FOUNDATIONS FOR POPULATION HEALTH IN
COMMUNITY PUBLIC HEALTH NURSING
5TH EDITION STANHOPE
CHAPTER 1-32
TEST BANK
Chapter 01: Community- and
... [Show More] Prevention-Oriented Practice to Improve
PopulationHealth
Stanhope: Foundations for Population Health in Community/Public Health
Nursing,5th Edition
MULTIPLE CHOICE
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,
andcontinuous care. These nurses may be generalists or specialists in maternal–infant,
pediatric,adult, or psychiatric mental health nursing. Community-based nursing
emphasizes acute andchronic care to individuals and families, rather than focusing on
groups, aggregates, or systems.U S N T
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 inNdivRiduaI ls wGithB in. thCeirMfamily 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
focuson individuals and families, give direct care to ill persons within their family setting,
and helpmanage acute or chronic conditions. These definitions are not specific to
community-orientednursing.
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 andpreserve, 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.4. Which of the following is responsible for the dramatic increase in life expectancy
during the20th century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other population-based prevention programs
d. Use of antibiotics to fight infections
ANS: C
Improvements in control of infectious diseases through immunizations, sanitation,
and other population-based prevention programs led to the increase in life
expectancy from less than 50years in 1900 to more than 78 years in 2013. Although
people are excited when a new drug isdiscovered that cures a disease or when a new
way to transplant organs is perfected, it is important to know about the significant
gains in the health of populations that have come largely from public health
accomplishments.
5. A nurse is developing a plan to decrease the number of premature deaths in the
community.Which of the following interventions would most likely be
implemented by the nurse?
a. Increase the community’s knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for
communitymembers.
ANS: B
Public health approaches could help prevent premature deaths by influencing the
way peopleeat, drink, drive, engage in exercise, and treat the environment.
Increasing knowledge of
hospice care, encouraging on-site wellness centers, and ensuring timely treatment of
medicalconditions do not address the focus of improving overall health through
health promotion strategies. This is the major method that is suggested to decrease
the incidence of premature death.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.d. The government is responsible for lengthening the life span of Americans.
ANS: C
Public health practice focuses on the community as a whole, and the effect of the
community’s health status (resources) on the health of individuals, families, and
groups. The goal is to prevent disease and disability and promote and protect the
health of the community as a whole. Public health can be described as what society
collectively does to ensure that conditions exist in which people can be healthy. The
basic assumptions of public health do notjudge the morality of health disparities. The
focus is on prevention of illness not on spending more on illness care. Additionally,
individual responsibility for making healthy choices is the directive for lengthening
life span not the role of the government.
7. Which of the following actions would most likely be performed by a public health
nurse?
a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determineneeded health services
d. Working with community groups to create policies to improve the environment
ANS: D
Although the public health nurse might engage in any of the tasks listed, he or she
works primarily with members of the community to carry out core public health
functions, includingassessment of the population as a whole and engaging in
promoting health and improving theenvironment. The interventions of asking
community leaders which interventions should be chosen, asessing the community
and deciding on appropriate interventions, and using data from health care
institutions do not demonstrate the engagement of the community when making
decisions about what the community actually wants and needs.
8. Which of the following public health nurses most clearly fulfills the
responsibilities of thisrole?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television
ANS: B
Any of these descriptions might represent a nurse communicating, cooperating, or
collaborating with community residents or groups about health concerns. However,
the nursewho spent the day attending meetings of various health agencies is the
most representative, because in public health, concerns are addressed from a
broader perspective. In public health,broad concerns of the community should be
addressed. Concerns are broader than recreation,individual concerns are not as
important as aggregate priorities, and watching television (a one-way form of
communication) is less effective than interacting with others.
9. Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A collection of people who share one or more characteristics
d. Another name for demographic group
ANS: C
An aggregate is defined a collection of people who share one or more personal or
environmental characteristics. Members of a community can be defined in terms ofeither geography (e.g., a county, a group of counties, or a state) or a special interest
(e.g., children attending a particular school). These members make up a population.
The term population may be used interchangeably with the term aggregate. A large
group of persons, a collectionof individuals and families, and another name for
demograhpic group are not accurate definitions of the term aggregate.
10. A registered nurse was just employed as a public health nurse. Which question
would be themost relevant for the nurse to ask?
a. “Which groups are at the greatest risk for problems?”
b. “Which patients should I see first as I begin my day?”
c. “With which physicians will I be most closely collaborating?”
d. “With which nursing assistants will I partner the most?”
ANS: A [Show Less]