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POPULATION HEALTH EXAM 1 EVOLVE BOOK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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POPULATION HEALTH EXAM 1 EVOLVE BOOK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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STANHOPE CH. 1 FOUNDATION OFPUBLIC HEALTH NURSING QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
1. In 1988, the Institute of Medicine (IOM) published a report on the future of public health and its
mission that defined public health as:
a. what public-private partnerships do to treat vulnerable populations.
b. what the government does to ensure that vital programs are in place.
c. what the U.S. Public Health Service does to prevent disease, promote health, and deliver services.
d. what society does collectively to ensure the conditions in which people can be healthy. - ANSWER
ANS: D
In 1988, the IOM's report stated that public health is "what we, as a society, do collectively to assure the
conditions in which people can be healthy." Consequently, the mission of public health is "to generate
organized community effort to address the public's interest in health by applying scientific and technical
knowledge to prevent disease and promote health." This clearly places the emphasis on the desire of the
population and community to ensure access to services that foster the health status of the overall
community through the equitable distribution of resources addressed to community problems that
affect health.
2. A registered nurse is seeking a position as a public health nurse. In reviewing the job description, the
nurse would expect to find a description of a position that focused on functions such as:
a. monitoring pregnant teenagers for symptoms of complications of pregnancy.
b. offering free hypertension screening and treatment referral at local health fairs to low-income,
uninsured, community members.
c. partnering with local seasonal farmworkers to design a program aimed at preventing illness and injury,
and advocating for this population with local political and community leaders.
d. preventing injury among a population of elderly residents in an assisted living facility and treating
residents' chronic illnesses. - ANSWER ANS: C
The scope of practice of public health nurses is population focused and community oriented, with a
primary emphasis on population-level interventions that target strategies for health promotion and
disease prevention. In addition, public health nursing is concerned with the health of all members of a
population or community, particularly vulnerable populations, and uses political processes as a major
intervention strategy.
, 3. A public health nurse leader is encountering barriers when trying to shift the public health agency's
efforts to a population-focused practice. The reasons peers are not supportive of the proposed shift to a
population focus are most likely related to:
a. agency colleagues' push for nurses to focus on population initiatives.
b. costs associated with staff training and revision of documents.
c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct client care and services. - ANSWER ANS:
D
Barriers to implementing population-focused care include lack of understanding of the public health
nurse role and its relationship to other roles in nursing, such as direct care and services; workplace role
socialization that determines what roles are appropriate and inappropriate or accessible and inaccessible
for nurses; and lack of comprehensive training at the graduate level in the disciplines basic to public
health such as epidemiology, biostatistics, community development, service administration, and policy
formation.
4. The role and goals of the community health nursing practice can best be described as:
a. community-based interventions aimed at promoting, preserving, and maintaining the health of
populations residing in institutional facilities such as nursing homes.
b. education of nurses and other staff working in community-based and community-oriented settings to
improve the overall effectiveness of their programs to meet client needs.
c. population-level strategies aimed at promoting, preserving, and maintaining the health of populations
through the delivery of personal health care services to individuals, families, and groups in an effort to
improve the health of the community as a whole.
d. activities targeted at improving the health status of clients served by community-based health service
agencies such as hospice and home health agencies. - ANSWER ANS: C
Community health nursing practice is the synthesis of nursing theory and public health theory applied to
promoting, preserving, and maintaining the health of populations through the delivery of personal
health care services to individuals, families, and groups. The focus of community health nursing practice
is the health of individuals, families, and groups and the effect of their health status on the health of the
community as a whole (individual to families to groups to community flow). This is different from public
health nursing, which is the synthesis of nursing theory and public health theory applied to promoting
and preserving the health of populations. The focus of public health nursing practice is the community as
a whole and the effect that the community's health status, including health care resources, has on the
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