k
Chapter 01: Community- and Prevention-
w w w w
Oriented Practice to Improve Population Health
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Stanhope: Foundations for Population Health in Community/Public Health Nursing, 5
w w w w w w w w w
th Edition
w
MULTIPLEwCHOICE
1. Whichwofwthewfollowingwbestwdescribeswcommunity-basedwnursing?
a. Awpracticewinwwhichwcarewiswprovidedwforwindividualswandwfamilies
b. Providingwcarewwithwawfocuswonwthewgroup’swneeds
c. Givingwcarewwithwawfocuswonwthewaggregate’swneeds
d. Awvaluewsystemwinwwhichwallwclientswreceivewoptimalwcare
ANS:w A
Bywdefinition,wcommunity-basedwnursingwiswawsetting-
specificwpracticewinwwhichwcarewiswprovidedwforw“sick”windividualswandwfamilieswwherewtheywli
ve,wwork,wandwattendwschool.wThewemphasiswiswonwacutewandwchronicwcarewandwthewprovisionwof
wcomprehensive,wcoordinated,wandwcontinuouswcare.wThesewnurseswmaywbewgeneralists worwspeci
alistswinwmaternal–infant,wpediatric,wadult,worwpsychiatricwmentalwhealthwnursing.wCommunity-
basedwnursingwemphasizeswacutewandwchronicwcarewtowindividualswandwfamilies,wratherwthanwfoc
usingwonwgroups,waggregates,worwsystems.
2. Whichwofwthewfollowingwbestwdescribeswcommunity-orientedwnursing?
a. Focusingwonwthewprovisionwofwcarewtowindividualswandwfamilies
b. Providingwcarewtowmanagewacuteworwchronicwconditions
c. Givingwdirectw carewtowillwinNdivR
iduaIls w wGithB
in.thCeir M
familywsetting
UwSwNwT wand
d. Havingwthewgoalwofwhealthwpromotion wdiseasewprevention
ANS:w D
Bywdefinition,wcommunity-
orientedwnursingwhaswthewgoalwofwpreserving,wprotecting,worwmaintainingwhealthwandwpreventing
wdiseasewtowpromotewthewqualitywofwlife.wAllwnurses wmaywfocuswonwindividualswandwfamilies,wgiv
ewdirectwcarewtowillwpersonswwithinwtheirwfamilywsetting,wandwhelpwmanagewacuteworwchronicwcon
ditions.wThesewdefinitionswarewnotwspecificwtowcommunity-orientedwnursing.
3. Whichwofwthewfollowingwiswthewprimarywfocuswofwpublicwhealthwnursing?
a. Familieswandwgroups
b. Illness-orientedwcare
c. Individualswwithinwthewfamilywunit
d. Healthwcarewofwcommunitieswandwpopulations
ANS:w D
Inwpublicwhealthwnursingwthewprimarywfocuswiswonwthewhealthwcarewofwcommunitieswandwpopulati
onswratherwthanwonwindividuals,wgroups,wandwfamilies.wThewgoalwiswtowpreventwdiseasewandwpreser
ve,wpromote,wrestore,wandwprotectwhealthwforwthewcommunitywandwthewpopulationwwithinwit.wCo
mmunity-basedwnurseswdealwprimarilywwithwillness-
orientedwcarewofwindividualswandwfamilieswacorsswthewlifewspan.wThewaimwiswtowamanagewacutewa
ndwchronicwhealthwconditionswinwthewcommunity,wandwthewfocuswofwpracticewiswonwindividualworw
family-centeredwillnesswcare.
,FoundationswforwPopulationwHealthwinwCommunitywPublicwHealthwNursingw5thwEditionwStanhopewTestwBan
k
4. Whichwofwthewfollowingwiswresponsiblewforwthewdramaticwincreasewinwlifewexpectancywduringwt
hew20thwcentury?
a. Technologywincreaseswinwthewfieldwofwmedicalwlaboratorywresearch
b. Advanceswinwsurgicalwtechniqueswandwprocedures
c. Sanitationwandwotherwpopulation-basedwpreventionwprograms
d. Usewofwantibioticswtowfightwinfections
ANS:w C
Improvementswinwcontrolwofwinfectiouswdiseaseswthroughwimmunizations,wsanitation,wandwother
wpopulation-
basedwpreventionwprogramswledwtowthewincreasewinwlifewexpectancywfromwlesswthanw50wyearswinw
1900wtowmorewthanw78wyearswinw2013.wAlthoughwpeoplewarewexcitedwwhenwawnewwdrugwiswdisco
veredwthatwcureswawdiseaseworwwhenwawnewwwaywtowtransplantworganswiswperfected,witwiswimporta
ntwtowknowwaboutwthewsignificantwgainswinwthewhealthwofwpopulationswthatwhavewcomewlargelywfr
omwpublicwhealthwaccomplishments.
5. Awnursewiswdevelopingwawplanwtowdecreasewthewnumberwofwprematurewdeathswinwthewcommunit
y.wWhichwofwthewfollowingwinterventionswwouldwmostwlikelywbewimplementedwbywthewnurse?
a. Increasewthewcommunity’swknowledgewaboutwhospicewcare.
b. Promotewhealthywlifestylewbehaviorwchoiceswamongwthewcommunitywmembers.
c. Encouragewemployerswtowhavewwellnesswcenterswatweachwindustrialwsite.
d. Ensurewtimelywandweffectivewmedicalwinterventionwandwtreatmentwforwcommunit
ywmembers.
ANS:w B
Publicwhealthwapproacheswcouldwhelpwpreventwprematurewdeathswbywinfluencingwthewwaywpeople
weat, wdrink,wdrive,wengagewinwexercise,wandwtreat wthewenvironment.wIncreasingwknowledgewofwho
spicewcare,wencouragingwon-sitewwellnesswcenters,wandwensuringwtimelywtreatmentwofwmedical
conditionswdownotwaddresswtheNfUocR
usSoIf N
imGpT
roBv.
inC
gwOo vMe r a l l whealthwthroughwhealthwpromotionws
trategies.wThiswiswthewmajorwmethodwthatwiswsuggestedwtowdecreasewthewincidencewofwpremature
death.
6. Whichwofwthewfollowingwiswawbasicwassumptionwofwpublicwhealthwefforts?
a. Healthwdisparitieswamongwanywgroupswarewmorallywandwlegallywwrong.
b. Healthwcarewiswthewmostwimportantwprioritywinwgovernmentwplanningwandwfunding.
c. Thewhealthwofwindividualswcannotwbewseparatedwfromwthewhealthwofwthewcommunity.
d. ThewgovernmentwiswresponsiblewforwlengtheningwthewlifewspanwofwAmericans.
ANS:w C
Publicwhealthwpracticewfocuseswonwthewcommunitywaswawwhole,wandwtheweffectwofwthew communit
y’swhealthwstatusw(resources)wonwthewhealthwofwindividuals,wfamilies,wandwgroups.wThewgoalwiswto
wprevent wdiseasewandwdisabilitywandwpromotewandwprotectwthewhealthwofwthewcommunitywaswawwh
ole.wPublicwhealthwcanwbewdescribedwaswwhatwsocietywcollectivelywdoeswtowensurewthatwcondition
swexistwinwwhichwpeoplewcanwbewhealthy.wThewbasicwassumptionswofwpublicwhealthwdownotwjudgewt
hewmoralitywofwhealthwdisparities.wThewfocuswiswonwpreventionwofwillnesswnotwonwspendingwmore
wonwillnesswcare.wAdditionally, windividualwresponsibilitywforwmakingwhealthywchoiceswiswthewdire
ctivewforwlengtheningwlifewspanwnotwthewrolewofwthewgovernment.
7. Whichwofwthewfollowingwactionswwouldwmostwlikelywbewperformedwbywawpublicwhealthwnurse?
a. Askingwcommunitywleaderswwhatwinterventionswshouldwbewchosen
b. Assessingwthewcommunitywandwdecidingwonwappropriatewinterventions
c. Usingwdatawfromwthewmainwhealthwcarewinstitutionswinwthewcommunitywtowdetermine
,FoundationswforwPopulationwHealthwinwCommunitywPublicwHealthwNursingw5thwEditionwStanhopewTestwBan
k
neededwhealthwservices
d. Workingwwithwcommunitywgroupswtowcreatewpolicieswtowimprovewthewenvironment
ANS:w D
Althoughwthewpublicwhealthwnursewmightwengagewinwanywofwthewtaskswlisted,wheworwshewworkswpr
imarilywwithwmemberswofwthewcommunitywtowcarrywoutwcorewpublicwhealthwfunctions,wincludingw
assessmentwofwthewpopulationwaswawwholewandwengagingwinwpromotingwhealthwandwimprovingwth
ewenvironment.wThewinterventionswofwaskingwcommunitywleaderswwhichwinterventionswshouldwb
ewchosen,wasessingwthewcommunitywandwdecidingwonwappropriatewinterventions,wandwusingwdata
wfromwhealthwcarewinstitutionswdownotwdemonstratewthewengagement wofwthewcommunitywwhenwm
akingwdecisionswaboutwwhatwthewcommunitywactuallywwantswandwneeds.
8. Whichwofwthewfollowingwpublicwhealthwnurseswmostwclearlywfulfillswthewresponsibilitieswofwth
iswrole?
a. Thewnursewwhowmetwwithwseveralwgroupswtowdiscusswcommunitywrecreationwissues
b. Thewnursewwhowspentwthewdaywattendingwmeetingswofwvariouswhealthwagencies
c. Thewnursewwhowtalkedwtowseveralwpeoplewaboutwtheirwparticularwhealthwconcerns
d. Thewnursewwhowwatchedwthewcitywcouncilwmeetingwonwlocalwcablewtelevision
ANS:w B
Anywofwthesewdescriptionswmightwrepresentwawnursewcommunicating,wcooperating,worwcollabor
atingwwithwcommunitywresidentsworwgroupswaboutwhealthwconcerns.wHowever,wthewnursewwhows
pentwthewdaywattendingwmeetingswofwvariouswhealthwagencieswiswthewmostwrepresentative,wbecau
sewinwpublicwhealth,wconcernswarewaddressedwfromwawbroaderwperspective.wInwpublicwhealth,wbro
adwconcernswofwthewcommunitywshouldwbewaddressed.wConcernswarewbroaderwthanwrecreation,wi
ndividualwconcernswarewnotwaswimportantwaswaggregatewpriorities,wandwwatchingwtelevisionw(awo
ne-waywformwofwcommunication)wiswlessweffectivewthanwinteractingwwithwothers.
NURSINGTB.COM
9. Whichwofwthewfollowingwbestwdefineswaggregate?
a. Awlargewgroupwofwpersons
b. Awcollectionwofwindividualswandwfamilies
c. Awcollectionwofwpeoplewwhowsharewoneworwmorewcharacteristics
d. Anotherwnamewforwdemographicwgroup
ANS:w C
Anwaggregatewiswdefinedwawcollectionwofwpeoplewwhowsharewoneworwmorewpersonalworwenvironm
entalwcharacteristics.wMemberswofwawcommunitywcanwbewdefinedwinwtermswofweitherwgeographyw
(e.g.,wawcounty,wawgroupwofwcounties,worwawstate)worwawspecialwinterestw(e.g.,wchildrenwattendingw
awparticularwschool).wThesewmemberswmakewupwawpopulation.wThewtermwpopulationwmaywbewuse
dwinterchangeablywwithwthewtermwaggregate.wAwlargewgroupwofwpersons,wawcollectionwofwindivid
ualswandwfamilies,wandwanotherwnamewforwdemograhpicwgroupwarewnotwaccuratewdefinitionswofwt
hewtermwaggregate.
10. Awregisteredwnursewwaswjustwemployedwaswawpublicwhealthwnurse.wWhichwquestionwwouldwbewt
hewmostwrelevantwforwthewnursewtowask?
a. “Whichwgroupswarewatwthewgreatestwriskwforwproblems?”
b. “WhichwpatientswshouldwIwseewfirstwaswIwbeginwmywday?”
c. “WithwwhichwphysicianswwillwIwbewmostwcloselywcollaborating?”
d. “WithwwhichwnursingwassistantswwillwIwpartnerwthewmost?”
ANS:w A
, FoundationswforwPopulationwHealthwinwCommunitywPublicwHealthwNursingw5thwEditionwStanhopewTestwBan
k
Askingwwhichwgroupswarewatwgreatestwriskwreflectswawcommunity-
orientedwperspective.wThewincorrectwresponseswreflectwawfocuswonwindividualswratherwthanwawco
mmunity-orientedwperspective.
11. Makingwsurewthatwessentialwcommunity-
orientedwhealthwserviceswarewavailablewdefineswwhichwofwthewcorewpublicwhealthwfunctions?
a. Policywdevelopment
b. Assessment
c. Assurance
d. Scientificwknowledge-basedwcare
ANS:w C
Assurancewincludeswmakingwsurewthatwessentialwcommunity-
orientedwhealthwserviceswarewavailablewinwthewcommunity.wThewdefinitionwdoeswnotwfitwthewterms
wassessment, wpolicywdevelopment. wScientificwknowledge-
basedwcarewiswnotwawcorewfunctionwofwpublicwhealth.wAssessmentwiswsystematicwdatawcollectionwo
nwthewpopulation,wmonitoringwthewpopulation’swhealthwstatus,wandwmakingwinformationwavailable
waboutwthewhealthwofwthewcommunity. wPolicywdevelopmentwreferswtowefforts wtowdevelop wpoliciesw
thatwsupportwthewhealthwofwthewpopulation,wincludingwusingwawscientificwknowledgewbasewtowmak
ewpolicywdecisions.
12. Whenwtalkingwtowawwomen’swgroupwatwthewseniorwcitizens’wcenter,wthewnursewremindedwthemwth
atwthewonlywwaywthewcenterwwouldwbewablewtowaffordwtowprovidewtransportationwserviceswforwthe
mwwouldwbewforwthemwtowcontinuewtowwritewletterswtowtheirwlocalwcitywcouncilwrepresentativeswr
equestingwfundingwforwsuchwawservice.wWhatwwaswthewnursewtryingwtowaccomplishwthroughwthis
waction?
a. Ensurewthatwthewwomenwdidwnotwexpectwthewnursewtowsolvewtheirwproblem.
b. Demonstratewthatw thewnursNe wu R
n d e rIs t o oGd wthBe.wComM
en’swconcernswandw needs.
c. Expresswempathy,wsupport,wU wSw
and wN wT
concern.
d. Helpwthewwomenwengagewinwpoliticalwaction.
ANS:w D
Publicwhealthwnurseswengagewthemselveswandwotherswinwpolicywdevelopmentwandwencouragewan
dwassistwpersonswtowcommunicatewtheirwneedswtowthosewwithwthewpowerwtowtakewaction.wThewnurs
ewiswdemonstratingwthewrolewofwadvocatewthroughwthiswaction,witwgoeswbeyondwmerelywunderstan
idngwthewwomen’swconcern,wandwinsteadwmobilizeswthemwtowtakewaction.wThiswactionwdoeswnotw
demonstratewthewnursewshowingwempathywratherwthewnursewiswempoweringwthesewwomen.
13. Thewpublicwhealthwnursewhaswawclearwvisionwofwwhatwneedswtowbewdonewandwwherewtowbeginw
towimprovewthewhealthwofwthewcommunity.wWhywwouldwthewnursewspendwtimewmeetingwwit
hwcommunitywgroupswtowdiscusswthewmostwimportantwtaskwtowbewaddressedwfirst?
a. Towincreasewthewgroup’swself-esteem
b. Towmaintainwcommunicationwlinkswwithwthewgroups
c. Towmakewthewgroupswfeelwgoodwaboutwtheirwcontribution
d. Towworkwwithwthewgroups,wnotwforwthewgroups
ANS:w D