Whizznurse@2024 . .
, Chapter 01: Community- and Prevention-Oriented Practice to Improve Population Health
. . . . . . . . .
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.clients.receive.optimal.care
ANS:. A
By.definition,.community-based.nursing.is.a.setting-
specific.practice.in.which.care.is.provided.for.“sick”.individuals.and.families.where.they.live,.wor
k,.and.attend.school..The.emphasis.is.on.acute.and.chronic.care.and.the.provision.of.comprehensiv
e,.coordinated,.and.continuous.care..These.nurses.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. ill. inNdivR
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family . setting
d. Having.the.goal.of.health.promotion U.S.N .and.disease.prevention
ANS:. D
By.definition,.community-
oriented.nursing.has.the.goal.of.preserving,.protecting,.or.maintaining.health.and.preventing.disea
se.to.promote.the.quality.of.life..All.nurses.may.focus.on.individuals.and.families,.give.direct.care.to
.ill.persons.within.their.family.setting,.and.help.manage.acute.or.chronic.conditions..These.definiti
ons.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. Illness-oriented. care
c. Individuals.within.the.family.unit
d. Health.care.of.communities.and.populations
ANS:. D
In.public.health.nursing.the.primary.focus.is.on.the.health.care.of.communities.and.populations.rath
er.than.on.individuals,.groups,.and.families..The.goal.is.to.prevent.disease.and.preserve,.promote,.re
store,.and.protect.health.for.the.community.and.the.population.within.it..Community-
based.nurses.deal.primarily.with.illness-
oriented.care.of.individuals.and.families.acorss.the.life.span..The.aim.is.to.amanage.acute.and.chron
ic.health.conditions.in.the.community,.and.the.focus.of.practice.is.on.individual.or.family-
centered.illness.care.
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, 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
ANS:. C
Improvements.in.control.of.infectious.diseases.through.immunizations,.sanitation,.and.other.pop
ulation-
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.signif
icant.gains.in.the.health.of.populations.that.have.come.largely.from.public.health.accomplishment
s.
5. A.nurse.is.developing.a.plan.to.decrease.the.number.of.premature.deaths.in.the.community..Whic
h.of.the.following.interventions.would.most.likely.be.implemented.by.the.nurse?
a. Increase.the.community’s.knowledge.about.hospice.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.me
mbers.
ANS:. B
Public.health.approaches.could.help.prevent.premature.deaths.by.influencing.the.way.people.eat,.d
rink,.drive,.engage.in.exercise,.and.treat.the.environment..Increasing.knowledge.of.hospice.care,.e
ncouraging.on-site.wellness.centers,.and.ensuring.timely.treatment.of.medical
conditions.do.not.address.theNfU
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inC o vMe r a l l .health.through.health.promotion.strategi
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es..This.is.the.major.method.that.is.suggested.to.decrease.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.
ANS:. C
Public.health.practice.focuses.on.the.community.as.a.whole,.and.the.effect. of.the.community’s.heal
th.status.(resources).on.the.health.of.individuals,.families,.and.groups..The.goal.is.to.prevent.diseas
e.and.disability.and.promote.and.protect.the.health.of.the.community.as.a.whole..Public.health.can.b
e.described.as.what.society.collectively.does.to.ensure.that.conditions.exist.in.which.people.can.be.h
ealthy..The.basic.assumptions.of.public.health.do.not.judge.the.morality.of.health.disparities..The.fo
cus.is.on.prevention.of.illness.not.on.spending.more.on.illness.care..Additionally,.individual.respon
sibility.for.making.healthy.choices.is.the.directive.for.lengthening.life.span.not.the.role.of.the.gover
nment.
7. Which.of.the.following.actions.would.most.likely.be.performed.by.a.public.health.nurse?
a. Asking.community.leaders.what.interventions.should.be.chosen
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b. Assessing.the.community.and.deciding.on.appropriate.interventions
c. Using.data.from.the.main.health.care.institutions.in.the.community.to.determine
Whizznurse@2024 . .
, needed.health.services
d. Working.with.community.groups.to.create.policies.to.improve.the.environment
ANS:. D
Although.the.public.health.nurse.might.engage.in.any.of.the.tasks.listed,.he.or.she.works.primarily.
with.members.of.the.community.to.carry.out.core.public.health.functions,.including.assessment.of.
the.population.as.a.whole.and.engaging.in.promoting.health.and.improving.the.environment..The.i
nterventions.of.asking.community.leaders.which.interventions.should.be.chosen,.asessing.the.co
mmunity.and.deciding.on.appropriate.interventions,.and.using.data.from.health.care.institutions.d
o.not.demonstrate.the.engagement.of.the.community.when.making.decisions.about.what.the.com
munity.actually.wants.and.needs.
8. Which.of.the.following.public.health.nurses.most.clearly.fulfills.the.responsibilities.of.this.role?
a. The.nurse.who.met.with.several.groups.to.discuss.community.recreation.issues
b. The.nurse.who.spent.the.day.attending.meetings.of.various.health.agencies
c. The.nurse.who.talked.to.several.people.about.their.particular.health.concerns
d. The.nurse.who.watched.the.city.council.meeting.on.local.cable.television
ANS:. B
Any.of.these.descriptions.might.represent.a.nurse.communicating,.cooperating,.or.collaborating.
with.community.residents.or.groups.about.health.concerns..However,.the.nurse.who.spent.the.day.
attending.meetings.of.various.health.agencies.is.the.most.representative,.because.in.public.health,.
concerns.are.addressed.from.a.broader.perspective..In.public.health,.broad.concerns.of.the.commu
nity.should.be.addressed..Concerns.are.broader.than.recreation,.individual.concerns.are.not.as.imp
ortant.as.aggregate.priorities,.and.watching.television.(a.one-
way.form.of.communication).is.less.effective.than.interacting.with.others.
9. Which.of.the.following.best.defines.aggregate?
a. A.large.group.of.persons
b. A.collection.of.individuals.and.families
c. A.collection.of.people.who.share.one.or.more.characteristics
d. Another.name.for.demographic.group
ANS:. C
An.aggregate.is.defined.a.collection.of.people.who.share.one.or.more.personal.or.environmental.ch
aracteristics..Members.of.a.community.can.be.defined.in.terms.of.either.geography.(e.g.,.a.county,.
a.group.of.counties,.or.a.state).or.a.special.interest.(e.g.,.children.attending.a.particular.school)..The
se.members.make.up.a.population..The.term.population.may.be.used.interchangeably.with.the.term
.aggregate..A.large.group.of.persons,.a.collection.of.individuals.and.families,.and.another.name.for.
demograhpic.group.are.not.accurate.definitions.of.the.term.aggregate.
10. A.registered.nurse.was.just.employed.as.a.public.health.nurse..Which.question.would.be.the.most.
relevant.for.the.nurse.to.ask?
a. “Which.groups.are.at.the.greatest.risk.for.problems?”
b. “Which.patients.should. I.see.first.as. I.begin.my.day?”
c. “With.which.physicians.will.I.be.most.closely.collaborating?”
d. “With.which.nursing.assistants.will.I.partner.the.most?”
ANS:. A
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