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Foundations of Nursing in the Community, 3rd Edition Stanhope, Lancaster- Test Bank
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, Stanhope: Foundations of Nursing in the Community: Community-OrientedPractice, 3rd Edition
Chapter 1: Community-Oriented Nursing and Community-Based Nursing
Test Bank
MULTIPLE CHOICE
1. Which of the following best describes community-based nursing?
a. A philosophy that guides family-centered illness care
b. Giving care with a focus on the group’s needs
c. Giving care with a focus on the aggregate’s needs
d. Having the goal of giving optimal care to all clients
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: Knowledge REF: p. 3
2. Which of the following best describes community-oriented nursing?
a. A practice that focuses on individuals and families
b. Giving 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
to care to ill persons within their family setting, and help manage acute or chronic conditions.
DIF: Cognitive Level: Knowledge REF: p. 3
3. What is the unique primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals in their families
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: Knowledge REF: p. 3
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-2
4. Life expectancy increased dramatically during the twentieth century, primarily because of:
a. Findings from medical laboratory research
b. Incredible 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: Knowledge REF: p. 5
5. What is the preferred public health approach to avoid premature deaths in America?
a. Increasing the public’s knowledge concerning hospice care
b. Influencing Americans’ lifestyle behavior choices
c. Requiring employers to have wellness centers in each industrial site
d. Requiring that all prospective parents receive appropriate prenatal care
e. Timely and effective medical intervention and treatment
ANS: B
Public health approaches could help prevent about 70% of early deaths through influencing the
way people eat, drink, drive, engage in exercise, and treat the environment.
DIF: Cognitive Level: Knowledge REF: p. 5
6. What action would be most typical of a public health nurse?
a. The nurse asks community leaders what interventions should be chosen.
b. The nurse assesses the community and decides on appropriate interventions.
c. The nurse uses data from the main health care institutions in the community to
determine needed health services.
d. The nurse works with community groups to create policies to improve the
community’s environment.
ANS: D
Although the public health nurse might engage in any of the tasks listed, he or she primarily
works 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: Application REF: p. 5
7. How is an aggregate defined?
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
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.
, Test Bank 1-3
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: Knowledge REF: p. 9
8. A registered nurse (RN) was just employed as a public health nurse. Which question might be
very relevant as the nurse begins employment?
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. “Who is the nursing assistant to whom I can refer patients?”
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: Application REF: p. 9 (How To box)
9. When an RN talked to the women at the senior citizens’ center, the nurse reminded them that the
only way the center would be able to afford a driver and van service for those who could no
longer drive themselves would be to continue to write letters to their local city council
representatives requesting funding for such a service. What was the nurse trying to accomplish?
a. Ensuring that the women did not expect the nurse to solve their problem
b. Demonstrating that the nurse understood the women’s concerns and needs
c. Expressing empathy, support, and concern
d. Helping the women engage in political action
ANS: D
Public health nurses engage themselves and others in policy development and encourage and
assist persons with a need to communicate that need to those with the power to take action.
DIF: Cognitive Level: Application REF: p. 5
10. What is a basic assumption of public health efforts?
a. Any 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: Knowledge REF: p. 5
11. Which public health nurse is most clearly fulfilling responsibilities?
a. The nurse who met with several groups to discuss community recreation issues.
Copyright © 2010, 2006, 2002 by Mosby, Inc., an affiliate of Elsevier Inc.
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