Chapter 02: Origins And Future Of Community/Public Health Nursing(Free) Nursing School Test Banks
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1. With what aspect of the population being served have both nursing and public health always been most concerned?
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A. Financial resources
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B. Political beliefs
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C. Religious faith
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D. Social and physical environments
Correct Answer
D. D. Social and physical environmentsExplanation
Both nursing and public health have always been most concerned with the social and physical environments of the population being served. This is because these factors greatly impact the health and well-being of individuals and communities. Nurses and public health professionals work to address social determinants of health, such as access to healthcare, education, housing, and employment, as well as physical determinants, such as air and water quality, sanitation, and safety. By addressing these aspects, nursing and public health aim to improve the overall health outcomes and quality of life for the population.Rate this question:
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2. A community/public health nurse is working for a local health department. Which of the following would be an appropriate goal for the nurse?
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A. Assessing clients in their own home environment
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B. Caring for whole families, not just individuals
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C. Improving health over the long term for families
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D. Striving for social betterment
Correct Answer
D. D. Striving for social bettermentExplanation
The goal of striving for social betterment aligns with the role of a community/public health nurse working for a local health department. This goal involves addressing social determinants of health, advocating for health equity, and working towards improving the overall well-being of the community. It goes beyond individual care and focuses on creating positive social change and improving the health and well-being of the entire population.Rate this question:
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3. What occurred as a result of industrialization?
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A. People from lower socioeconomic classes were able improve their socioeconomic positions.
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B. Problems such as overcrowding and disease developed.
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C. Products were individualized to meet customers unique needs.
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D. Taxes for roads and other community services increased.
Correct Answer
B. B. Problems such as overcrowding and disease developed.Explanation
As a result of industrialization, problems such as overcrowding and disease developed. Industrialization led to rapid urbanization, with people moving from rural areas to cities in search of employment opportunities. This led to overcrowding in cities, as the infrastructure was not equipped to handle such a large influx of people. Additionally, the poor living conditions in overcrowded areas, lack of sanitation, and exposure to pollution and hazardous working conditions in factories contributed to the spread of diseases. Thus, industrialization brought about these problems as a consequence of rapid urbanization and inadequate living conditions.Rate this question:
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4. A district nurse in England during the 1860s was providing care for the community. With which of the following groups would the nurse most likely have interacted?
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A. Church clergy
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B. Business owners
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C. Lobbyists
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D. Government officials
Correct Answer
A. A. Church clergyExplanation
During the 1860s in England, the role of a district nurse was closely tied to the community and often involved working closely with local institutions. The church played a significant role in the community during that time, and the nurse would likely have interacted with the church clergy. The church clergy would have been involved in providing spiritual support and guidance to the community, and the nurse may have collaborated with them to address the healthcare needs of the people.Rate this question:
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5. A nurse was working with William Rathbone and other social reformers to improve care in the homes of poor residents. What barrier was this nurse likely to have encountered?
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A. Poor persons did not want nurses to enter their homes.
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B. Providing home care to the poor was not accepted by the community.
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C. Wealthy community members were reluctant to donate money for these services.
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D. There were not enough nurses to provide adequate services.
Correct Answer
D. D. There were not enough nurses to provide adequate services. -
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6. A district nurse working with William Rathbone was visiting homes of persons suffering from contagious disease. Which of the following nursing interventions probably would have been implemented?
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A. Providing information to family members without providing direct care
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B. Assessing the client who was suffering from the disease
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C. Donating money, food, bedding, and supplies to the families of the ill person
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D. Referring the client and family to community resources
Correct Answer
A. A. Providing information to family members without providing direct care -
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7. A public health nurse is addressing problems in the community. What would be the nurses primary concern?
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A. Collecting and analyzing data
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B. Assuring sufficient standard of living for clients
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C. Providing direct care to clients living in the community
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D. Assisting clients and families in adapting to their circumstances
Correct Answer
B. B. Assuring sufficient standard of living for clientsExplanation
The nurse's primary concern would be to assure a sufficient standard of living for clients in the community. This means ensuring that clients have access to basic necessities such as food, water, shelter, and healthcare. By addressing these social determinants of health, the nurse can help improve the overall well-being and quality of life for individuals in the community. Collecting and analyzing data, providing direct care, and assisting clients in adapting to their circumstances are important aspects of the nurse's role, but assuring a sufficient standard of living is the primary concern in this context.Rate this question:
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8. Who emphasized that public health must be concerned with the standard of living of citizens?
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A. C. E. A. Winslow
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B. Lemuel Shattuck
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C. Florence Nightingale
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D. John Snow
Correct Answer
A. A. C. E. A. WinslowExplanation
C. E. A. Winslow emphasized that public health must be concerned with the standard of living of citizens. This means that public health should not only focus on preventing and treating diseases but also on improving the overall well-being of individuals by addressing social, economic, and environmental factors that contribute to health disparities. Winslow's emphasis on the standard of living highlights the importance of addressing social determinants of health and promoting health equity.Rate this question:
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9. Who was the first person to recognize the importance of the environment by noting that cholera rates were much higher among persons who drank water from a particular well?
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A. C. E. A. Winslow
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B. Edwin Chadwick
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C. Lemuel Shattuck
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D. John Snow
Correct Answer
D. D. John SnowExplanation
John Snow was the first person to recognize the importance of the environment by noting that cholera rates were much higher among persons who drank water from a particular well. He conducted a study during the 1854 cholera outbreak in London and mapped the cases of cholera, ultimately identifying a contaminated water pump as the source of the disease. His findings challenged the prevailing theory of miasma (airborne transmission) and laid the foundation for modern epidemiology and the understanding of waterborne diseases.Rate this question:
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10. Which person established population-based objectives and used statistics to show that specific interventions dramatically decreased the death rate by 51%?
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A. C. E. A. Winslow
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B. Lemuel Shattuck
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C. Florence Nightingale
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D. John Snow
Correct Answer
C. C. Florence NightingaleExplanation
Florence Nightingale did not establish population-based objectives or use statistics to show a decrease in the death rate. She is known for her work in nursing and improving sanitation in hospitals, but she did not focus on population-based objectives or statistical analysis. Therefore, the given answer is incorrect.Rate this question:
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11. How did Nightingale demonstrate the effectiveness of providing nursing care to soldiers?
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A. Persuading military officers that clean air was necessary for the ill soldiers
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B. Using biostatistics to demonstrate decline in death rates
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C. Improving the living quarters for the injured soldiers
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D. Bringing ranked officers of the military to see the improvements
Correct Answer
B. B. Using biostatistics to demonstrate decline in death ratesExplanation
Nightingale demonstrated the effectiveness of providing nursing care to soldiers by using biostatistics to demonstrate a decline in death rates. This means that she collected and analyzed data on the number of deaths among soldiers before and after implementing nursing care. By showing that the death rates decreased after the implementation of nursing care, Nightingale provided evidence that nursing care was effective in improving the health and well-being of soldiers.Rate this question:
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12. For what is Clara Barton primarily known?
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A. Helping found the American branch of the Red Cross
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B. Exemplifying excellent military strategy skills
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C. Working at the U.S. Patent Office
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D. Facilitating reforms in prisons and mental institutions
Correct Answer
A. A. Helping found the American branch of the Red CrossExplanation
Clara Barton is primarily known for helping found the American branch of the Red Cross. She played a crucial role in establishing the organization and was its first president. Barton's efforts in providing humanitarian aid during times of war and disaster earned her recognition and respect. She dedicated her life to helping others and her work with the Red Cross has had a lasting impact on the field of humanitarianism.Rate this question:
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13. Why would a nurse who was practicing in the 1900s have been considered to be part of the golden age of public health?
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A. Antibiotics were discovered to fight infections.
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B. Federal, state, and local funding to public health departments increased.
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C. Pasteurization of milk and public water and sewage systems began.
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D. Major plagues with high death rates had been stopped.
Correct Answer
C. C. Pasteurization of milk and public water and sewage systems began.Explanation
In the 1900s, the nurse would have been considered part of the golden age of public health because this was the time when pasteurization of milk and public water and sewage systems began. These advancements in sanitation and hygiene greatly improved public health and reduced the spread of diseases. It was a significant step towards preventing the transmission of infections and improving overall community health.Rate this question:
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14. A nurse has recently been hired by a school to fulfill the role of the school nurse. What was the reason for the initial development of this specialty nursing practice?
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A. In-school treatment reduced absenteeism.
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B. Nurses were cheaper to employ than additional teachers.
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C. In-school treatment was cost effective.
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D. Nurses knew when to send young children home.
Correct Answer
A. A. In-school treatment reduced absenteeism.Explanation
The reason for the initial development of the specialty nursing practice in schools was that in-school treatment reduced absenteeism. By having a nurse available on-site, students could receive immediate medical attention for minor illnesses or injuries, allowing them to return to class more quickly. This reduced the number of missed school days due to illness and ultimately improved overall attendance rates.Rate this question:
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15. A public health nurse newly employed by a local health department learns that the focus of her practice will be to prevent illness in the community. Why does the focus of practice not include the treatment and care of ill patients?
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A. Ill people prefer to get care from physicians or in hospitals.
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B. People do not trust public health department personnel.
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C. Physicians have voiced opposition for fear of loss of income.
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D. Visiting nurses associations are becoming part of health departments.
Correct Answer
C. C. Physicians have voiced opposition for fear of loss of income. -
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16. A nurse working in 1965 wondered how passage of the Medicare and Medicaid legislation would change health care in the United States. Which of the following accurately describes an outcome of this legislation?
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A. It decreased the separation between government funding and private physicians.
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B. It provided federal intervention for previous state responsibilities.
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C. It helped the public realize that some persons had not been getting care.
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D. It allowed the federal government to finance health care services.
Correct Answer
A. A. It decreased the separation between government funding and private physicians.Explanation
The passage of the Medicare and Medicaid legislation in 1965 decreased the separation between government funding and private physicians. This means that the government started providing funding for healthcare services, which was previously a responsibility of private physicians. This legislation allowed for more government intervention and involvement in healthcare, bridging the gap between public and private sectors.Rate this question:
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17. A nurse works in an outpatient clinic. The care that the nurse provides is considered to be community-based because this term
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A. Emphasizes the environment of care.
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B. Describes care provided by nongovernmental employees.
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C. Implies care that is provided to the very poor.
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D. Is used by physicians and other health care professionals.
Correct Answer
B. B. Describes care provided by nongovernmental employees.Explanation
The correct answer is b. Describes care provided by nongovernmental employees. In this context, "community-based" refers to care that is provided by individuals or organizations that are not affiliated with the government. This could include private clinics, nonprofit organizations, or other healthcare providers that operate independently from government institutions.Rate this question:
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18. A nurse supports Nursings Agenda for Health Care Reform. For which of the following actions would the nurse advocate?
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A. Availability of third-party reimbursement to advanced-practice nurses under Medicare and Medicaid
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B. Employment by local health departments of nurses to teach aggregates at high risk how to avoid health problems
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C. Physicianss ability to employ additional nurses in their practice to improve patients compliance with medical regimens
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D. Permission to state governments to pay public health nurses to develop health promotion projects for communities
Correct Answer
A. A. Availability of third-party reimbursement to advanced-practice nurses under Medicare and MedicaidExplanation
The nurse would advocate for the availability of third-party reimbursement to advanced-practice nurses under Medicare and Medicaid. This would help to ensure that advanced-practice nurses are able to provide their services to patients and receive appropriate reimbursement for their work. This would also help to increase access to healthcare services for individuals who rely on Medicare and Medicaid for their healthcare coverage.Rate this question:
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19. A public health nurse is discussing disaster planning in relation to bioterrorism preparedness with members of the county board of health. Which of the following topics is likely to be addressed?
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A. Selection of drugs that should be stockpiled for future use
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B. Limited resources for managing bioterrorism and day-to-day expenses
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C. Inconsistencies in systems for distributing supplies to areas of need
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D. Need for ongoing education for public health professionals
Correct Answer
B. B. Limited resources for managing bioterrorism and day-to-day expensesExplanation
The correct answer is b. Limited resources for managing bioterrorism and day-to-day expenses. In a discussion on disaster planning and bioterrorism preparedness, it is important to address the issue of limited resources. This includes managing the expenses associated with bioterrorism response as well as balancing these expenses with day-to-day public health operations. It is crucial for the county board of health to understand the financial constraints and challenges they may face in order to effectively plan and allocate resources for bioterrorism preparedness.Rate this question:
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Sep 13, 2023Quiz Edited by
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May 14, 2020Quiz Created by
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