g g g g
Population Health in Community/Pu
g g g g
blic Health Nursing 6th Edition by Ma
g g g g g g
rcia Stanhope.
g
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g g
, Stanhope:gFoundationsgforgPopulationgHealthgingCommunity/PublicgHealthgNursing,g6t
hgEdition
Chapterg01:gCommunity-gandgPrevention-
OrientedgPracticegtogImprovegPopulationgHealth
MULTIPLEgCHOICE
1. Whichgofgthegfollowinggbestgdescribesgcommunity-basedgnursing?
a. Agpracticegingwhichgcaregisgprovidedgforgindividualsgandgfamilies
b. Providinggcaregwithgagfocusgongtheggroup’sgneeds
c. Givinggcaregwithgagfocusg ongthegaggregate’sgneeds
d. Agvaluegsystemgingwhichgallgclientsgreceivegoptimalgcare
ANS:g A
Bygdefinition,gcommunity-basedgnursinggisgagsetting-
specificgpracticegingwhichgcaregisgprovidedgforg“sick”gindividualsgandgfamiliesgwheregtheygliv
e,gwork,gandgattendgschool.gThegemphasisgisgongacutegandgchronicgcaregandgthegprovisiongofg
comprehensive,gcoordinated,gandgcontinuousgcare.gThesegnursesgmaygbeggeneralistsgorgspecia
listsgingmaternal–infant,gpediatric,gadult,gorgpsychiatricgmentalghealthgnursing.gCommunity-
basedgnursinggemphasizesgacutegandgchronicgcaregtogindividualsgandgfamilies,grathergthangfoc
usinggonggroups,gaggregates,gorgsystems.
2. Whichgofgthegfollowinggbestgdescribesgcommunity-orientedgnursing?
a. Focusinggongthegprovisiongofgcaregtogindividualsgandgfamilies
b. Providinggcaregtogmanagegacutegorgchronicgconditions
c. Givinggdirectg caregtog illg inNdivR
iduaIls g wGithB
i n.thCeir M
family gsetting
U gSgN
d. Havinggtheggoalgofghealthgpromotiongandgdiseasegprevention
ANS:g D
Bygdefinition,gcommunity-
orientedgnursingghasgtheggoalgofgpreserving,gprotecting,gorgmaintainingghealthgandgpreventing
gdiseasegtogpromotegthegqualitygofglife.gAllgnursesgmaygfocusgongindividualsgandgfamilies,ggiv
egdirectgcaregtogillgpersonsgwithingtheirgfamilygsetting,gandghelpgmanagegacutegorgchronicgcon
ditions.gThesegdefinitionsgaregnotgspecificgtogcommunity-orientedgnursing.
3. Whichgofgthegfollowinggisgthegprimarygfocusgofgpublicghealthgnursing?
a. Familiesgandggroups
b. Illness-orientedg care
c. Individualsgwithingthegfamilygunit
d. Healthgcaregofgcommunitiesgandgpopulations
ANS:g D
Ingpublicghealthgnursinggthegprimarygfocusgisgongtheghealthgcaregofgcommunitiesgandgpopulati
onsgrathergthangongindividuals,ggroups,gandgfamilies.gTheggoalgisgtogpreventgdiseasegandgpreser
ve,gpromote,grestore,gandgprotectghealthgforgthegcommunitygandgthegpopulationgwithingit.gCom
munity-basedgnursesgdealgprimarilygwithgillness-
orientedgcaregofgindividualsgandgfamiliesgacorssgtheglifegspan.gThegaimgisgtogamanagegacutega
ndgchronicghealthgconditionsgingthegcommunity,gandgthegfocusgofgpracticegisgongindividualgorg
family-centeredgillnessgcare.
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, 4. Whichgofgthegfollowinggisgresponsiblegforgthegdramaticgincreaseginglifegexpectancygduringgth
eg20thgcentury?
a. Technologygincreasesgingthegfieldgofgmedicalglaboratorygresearch
b. Advancesgingsurgicalgtechniquesgandgprocedures
c. Sanitationgandgothergpopulation-basedgpreventiongprograms
d. Usegofgantibioticsgtogfightginfections
ANS:g C
Improvementsgingcontrolgofginfectiousgdiseasesgthroughgimmunizations,gsanitation,gandgother
gpopulation-
basedgpreventiongprogramsgledgtogthegincreaseginglifegexpectancygfromglessgthang50gyearsging1
900gtogmoregthang78gyearsging2013.gAlthoughgpeoplegaregexcitedgwhengagnewgdruggisgdiscove
redgthatgcuresgagdiseasegorgwhengagnewgwaygtogtransplantgorgansgisgperfected,gitgisgimportantg
togknowgaboutgthegsignificantggainsgingtheghealthgofgpopulationsgthatghavegcomeglargelygfrom
gpublicghealthgaccomplishments.
5. Agnursegisgdevelopinggagplangtogdecreasegthegnumbergofgprematuregdeathsgingthegcommunit
y.gWhichgofgthegfollowingginterventionsgwouldgmostglikelygbegimplementedgbygthegnurse?
a. Increasegthegcommunity’sgknowledgegaboutghospicegcare.
b. Promoteghealthyglifestylegbehaviorgchoicesgamonggthegcommunitygmembers.
c. Encouragegemployersgtoghavegwellnessgcentersgatgeachgindustrialgsite.
d. Ensuregtimelygandgeffectivegmedicalginterventiongandgtreatmentgforgcommunit
ygmembers.
ANS:g B
Publicghealthgapproachesgcouldghelpgpreventgprematuregdeathsgbyginfluencinggthegwaygpeople
geat,gdrink,gdrive,gengagegingexercise,gandgtreatgthegenvironment.gIncreasinggknowledgegofgho
spicegcare,gencouraginggon-sitegwellnessgcenters,gandgensuringgtimelygtreatmentgofgmedical
conditionsgdognotgaddressgtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l ghealthgthroughghealthgpromotiongstr
ggO
ategies.gThisgisgthegmajorgmethodgthatgisgsuggestedgtogdecreasegthegincidencegofgpremature
death.
6. Whichgofgthegfollowinggisgagbasicgassumptiongofgpublicghealthgefforts?
a. Healthgdisparitiesgamongganyggroupsgaregmorallygandglegallygwrong.
b. Healthgcaregisgthegmostgimportantgpriorityginggovernmentgplanninggandgfunding.
c. Theghealthgofgindividualsgcannotgbegseparatedgfromgtheghealthgofgthegcommunity.
d. TheggovernmentgisgresponsiblegforglengtheninggtheglifegspangofgAmericans.
ANS:g C
Publicghealthgpracticegfocusesgongthegcommunitygasgagwhole,gandgthegeffectg ofgthegcommunit
y’sghealthgstatusg(resources)gongtheghealthgofgindividuals,gfamilies,gandggroups.gTheggoalgisgto
gpreventgdiseasegandgdisabilitygandgpromotegandgprotectgtheghealthgofgthegcommunitygasgagwh
ole.gPublicghealthgcangbegdescribedgasgwhatgsocietygcollectivelygdoesgtogensuregthatgcondition
sgexistgingwhichgpeoplegcangbeghealthy.gThegbasicgassumptionsgofgpublicghealthgdognotgjudgegt
hegmoralitygofghealthgdisparities.gThegfocusgisgongpreventiongofgillnessgnotgongspendinggmoreg
ongillnessgcare.gAdditionally,gindividualgresponsibilitygforgmakingghealthygchoicesgisgthegdire
ctivegforglengtheningglifegspangnotgthegrolegofgtheggovernment.
7. Whichgofgthegfollowinggactionsgwouldgmostglikelygbegperformedgbygagpublicghealthgnurse?
a. Askinggcommunitygleadersgwhatginterventionsgshouldgbegchosen
b. Assessinggthegcommunitygandgdecidinggongappropriateginterventions
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, c. Usinggdatagfromgthegmainghealthgcareginstitutionsgingthegcommunitygtogdetermine
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