Foundations gfor gPopulation gHealth gin gCommunity gPublic gHealth gNursing g5th gEdition gStanhope gTest gBank
Foundations for Population Health in Community g g g g g g
Public Health Nursing 5th Edition Stanhope Test
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Bank
Chapter 01: Community- and Prevention-Oriented Practice to Improve Population
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g Health
MULTIPLE CHOICE g
1. Which of the following best describes community-based nursing?
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a. A practice in which care is provided for individuals and families
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b. Providing care with a focus on the group’s needs g g g g g g g g
c. Giving care with a focus on the aggregate’s needs
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d. A value system in which all clients receive optimal care
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ANS: A g
By definition, community-based nursing is a setting-specific practice in which care is
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provided for ―sick‖ individuals and families where they live, work, and attend school. The
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emphasis is on acute and chronic care and the provision of comprehensive, coordinated, and
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continuous care. These nurses may be generalists or specialists in maternal–infant, pediatric,
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adult, or psychiatric mental health nursing. Community-based nursing emphasizes acute and
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chronic care to individuals and families, rather than focusing on groups, aggregates, or
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systems.
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,Foundations gfor gPopulation gHealth gin gCommunity gPublic gHealth gNursing g5th gEdition gStanhope gTest gBank
2. Which of the following best describes community-oriented nursing?
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a. Focusing on the provision of care to individuals and families
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b. Providing care to manage acute or chronic conditions
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c. Giving direct care to ill inNdU
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family setting g g g g g
d. Having the goal of health promotion and disease prevention
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ANS: D g
By definition, community-oriented nursing has the goal of preserving, protecting, or
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maintaining health and preventing disease to promote the quality of life. All nurses may focus
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on individuals and families, give direct care to ill persons within their family setting, and help
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manage acute or chronic conditions. These definitions are not specific to community-oriented
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nursing.
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3. Which of the following is the primary focus of public health nursing?
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a. Families and groups g g
b. Illness-oriented care g
c. Individuals within the family unit g g g g
d. Health care of communities and populations
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ANS: D g
In public health nursing the primary focus is on the health care of communities and
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populations rather than on individuals, groups, and families. The goal is to prevent disease and
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preserve, promote, restore, and protect health for the community and the population within it.
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Community-based nurses deal primarily with illness-oriented care of individuals and families
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acorss the life span. The aim is to amanage acute and chronic health conditions in the
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community, and the focus of practice is on individual or family-centered illness care.
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4. Which of the following is responsible for the dramatic increase in life expectancy during the
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20th century?
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,Foundations gfor gPopulation gHealth gin gCommunity gPublic gHealth gNursing g5th gEdition gStanhope gTest gBank
a. Technology increases in the field of medical laboratory research
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b. Advances in surgical techniques and procedures g g g g g
c. Sanitation and other population-based prevention programs
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d. Use of antibiotics to fight infections
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ANS: C g
Improvements in control of infectious diseases through immunizations, sanitation, and other
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population-based prevention programs led to the increase in life expectancy from less than 50
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g years in 1900 to more than 78 years in 2013. Although people are excited when a new drug is
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discovered that cures a disease or when a new way to transplant organs is perfected, it is
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important to know about the significant gains in the health of populations that have come
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largely from public health accomplishments.
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5. A nurse is developing a plan to decrease the number of premature deaths in the community.
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Which of the following interventions would most likely be implemented by the nurse?
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a. Increase the community’s knowledge about hospice care.
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b. Promote healthy lifestyle behavior choices among the community members.
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c. Encourage employers to have wellness centers at each industrial site.
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d. Ensure timely and effective medical intervention and treatment for community
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members.
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ANS: B g
Public health approaches could help prevent premature deaths by influencing the way people
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eat, drink, drive, engage in exercise, and treat the environment. Increasing knowledge of
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hospice care, encouraging on-site wellness centers, and ensuring timely treatment of medical
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conditions do not address theNfU
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strategies. This is the major method that is suggested to decrease the incidence of premature
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death.
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, Foundations gfor gPopulation gHealth gin gCommunity gPublic gHealth gNursing g5th gEdition gStanhope gTest gBank
6. Which of the following is a basic assumption of public health efforts?
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a. Health disparities among any groups are morally and legally wrong.
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b. Health care is the most important priority in government planning and funding.
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c. The health of individuals cannot be separated from the health of the community.
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d. The government is responsible for lengthening the life span of Americans.
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ANS: C g
Public health practice focuses on the community as a whole, and the effect of the
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community’s health status (resources) on the health of individuals, families, and groups. The
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g goal is to prevent disease and disability and promote and protect the health of the community
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as a whole. Public health can be described as what society collectively does to ensure that
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conditions exist in which people can be healthy. The basic assumptions of public health do not
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judge the morality of health disparities. The focus is on prevention of illness not on spending
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more on illness care. Additionally, individual responsibility for making healthy choices is the
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directive for lengthening life span not the role of the government.
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7. Which of the following actions would most likely be performed by a public health nurse?
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a. Asking community leaders what interventions should be chosen
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b. Assessing the community and deciding on appropriate interventions
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c. Using data from the main health care institutions in the community to determine
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