[community Public Health] Chapter 2: Origins And Future Of Community/Public Health Nursing

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| By Draconisnightman
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Draconisnightman
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  • 1/19 Questions

    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?

    • Church clergy
    • Business owners
    • Lobbyists
    • Government officials
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About This Quiz

Explore the origins and future of Community\/Public Health Nursing in this focused quiz. Assess your understanding of historical challenges, the role of nurses, and effective community interventions. Ideal for students and professionals aiming to enhance their knowledge in public health contexts.

[community Public Health] Chapter 2: Origins And Future Of Community/Public Health Nursing - Quiz

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  • 2. 

    With what aspect of the population being served have both nursing and public health always been most concerned?

    • Financial resources

    •  Political beliefs

    • Religious faith

    • Social and physical environments

    Correct Answer
    A. Social and physical environments
    Explanation
    Both nursing and public health have always been most concerned with the social and physical environments of the population being served. This includes factors such as living conditions, access to healthcare services, social support systems, and environmental factors that can impact health outcomes. By addressing and improving these aspects, nursing and public health aim to promote overall well-being and prevent illness in the population.

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  • 3. 

    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?

    • C. E. A. Winslow

    • Edwin Chadwick

    • Lemuel Shattuck

    • John Snow

    Correct Answer
    A. John Snow
    Explanation
    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, finding that they were clustered around a specific water pump. This led him to conclude that contaminated water was the source of the disease, challenging the prevailing theory at the time that cholera was spread through miasma or foul air. Snow's work laid the foundation for modern epidemiology and the understanding of how diseases are transmitted.

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  • 4. 

    Which person established population-based objectives and used statistics to show that specific interventions dramatically decreased the death rate by 51%?

    • C. E. A. Winslow

    • Lemuel Shattuck

    • Florence Nightingale

    • John Snow

    Correct Answer
    A. Florence Nightingale
    Explanation
    Florence Nightingale established population-based objectives and used statistics to demonstrate that specific interventions resulted in a significant 51% decrease in the death rate.

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  • 5. 

    For what is Clara Barton primarily known?

    • Helping found the American branch of the Red Cross

    • Exemplifying excellent military strategy skills

    • Working at the U.S. Patent Office

    •  Facilitating reforms in prisons and mental institutions

    Correct Answer
    A. Helping found the American branch of the Red Cross
    Explanation
    Clara Barton is primarily known for her role in helping found the American branch of the Red Cross. She was a nurse and humanitarian who provided aid to soldiers during the American Civil War. Barton's efforts in organizing relief efforts and providing medical assistance to soldiers earned her recognition and led to the establishment of the American Red Cross, which continues to provide humanitarian aid and support during times of crisis.

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  • 6. 

    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?

    • In-school treatment reduced absenteeism.

    • Nurses were cheaper to employ than additional teachers.

    • In-school treatment was cost effective.

    • Nurses knew when to send young children home.

    Correct Answer
    A. In-school treatment reduced absenteeism.
    Explanation
    The reason for the initial development of this specialty nursing practice was that in-school treatment reduced absenteeism. By having a nurse on-site, students could receive immediate medical attention for minor illnesses or injuries, allowing them to stay in school instead of going home or missing class. This helped to reduce the number of absences and ensure that students received the necessary care while at school.

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  • 7. 

    Who emphasized that public health must be concerned with the standard of living of citizens?

    • C. E. A. Winslow

    • Lemuel Shattuck

    • Florence Nightingale

    • John Snow

    Correct Answer
    A. C. E. A. Winslow
    Explanation
    C. E. A. Winslow emphasized that public health must be concerned with the standard of living of citizens. This is because he believed that factors such as housing, sanitation, nutrition, and education have a significant impact on the health and well-being of individuals and communities. By addressing these social determinants of health, public health efforts can effectively improve the overall health outcomes of the population.

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  • 8. 

    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?

    • It decreased the separation between government funding and private physicians.

    • It provided federal intervention for previous state responsibilities.

    • It helped the public realize that some persons had not been getting care.

    •  It allowed the federal government to finance health care services.

    Correct Answer
    A. It decreased the separation between government funding and private physicians.
    Explanation
    The Medicare and Medicaid legislation, passed in 1965, resulted in a decrease in the separation between government funding and private physicians. This means that the government started providing funding and financial support to private physicians, increasing their involvement in healthcare. This legislation aimed to ensure that more people had access to healthcare services, especially those who were previously unable to afford it. By providing government funding to private physicians, the legislation helped bridge the gap between public and private healthcare sectors and increased access to care for the public.

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  • 9. 

    What occurred as a result of industrialization?

    • People from lower socioeconomic classes were able improve their socioeconomic positions.

    • Problems such as overcrowding and disease developed.

    • Products were individualized to meet customers unique needs.

    •  Taxes for roads and other community services increased.

    Correct Answer
    A. Problems such as overcrowding and disease developed.
    Explanation
    As a result of industrialization, problems such as overcrowding and disease developed. This is because industrialization led to rapid urbanization, with people moving from rural areas to cities in search of employment opportunities. However, the cities were ill-prepared to handle the influx of people, leading to overcrowding in slums and tenements. The cramped living conditions, lack of proper sanitation, and inadequate healthcare facilities resulted in the spread of diseases such as cholera and tuberculosis. Thus, industrialization brought about negative consequences in terms of public health and living conditions.

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  • 10. 

    How did Nightingale demonstrate the effectiveness of providing nursing care to soldiers?

    • Persuading military officers that clean air was necessary for the ill soldiers

    • Using biostatistics to demonstrate decline in death rates

    • Improving the living quarters for the injured soldiers

    •  Bringing ranked officers of the military to see the improvements

    Correct Answer
    A. Using biostatistics to demonstrate decline in death rates
    Explanation
    Nightingale demonstrated the effectiveness of providing nursing care to soldiers by using biostatistics to show a decline in death rates. This means that she collected and analyzed data on the number of soldiers who died before and after implementing nursing care, and showed that the death rates decreased significantly. This evidence would have been convincing to military officers and others, as it provided concrete proof that nursing care was effective in saving lives.

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  • 11. 

    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?

    • Selection of drugs that should be stockpiled for future use

    • Limited resources for managing bioterrorism and day-to-day expenses

    • Inconsistencies in systems for distributing supplies to areas of need

    • Need for ongoing education for public health professionals

    Correct Answer
    A. Limited resources for managing bioterrorism and day-to-day expenses
    Explanation
    The correct answer is likely to be addressed because managing limited resources is crucial in disaster planning for bioterrorism preparedness. Allocating resources effectively and efficiently is essential to ensure both the immediate response to a bioterrorism event and the ongoing day-to-day operations of public health. This topic would involve discussing strategies for prioritizing and balancing resources, such as funding, personnel, and supplies, to address both bioterrorism emergencies and routine public health needs.

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  • 12. 

    Why would a nurse who was practicing in the 1900s have been considered to be part of the golden age of public health?

    • Antibiotics were discovered to fight infections.

    • Federal, state, and local funding to public health departments increased.

    • Pasteurization of milk and public water and sewage systems began.

    • Major plagues with high death rates had been stopped.

    Correct Answer
    A. 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 played a crucial role in preventing the spread of diseases and improving public health. By ensuring that milk and water were safe to consume and implementing proper waste management systems, the nurse and other healthcare professionals could effectively reduce the transmission of infectious diseases and improve overall community health.

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  • 13. 

    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?

    • Poor persons did not want nurses to enter their homes.

    • Providing home care to the poor was not accepted by the community.

    • Wealthy community members were reluctant to donate money for these services

    • There were not enough nurses to provide adequate services.

    Correct Answer
    A. There were not enough nurses to provide adequate services.
    Explanation
    The nurse working with William Rathbone and other social reformers to improve care in the homes of poor residents would likely have encountered the barrier of not having enough nurses to provide adequate services. This implies that there was a shortage of nurses available to provide the necessary care and support to the poor residents.

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  • 14. 

    A community/public health nurse is working for a local health department. Which of the following would be an appropriate goal for the nurse?

    • Assessing clients in their own home environment

    • Caring for whole families, not just individuals

    •  Improving health over the long term for families

    • Striving for social betterment

    Correct Answer
    A. Striving for social betterment
    Explanation
    Striving for social betterment would be an appropriate goal for a community/public health nurse working for a local health department. This goal involves working towards improving the overall well-being and quality of life for the community as a whole, not just focusing on individual clients. It encompasses efforts to address social determinants of health, such as access to healthcare, education, employment, and other factors that contribute to the health of the community. By striving for social betterment, the nurse can work towards creating sustainable and equitable improvements in the health of families and the community in the long term.

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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?

    • Ill people prefer to get care from physicians or in hospitals.

    • People do not trust public health department personnel.

    • Physicians have voiced opposition for fear of loss of income.

    • Visiting nurses associations are becoming part of health departments.

    Correct Answer
    A. Physicians have voiced opposition for fear of loss of income.
  • 16. 

    A nurse supports Nursings Agenda for Health Care Reform. For which of the following actions would the nurse advocate?

    • Availability of third-party reimbursement to advanced-practice nurses under Medicare and Medicaid

    • Employment by local health departments of nurses to teach aggregates at high risk how to avoid health problems

    • Physicians ability to employ additional nurses in their practice to improve patients compliance with medical regimens

    • Permission to state governments to pay public health nurses to develop health promotion projects for communities

    Correct Answer
    A. Availability of third-party reimbursement to advanced-practice nurses under Medicare and Medicaid
    Explanation
    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 who are covered by these government healthcare programs. Reimbursement would help to support the financial sustainability of advanced-practice nurses and enable them to continue providing high-quality care to patients in need. This action aligns with the nurse's support for Nursing's Agenda for Health Care Reform, as it aims to improve access to healthcare services and support the role of advanced-practice nurses in the healthcare system.

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  • 17. 

    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?

    • Providing information to family members without providing direct care

    • Assessing the client who was suffering from the disease

    • Donating money, food, bedding, and supplies to the families of the ill person

    • Referring the client and family to community resources

    Correct Answer
    A. Providing information to family members without providing direct care
  • 18. 

    A nurse works in an outpatient clinic. The care that the nurse provides is considered to be community-based because this term

    • Emphasizes the environment of care.

    •  Describes care provided by nongovernmental employees.

    • Implies care that is provided to the very poor.

    • Is used by physicians and other health care professionals.

    Correct Answer
    A.  Describes care provided by nongovernmental employees.
    Explanation
    The correct answer is "Describes care provided by nongovernmental employees." This is because the term "community-based" refers to care that is provided by organizations or individuals outside of the government, such as private clinics or non-profit organizations. It does not necessarily imply care for the very poor or that it is used exclusively by physicians and other healthcare professionals. The term primarily emphasizes the setting or environment in which the care is provided.

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  • 19. 

    A public health nurse is addressing problems in the community. What would be the nurses primary concern?

    • Collecting and analyzing data

    • Assuring sufficient standard of living for clients

    • Providing direct care to clients living in the community

    • Assisting clients and families in adapting to their circumstances

    Correct Answer
    A. Assuring sufficient standard of living for clients
    Explanation
    The nurse's primary concern would be assuring a sufficient standard of living for clients. This is because a public health nurse focuses on promoting and protecting the health of the community as a whole. Assuring a sufficient standard of living for clients would involve addressing social determinants of health such as access to safe housing, nutritious food, and adequate income. By addressing these factors, the nurse can help improve the overall health and well-being of the community.

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  • Current Version
  • Apr 23, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • May 04, 2020
    Quiz Created by
    Draconisnightman
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