Chapter 2 Population Health Nursing: Yesterday, Today, and Tomorrow

Chapter 2   Population Health Nursing: Yesterday, Today, and Tomorrow

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The population health nurse is reviewing the recommendations within the Report of the Massachusetts Sanitary Commission drafted by Lemuel Shattuck. What should the nurse identify as being the most important effect of this document?

1. Establishing state boards of health.
2. Establishing workhouses for the sick poor.
3. Mobilizing social reform to sanitary engineering.
4. Refuting that poverty was the result of deficiencies in moral character.

Answer:  1

Explanation:  1. The Massachusetts Sanitary Commission was established in response to concern over the effects of crowded living conditions, poverty, and poor sanitation on health. In 1850, Lemuel Shattuck drafted the commission’s findings. The Report of the Massachusetts Sanitary Commission included recommendations for establishing state and local health departments, systematic collection of vital statistics, and sanitation inspections, and for instituting programs for school health and control of mental illness, alcohol abuse, and tuberculosis. Other recommendations included public education regarding sanitation, control of nuisances, periodic physical examinations, supervision of the health of immigrants, and construction of model tenements. In addition, the report recommended improved education for nurses and the inclusion of content on preventive medicine and sanitation in medical school curricula. Until the late 19th century, it was held that poverty was the result of one’s moral character. Workhouses for the poor had been in place since the late 18th century. Chadwick’s Inquiry into the Sanitary Conditions of the Labouring Population of Great Britain shifted the view from social reform to sanitary engineering.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  2-1

2) The nurse is reviewing the evolution of national health care systems in countries throughout Europe and the United States for a school project. In which century should the nurse emphasize that national health insurance in the United States was first proposed?

1. Late 20th century.
2. Mid-20th century.
3. Early 20th century.
4. Mid-19th century.

Answer:  3

Explanation:  3. National health insurance was proposed as early as 1912 as an element of Theodore Roosevelt’s 1912 election platform. Germany initiated a national health program in the 1860s, as did Great Britain, though the latter was unsuccessful. While efforts to address national health insurance in the United States had been proposed in the mid- and late 20th century, its earliest origin was at the turn of the century.

Nursing/Int.Conc:  Nursing Process: Assessment

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  2-3

3) In preparation for a health fair the nurse wants to explain the role of ancient civilizations on water purification. Which civilizations should the nurse highlight as being advocates for clean water supplies? (Select all that apply.)

1. Aztecs.
2. Greeks.
3. Romans.
4. Germans.
5. Egyptians.

Answer:  1, 3, 5

Explanation:  1. The Egyptians, Romans, and Aztecs were all known to emphasize the importance of clean water supplies. Other civilizations developed some measures to protect their water supplies but not quite to the extent of the Egyptians, Romans, and Aztecs.

3. The Egyptians, Romans, and Aztecs were all known to emphasize the importance of clean water supplies. Other civilizations developed some measures to protect their water supplies but not quite to the extent of the Egyptians, Romans, and Aztecs.
4. The Egyptians, Romans, and Aztecs were all known to emphasize the importance of clean water supplies. Other civilizations developed some measures to protect their water supplies but not quite to the extent of the Egyptians, Romans, and Aztecs.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  2-1

4) The population health nurse is discussing the first organized approach to home nursing of the sick that was established in 1813 by the Ladies’ Benevolent Society of Charleston, SC, in response to a yellow fever epidemic. What important aspect of the care provided by this organization should the nurse emphasize?

1. Restricted to women and children.
2. Directed to those residing in the Jewish community.
3. Restricted to those who were able to pay for services.
4. Nondenominational and nondiscriminatory in an era of racial discrimination.

Answer:  4

Explanation:  4. Though the care was given by upper class women to those who needed nursing care, the Ladies’ Benevolent Society of Charleston was notable in that its services were nondenominational and nondiscriminatory in a region and time where racial discrimination was the prevailing behavior. Payment for services was not a hallmark of the Ladies’ Benevolent Society. Services to the Jewish Community were organized in Philadelphia in 1819 by Rebecca Gratz. There were no restrictions to the people whom the Ladies’ Benevolent Society provided nursing care.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  2-3