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Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank

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1. Which of the following best describes community-based nursing? a. A practice in which care is provided for individuals and families b. Providing care with a focus on the group’s needs c. Giving care with a focus on the aggregate’s needs d. A value system in which all clients receive optimal care ANS: A By definition, community-based nursing is a setting-specific practice in which care is provided for “sick” individuals and families where they live, work, and attend school. The emphasis is on acute and chronic care and the provision of comprehensive, coordinated, and continuous care. These nurses may be generalists or specialists in maternal–infant, pediatric, adult, or psychiatric mental health nursing. Community-based nursing emphasizes acute and chronic care to individuals and families, rather than focusing on groups, aggregates, or systems. 2. Which of the following best describes community-oriented nursing? a. Focusing on the provision of care to individuals and families b. Providing care to manage acute or chronic conditions c. Giving direct care to ill inNdivRiduaIls wGithBCeirMfamily setting d. Having the goal of health promotion and disease prevention ANS: D By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining health and preventing disease to promote the quality of life. All nurses may focus on individuals and families, give direct care to ill persons within their family setting, and help manage acute or chronic conditions. These definitions are not specific to community-oriented nursing. 3. Which of the following is the primary focus of public health nursing? a. Families and groups b. Illness-oriented care c. Individuals within the family unit d. Health care of communities and populations ANS: D In public health nursing the primary focus is on the health care of communities and populations rather than on individuals, groups, and families. The goal is to prevent disease and preserve, promote, restore, and protect health for the community and the population within it. Community-based nurses deal primarily with illness-oriented care of individuals and families acorss the life span. The aim is to amanage acute and chronic health conditions in the community, and the focus of practice is on individual or family-centered illness care.

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Institución
Health In Community
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Health in Community

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FoundationsrforrPopulationrHealthrinrCommunityrPublicrHealthrNursingr5thrEditionrStanhoperTestrBank


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




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