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FOUNDATIONS FOR POPULATION HEALTH IN
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COMMUNITY/PUBLIC HEALTH NURSING
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by Marcia Stanhope, Jeanette Lancaster
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6T
, Table of Contents vv vv
Chapter 01: Public Health Nursing and Population Health
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Chapter 02: The History of Public Health and Public and Community Health Nursing Stanhope:
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Chapter 03: US and Global Health Care
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Chapter 04: Government, the Law, and Policy Activism
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Chapter 05: Economics of US Health Care Delivery
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Chapter 06: Ethics in Public and Community Health Nursing Practice
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Chapter 07: Culture of Populations in Communities
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Chapter 08: Environmental Health
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vv Chapter 09: Evidence-Based Practice
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vv Chapter 10: Epidemiological
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Applications
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Chapter 11: Infectious Disease Prevention and Control
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vv Chapter 12: Communicable and Infection Disease Risks
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vv Chapter 13: Community Assessment and Evaluation
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vv Chapter 14: Health Education in the Community
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vv Chapter 15: Case Management
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Chapter 16: Disaster Management
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Chapter 17: Public Health Surveillance and Outbreak Investigation
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vv Chapter 18: Program Management
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Chapter 19: Healthcare Improvement in the Community
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Chapter 20: Family Development, Family Nursing Assessment, and Genomics
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vv Chapter 21: Family Health Risks
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Chapter 22: Health Risks Across the Life Span
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Chapter 23: Health Equity and Care of Vulnerable Populations
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Chapter 24: Rural Health and Migrant Health
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Chapter 25: Poverty, Homelessness, Teen Pregnancy, and Mental Illness
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vv Chapter 26: Alcohol, Tobacco, and Other Drug Problems in the Community
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vv Chapter 27: Violence and Human Abuse
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Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health
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Chapter 29: The Faith Community Nurse
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Chapter 30: The Nurse in Public Health, Home Health, Palliative Care, and Hospice
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vv Chapter 31: The Nurse in the Schools
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Chapter 32: The Nurse in Occupational Health
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, Chapter 01: Public Health Nursing and Population Health vv vv vv vv vv vv vv
Stanhope: Foundations for Population Health in Community/Public Health Nurs
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MULTIPLE CHOICE vv
1. WHICH statement 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. vv vv vv vv vv vv vv vv
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 v v A
By definition, community-based nursing is a setting-specific practice in WHICH care is provided fo
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families where they live, work, and attend school. The emphasis is on acute and chronic care an
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comprehensive, coordinated, and continuous care. These Nurses may be generalists or specialists
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pediatric, adult, or psychiatric mental health nursing. Community-based nursing emphasizes acute
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individuals and families, rather than focusing on groups, aggregates, or systems.
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2. WHICH statement best describes the goal of community-oriented nursing?
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a. Providing care to individuals and families vv vv vv vv vv
b. Providing care to manage acute or chronic conditions vv vv vv vv vv vv vv
c. Giving direct care to ill individuals within their family setting
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d. To preserve, protect, promote, or maintain health and prevent disease
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ANS v v D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining hea
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to promote the quality of life. All Nurses may focus on individuals and families, give direct care
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family setting, and help manage acute or chronic conditions. These definitions are not specific to
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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 vv vv
b. Illness-oriented care vv
c. Individuals within the family unit vv vv vv vv
d. Health care of communities and populations
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ANS v v D
In public health nursing, the primary focus is on the health care of communities and populations r
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groups, and families. The goal is to prevent disease and preserve, promote, restore, and protect hea
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the population within it. Community-based Nurses deal primarily with illness-oriented care of ind
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across the life span. The aim is to manage acute and chronic health conditions in the communi
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practice is on individual or
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family-centered illness care. vv vv
4. WHICH of the Following is responsible for the dramatic increase in life expectancy during the 20
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a. Technology increases in the field of medical laboratory research vv vv vv vv vv vv vv vv
b. Advances in surgical techniques and procedures vv vv vv vv vv
c. Sanitation and other population-based prevention programs vv vv vv vv vv
d. Use of antibiotics to fight infections
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ANS v v C
There has to be indisputable evidence collected over time that public health policies and program
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for increasing the average life span from 47 in 1900 to 78.6 years in 2017, an increase of approxim
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century plus through improvements in (1) sanitation, (2) clean water supplies, (3) making workpla
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and drug safety,
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(5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although people are
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is discovered that cures a disease or when a new way to transplant organs is perfected, it is impor
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significant gains in the health of populations that have come largely from public health accompl
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, 6. What is the basic assumption stated by Healthy People 2010 as it relates to 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 v v C
The major premise of Healthy People 2010 was that the health of the individual cannot be entire
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of the larger community. Public health practice focuses on the community as a whole, and the e
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health status (resources) on the health of individuals, families, and groups. The goal is to prevent d
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promote and protect the health of the community as a whole. Public health can be described as w
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does to ensure that conditions exist in WHICH people can be healthy. The basic assumptions of
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the morality of health disparities. The focus is on prevention of illness not on spending more on
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individual responsibility for making healthy choices is the directive for lengthening life span not
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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
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determine needed health services
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d. Working with community groups to create policies to improve the environment
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ANS v v D
Although the public health Nurse might engage in any of the tasks listed, he or she works prima
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community to carry out core public health functions, including assessment of the population as a
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promoting health and improving the environment. The interventions of asking community leaders
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should be chosen, assessing the community and deciding on appropriate interventions, and using
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institutions do not demonstrate the engagement of the community when making decisions about
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actually wants and needs.
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8. WHICH public health Nurse most clearly fulfills the responsibilities of this role?
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a. The Nurse who met with several groups to discuss community recreation issues
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b. The Nurse who spent the day attending meetings of various health agencies
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c. The Nurse who talked to several people about their particular health concerns
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d. The Nurse who watched the city council meeting on local cable television
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ANS v v B
Any of these descriptions might represent a Nurse communicating, cooperating, or collaborating w
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or groups about health concerns. A major challenge for the future is the need for public health n
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more aggressive in working collaboratively with various groups in the community as well as pro
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institutional settings to deal with barriers to health. However, the Nurse who spent the day atten
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health agencies is the most representative, because in public health, concerns are addressed from
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public health, broad concerns of the community should be addressed. Concerns are broader than re
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concerns are not as important as aggregate priorities, and watching television (a one-way form of
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effective than interacting with others.
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9. WHICH of the Following best defines aggregate?
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a. A large group of persons
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b. A collection of individuals and families
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c. A collection of people who share one or more characteristics
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d. Another name for demographic group vv vv vv vv
ANS v v C
An aggregate is defined a collection of people who share one or more personal or environmental
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of a community can be defined in terms of either geography (e.g., a county, a group of counties
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interest (e.g., children attending a particular school). These members make up a population. The te
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interchangeably with the term aggregate. A large group of persons, a collection of individuals an
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name for demographic group are not accurate definitions of the term aggregate.
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