Question 1

Which of the following is responsible for the dramatic increase in life expectancy during the twentieth century?

Accepted Answer

A) Technology increases in the field of medical laboratory research 
B) Advances in surgical techniques and procedures 
C) Sanitation and other public health activities 
D) Use of antibiotics to fight infections C

Question 2

Which of the following best describes community-oriented nursing?

Accepted Answer

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 individuals within their family setting 
D) Having the goal of health promotion and disease prevention D

Question 3

Which of the following actions demonstrate(s) effective public health nursing practice in the community? (Select all that apply.)

Accepted Answer

A) Epidemiologic investigations examine the environment for health hazards. 
B) New services are organized where particular vulnerable populations live. 
C) Partnerships are established with community coalitions. 
D) Staff members at the public health agency continue to increase in number. A, B, C

Question 4

Making sure that essential community-oriented health services are available defines which of the core public health functions?

Accepted Answer

A) Policy development 
B) Assessment 
C) Assurance 
D) Scientific knowledge-based care

Question 5

When talking to a women's group at the senior citizens' center, the nurse reminded them that the only way the center would be able to afford to provide transportation services for them would be for them to continue to write letters to their local city council representatives requesting funding for such a service. What was the nurse trying to accomplish through this action?

Accepted Answer

A) Ensure that the women did not expect the nurse to solve their problem 
B) Demonstrate that the nurse understood the women's concerns and needs 
C) Express empathy, support, and concern 
D) Help the women engage in political action

Question 6

Two nurses plan to walk under a huge downtown bridge where various homeless persons live. Why would the nurses go to such an unsafe area?

Accepted Answer

A) To assess the needs of the homeless who live there 
B) To demonstrate their courage and commitment 
C) To distribute some of their own surplus clothes to those who can use them 
D) To share with various churches and other charities what is needed

Question 7

Which of the following actions would most likely be performed by a public health nurse?

Accepted Answer

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 determine needed health services 
D) Working with community groups to create policies to improve the environment

Question 8

Which of the following best defines aggregate?

Accepted Answer

A) A large group of persons 
B) A collection of individuals and families 
C) A group of persons who share one or more characteristics 
D) Another name for demographic group

Question 9

Why are nurses increasingly providing care in clients' homes rather than in hospitals? (Select all that apply.)

Accepted Answer

A) Home care is less expensive. 
B) It is much more efficient to give care in the home. 
C) Nurses prefer to give home care with individual attention. 
D) People prefer to receive care in their homes rather than in hospitals.

Question 10

Which of the following is the primary focus of public health nursing?

Accepted Answer

A) Families and groups 
B) Illness-oriented care 
C) Individuals within the family unit 
D) Promotion of quality of life

Question 11

Which of the following variables have led to a stronger commitment to population-focused services? (Select all that apply.)

Accepted Answer

A) Economic turmoil and demand for high-technology care 
B) Emergence of new or drug-resistant infectious diseases 
C) Emphasis on overall health care needs rather than only on acute care treatment 
D) Threat of bioterrorism

Question 12

The nurse often has to make resource allocation decisions. Which of the following best describes the criterion the nurse should use in such cases?

Accepted Answer

A) The specific moral or ethical principle related to the situation 
B) The cheapest, most economical approach 
C) The most rational probable outcome 
D) The needs of the aggregate rather than a few individuals

Question 13

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?

Accepted Answer

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 community members.

Question 14

Which of the following actions best represents public health nursing?

Accepted Answer

A) Assessing the effectiveness of the large high school health clinic 
B) Caring for clients in their home following their outpatient surgeries 
C) Providing care to children and their families at the school clinic 
D) Administering follow-up care for pediatric clients at an outpatient clinic

Question 15

A registered nurse was just employed as a public health nurse. Which question would be the most relevant for the nurse to ask?

Accepted Answer

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?"

Question 16

Which of the following public health nurses most clearly fulfills the responsibilities of this role?

Accepted Answer

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

Question 17

Which of the following best describes community-based nursing?

Accepted Answer

A) A philosophy that guides family-centered illness care 
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

Question 18

Which of the following is a basic assumption of public health efforts?

Accepted Answer

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.

Question 19

The public health nurse has a clear vision of what needs to be done and where to begin to improve the health of the community. Why would the nurse spend time meeting with community groups to discuss the most important task to be addressed first?

Accepted Answer

A) To increase the group's self-esteem 
B) To maintain communication links with the groups 
C) To make the groups feel good about their contribution 
D) To work with the groups, not for the groups

Exam 1: Community-Oriented Nursing and Community-Based Nursing