COMMUNITY/PUBLIC HEALTH NURSING 6TH EDITION
BY MARCIA STANHOPE
,CH: 01: Community- and Prevention-Oriented Practice to Improve
Population Health Stanhope: Foundations for Population Health in
Community/Public Health Nursing, 6TH Edition
MULTIPLE CHOICE
1. Which of the following best describes community-based nursing?
a. A practice in which care is provided for individuals and families
b. Providing care with a focus on the group’s needs
c. Giving care with a focus on the aggregate’s needs
d. A value system in which all hospital clients receive optimal care
PRECISE CHOICE:-A
Reasoning:->>>By definition, community-based nursing is a setting-specific
practice in which care is provided for “sick” individuals and families where they
live, work, and attend school. The emphasis is on acute and chronic care and the
provision of comprehensive, coordinated, and continuous care. These nursing
attendants may be generalists or specialists in maternal–infant, pediatric, adult,
or psychiatric mental health nursing. Community-based nursing emphasizes
acute and chronic care to individuals and families, rather than focusing on
groups, aggregates, or systems.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to il inUNdiv
S RNiduaIls wGithBin.thCeirMfamily seting
d. Having the goal of health promotion and disease prevention
PRECISE CHOICE:-D
Reasoning:->>>By definition, community-oriented nursing has the goal of
preserving, protecting, or maintaining health and preventing disease to
promote the quality of life. All nursing attendants may focus on individuals and
families, give direct care to sick persons within their family setting, and help
manage acute or chronic conditions. These definitions are not specific to
community-oriented nursing.
3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Sickness-oriented care
c. Individuals within the family unit
d. Health care of communities and populations
PRECISE CHOICE:-D
Reasoning:->>>In public health nursing the primary focus is on the health care
of communities and populations rather than on individuals, groups, and families.
The goal is to prevent disease and preserve, promote, restore, and protect
health for the community and the population within it. Community-based nursing
attendants deal primarily with sickness- oriented care of individuals and families
acorss the life span. The aim is to amanage acute and chronic health conditions in
the community, and the focus of practice is on individual or family-centered
sickness care.
,4. Which of the following is responsible for the dramatic increase in life
expectancy during the 20th century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other population-based prevention programs
d. Use of antibiotics to fight infections
PRECISE CHOICE:-C
Reasoning:->>>Improvements in control of infectious diseases through
immunizations, sanitation, and other population-based prevention programs led
to the increase in life expectancy from less than 50 years in 1900 to more than 78
years in 2013. Although people are excited when a new drug is discovered that
cures a disease or when a new way to transplant organs is perfected, it is
important to know about the significant gains in the health of populations that
have come largely from public health accomplishments.
5. A nursing attendant is developing a plan to reduce the number of premature
deaths in the community. Which of the following interventions would most
likely be implemented by the nursing attendant?
a. Increase the community’s knowledge about clinic care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for
community members.
PRECISE CHOICE:-B
Reasoning:->>>Public health approaches could help prevent premature deaths
by influencing the way people eat, drink, drive, engage in exercise, and treat the
environment. Increasing knowledge of clinic care, encouraging on-site wellness
centers, and ensuring timely treatment of medical
conditions do not address theNfUocRusSoIfNimGpTroBv.inCg Oo vMer a l l health
through health promotion
strategies. This is the major method that is suggested to reduce the incidence of
premature death.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans.
PRECISE CHOICE:-C
Reasoning:->>>Public health practice focuses on the community as a whole, and
the effect of the community’s health status (resources) on the health of
individuals, families, and groups. The goal is to prevent disease and disability
and promote and protect the health of the community as a whole. Public health
can be described as what society collectively does to ensure that conditions exist
in which people can be healthy. The basic assumptions of public health do not
judge the morality of health disparities. The focus is on prevention of sickness not
on spending more on sickness care. Additionally, individual responsibility for
making healthy choices is the directive for lengthening life span not the role of
the government.
, 7. Which of the following actions would most likely be performed by a public health
nursing attendant?