessmnot monm
spendingmmoremonmillnessmcare.mAdditionally,mindividualmresponsibilitymformmakingmhealthymch
oicesmismthemdirectivemformlengtheningmlifemspanmnot mthemrolemof mthemgovernment.
7. Whichmof mthemfollowingmactionsmwould mmost mlikelymbemperformed mbymampublicmhealthmnurse?
a. Askingmcommunitymleadersmwhat minterventionsmshould mbemchosen
b. Assessingmthemcommunitymand mdecidingmonmappropriateminterventions
c. Usingmdatamfrommthemmainmhealthmcareminstitutionsminmthemcommunitymtomdetermine
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, FoundationsmformPopulationmHealthminmCommunitymPublicmHealthmNursingm5thmEditionmStanhopemTest mBa
nk
needed mhealthmservices
d. Workingmwithmcommunitymgroupsmtomcreatempoliciesmtomimprovemthemenvironment
ANS:m D
Althoughmthempublicmhealthmnursemmight mengageminmanymof mthemtasksmlisted,mhemormshemworksmpr
imarilymwithmmembersmof mthemcommunitymtomcarrymout mcorempublicmhealthmfunctions,mincludingm
assessment mof mthempopulationmasmamwholemand mengagingminmpromotingmhealthmand mimproving mt
hemenvironment.mTheminterventionsmof maskingmcommunitymleadersmwhichminterventionsm should m
bemchosen,masessingmthemcommunitymand mdecidingmonmappropriateminterventions,mand musingmdat
amfrommhealthmcareminstitutionsmdomnot mdemonstratemthemengagement mof mthemcommunitymwhenm
makingmdecisionsmabout mwhat mthemcommunitymactuallymwantsmand mneeds.
8. Whichmof mthemfollowingmpublicmhealthmnursesmmost mclearlymfulfillsmthemresponsibilitiesmof mt
hismrole?
a. Themnursemwhommet mwithmseveralmgroupsmtomdiscussmcommunitymrecreationm issues
b. Themnursemwhomspent mthemdaymattendingmmeetingsmof mvariousmhealthmagencies
c. Themnursemwhomtalked mtomseveralmpeoplemabout mtheirmparticularmhealthmconcerns
d. Themnursemwhomwatched mthemcitymcouncilmmeetingmonmlocalmcablemtelevision
ANS:m B
Anymof mthesemdescriptionsmmight mrepresent mamnursemcommunicating,mcooperating,morm collabor
atingmwithmcommunitymresidentsmormgroupsmabout mhealthmconcerns.mHowever,mthemnursemwhom
spent mthemdaymattendingmmeetingsmof mvariousmhealthmagenciesmismthemmost mrepresentative,mbec
auseminmpublicmhealth,mconcernsmaremaddressed mfrommambroadermperspective.mInmpublicmhealth,m
broad mconcernsmof mthemcommunitymshould mbemaddressed.mConcernsmarembroadermthanmrecreatio
n,mindividualmconcernsmaremnot masmimportant masmaggregatempriorities, mand mwatchingmtelevision
m(amone-waymformmof mcommunication)mismlessmeffectivemthanminteractingmwithmothers.
NURSINGTB.COM
9. Whichmof mthemfollowingmbest mdefinesmaggregate?
a. Amlargemgroupmof mpersons
b. Amcollectionmof mindividualsmand mfamilies
c. Amcollectionmof mpeoplemwhomsharemonemormmoremcharacteristics
d. Anothermnamemformdemographicmgroup
ANS:m C
Anmaggregatemismdefined mamcollectionmof mpeoplemwhomsharemonemormmorempersonalmormenviron
mentalmcharacteristics.mMembersmof mamcommunitymcanmbemdefined minmtermsmof meithermgeograp
hym(e.g.,mamcounty,mamgroupmof mcounties,mormamstate)mormamspecialminterest m(e.g.,mchildrenmattend
ingmamparticularmschool).mThesem membersmmakemupmampopulation.m Themterm mpopulationmmaymb
emused minterchangeablymwithmthemtermmaggregate.mAmlargemgroupmof mpersons,mamcollectionmof mi
ndividualsmand mfamilies,mand manothermnamemformdemograhpicmgroupmaremnot maccuratemdefinitio
nsmof mthemtermmaggregate.
10. A mregistered mnursemwasmjust memployed masmampublicmhealthmnurse.mWhichmquestionmwould mbemt
hemmost mrelevant mformthemnursemtomask?
a. “Whichmgroupsmaremat mthemgreatest mriskmformproblems?”
b. “Whichmpatientsmshould mI mseemfirst masmI mbeginmmymday?”
c. “WithmwhichmphysiciansmwillmI mbemmost mcloselymcollaborating?”
d. “WithmwhichmnursingmassistantsmwillmI mpartnermthemmost?”
ANS:m A
NURSINGTB.COM
nk
Chapter m01:mCommunity-mandmPrevention-
OrientedmPractice mtomImprove mPopulationmHealth
Stanhope:mFoundations mformPopulationmHealthminmCommunity/Public mHealthmNursing,m
5thmEdition
MULTIPLEmCHOICE
1. Whichmof mthemfollowingmbest mdescribesmcommunity-basedmnursing?
a. Ampracticeminmwhichmcaremismprovided mformindividualsmand mfamilies
b. Providingmcaremwithmamfocusmonmthemgroup’smneeds
c. Givingmcaremwithmamfocusmonmthemaggregate’smneeds
d. Amvaluemsystemminmwhichmallmclientsmreceivemoptimalmcare
ANS:m A
Bymdefinition,mcommunity-based mnursingmismamsetting-specificmpracticeminmwhichmcaremis
provided mform“sick”mindividualsmand mfamiliesmwheremtheymlive,mwork,mand mattend mschool.mThem
emphasismismonmacutemand mchronicmcaremand mthemprovisionmof mcomprehensive, mcoordinated,man
d mcontinuousmcare.mThesemnursesmmaymbemgeneralistsmormspecialistsminmmaternal–
infant,mpediatric,madult,mormpsychiatricmmentalmhealthmnursing.mCommunity-
based mnursingmemphasizesmacutemand mchronicmcaremtomindividualsmand mfamilies,mrathermthanmfo
cusingmonmgroups,maggregates,mormsystems.
2. Whichmof mthemfollowingmbest mdescribesmcommunity-orientedmnursing?
a. Focusingmonmthemprovisionmof mcaremtomindividualsmand mfamilies
b. Providingmcaremtommanagemacutemormchronicmconditions
c. Givingm directm carem tom illm inNd ivR
idUuaIls mwGithBin.thCeirOMf amily msetting
mS mN mT
d. Havingmthemgoalmof mhealthmpromotionmand mdiseasemprevention
ANS:m D
Bymdefinition,mcommunity-
oriented mnursingmhasmthemgoalmof mpreserving,mprotecting,mormmaintainingmhealthmand mpreventin
gmdiseasemtompromotemthemqualitymof mlife.mAllmnursesmmaymfocusmonmindividualsmand mfamilies,mg
ivemdirect mcaremtomillmpersonsmwithinmtheirmfamilymsetting,mand mhelpmmanagemacutemormchronicmc
onditions.mThesemdefinitionsmaremnot mspecificmtomcommunity-oriented mnursing.
3. Whichmof mthemfollowingmismthemprimarymfocusmof mpublicmhealthmnursing?
a. Familiesmand mgroups
b. Illness-oriented mcare
c. Individualsmwithinmthemfamilymunit
d. Healthmcaremof mcommunitiesmand mpopulations
ANS:m D
Inmpublicmhealthmnursingmthemprimarymfocusmismonmthemhealthmcare mof mcommunitiesmand mpopulat
ionsmrathermthanmonmindividuals,mgroups,mand mfamilies.mThemgoalmismtomprevent mdiseasemand mpres
erve,mpromote,mrestore,mand mprotect mhealthmformthemcommunitymand mthempopulationmwithinmit.mC
ommunity-based mnursesmdealmprimarilymwithmillness-
oriented mcaremof mindividualsmand mfamiliesmacorssmthemlifemspan.mThemaim mismtomamanagemacutema
nd mchronicmhealthmconditionsminmthemcommunity,mand mthemfocusmof mpracticemismonmindividualmor
mfamily-centered millnessmcare.
NURSINGTB.COM
,FoundationsmformPopulationmHealthminmCommunitymPublicmHealthmNursingm5thmEditionmStanhopemTest mBa
nk
4. Whichmof mthemfollowingmismresponsiblemformthemdramaticmincreaseminmlifemexpectancymduringmt
hem20thmcentury?
a. Technologymincreasesminmthemfield mof mmedicalmlaboratorymresearch
b. Advancesminmsurgicalmtechniquesmand mprocedures
c. Sanitationmand mothermpopulation-based mpreventionmprograms
d. Usemof mantibioticsmtomfight minfections
ANS:m C
Improvementsminmcontrolmof minfectiousmdiseasesmthroughmimmunizations,msanitation,mand mothe
rmpopulation-
based mpreventionmprogramsmled mtomthemincreaseminmlifemexpectancymfrommlessmthanm50myearsmin
m1900mtommoremthanm78myearsminm2013.mAlthoughmpeoplemaremexcited mwhenmamnew mdrugmismdisc
overed mthat mcuresmamdiseasemormwhenmamnew mwaymtomtransplant morgansmismperfected,mit mismimpo
rtant mtomknowmabout mthemsignificant mgainsminmthemhealthmof mpopulationsmthat mhavemcomemlargel
ymfrommpublicmhealthmaccomplishments.
5. A mnursemismdevelopingmamplanmtomdecreasemthemnumbermof mprematuremdeathsminmthemcommuni
ty.mWhichmof mthemfollowingminterventionsmwould mmost mlikelymbemimplemented mbymthemnurse
?
a. Increasemthemcommunity’smknowledgemabout mhospicemcare.
b. Promotemhealthymlifestylembehaviormchoicesmamongmthemcommunitymmembers.
c. Encouragememployersmtomhavemwellnessmcentersmat meachmindustrialmsite.
d. Ensuremtimelymand meffectivemmedicalminterventionmand mtreatment mformcommunit
ymmembers.
ANS:m B
Publicmhealthmapproachesmcould mhelpmprevent mprematuremdeathsmbyminfluencingmthemwaympeopl
emeat,mdrink,mdrive,mengageminmexercise,mand mtreat mthemenvironment.mIncreasingmknowledgemof m
hospicemcare,mencouragingmon-
sitemwellnessmcenters,mand mensuringmtimelymtreatment mof mmedical
conditionsmdomnot maddressmtheNfUocR
usSoIf NGpTroBv.
im inC
gmOo vMe r a ll mhealthmthroughmhealthmpromotion
strategies.mThismismthemmajormmethod mthat mismsuggested mtomdecreasemthemincidencemof mpremature
death.
6. Whichmof mthemfollowingmismambasicmassumptionmof mpublicmhealthmefforts?
a. Healthmdisparitiesmamongmanymgroupsmaremmorallymand mlegallymwrong.
b. Healthmcaremismthemmost mimportant mpriorityminmgovernment mplanningmand mfunding.
c. Themhealthmof mindividualsmcannot mbemseparated mfrommthemhealthmof mthemcommunity.
d. Themgovernment mismresponsiblemformlengtheningmthemlifemspanmof mAmericans.
ANS:m C
Publicmhealthmpracticemfocusesmonmthemcommunitymasmamwhole,mand mthemeffect mof mthe
community’smhealthmstatusm(resources)monmthemhealthmof mindividuals,mfamilies,mand mgroups.m Th
emgoalmismtomprevent mdiseasemand mdisabilitymand mpromotemand mprotect mthemhealthmof mthemcommu
nitymasmamwhole.mPublicmhealthmcanmbemdescribed masmwhat msocietymcollectivelymdoesmtomensuremt
hat mconditionsmexist minmwhichmpeoplemcanmbemhealthy.mThembasicmassumptionsmof mpublicmhealthm
domnot mjudgemthemmoralitymof mhealthmdisparities.mThemfocusmismonmpreventionmof millnessmnot monm
spendingmmoremonmillnessmcare.mAdditionally,mindividualmresponsibilitymformmakingmhealthymch
oicesmismthemdirectivemformlengtheningmlifemspanmnot mthemrolemof mthemgovernment.
7. Whichmof mthemfollowingmactionsmwould mmost mlikelymbemperformed mbymampublicmhealthmnurse?
a. Askingmcommunitymleadersmwhat minterventionsmshould mbemchosen
b. Assessingmthemcommunitymand mdecidingmonmappropriateminterventions
c. Usingmdatamfrommthemmainmhealthmcareminstitutionsminmthemcommunitymtomdetermine
NURSINGTB.COM
, FoundationsmformPopulationmHealthminmCommunitymPublicmHealthmNursingm5thmEditionmStanhopemTest mBa
nk
needed mhealthmservices
d. Workingmwithmcommunitymgroupsmtomcreatempoliciesmtomimprovemthemenvironment
ANS:m D
Althoughmthempublicmhealthmnursemmight mengageminmanymof mthemtasksmlisted,mhemormshemworksmpr
imarilymwithmmembersmof mthemcommunitymtomcarrymout mcorempublicmhealthmfunctions,mincludingm
assessment mof mthempopulationmasmamwholemand mengagingminmpromotingmhealthmand mimproving mt
hemenvironment.mTheminterventionsmof maskingmcommunitymleadersmwhichminterventionsm should m
bemchosen,masessingmthemcommunitymand mdecidingmonmappropriateminterventions,mand musingmdat
amfrommhealthmcareminstitutionsmdomnot mdemonstratemthemengagement mof mthemcommunitymwhenm
makingmdecisionsmabout mwhat mthemcommunitymactuallymwantsmand mneeds.
8. Whichmof mthemfollowingmpublicmhealthmnursesmmost mclearlymfulfillsmthemresponsibilitiesmof mt
hismrole?
a. Themnursemwhommet mwithmseveralmgroupsmtomdiscussmcommunitymrecreationm issues
b. Themnursemwhomspent mthemdaymattendingmmeetingsmof mvariousmhealthmagencies
c. Themnursemwhomtalked mtomseveralmpeoplemabout mtheirmparticularmhealthmconcerns
d. Themnursemwhomwatched mthemcitymcouncilmmeetingmonmlocalmcablemtelevision
ANS:m B
Anymof mthesemdescriptionsmmight mrepresent mamnursemcommunicating,mcooperating,morm collabor
atingmwithmcommunitymresidentsmormgroupsmabout mhealthmconcerns.mHowever,mthemnursemwhom
spent mthemdaymattendingmmeetingsmof mvariousmhealthmagenciesmismthemmost mrepresentative,mbec
auseminmpublicmhealth,mconcernsmaremaddressed mfrommambroadermperspective.mInmpublicmhealth,m
broad mconcernsmof mthemcommunitymshould mbemaddressed.mConcernsmarembroadermthanmrecreatio
n,mindividualmconcernsmaremnot masmimportant masmaggregatempriorities, mand mwatchingmtelevision
m(amone-waymformmof mcommunication)mismlessmeffectivemthanminteractingmwithmothers.
NURSINGTB.COM
9. Whichmof mthemfollowingmbest mdefinesmaggregate?
a. Amlargemgroupmof mpersons
b. Amcollectionmof mindividualsmand mfamilies
c. Amcollectionmof mpeoplemwhomsharemonemormmoremcharacteristics
d. Anothermnamemformdemographicmgroup
ANS:m C
Anmaggregatemismdefined mamcollectionmof mpeoplemwhomsharemonemormmorempersonalmormenviron
mentalmcharacteristics.mMembersmof mamcommunitymcanmbemdefined minmtermsmof meithermgeograp
hym(e.g.,mamcounty,mamgroupmof mcounties,mormamstate)mormamspecialminterest m(e.g.,mchildrenmattend
ingmamparticularmschool).mThesem membersmmakemupmampopulation.m Themterm mpopulationmmaymb
emused minterchangeablymwithmthemtermmaggregate.mAmlargemgroupmof mpersons,mamcollectionmof mi
ndividualsmand mfamilies,mand manothermnamemformdemograhpicmgroupmaremnot maccuratemdefinitio
nsmof mthemtermmaggregate.
10. A mregistered mnursemwasmjust memployed masmampublicmhealthmnurse.mWhichmquestionmwould mbemt
hemmost mrelevant mformthemnursemtomask?
a. “Whichmgroupsmaremat mthemgreatest mriskmformproblems?”
b. “Whichmpatientsmshould mI mseemfirst masmI mbeginmmymday?”
c. “WithmwhichmphysiciansmwillmI mbemmost mcloselymcollaborating?”
d. “WithmwhichmnursingmassistantsmwillmI mpartnermthemmost?”
ANS:m A
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