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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. Promotion of quality of life ✔✔ANS: D
The key difference between community - based and community - oriented nursing is that
community - based nurses deal primarily with illness - oriented care, whereas
community - oriented nursesor public health nursesprovide health care to promote
quality of life.
1. Which of the following best describes community - based nursing?
a. A philosophy that guides family - centered illness care
b. Providing care with a focus on the groups needs
,c. Giving care with a focus on the aggregates needs
d. A value system in which all clients receive optimal care ✔✔ANS: A
By definition, community - based nursing is nursing that focuses on family - centered
illness care to individuals and families in the community.
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 individuals within their family setting
d. Having the goal of health promotion and disease prevention ✔✔ANS: D
By definition, community - oriented nursing has the goal of preserving, protecting, or
maintaining health 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 c onditions.
4. Which of the following is responsible for the dramatic increase in life expectancy
during the twentieth century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
,c. Sanitation and other public health activities
d. Use of antibiotics to fight infections ✔✔ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and
other public health activities led to the increase in life expectancy from less than 50
years in 1900 to more than 77 years in 2002.
5. A nurse is developing a plan to decrease the number of premature deaths in the
community. Which of the following interventions would most likely be implemented by
the nurse?
a. Increase the communitys 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
members. ✔✔ANS: B
Public health approaches could help prevent about 70% of early deaths by influencing
the way people eat, drink, drive, engage in exercise, and treat the environment.
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 can be described as what society collectively does to ensure that
conditions exist in which people can be healthy.
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
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine
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.
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