Exam (elaborations)
Foundations of Nursing in the Community 4th Edition by Marcia Stanhope- Test Bank
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,Chapter 01: Community-Oriented Nursing and Community-Based NursingTest Bank
MULTIPLE CHOICE
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 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
ANS: A
By definition, community-based nursing is nursing that focuses on family-centered illness
care to individuals and families in the community.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2-3
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 conditions.
DIF: Cognitive Level: Understand (Comprehension) REF: pp. 2, 10
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 nurses—or public health nurses—provide health care to promote quality of life.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 2
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.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 2
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 community’s 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.
DIF: Cognitive Level: Apply (Application) REF: p. 2
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.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 4
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.
DIF: Cognitive Level: Apply (Application) REF: p. 8
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
, 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
ANS: B
Any of these descriptions might represent a nurse communicating, cooperating, or
collaborating with community residents or groups about health concerns. However, the nurse
who spent the day attending meetings of various health agencies is the most representative,
because in public health, concerns are broader than recreation, individual concerns are not as
important as aggregate priorities, and watching television (a one-way form of communication)
is less effective than interacting with others.
DIF: Cognitive Level: Analyze (Analysis) REF: pp. 6-7
9. Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A group of persons who share one or more characteristics
d. Another name for demographic group
ANS: C
An aggregate is defined as a collection of people who share one or more personal or
environmental characteristics, such as geography or special interest.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 7
10. A registered nurse was just employed as a public health nurse. Which question would be the
most relevant for the nurse to ask?
a.“Which groups are at the greatest risk for problems?”
b.“Which patients should I see first as I begin my day?”
c.“With which physicians will I be most closely collaborating?”
d.“With which nursing assistants will I partner the most?”
ANS: A
Asking which groups are at greatest risk reflects a community-oriented perspective. The other
possible responses reflect a focus on individuals.
DIF: Cognitive Level: Apply (Application) REF: p. 8
11. Making sure that essential community-oriented health services are available defines which of
the core public health functions?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Public health is based on scientific knowledge but is not a core function. The definition does
not fit the terms assessment or policy development.
DIF: Cognitive Level: Apply (Application) REF: p. 4
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