Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
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Chapter 6, Structure and Economics of Community
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | After a class on important historical influences on community health care, the students are asked to describe the impact of the Shattuck Report. Which response indicates that the students have understood the information? | |
| A) | “It influenced the speed with which health-focused bills pass the legislature.” | |
| B) | “The report set up the organizational structure of the U.S. Public Health Service.” | |
| C) | “It emphasized sanitary progress forming the basis for current public health practice.” | |
| D) | “It de-emphasized the issues addressed in the Hebrew hygienic code.” | |
| Ans: | C | |
| Feedback: | ||
| The Shattuck Report, a landmark document, made a tremendous impact on sanitary progress addressing public health concepts and methods that form the basis of public health practice today. It had no effect on getting bills passed by the legislation nor was it involved in setting up the organizational structure of the U.S. Public Health Service. The Hebrew hygienic code, probably the first written code, was the prototype for personal and community sanitation. | ||
| 2. | Over the past century, many health-related changes have occurred affecting morbidity and mortality. As community health nurses assess and plan for services in the community, an understanding of which of the following changes would the nurses need to integrate into their plans? Select all that apply. | |
| A) | High levels of chronic disease | |
| B) | Shortened life spans | |
| C) | Increased teen pregnancies | |
| D) | Abuse of multiple substances | |
| E) | Increased maternal mortality | |
| F) | Multidrug-resistant diseases | |
| Ans: | A, C, D, F | |
| Feedback: | ||
| Issues today include high levels of chronic disease, increase in teen pregnancies, abuse of multiple substances, and multidrug-resistant disease. Shortened life spans and increased maternal mortality were real issues in the 1900s but are significantly different today. With the shortened life span over 100 years ago, people were not living long enough to develop a long history of chronic disease. Maternal mortality was high 100 years ago as prenatal care and the technology of today did not exist. | ||
| 3. | During a presentation at a local health department, a community health nurse discusses how society has changed over the past 100 years and the influence that these changes have had on the community’s health care needs. Which of the following would the nurse include as a current societal event? | |
| A) | Large disparity in male/female wages | |
| B) | Rural to urban migration | |
| C) | Rampant child labor | |
| D) | Widespread violence | |
| Ans: | D | |
| Feedback: | ||
| Today, society is faced with widespread violence and terrorism. Populated urban areas continue to loose people to the suburbs, while 100 years ago, people were leaving rural areas for urban areas. A century ago child labor laws were just forming and child labor was rampant. | ||
| 4. | When seeking employment, a community health nurse decides to focus the search on official health care agencies, based on the understanding that these agencies are | |
| A) | voluntary. | |
| B) | tax supported. | |
| C) | proprietary. | |
| D) | privately funded. | |
| Ans: | B | |
| Feedback: | ||
| Official health care agencies, later called public health agencies, are tax supported; thus, they must provide services determined by the federal, state, or local government. Voluntary or private agencies are privately funded. Proprietary health services are privately owned and managed and may be for profit or nonprofit. | ||
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