Test Bank for Foundations for Population Health in Community Public Health Nursing 6th Edi... file:///C:/Users/HP/Downloads/TEST%20BA
TEST BANK FOUNDATIONS FOR POPULATION HEAL
COMMUNITY/PUBLIC HEALTH NURSING 6TH EDIT
,Test Bank for Foundations for Population Health in Community Public Health Nursing 6th Edi... file:///C:/Users/HP/Downloads/TEST%20BA
Chapter 01: Public Health Nursing and Population
MULTIPLE CHOICE
1. Which statement 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.
ANSWER: A
By definition, community-based nursing is a setting-specific practice in which care is provided for “sick” individu
they live, work, and attend school. The emphasis is on acute and chronic care and the provision of comprehensive
continuous care. These nurses may be generalists or specialists in maternal–infant, pediatric, adult, or psychiatric
Community-based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on
systems.
2. Which statement best describes the goal of community-oriented nursing?
a. Providing 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. To preserve, protect, promote, or maintain health and prevent disease
ANSWER: D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health and prev
the quality of life. All nurses may focus on individuals and families, give direct care to ill persons within their fam
manage acute or chronic conditions. These definitions 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
ANSWER: D
In public health nursing, the primary focus is on the health care of communities and populations rather than on i
families. The goal is to prevent disease and preserve, promote, restore, and protect health for the community and
Community-based nurses deal primarily with illness-oriented care of individuals and families across the life span
acute and chronic health conditions in the community, and the focus of practice is on individual or
family-centered illness care.
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
ANSWER: C
There has to be indisputable evidence collected over time that public health policies and programs were primarily
the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approximately 60% in just over a centu
improvements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improving food and dr
(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excited when a
,Test Bank for Foundations for Population Health in Community Public Health Nursing 6th Edi... file:///C:/Users/HP/Downloads/TEST%20BA
6. What is the basic assumption stated by Healthy People 2010 as it relates to 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.
ANSWER: C
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely separate from t
community. Public health practice focuses on the community as a whole, and the effect of the community’s health
health of individuals, families, and groups. The goal is to prevent disease and disability and promote and protect t
community as a whole. Public health can be described as what society collectively does to ensure that conditions e
be healthy. The basic assumptions of public health do not judge the morality of health disparities. The focus is on
on spending more on illness care. Additionally, individual responsibility for making healthy choices is the directiv
span not the role of the government.
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
ANSWER: D
Although the public health nurse might engage in any of the tasks listed, he or she works primarily with members
carry out core public health functions, including assessment of the population as a whole and engaging in promot
the environment. The interventions of asking community leaders which interventions should be chosen, assessing
deciding on appropriate interventions, and using data from health care institutions do not demonstrate the engag
when making decisions about what the community actually wants and needs.
8. Which public health nurse 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
ANSWER: B
Any of these descriptions might represent a nurse communicating, cooperating, or collaborating with community
about health concerns. A major challenge for the future is the need for public health nursing specialists to be mor
collaboratively with various groups in the community as well as professional colleagues in institutional settings to
health. However, the nurse who spent the day attending meetings of various health agencies is the most represen
health, concerns are addressed from a broader perspective. In public health, broad concerns of the community sh
Concerns are broader than recreation, individual concerns are not as important as aggregate priorities, and watch
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
ANSWER: C
An aggregate is defined a collection of people who share one or more personal or environmental characteristics. M
can be defined in terms of either geography (e.g., a county, a group of counties, or a state) or a special interest (e.
,Test Bank for Foundations for Population Health in Community Public Health Nursing 6th Edi... file:///C:/Users/HP/Downloads/TEST%20BA
ANSWER: C
Assurance includes making sure that essential community-oriented health services are available in the community
fit the terms assessment, policy development. Scientific knowledge-based care is not a core function of public heal
Assessment is systematic data collection on the population, monitoring the population’s health status, and makin
about the health of the community. Policy development refers to efforts to develop policies that support the health
including using a scientific knowledge base to make policy decisions.
12. When talking to a women’s group at the senior citizens’ center, the nurse reminded them that the only way the ce
afford to provide transportation services for them would be for them to continue to write letters to their local city
requesting funding for such a service. What was the nurse trying to accomplish through this action?
a. Ensure that the women did not expect the nurse to solve their problem.
b. Demonstrate that the nurse understood the women’s concerns and needs.
c. Express empathy, support, and concern.
d. Help the women engage in political action.
ANSWER: D
Public health nurses engage themselves and others in policy development and encourage and assist persons to co
those with the power to take action. The nurse is demonstrating the role of advocate through this action, it goes b
understanding the women’s concern, and instead mobilizes them to take action. This action does not demonstrate
empathy rather the nurse is empowering these women.
13. The public health nurse has a clear vision of what needs to be done and where to begin to improve the health of th
would the nurse spend time meeting with community groups to discuss the most important task to be addressed
a. To increase the group’s self-esteem
b. To maintain communication links with the groups
c. To make the groups feel good about their contribution
d. To work with the groups, not for the groups
ANSWER: D
Historically, health care providers have been accused of providing care for or to people without actually involving
decisions. Public health nursing is a “with the people”—not a “to the people” or “for the people”—approach to plan
imperative to work with members of the community to carry out core public health functions. The purpose of me
groups is not to increase their self-esteem or make them feel good about their contribution, rather it is to allow th
to solve the problems they are facing. The first task of working with the group should occur before addressing ma
links.
14. The nurse often has to make resource allocation decisions. Which of the following best describes the criterion the
cases?
a. The specific moral or ethical principle related to the situation
b. The cheapest, most economical approach
c. The most rational probable outcome
d. The needs of the aggregate rather than a few individuals
ANSWER: D
The dominant needs of the population outweigh the expressed needs of one or a few people. All of the choices rep
decision that the nurse might consider in determining the needs of the aggregate.
15. Which of the following actions best represents public health nursing?
a. Assessing the effectiveness of the high school health clinic
b. Caring for clients in their home following their outpatient surgeries
c. Providing care to children and their families at the school clinic
d. Administering follow-up care for pediatric clients at an outpatient clinic
ANSWER: A
