FOUNDATIONSFORPOPULATIONHEALTHIN
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COMMUNITY/PUBLIC HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6T
, Table of Contents gg gg
Chapter 01: Public Health Nursing and Population Health
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Chapter 02: The History of Public Health and Public and Community Health Nursing
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Stanhope:
Chapter 03: US and Global Health Care
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Chapter 04: Government, the Law, and Policy Activism
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Chapter 05: Economics of US Health Care
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Delivery
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Chapter 06: Ethics in Public and Community Health Nursing Practice
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Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health
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Chapter 09: Evidence-Based Practice
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Chapter 10: Epidemiological
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Applications
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Chapter 11: Infectious Disease Prevention and Control
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gg Chapter 12: Communicable and Infection Disease Risks
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gg Chapter 13: Community Assessment and Evaluation
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gg Chapter 14: Health Education in the Community
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gg Chapter 15: Case Management
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Chapter 16: Disaster Management
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Chapter 17: Public Health Surveillance and Outbreak Investigation
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Chapter 18: Program Management
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Chapter 19: Healthcare Improvement in the Community
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Chapter 20: Family Development, Family Nursing Assessment, and Genomics
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Chapter 21: Family Health Risks
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Chapter 22: Health Risks Across the Life Span
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Chapter 23: Health Equity and Care of Vulnerable Populations
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Chapter 24: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
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gg Chapter 26: Alcohol, Tobacco, and Other Drug Problems in the Community
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gg Chapter 27: Violence and Human Abuse
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Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health
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Chapter 29: The Faith Community Nurse
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Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice
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gg Chapter 31: The Nurse in the Schools
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, Chapter 01: Public Health Nursing and Population Health
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Stanhope: Foundations for Population Health in Community/Public Health Nur
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MULTIPLE CHOICE gg
1. WHICH statement best describes community-based nursing?
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a. A practice in WHICH care is provided for individuals and families.
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b. Providing care with a focus on the group‘s needs. gg gg g g gg gg g g g g g g
c. Giving care with a focus on the aggregate‘s needs.
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d. A value system in WHICH all clients receive optimal care.
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ANS A
By definition, community-based nursing is a setting-specific practice in WHICH care is provided
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and families where they live, work, and attend school. The emphasis is on acute
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the provision of comprehensive, coordinated, and continuous care. These Nurses may
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specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing. C
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emphasizes acute and chronic care to individuals and families, rather than focusing
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or systems.
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2. WHICH statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families gg gg gg gg g g
b. Providing care to manage acute or chronic conditions g g gg g g g g g g gg g g
c. Giving direct care to ill individuals within their family setting
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d. To preserve, protect, promote, or maintain health and prevent disease
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ANS D
By definition, community-oriented nursing has the goal of preserving, protecting, or main
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preventing disease to promote the quality of life. All Nurses may focus on individ
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direct care to ill persons within their family setting, and help manage acute or c
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definitions are not specific to community-oriented nursing.
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3. WHICH of the Following is the primary focus of public health nursing?
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a. Families and groups gg gg
b. Illness-oriented care gg
c. Individuals within the family unit gg gg gg gg
d. Health care of communities and populations
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ANS D
In public health nursing, the primary focus is on the health care of communities an
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ggthan on individuals, groups, and families. The goal is to prevent disease and preserve,
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ggprotect health for the community and the population within it. Community-based Nurses
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illness-oriented care of individuals and families across the life span. The aim is
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chronic health conditions in the community, and the focus of practice is on indiv
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family-centered illness care. gg gg
4. WHICH of the Following is responsible for the dramatic increase in life expectancy d
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a. Technology increases in the field of medical laboratory research
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b. Advances in surgical techniques and procedures gg gg gg gg gg
c. Sanitation and other population-based prevention programs
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d. Use of antibiotics to fight infections
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ANS C
There has to be indisputable evidence collected over time that public health policie
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primarily responsible for increasing the average life span from 47 in 1900 to 78.6 y
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ggof approximately 60% in just over a century plus through improvements in (1) sanitati
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ggsupplies, (3) making workplaces safer, (4) improving food and drug safety,
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although
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when a new drug is discovered that cures a disease or when a new way to tran
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ggperfected, it is important to know about the significant gains in the health of popu
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, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public
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a. Health disparities among any groups are morally and legally wrong.
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b. Health care is the most important priority in government planning and funding.
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c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS C
The major premise of Healthy People 2010 was that the health of the individual c
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separate from the health of the larger community. Public health practice focuses o
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whole, and the effect of the community‘s health status (resources) on the health o
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and groups. The goal is to prevent disease and disability and promote and protect the
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community as a whole. Public health can be described as what society collective
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conditions exist in WHICH people can be healthy. The basic assumptions of publi
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the morality of health disparities. The focus is on prevention of illness not on s
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illness care. Additionally, individual responsibility for making healthy choices is the
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lengthening life span not the role of the government.
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7. WHICH of the Following actions would most likely be performed by a public health
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a. Asking community leaders what interventions should be chosen
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b. Assessing the community and deciding on appropriate interventions
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c. Using data from the main health care institutions in the
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community to determine needed health services
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d. Working with community groups to create policies to improve the environment
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ANS D
Although the public health Nurse might engage in any of the tasks listed, he or
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with members of the community to carry out core public health functions, includin
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population as a whole and engaging in promoting health and improving the enviro
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interventions of asking community leaders WHICH interventions should be chosen, a
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and deciding on appropriate interventions, and using data from health care institutio
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the engagement of the community when making decisions about what the commu
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needs.
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8. WHICH gg public gg health Nurse most clearly fulfills the responsibilities of this role?
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a. The gg Nurse gg who met with several groups to discuss community recreation issues
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b. The gg Nurse gg who spent the day attending meetings of various health agencies
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c. The gg Nurse gg who talked to several people about their particular health concerns
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d. The gg Nurse gg who watched the city council meeting on local cable television
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ANS B
Any of these descriptions might represent a Nurse communicating, cooperating, or c
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community residents or groups about health concerns. A major challenge for the f
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public health nursing specialists to be more aggressive in working collaboratively w
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the community as well as professional colleagues in institutional settings to deal w
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However, the Nurse who spent the day attending meetings of various health agenc
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representative, because in public health, concerns are addressed from a broader persp
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health, broad concerns of the community should be addressed. Concerns are broader than
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concerns are not as important as aggregate priorities, and watching television (a one
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communication) is less effective than interacting with others.
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9. WHICH of the Following best defines aggregate?
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a. A large group of persons
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b. A collection of individuals and families
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c. A collection of people who share one or more
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d. Another name for demographic group gg g g gg g g
ANS C
An aggregate is defined a collection of people who share one or more personal
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characteristics. Members of a community can be defined in terms of either geogra
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a group of counties, or a state) or a special interest (e.g., children attending a pa
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