Chapter 01: Community- and Prevention-
r r r r
Oriented Practice to Improve Population Health
r r r r r
Stanhope: Foundations for Population Health in Community/Public Health Nursing, 5th
r r r r r r r r r r
Edition
MULTIPLErCHOICE
1. Whichrofrtherfollowingrbestrdescribesrcommunity-basedrnursing?
a. Arpracticerinrwhichrcarerisrprovidedrforrindividualsrandrfamilies
b. Providingrcarerwithrarfocusronrthergroup’srneeds
c. Givingrcarerwithrarfocusronrtheraggregate’srneeds
d. Arvaluersystemrinrwhichrallrclientsrreceiveroptimalrcare
ANS:r A
Byrdefinition,rcommunity-basedrnursingrisrarsetting-specificrpracticerinrwhichrcareris
providedrforr―sick‖rindividualsrandrfamiliesrwherertheyrlive,rwork,randrattendrschool.rTherempha
sisrisronracuterandrchronicrcarerandrtherprovisionrofrcomprehensive,rcoordinated,randrcontinuousr
care.rThesernursesrmayrbergeneralistsrorrspecialistsrinrmaternal–
infant,rpediatric,radult,rorrpsychiatricrmentalrhealthrnursing.rCommunity-
basedrnursingremphasizesracuterandrchronicrcarertorindividualsrandrfamilies,rratherrthanrfocusing
ronrgroups,raggregates,rorrsystems.
2. Whichrofrtherfollowingrbestrdescribesrcommunity-orientedrnursing?
a. Focusingronrtherprovisionrofrcarertorindividualsrandrfamilies
b. Providingrcarertormanageracuterorrchronicrconditions
c. Givingr directr carer tor illr inNdivR
UIls
idua GithBin.thCeir Mfamily
rSrNrT
rw
d. Havingrthergoalrofrhealthrpromotionrandrdiseaserprevention
O r setting
ANS:r D
Byrdefinition,rcommunity-
orientedrnursingrhasrthergoalrofrpreserving,rprotecting,rorrmaintainingrhealthrandrpreventingrdise
asertorpromotertherqualityrofrlife.rAllrnursesrmayrfocusronrindividualsrandrfamilies,rgiverdirectrcar
ertorillrpersonsrwithinrtheirrfamilyrsetting,randrhelprmanageracuterorrchronicrconditions.rTheserdef
initionsrarernotrspecificrtorcommunity-orientedrnursing.
3. Whichrofrtherfollowingrisrtherprimaryrfocusrofrpublicrhealthrnursing?
a. Familiesrandrgroups
b. Illness-orientedrcare
c. Individualsrwithinrtherfamilyrunit
d. Healthrcarerofrcommunitiesrandrpopulations
ANS:r D
Inrpublicrhealthrnursingrtherprimaryrfocusrisronrtherhealthrcarerofrcommunitiesrandrpopulationsrrat
herrthanronrindividuals,rgroups,randrfamilies.rThergoalrisrtorpreventrdiseaserandrpreserve,rpromote,
rrestore,randrprotectrhealthrforrthercommunityrandrtherpopulationrwithinrit.rCommunity-
basedrnursesrdealrprimarilyrwithrillness-
orientedrcarerofrindividualsrandrfamiliesracorssrtherliferspan.rTheraimrisrtoramanageracuterandrchro
nicrhealthrconditionsrinrthercommunity,randrtherfocusrofrpracticerisronrindividualrorrfamily-
centeredrillnessrcare.
NURSINGTB.COM
,FoundationsrforrPopulationrHealthrinrCommunityrPublicrHealthrNursingr5thrEditionrStanhoperTestrBank
4. Whichrofrtherfollowingrisrresponsiblerforrtherdramaticrincreaserinrliferexpectancyrduringrther20t
hrcentury?
a. Technologyrincreasesrinrtherfieldrofrmedicalrlaboratoryrresearch
b. Advancesrinrsurgicalrtechniquesrandrprocedures
c. Sanitationrandrotherrpopulation-basedrpreventionrprograms
d. Userofrantibioticsrtorfightrinfections
ANS:r C
Improvementsrinrcontrolrofrinfectiousrdiseasesrthroughrimmunizations,rsanitation,randrotherrpop
ulation-
basedrpreventionrprogramsrledrtortherincreaserinrliferexpectancyrfromrlessrthanr50ryearsrinr1900rto
rmorerthanr78ryearsrinr2013.rAlthoughrpeoplerarerexcitedrwhenrarnewrdrugrisrdiscoveredrthatrcure
srardiseaserorrwhenrarnewrwayrtortransplantrorgansrisrperfected,ritrisrimportantrtorknowraboutrthers
ignificantrgainsrinrtherhealthrofrpopulationsrthatrhavercomerlargelyrfromrpublicrhealthraccomplis
hments.
5. Arnurserisrdevelopingrarplanrtordecreaserthernumberrofrprematurerdeathsrinrthercommunity.rWhi
chrofrtherfollowingrinterventionsrwouldrmostrlikelyrberimplementedrbyrthernurse?
a. Increaserthercommunity’srknowledgeraboutrhospicercare.
b. Promoterhealthyrlifestylerbehaviorrchoicesramongrthercommunityrmembers.
c. Encourageremployersrtorhaverwellnessrcentersratreachrindustrialrsite.
d. Ensurertimelyrandreffectivermedicalrinterventionrandrtreatmentrforrcommunityrm
embers.
ANS:r B
Publicrhealthrapproachesrcouldrhelprpreventrprematurerdeathsrbyrinfluencingrtherwayrpeoplereat,r
drink,rdrive,rengagerinrexercise,randrtreatrtherenvironment.rIncreasingrknowledgerofrhospicercare
,rencouragingron-siterwellnessrcenters,randrensuringrtimelyrtreatmentrofrmedical
conditionsrdornotraddressrtheNfU
ocR
usSoIf N
imGpT
roBv.
inC o vMe r a l l rhealthrthroughrhealthrpromotion
grO
strategies.rThisrisrthermajorrmethodrthatrisrsuggestedrtordecreasertherincidencerofrpremature
death.
6. Whichrofrtherfollowingrisrarbasicrassumptionrofrpublicrhealthrefforts?
a. Healthrdisparitiesramongranyrgroupsrarermorallyrandrlegallyrwrong.
b. Healthrcarerisrthermostrimportantrpriorityrinrgovernmentrplanningrandrfunding.
c. Therhealthrofrindividualsrcannotrberseparatedrfromrtherhealthrofrthercommunity.
d. ThergovernmentrisrresponsiblerforrlengtheningrtherliferspanrofrAmericans.
ANS:r C
Publicrhealthrpracticerfocusesronrthercommunityrasrarwhole,randrthereffectrofrthe
community’srhealthrstatusr(resources)ronrtherhealthrofrindividuals,rfamilies,randrgroups.rThergoalr
isrtorpreventrdiseaserandrdisabilityrandrpromoterandrprotectrtherhealthrofrthercommunityrasrarwhol
e.rPublicrhealthrcanrberdescribedrasrwhatrsocietyrcollectivelyrdoesrtorensurerthatrconditionsrexistri
nrwhichrpeoplercanrberhealthy.rTherbasicrassumptionsrofrpublicrhealthrdornotrjudgerthermoralityrofr
healthrdisparities.rTherfocusrisronrpreventionrofrillnessrnotronrspendingrmoreronrillnessrcare.rAddit
ionally,rindividualrresponsibilityrforrmakingrhealthyrchoicesrisrtherdirectiverforrlengtheningrlifers
panrnotrtherrolerofrthergovernment.
7. Whichrofrtherfollowingractionsrwouldrmostrlikelyrberperformedrbyrarpublicrhealthrnurse?
a. Askingrcommunityrleadersrwhatrinterventionsrshouldrberchosen
b. Assessingrthercommunityrandrdecidingronrappropriaterinterventions
c. Usingrdatarfromrthermainrhealthrcarerinstitutionsrinrthercommunityrtordetermine
NURSINGTB.COM
,FoundationsrforrPopulationrHealthrinrCommunityrPublicrHealthrNursingr5thrEditionrStanhoperTestrBank
neededrhealthrservices
d. Workingrwithrcommunityrgroupsrtorcreaterpoliciesrtorimprovertherenvironment
ANS:r D
Althoughrtherpublicrhealthrnursermightrengagerinranyrofrthertasksrlisted,rherorrsherworksrprimaril
yrwithrmembersrofrthercommunityrtorcarryroutrcorerpublicrhealthrfunctions,rincludingrassessmentr
ofrtherpopulationrasrarwholerandrengagingrinrpromotingrhealthrandrimprovingrtherenvironment.rT
herinterventionsrofraskingrcommunityrleadersrwhichrinterventionsrshouldrberchosen,rasessingrthe
rcommunityrandrdecidingronrappropriaterinterventions,randrusingrdatarfromr healthrcarerinstitutio
nsrdornotrdemonstratertherengagementrofrthercommunityrwhenrmakingrdecisionsraboutrwhatrtherc
ommunityractuallyrwantsrandrneeds.
8. Whichrofrtherfollowingrpublicrhealthrnursesrmostrclearlyrfulfillsrtherresponsibilitiesrofrthisrrol
e?
a. Thernurserwhormetrwithrseveralrgroupsrtordiscussrcommunityrrecreationrissues
b. Thernurserwhorspentrtherdayrattendingrmeetingsrofrvariousrhealthragencies
c. Thernurserwhortalkedrtorseveralrpeopleraboutrtheirrparticularrhealthrconcerns
d. Thernurserwhorwatchedrthercityrcouncilrmeetingronrlocalrcablertelevision
ANS:r B
Anyrofrtheserdescriptionsrmightrrepresentrarnursercommunicating,rcooperating,rorrcollaboratingr
withrcommunityrresidentsrorrgroupsraboutrhealthrconcerns.rHowever,rthernurserwhorspentrtherda
yrattendingrmeetingsrofrvariousrhealthragenciesrisrthermostrrepresentative,rbecauserinrpublicrheal
th,rconcernsrareraddressedrfromrarbroaderrperspective.rInrpublicrhealth,rbroadrconcernsrofrtherco
mmunityrshouldrberaddressed.rConcernsrarerbroaderrthanrrecreation,rindividualrconcernsrarernotr
asrimportantrasraggregaterpriorities,randrwatchingrtelevisionr(arone-
wayrformrofrcommunication)risrlessreffectiverthanrinteractingrwithrothers.
NURSINGTB.COM
9. Whichrofrtherfollowingrbestrdefinesraggregate?
a. Arlargergrouprofrpersons
b. Arcollectionrofrindividualsrandrfamilies
c. Arcollectionrofrpeoplerwhorshareronerorrmorercharacteristics
d. Anotherrnamerforrdemographicrgroup
ANS:r C
Anraggregaterisrdefinedrarcollectionrofrpeoplerwhorshareronerorrmorerpersonalrorrenvironmentalrc
haracteristics.rMembersrofrarcommunityrcanrberdefinedrinrtermsrofreitherrgeographyr(e.g.,rarcount
y,rargrouprofrcounties,rorrarstate)rorrarspecialrinterestr(e.g.,rchildrenrattendingrarparticularrschool).r
Thesermembersrmakeruprarpopulation.rThertermrpopulationrmayrberusedrinterchangeablyrwithrth
ertermraggregate.rArlargergrouprofrpersons,rarcollectionrofrindividualsrandrfamilies,randranotherrn
amerforrdemograhpicrgrouprarernotraccuraterdefinitionsrofrthertermraggregate.
10. Arregisteredrnurserwasrjustremployedrasrarpublicrhealthrnurse.rWhichrquestionrwouldrberthermos
trrelevantrforrthernursertorask?
a. ―Whichrgroupsrareratrthergreatestrriskrforrproblems?‖
b. ―WhichrpatientsrshouldrIrseerfirstrasrIrbeginrmyrday?‖
c. ―WithrwhichrphysiciansrwillrIrbermostrcloselyrcollaborating?‖
d. ―WithrwhichrnursingrassistantsrwillrIrpartnerrthermost?‖
ANS:r A
NURSINGTB.COM
, FoundationsrforrPopulationrHealthrinrCommunityrPublicrHealthrNursingr5thrEditionrStanhoperTestrBank
Askingrwhichrgroupsrareratrgreatestrriskrreflectsrarcommunity-
orientedrperspective.rTherincorrectrresponsesrreflectrarfocusronrindividualsrratherrthanrarcommun
ity-orientedrperspective.
11. Makingrsurerthatressentialrcommunity-
orientedrhealthrservicesrareravailablerdefinesrwhichrofrthercorerpublicrhealthrfunctions?
a. Policyrdevelopment
b. Assessment
c. Assurance
d. Scientificrknowledge-basedrcare
ANS:r C
Assurancerincludesrmakingrsurerthatressentialrcommunity-
orientedrhealthrservicesrareravailablerinrthercommunity.rTherdefinitionrdoesrnotrfitrthertermsrasses
sment,r policyrdevelopment.rScientificrknowledge-
basedrcarerisrnotrarcorerfunctionrofrpublicrhealth.
Assessmentrisrsystematicrdatarcollectionronrtherpopulation,rmonitoringrtherpopulation’srhealthrsta
tus,randrmakingrinformationravailableraboutrtherhealthrofrthercommunity.rPolicyrdevelopmentrref
ersrtoreffortsrtordeveloprpoliciesrthatrsupportrtherhealthrofrtherpopulation,rincludingrusingrarscienti
ficrknowledgerbasertormakerpolicyrdecisions.
12. Whenrtalkingrtorarwomen’srgroupratrtherseniorrcitizens’rcenter,rthernurserremindedrthemrthatrther
onlyrwayrthercenterrwouldrberablertoraffordrtorprovidertransportationrservicesrforrthemrwouldrber
forrthemrtorcontinuertorwriterlettersrtortheirrlocalrcityrcouncilrrepresentativesrrequestingrfundingr
forrsuchrarservice.rWhatrwasrthernursertryingrtoraccomplishrthroughrthisraction?
a. Ensurerthatrtherwomenrdidrnotrexpectrthernursertorsolvertheirrproblem.
b. Demonstrater thatr ther nursNe r u R
n d erIs t o oGd r the
B.wComMen’sr concernsr andr needs.
U
c. Expressrempathy,rsupport,randrconcern.rSrNrT O
d. Helprtherwomenrengagerinrpoliticalraction.
ANS:r D
Publicrhealthrnursesrengagerthemselvesrandrothersrinrpolicyrdevelopmentrandrencouragerandrassi
strpersonsrtorcommunicatertheirrneedsrtorthoserwithrtherpowerrtortakeraction.rThernurserisrdemonst
ratingrtherrolerofradvocaterthroughrthisraction,ritrgoesrbeyondrmerelyrunderstanidngrtherwomen’sr
concern,randrinsteadrmobilizesrthemrtortakeraction.rThisractionrdoesrnotrdemonstraterthernursersh
owingrempathyrratherrthernurserisrempoweringrtheserwomen.
13. Therpublicrhealthrnurserhasrarclearrvisionrofrwhatrneedsrtorberdonerandrwherertorbeginrtorimpr
overtherhealthrofrthercommunity.rWhyrwouldrthernurserspendrtimermeetingrwithrcommunityr
groupsrtordiscussrthermostrimportantrtaskrtorberaddressedrfirst?
a. Torincreaserthergroup’srself-esteem
b. Tormaintainrcommunicationrlinksrwithrthergroups
c. Tormakerthergroupsrfeelrgoodraboutrtheirrcontribution
d. Torworkrwithrthergroups,rnotrforrthergroups
ANS:r D
NURSINGTB.COM