n
FOUNDATIONSFORPOPULATIONHEALTHIN
ns ns ns ns
ns COMMUNITY/PUBLIC HEALTH NURSING
ns ns
byMarcia Stanhope, Jeanette Lancaster
ns ns ns ns n s
6
, TableofContents
s
n s
n
Chapter01:PublicHealthNursingandPopulationHealth ij ij
Chapter02:TheHistoryofPublicHealthandPublicandCommunityHealthNursing Stanhope: Chapter ij n s ns
03: US and Global Health Care
ns ns ns ns ns ns
Chapter04:Government,theLaw,andPolicyActivism ij ns
Chapter05: Economics ofUSHealth CareDelivery
ns ns ns ns ns ns ns ns
Chapter06:EthicsinPublicandCommunityHealthNursingPractice ij
Chapter 07: Culture of Populations in Communities
ns ns ns ns ns ns ns
Chapter 08: Environmental Health Chapter
ns ns ns ns
09: Evidence-Based Practice
ns ns ns
Chapter10:EpidemiologicalApplications
ns
Chapter 11: Infectious Disease Prevention and Control
ns ns ns ns ns ns
Chapter12:CommunicableandInfectionDiseaseRisks
ns ij ij ij
ns Chapter 13: Community Assessment and Evaluation Chapter
ns ns ns ns ns ns
14:HealthEducationintheCommunityChapter 15: Case
ns ns ns ns ns ns ns ns ns
Management
ns
Chapter16:DisasterManagement
Chapter17:PublicHealthSurveillanceandOutbreakInvestigation
ns ij ij
Chapter 18: Program Management
ns ns ns ns
Chapter19:HealthcareImprovement intheCommunity ij
Chapter20:FamilyDevelopment,FamilyNursingAssessment,andGenomics
ns ij
Chapter 21: Family Health Risks
ns ns ns ns ns
Chapter22:HealthRisksAcrosstheLifeSpan
Chapter23:HealthEquityandCareofVulnerablePopulationsChapter
ns ij ns
24: Rural Health and Migrant Health
ns ns ns ns ns ns
Chapter25:Poverty,Homelessness,TeenPregnancy,andMentalIllnessChapter
ns ns ns ns ns ns ns ns ns
ns 26:Alcohol,Tobacco,andOtherDrug ProblemsintheCommunity Chapter 27: ij ij ns ns
ns Violence and Human Abuse ns ns ns
Chapter28:NursingPracticeattheLocal,State,andNationalLevelsinPublicHealth Chapter 29: ns ns ij ns ns ns
The Faith Community Nurse
ns ns ns ns
Chapter30:TheNurseinPublicHealth,HomeHealth,PalliativeCare,andHospice Chapter 31: ns ns
The Nurse in the Schools
ns ns ns ns ns
Chapter32:TheNurseinOccupationalHealth ns ns
, Chapter01:PublicHealthNursingandPopulationHealth s
n
Stanhope:FoundationsforPopulationHealthinCommunity/PublicHealthNursing,6thE s
n ns s
n s
n s
n s
n s
n ns s
n
MULTIPLECHOICE
1. WHICHstatementbestdescribes community-based nursing? ns ns ns
a. ApracticeinWHICHcareisprovidedforindividualsandfamilies. ns ns ns ns ns ns ns ns ns
b. Providingcarewithafocusonthegroup‘sneeds. ns ns ns ns ns ns ns
c. Givingcarewithafocus ontheaggregate‘s needs. ns ns n s ns ns
d. AvaluesysteminWHICHallclientsreceiveoptimalcare. ns ns ns ns ns ns ns ns
ANS A
Bydefinition,community-basednursingisasetting-specificpracticeinWHICHcareis providedfor―sick‖ind ns ns ns ns ns ns ns ns ns ns
theylive, work, and attend school. The emphasisis on acute and chroniccareand theprovision of comprehensi
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
continuouscare.TheseNursesmaybegeneralistsorspecialistsinmaternal–infant,pediatric,adult,orpsychiat
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
Community-based nursing emphasizes acute and chronic care to individuals and families, rather than focusin
ns ns ns ns ns ns ns ns ns ns ns ns ns ns
systems.
ns
2. WHICHstatement bestdescribesthegoal ofcommunity-oriented nursing?
ns ns ns ns ns ns ns ns
a. Providingcaretoindividuals and families ns ns ns
b. Providingcaretomanageacuteorchronicconditions ns ns ns ns ns ns ns
c. Givingdirectcaretoillindividualswithintheirfamilysetting ns ns ns ns ns ns ns ns
d. Topreserve,protect,promote,ormaintainhealthandprevent disease ns ns ns ns ns ns ns ns
ANS D
Bydefinition, community-orientednursinghasthegoalofpreserving, protecting, ormaintaininghealthan ns ns ns
promote the quality of life. All Nurses may focus on individuals and families, give direct care to ill persons with
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
and help manage acute or chronic conditions. These definitions are not specific to community-oriented nursin
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
3. WHICHoftheFollowingistheprimaryfocusofpublichealthnursing? ns ns ns ns ns ns ns ns ns ns
a. Familiesandgroups ns
b. Illness-orientedcare
c. Individuals withinthefamily unit ns ns
d. Healthcareofcommunities andpopulations ns ns ns
ANS D
Inpublichealthnursing,theprimaryfocusisonthehealthcareofcommunitiesandpopulationsratherthanonind
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
Thegoalistopreventdiseaseand preserve, promote,restore, andprotecthealthforthe communityandthepopul
ns ns ns ns ns ns ns ns
based Nursesdeal primarilywith illness-oriented care ofindividualsand families across thelife span.Theai
ns ns ns ns ns ns ns ns ns ns ns ns ns n s ns ns
chronic health conditions in the community, and the focusof practice is on individualor
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
family-centeredillnesscare.
4. WHICHoftheFollowingisresponsibleforthedramaticincreaseinlifeexpectancyduringthe20th century?
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
a. Technologyincreasesinthefieldofmedicallaboratoryresearch ns ns ns ns ns ns ns
b. Advancesinsurgicaltechniquesandprocedures ns ns ns
c. Sanitationandotherpopulation-basedprevention programs ns ns ns ns
d. Useofantibioticstofight infections ns ns ns ns
ANS C
Therehas to be indisputable evidence collected over timethat public health policies and programs were primar
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
averagelifespanfrom47in1900to78.6yearsin2017,anincreaseofapproximately60% injustoveracenturyplu
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ij ns ns ns
sanitation,(2)clean watersupplies,(3)makingworkplacessafer,(4)improvingfoodanddrug safety,
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
(5)immunizing children, and (6) improvingnutrition,hygiene, and housing. Although people are excited whe
ns ns ns ns ns ns ns ns ns ns ns ns ns ns
curesadiseaseorwhenanewwaytotransplantorgansisperfected,itisimportanttoknowaboutthesignificant ga
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
populations that have come largely from public health accomplishments.
ns ns ns ns ns ns ns ns ns
5. ANurseisdevelopingaplantodecrease thenumberofprematuredeaths inthecommunity.WHICHoftheFollow ns ns ns ns ns ns
interventions would most likely be implemented by the Nurse?
ns ns ns ns ns ns ns ns ns
a. Providefreehealthcaretoall citizens ns ns ns ns ns ns
, 6. WhatisthebasicassumptionstatedbyHealthyPeople2010asitrelatestopublichealthefforts?
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
a. Health disparitiesamong anygroupsaremorallyandlegallywrong. ij ns ns ns ns ns ns ns
b. Health careis themost important priorityin government planningand funding. ij ns ns ns ns ns ns ns ns ns ns
c. Thehealthofindividualscannotbeseparatedfromthehealthofthecommunity. ns ns ns ns ns ns ns ns ns ns ns
d. Thegovernmentisresponsibleforlengtheningthelifespanof Americans. ns ns ns ns ns ns ns ns ns
ANS C
Themajorpremise ofHealthy People 2010 wasthatthe health of theindividualcannot be entirelyseparate from
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
community. Publichealth practice focusesonthe communityas awhole,and the effect ofthecommunity‘s hea
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
thehealth ofindividuals, families, andgroups.Thegoal istoprevent diseaseanddisability andpromoteandpro
ns ns ns ns ns ns ns ns ns ns ns ns
communityasawhole.Publichealthcanbedescribedaswhatsocietycollectivelydoestoensurethatconditions
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
healthy.Thebasicassumptionsofpublichealthdonotjudgethemoralityofhealthdisparities.The focusison pre
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
spendingmoreon illness care. Additionally, individualresponsibilityfor making healthychoices isthe direct
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
not the role of the government.
ns ns ns ns ns ns
7. WHICHoftheFollowingactionswouldmostlikelybeperformedbyapublichealthNurse?
ns ns ns ns ns ns ns ns ns ns ns ns ns ns
a. Askingcommunityleaderswhatinterventionsshouldbechosen ns ns ns ns ns
b. Assessingthecommunityanddecidingonappropriateinterventions ns ns ns ns ns ns
c. Usingdatafromthemainhealthcareinstitutionsinthecommunitytodetermine ns
needed health services
ns ns ns
d. Workingwithcommunitygroupstocreatepoliciestoimprovetheenvironment ns ns ns ns ns ns ns ns ns
ANS D
AlthoughthepublichealthNursemightengageinanyofthetaskslisted,heorsheworksprimarilywithmembers
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
corepublichealth functions, including assessment ofthe populationas awhole and engaging in promotinghea
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
environment. The interventions of asking community leaders WHICH interventions should be chosen, asses
ns ns ns ns ns ns ns ns ns ns ns ns ns
decidingonappropriateinterventions,andusingdatafromhealthcareinstitutionsdonotdemonstratetheengag
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
when making decisions about what the community actuallywants and needs.
ns ns ns ns ns ns ns ns ns ns ns
8. WHICHpublichealthNursemostclearlyfulfillstheresponsibilitiesofthisrole? ns ns ns ns ns ns ns ns ns ns
a. TheNursewhometwithseveralgroupstodiscusscommunityrecreationissues ns ns ns ns ns ns ns ns ns ns
b. TheNursewhospentthedayattendingmeetingsofvarioushealthagencies ns ns ns ns ns ns ns ns ns ns
c. TheNursewhotalkedtoseveralpeopleabouttheirparticularhealth concerns ns ns ns ns ns ns ns ns ns ns
d. TheNursewhowatchedthecitycouncilmeetingonlocalcabletelevision ns ns ns ns ns ns ns ns ns ns
ANS B
AnyofthesedescriptionsmightrepresentaNursecommunicating,cooperating,orcollaboratingwithcommun
ns ns ns ns ns ns ns ns ns ns ns ns ns
healthconcerns.A major challengeforthefutureis theneed for public health nursingspecialists tobe moreaggr
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
collaborativelywithvariousgroupsinthecommunityaswellasprofessionalcolleaguesininstitutionalsettings
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
However, the Nursewho spent thedayattendingmeetingsof various health agencies isthe mostrepresentative
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
concerns areaddressed from a broader perspective. In publichealth, broad concerns ofthecommunity should
ns ns ns ns ns ns ns ns ns ns ns ns ns ns
arebroaderthanrecreation,individualconcernsare notasimportant as aggregate priorities, and watching tele
ns ns ns ns ns ns ns ns ns ns ns
communication) is less effective than interacting with others.
ns ns ns ns ns ns ns ns
9. WHICHoftheFollowing best defines aggregate? ns ns ns ns ns ns
a. Alargegroupofpersons ns ns ns ns
b. Acollection ofindividuals and families ns ns ns
c. Acollectionofpeoplewhoshareoneormore characteristics ns ns ns ns ns ns ns ns
d. Anothernamefordemographicgroup ns ns ns ns
ANS C
Anaggregate isdefineda collection ofpeople who shareoneormorepersonalorenvironmental characteristics
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
can bedefinedintermsofeither geography(e.g., acounty, a groupofcounties,or astate) oraspecialinterest (e.g.
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
aparticularschool). Thesemembersmakeup apopulation. Theterm population maybeusedinterchangeably
ns ns ns ns ns ns ns
largegroupofpersons,acollectionofindividualsandfamilies,andanothernamefordemographicgroupare not
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
term aggregate.
ns ns
10. WHICHquestionaskedbyanoviceNursewouldbethemostreflectiveofan understandingoftheroleofapublich
ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns ns
a. ―WHICHgroupsareat the greatest risk forproblems?‖ ns ns ns ns ns ns ns ns
b. ―WHICHpatientsshouldIseefirstas Ibeginmyday?‖ ns ns ns ns ns ns ns ns