Chapter 1 Population Health and Nursing

Chapter 1   Population Health and Nursing

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The nurse is designing a program for pregnant adolescents in the community. The program will focus on fetal development, appropriate nutrition, developing social support systems, and screening for potential abuse by partners or others. This is an example of:

1. Community-driven care.
2. Community-focused care.
3. Community-based nursing.
4. Population health nursing.

Answer:  4

Explanation:  4. Population health nursing is the practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences. The population will benefit from the program because the adolescents will be healthier and deliver healthier infants, thus saving on health care costs. Community-based nursing is nurses providing sick care in community settings. Community-focused care is bringing nursing knowledge and expertise to the community, but it does not have a population focus. Community-driven care focuses on the needs of the community as a whole and emphasizes community participation in determining those needs. It can limit the focus of practice to health needs identified by the population group, and could thus exclude pregnant adolescents.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  1-1

2) The nurse meets with members of the community in open forums to help determine ways to improve health. The nurse identifies health problems in the community based on the community input and the nurse’s community assessment. In this situation, the nurse is practicing:

1. Public-health nursing.
2. Community-driven care.
3. Community-focused care.
4. Community-oriented care.

Answer:  3

Explanation:  3. Community-focused care brings nursing knowledge and expertise to the community. Public health nursing has a perceived focus of environmental sanitation and controlling communicable diseases. Community-driven care focuses on the needs of the community as a whole, but can be limited to only addressing needs identified by community members. Community-oriented care is limited and focuses program development on small aggregates while potentially ignoring health issues affecting larger population groups.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  1-1

3) The nurse holds community forums to gain input in determining the health needs for the community. Issues raised the forum focus on the need for nutrition education, but the nurse notices that many community members are outside smoking before entering the building. The nurse acknowledges the importance of nutrition education, but addresses the incorporation of smoking cessation education as part of a total lifestyle choice program. Which type of nursing is the nurse implementing?

1. Public health nursing.
2. Community-driven nursing.
3. Population-focused nursing.
4. Community-focused nursing.

Answer:  3

Explanation:  3. The nurse gained input from the community as to their concerns, but also noted that a health concern was smoking. This is population-focused in that it incorporates other population health issues based on the nurse’s assessment and are not focused solely on the community’s concerns. Community-driven care focuses on the needs of the community as a whole and emphasizes community participation in determining those needs. Community-focused nursing is defined as the bringing of nursing knowledge and expertise to the community but such care may not have a population focus. Public health nursing is indicative of governmental or official agency oversight and jurisdiction with a focus on control of communicable diseases and environmental sanitation.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  1-1

4) The population health nurse reviews the standards for population-focused care prior to meeting with a group of patients. On which standards should the nurse focus to determine this population’s risk for developing health problems related to obesity? (Select all that apply.)

1. Standard 1: Assessment.
2. Standard 2: Diagnosis.
3. Standard 8: Competency.
4. Standard 12: Ethics.
5. Standard 13: Evidence-based practice.

Answer:  1, 2, 5

Explanation:  1. The first standard addresses assessment where the population health nurse collects data needed to assess the health status of the population and to identify factors contributing to health and illness in the population. Under Standard 2, the nurse analyzes health assessment data to derive population health diagnoses, which are then prioritized to promote effective action. Standard 13 is the integration of research findings into evidence-based practice. This is important for this population because of the disease process and related health problems. Standard 8 focuses on attaining knowledge and maintaining competency in nursing and public health practice. There is no specific evidence to suggest that the nurse needs to attain additional knowledge. Standard 12 emphasizes the need for ethical behavior on the part of the population health nurse. There is no specific evidence to suggest that extra emphasis is needed on ethic for this patient population.

2. The first standard addresses assessment where the population health nurse collects data needed to assess the health status of the population and to identify factors contributing to health and illness in the population. Under Standard 2, the nurse analyzes health assessment data to derive population health diagnoses, which are then prioritized to promote effective action. Standard 13 is the integration of research findings into evidence-based practice. This is important for this population because of the disease process and related health problems. Standard 8 focuses on attaining knowledge and maintaining competency in nursing and public health practice. There is no specific evidence to suggest that the nurse needs to attain additional knowledge. Standard 12 emphasizes the need for ethical behavior on the part of the population health nurse. There is no specific evidence to suggest that extra emphasis is needed on ethic for this patient population.
3. The first standard addresses assessment where the population health nurse collects data needed to assess the health status of the population and to identify factors contributing to health and illness in the population. Under Standard 2, the nurse analyzes health assessment data to derive population health diagnoses, which are then prioritized to promote effective action. Standard 13 is the integration of research findings into evidence-based practice. This is important for this population because of the disease process and related health problems. Standard 8 focuses on attaining knowledge and maintaining competency in nursing and public health practice. There is no specific evidence to suggest that the nurse needs to attain additional knowledge. Standard 12 emphasizes the need for ethical behavior on the part of the population health nurse. There is no specific evidence to suggest that extra emphasis is needed on ethic for this patient population.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  1-4