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FOUNDATIONS FOR POPULATION HEALTH IN
COMMUNITY/PUBLIC HEALTH NURSING 6TH EDITION
BY MARCIA STANHOPE

,CH: 01: Community- and Prevention-
KC KC KC KC




Oriented Practice to Improve Population Health Stanhope: Foundations for Populati
KC KC KC KC KC KC KC KC KC




on Health in Community/Public Health Nursing, 6TH Edition
KC KC KC KC KC KC KC




MULTIPLE CHOICE KC




1. Which of the following best describes community-based nursing?
KC KC KC KC KC KC KC




a. A practice in which care is provided for individuals and families
KC KC KC KC KC KC KC KC KC KC




b. Providing care with a focus on the group’s needs KC KC KC KC KC KC KC KC




c. Giving care with a focus on the aggregate’s needs KC KC KC KC KC KC KC KC




d. A value system in which all hospital clients receive optimal care
KC KC KC KC KC KC KC KC KC KC




PRECISE CHOICE:-A KC




Reasoning:->>>By definition, community-based nursing is a setting- KC KC KC KC KC KC




specific practice in which care is provided for “sick” individuals and families where they live,
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




work, and attend school. The emphasis is on acute and chronic care and the provision of co
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




mprehensive, coordinated, and continuous care. These nursing attendants may be generalist KC KC KC KC KC KC KC KC KC KC




s or specialists in maternal–
KC KC KC KC




infant, pediatric, adult, or psychiatric mental health nursing. Community-
KC KC KC KC KC KC KC KC




based nursing emphasizes acute and chronic care to individuals and families, rather than foc
KC KC KC KC KC KC KC KC KC KC KC KC KC




using on groups, aggregates, or systems.
KC KC KC KC KC




2. Which of the following best describes community-oriented nursing?
KC KC KC KC KC KC KC




a. Focusing on the provision of care to individuals and families KC KC KC KC KC KC KC KC KC




b. Providing care to manage acute or chronic conditions KC KC KC KC KC KC KC




c. Giving direct care to il inNdiv
US RN
iduaIls wGithBin.thCeirMfamily seting K
C KC KC KC KC KC KC




d. Having the goal of health promotion and disease prevention
KC KC


KC KC KC KC KC KC KC KC




PRECISE CHOICE:-D KC




Reasoning:->>>By definition, community- KC KC




oriented nursing has the goal of preserving, protecting, or maintaining health and preventi
KC KC KC KC KC KC KC KC KC KC KC KC




ng disease to promote the quality of life. All nursing attendants may focus on individuals an
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




d families, give direct care to sick persons within their family setting, and help manage acute
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC K




or chronic conditions. These definitions are not specific to community-oriented nursing.
C KC KC KC KC KC KC KC KC KC KC




3. Which of the following is the primary focus of public health nursing?
KC KC KC KC KC KC KC KC KC KC KC




a. Families and groups KC KC




b. Sickness-oriented care KC




c. Individuals within the family unit KC KC KC KC




d. Health care of communities and populations KC KC KC KC KC




PRECISE CHOICE:-D KC




Reasoning:-
>>>In public health nursing the primary focus is on the health care of communities and pop
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




ulations rather than on individuals, groups, and families. The goal is to prevent disease and
KC KC KC KC KC KC KC KC KC KC KC KC KC K C KC




preserve, promote, restore, and protect health for the community and the population within i
KC KC KC KC KC KC KC KC KC KC KC KC KC




t. Community-based nursing attendants deal primarily with sickness-
KC KC KC KC KC KC KC




oriented care of individuals and families acorss the life span. The aim is to amanage acute and
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




chronic health conditions in the community, and the focus of practice is on individual or famil
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




y-centered sickness care. KC KC

,4. Which of the following is responsible for the dramatic increase in life expectancy during
KC KC KC KC KC KC KC KC KC KC KC KC KC KC




the 20th century?
KC KC




a. Technology increases in the field of medical laboratory research KC KC KC KC KC KC KC KC




b. Advances in surgical techniques and procedures KC KC KC KC KC




c. Sanitation and other population-based prevention programs KC KC KC KC KC




d. Use of antibiotics to fight infections KC KC KC KC KC




PRECISE CHOICE:-C KC




Reasoning:-
>>>Improvements in control of infectious diseases through immunizations, sanitation, and KC KC KC KC KC KC KC KC KC KC




other population- KC




based prevention programs led to the increase in life expectancy from less than 50 years in 1
KC KC KC KC KC KC KC KC KC KC KC KC K C KC KC KC




900 to more than 78 years in 2013. Although people are excited when a new drug is discover
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




ed that cures a disease or when a new way to transplant organs is perfected, it is important to
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




know about the significant gains in the health of populations that have come largely from pub
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




lic health accomplishments.
KC KC




5. A nursing attendant is developing a plan to reduce the number of premature deaths in the co
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




mmunity. Which of the following interventions would most likely be implemented by the
KC KC KC KC KC KC KC KC KC KC KC KC KC




nursing attendant? KC




a. Increase the community’s knowledge about clinic care. KC KC KC KC KC KC




b. Promote healthy lifestyle behavior choices among the community members. KC KC KC KC KC KC KC KC




c. Encourage employers to have wellness centers at each industrial site. KC KC KC KC KC KC KC KC KC




d. Ensure timely and effective medical intervention and treatment for community
KC KC KC KC KC KC KC KC KC K




members. C




PRECISE CHOICE:-B KC




Reasoning:-
>>>Public health approaches could help prevent premature deaths by influencing the way peo
KC KC KC KC KC KC KC KC KC KC KC KC




ple eat, drink, drive, engage in exercise, and treat the environment. Increasing knowledge of
KC KC KC KC KC KC KC KC KC KC KC KC KC KC




clinic care, encouraging on-site wellness centers, and ensuring timely treatment of medical
KC KC KC KC KC KC KC KC KC KC KC




conditions do not address theNfUocRusSoIfNimGpTroBv.inCg Oo vMerall health through h
KC KC KC K
C KC KC C
K C
K C
K KC KC KC




ealth promotion KC




strategies. This is the major method that is suggested to reduce the incidence of premature de
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




ath.
6. Which of the following is a basic assumption of public health efforts?
KC KC KC KC KC KC KC KC KC KC KC




a. Health disparities among any groups are morally and legally wrong.
KC KC KC KC KC KC KC KC KC




b. Health care is the most important priority in government planning and funding.
KC KC KC KC KC KC KC KC KC KC KC




c. The health of individuals cannot be separated from the health of the community.
KC KC KC KC KC KC KC KC KC KC KC KC




d. The government is responsible for lengthening the life span of Americans.
KC KC KC KC KC KC KC KC KC KC




PRECISE CHOICE:-C KC




Reasoning:-
>>>Public health practice focuses on the community as a whole, and the effect of the commu
KC KC KC KC KC KC KC KC KC KC KC KC KC KC K C




nity’s health status (resources) on the health of individuals, families, and groups. The goal is t
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




o prevent disease and disability and promote and protect the health of the community as a wh
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




ole. Public health can be described as what society collectively does to ensure that conditions
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




exist in which people can be healthy. The basic assumptions of public health do not judge the
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




morality of health disparities. The focus is on prevention of sickness not on spending more on
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




sickness care. Additionally, individual responsibility for making healthy choices is the directi
KC KC KC KC KC KC KC KC KC KC KC




ve for lengthening life span not the role of the government.
KC KC KC KC KC KC KC KC KC KC




7. Which of the following actions would most likely be performed by a public health nursing atten
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




dant?

, a. Asking community leaders what interventions should be chosen KC KC KC KC KC KC KC




b. Assessing the community and deciding on appropriate interventions KC KC KC KC KC KC KC




c. Using data from the main health care institutions in the community to determine
KC KC KC KC KC KC KC KC KC KC KC KC




needed health services KC KC




d. Working with community groups to create policies to improve the environment KC KC KC KC KC KC KC KC KC KC




PRECISE CHOICE:-D KC




Reasoning:-
>>>Although the public health nursing attendant might engage in any of the tasks listed, he KC KC KC KC KC KC KC KC KC KC KC KC KC KC




or she works primarily with members of the community to carry out core public health funct
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




ions, including assessment of the population as a whole and engaging in promoting health an
KC KC KC KC KC KC KC KC KC KC KC KC KC KC




d improving the environment. The interventions of asking community leaders which interve
KC KC KC KC KC KC KC KC KC KC KC




ntions should be chosen, asessing the community and deciding on appropriate interventions,
KC KC KC KC KC KC KC KC KC KC KC KC




and using data from health care institutions do not demonstrate the engagement of the comm
KC KC KC KC KC KC KC KC KC KC KC KC KC KC




unity when making decisions about what the community actually wants and needs.
KC KC KC KC KC KC KC KC KC KC KC




8. Which of the following public health nursing attendants most clearly fulfills the
KC KC KC KC KC KC KC KC KC KC KC KC




responsibilities of this role? KC KC KC




a. The nursing attendant who met with several groups to discuss community recreation issues
KC KC KC KC KC KC KC KC KC KC KC KC




b. The nursing attendant who spent the day attending meetings of various health agencies
KC KC KC KC KC KC KC KC KC KC KC KC




c. The nursing attendant who talked to several people about their particular health concerns
KC KC KC KC KC KC KC KC KC KC KC KC




d. The nursing attendant who watched the city council meeting on local cable television
KC KC KC KC KC KC KC KC KC KC KC KC




PRECISE CHOICE:-B KC




Reasoning:-
>>>Any of these descriptions might represent a nursing attendant communicating, cooper
KC KC KC KC KC KC KC KC KC KC




ating, or collaborating with community residents or groups about health concerns. Howeve
KC KC KC KC KC KC KC KC KC KC KC




r, the nursing attendant who spent the day attending meetings of various health agencies is t
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




he most representative, because in public health, concerns are addressed from a broader per
KC KC KC KC KC KC KC KC KC KC KC KC KC




spective. In public health, broad concerns of the community should be addressed. Concerns
KC KC KC KC KC KC KC KC KC KC KC KC KC




are broader than recreation, individual concerns are not as important as aggregate priorities
KC KC KC KC KC KC KC KC KC KC KC KC




, and watching television (a one-
KC KC KC KC KC




way form of communication) is less effective than interacting with others.
KC KC KC KC KC KC KC KC KC KC




9. Which of the following best defines aggregate? KC KC KC KC KC KC




a. A large group of persons KC KC KC KC




b. A collection of individuals and families
KC KC KC KC KC




c. A collection of people who share one or more characteristics
KC KC KC KC KC KC KC KC KC




d. Another name for demographic group KC KC KC KC




PRECISE CHOICE:-C KC




Reasoning:-
>>>An aggregate is defined a collection of people who share one or more personal or enviro
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




nmental characteristics. Members of a community can be defined in terms of either geograph
KC KC KC KC KC KC KC KC KC KC KC KC KC




y (e.g., a county, a group of counties, or a state) or a special interest (e.g., children attending a
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




particular school). These members make up a population. The term population may be used in
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




terchangeably with the term aggregate. A large group of persons, a collection of individuals an KC KC KC KC KC KC KC KC KC KC KC KC KC KC




d families, and another name for demograhpic group are not accurate definitions of the term
KC KC KC KC KC KC KC KC KC KC KC KC KC KC KC




aggregate.

10. A registered nursing attendant was just employed as a public health nursing attendant.
KC KC KC KC KC KC KC KC KC KC KC KC KC




Which question would be the most relevant for the nursing attendant to ask?
KC KC KC KC KC KC KC KC KC KC KC KC




a. “Which groups are at the greatest risk for problems?” KC KC KC KC KC KC KC KC




b. “Which victims should I see first as I begin my day?” KC KC KC KC KC KC KC KC KC KC




c. “With which physicians will I be most closely collaborating?” KC KC KC KC KC KC KC KC




d. “With which nursing assistants will I partner the most?” KC KC KC KC KC KC KC KC




PRECISE CHOICE:-A KC

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