Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
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Foundations for Population Health in Community
Public Health Nursing 5th Edition Stanhope Test
Bank
Chapter 01: Community- and Prevention-Oriented Practice to Improve Population Health
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MULTIPLE CHOICE t
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 t t t t t t t t
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 t
By definition, community-based nursing is a setting-specific practice in which care is provided
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t for ―sick‖ individuals and families where they live, work, and attend school. The emphasis is on
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t acute and chronic care and the provision of comprehensive, coordinated, and continuous care.
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These nurses may be generalists or specialists in maternal–infant, pediatric, adult, or psychiatric
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mental health nursing. Community-based nursing emphasizes acute and chronic care to
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t individuals and families, rather than focusing on groups, aggregates, or systems.
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,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
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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 t t t t t t t t t
b. Providing care to manage acute or chronic conditions t t t t t t t
c. Giving direct care to ill inNdU
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family setting
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d. Having the goal of health promotion and disease prevention t t t t t t t t
ANS: D t
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining
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health and preventing disease to promote the quality of life. All nurses may focus on individuals
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and families, give direct care to ill persons within their family setting, and help manage acute or
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chronic conditions. These definitions are not specific to community-oriented 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 t t
b. Illness-oriented care t
c. Individuals within the family unit t t t t
d. Health care of communities and populations t t t t t
ANS: D t
In public health nursing the primary focus is on the health care of communities and populations
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rather than on individuals, groups, and families. The goal is to prevent disease and preserve,
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t promote, restore, and protect health for the community and the population within it. Community-
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based nurses deal primarily with illness-oriented care of individuals and families acorss the life
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t span. The aim is to amanage acute and chronic health conditions in the community, and the focus
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t 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 20th
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t century?
,Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
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a. Technology increases in the field of medical laboratory research t t t t t t t t
b. Advances in surgical techniques and procedures t t t t t
c. Sanitation and other population-based prevention programs t t t t t
d. Use of antibiotics to fight infections t t t t t
ANS: C t
Improvements in control of infectious diseases through immunizations, sanitation, and other t t t t t t t t t t
t population-based prevention programs led to the increase in life expectancy from less than 50 t t t t t t t t t t t t t
t years in 1900 to more than 78 years in 2013. Although people are excited when a new drug is
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t discovered that cures a disease or when a new way to transplant organs is perfected, it is
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t important to know about the significant gains in the health of populations that have come largely
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t 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. t t t t t t
b. Promote healthy lifestyle behavior choices among the community members.t t t t t t t t
c. Encourage employers to have wellness centers at each industrial site. t t t t t t t t t
d. Ensure timely and effective medical intervention and treatment for community
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t members.
ANS: B t
Public health approaches could help prevent premature deaths byinfluencing the way people eat,
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t drink, drive, engage in exercise, and treat the environment. Increasing knowledge of hospice care,
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encouraging on-site wellness centers, and ensuring timely treatment of medical conditionsdo not
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address theNfU
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gOo vMe r a l l health through health promotion strategies. This is the
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t major method that is suggested to decrease the incidence of premature death.
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, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
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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 t
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 goal
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t is to prevent disease and disability and promote and protect the health of the community as a
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t whole. Public health can be described as what society collectively does to ensure that conditions
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exist in which people can be healthy. The basic assumptions of public health do not judge the
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t morality of health disparities. The focus is on prevention of illness not on spending more on illness
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t care. Additionally, individual responsibility for making healthy choices is the directive for
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t lengthening life span not the role of the government. t t t t t t t t
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 t t t t t t t
b. Assessing the community and deciding on appropriate interventions t t t t t t t
c. Using data from the main health care institutions in the community to determine
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