TESTBANK 9i
FOUNDATIONSFOR POPULATIONHEALTH IN COMMU
9i 9i 9i 9i 9i
C HEALTH NURSING
9i 9i
by Marcia Stanhope, Jeanette Lancaster
9i 9i 9i 9i 9 i
6T
, Table of Contents 9i 9i
Chapter 01: Public Health Nursing and Population Health
9i 9i 9i 9i 9i 9i 9i
Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope: Chapte
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9 i 9i
03: US and Global Health Care
9i 9i 9i 9i 9i
Chapter 04: Government, the Law, and Policy Activism C
9i 9i 9i 9i 9i 9i 9i 9i
hapter 05: Economics of US Health Care Delivery
9i 9i 9i 9i 9i 9i 9i
Chapter 06: Ethics in Public and Community Health Nursing Practice C
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
hapter 07: Culture of Populations in Communities
9i 9i 9i 9i 9i 9i
Chapter 08: Environmental Health Chapte
9i 9i 9i 9i
r 09: Evidence-
9i 9i
Based Practice Chapter 10: Epidemiologic
9i 9i 9i 9i
al Applications
9i
Chapter 11: Infectious Disease Prevention and Control
9i 9i 9i 9i 9i 9i 9i
Chapter 12: Communicable and Infection Disease Risks C
9i 9i 9i 9i 9i 9i 9i
hapter 13: Community Assessment and Evaluation Chap
9i 9i 9i 9i 9i 9i
ter 14: Health Education in the Community Chapter 15:
9i 9i 9i 9i 9i 9i 9i 9i 9i
Case Management 9i
Chapter 16: Disaster Management 9i 9i 9i
Chapter 17: Public Health Surveillance and Outbreak Investigation Cha
9i 9i 9i 9i 9i 9i 9i 9i
pter 18: Program Management
9i 9i 9i
Chapter 19: Healthcare Improvement in the Community
9i 9i 9i 9i 9i 9i
Chapter 20: Family Development, Family Nursing Assessment, and Genomics Ch
9i 9i 9i 9i 9i 9i 9i 9i 9i
apter 21: Family Health Risks
9i 9i 9i 9i
Chapter 22: Health R isks Across the Life Span
9i 9i 9i 9i 9i 9i 9i
Chapter 23: Health Equity and Care of Vulnerable Populations Chapter
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
24: Rural Health and Migrant Health
9i 9i 9i 9i 9i
Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness Chapte
9i 9i 9i 9i 9i 9i 9i 9i 9i
r 26: Alcohol, Tobacco, and Other Drug Problems in the Community Chapter 27:
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
Violence and Human Abuse 9i 9i 9i
Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health Chapte
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
r 29: The Faith Community Nurse
9i 9i 9i 9i 9i
Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice Chapter
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
31: The Nurse in the Schools
9i 9i 9i 9i 9i
Chapter 32: The Nurse in Occupational Health
9i 9i 9i 9i 9i 9i
, Chapter 01: Public Health Nursing and Population Health 9i 9i 9i 9i 9i 9i 9i
Stanhope: F oundations for Population Health in Community/Public Health Nursing
9i 9i 9i 9i 9i 9i 9i 9i
MULTIPLE CHOICE 9i
1. WHICH statement best describes community-based nursing?
9i 9i 9i 9i 9i
a. A practice in WHICH care is provided for individuals and families.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
b. Providing care with a focus on the group‘s needs. 9i 9i 9i 9i 9i 9i 9i 9i
c. Giving care with a focus on the aggregate‘s needs. 9i 9i 9i 9i 9i 9i 9i 9i
d. A value system in WHICH all clients receive optimal care.
9i 9i 9i 9i 9i 9i 9i 9i 9i
ANS A 9 i
By definition, community-based nursing is a s etting-
9i 9i 9i 9i 9i 9i
specific practice in WHICH care is provided for ―sick‖ individuals and families where they live, work, a
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
asis is on acute and chronic care and the provision of comprehensive, coordinated, and continuous care
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ralists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing. Communi
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on gr
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
s.
2. WHICH statement best describes the goal of community-oriented nursing?
9i 9i 9i 9i 9i 9i 9i 9i
a. Providing care to individuals and families 9i 9i 9i 9i 9i
b. Providing care to manage acute or chronic conditions 9i 9i 9i 9i 9i 9i 9i
c. Giving d irect care to ill individuals within their family setting
9i 9i 9i 9i 9i 9i 9i 9i 9i
d. To preserve, protect, promote, or maintain health and prevent disease
9i 9i 9i 9i 9i 9i 9i 9i 9i
ANS D 9 i
By definition, community-
9i 9i
oriented nursing has the goal of p reserving, protecting, or maintaining health and preventing disease to pr
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ll Nurses may focus on individuals and families, give direct care to ill persons within their family settin
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
r chronic conditions. These definitions are not specific to community-oriented nursing.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
3. WHICH of the Following is the primary focus of public health nursing?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. Families a nd groups 9i 9i
b. Illness-oriented care 9i
c. Individuals within the family unit 9i 9i 9i 9i
d. Health care of communities and populations 9i 9i 9i 9i 9i
ANS D 9 i
In public health nursing, the primary focus is on the health care of communities and populations rather t
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
and families. The goal is to prevent disease a nd preserve, promote, restore, and protect health for t he com
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
within it. Community-based Nurses deal primarily with illness-
9i 9i 9i 9i 9i 9i 9i
oriented care of individuals and families across the life span. The aim is to manage acute and chronic
9i 9i 9i 9i 9i 9i 9i 9i 9 i 9i 9i 9i 9i 9i 9i 9i 9i 9i
munity, and the focus of practice is on individual or
9i 9i 9i 9i 9i 9i 9i 9i 9i
family-centered illness care. 9i 9i
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20th cen
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. Technology increases in the field of medical laboratory research 9i 9i 9i 9i 9i 9i 9i 9i
b. Advances in surgical techniques and procedures 9i 9i 9i 9i 9i
c. Sanitation and other population-based prevention programs 9i 9i 9i 9i 9i
d. Use of antibiotics to fight infections
9i 9i 9i 9i 9i
ANS C 9 i
There has to be indisputable evidence collected over time that public health policies and programs were
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
asing the average life span from 47 in 1900 to 78.6 years in 2017, an increase o f approximately 60% in ju
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
mprovements in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improving foo
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are excite
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
overed that cures a disease or when a new way to transplant organs is perfected, it is important to know a
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
the health of populations that have come largely from public health accomplishments.
i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
, 6. What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. Health d isparities among any groups are morally and legally wrong.
9i 9i 9i 9i 9i 9i 9i 9i 9i
b. Health care is the most important priority in government planning and funding.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
c. The health of individuals cannot be separated from the health of the community.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
d. The government is responsible for lengthening the life span of Americans.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ANS C 9 i
The major premise of Healthy People 2010 was that the health of the individual cannot be entirely sepa
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
arger community. Public health practice focuses on the community as a whole, and the effect of the com
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ources) on the health of individuals, families, and groups. The goal is to prevent disease and disability an
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ealth of the community as a whole. Public health can be described as what society collectively does to
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
in WHICH people can be healthy. The basic assumptions of public health do not judge the morality of h
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
is on prevention of illness not on spending more on illness care. Additionally, individual responsibility
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9
is the directive for lengthening life span not the role of the government.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
7. WHICH of the Following actions would most likely be performed by a public health Nurse?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. Asking community leaders what interventions should be chosen
9i 9i 9i 9i 9i 9i 9i
b. Assessing t he community and deciding on appropriate interventions 9i 9i 9i 9i 9i 9i 9i
c. Using data from t he main health care institutions in the community to determine
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
needed health services 9i 9i
d. Working with community groups to create policies to improve the environment
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ANS D 9 i
Although the public health Nurse might engage in any of the tasks listed, he or she works primarily wit
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ty to carry out core public health functions, including assessment of the population as a whole and enga
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
nd improving the environment. The interventions of asking community leaders WHICH interventions s
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
he community and deciding on appropriate interventions, and using data from health care institutions do
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ement of the community when making decisions about what the community actually wants and needs.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
8. WHICH public health Nurse most clearly fulfills the responsibilities of this role?
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. The Nurse who met with several groups to discuss community recreation issues
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
b. The Nurse who spent the day attending meetings of various health agencies
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
c. The Nurse who talked to several people about their particular health concerns
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
d. The Nurse who watched the city council meeting on local cable television
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ANS B 9 i
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating with c
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ps about health concerns. A major challenge for the future is the need for public health nursing speciali
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
working collaboratively with various groups in the community as well as professional colleagues in in
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ith barriers to health. However, the Nurse who spent the day attending meetings of various health agenc
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ve, because in public health, concerns are addressed from a broader perspective. In public health, broad
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
should be addressed. Concerns are broader than recreation, individual concerns are not as important as ag
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
hing television (a one-way form of communication) is less effective than interacting with others.
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
9. WHICH of the Following best defines aggregate?
9i 9i 9i 9i 9i 9i
a. A large group of persons 9i 9i 9i 9i
b. A collection of individuals and families
9i 9i 9i 9i 9i
c. A collection of people who share one or more characteristics
9i 9i 9i 9i 9i 9i 9i 9i 9i
d. Another name for demographic group 9i 9i 9i 9i
ANS C 9 i
An aggregate is defined a collection of people who share one or more personal or environmental charac
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
mmunity can be defined in terms of either geography (e.g., a county, a group of counties, or a state) or
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9
ren attending a particular school). These members make up a population. The term population may be use
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
term aggregate. A large group of persons, a collection of individuals and families, and another name fo
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
ot accurate definitions of the term aggregate.
9i 9i 9i 9i 9i 9i
10. WHICH question asked by a novice Nurse would be the most reflective of an understanding of the role
9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i
a. ―WHICH groups are at the greatest risk for problems?‖ 9i 9i 9i 9i 9i 9i 9i 9i
b. ―WHICH patients should I see first as I begin my day?‖ 9i 9i 9i 9i 9i 9i 9 i 9i 9i 9i
