Before the mid-1800s, early home care nursing was best recognized by which of the following?

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2. Medicine
3. Public Health

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A group of students are reviewing the various historical events associated with the evolution of community health nursing in preparation for a test. They identify the time from 1970 to the present as the era known as community health nursing based on the understanding that which of the following influences contributed most to this change?
A. The settings and the nurses delivering health care in the community
B. Decisions made by the American Nurses Association
C. Decisions made by physicians in a variety of community settings
D. The demand to eliminate the word "public" from health services

A

Before the mid-1800s, early home care nursing was best recognized by which of the following?
A)Technical advances with the Industrial Revolution making major changes
B)Care provided by family members, friends, and religious groups in the home
C)Accomplishments stemming from the work of Florence Nightingale
D)Formal organization of visiting nursing to provide care to the sick poor

B

Community health nursing has a long history of contributing to the health of populations. Which of the following forms of service would the nurse identify as being most recent?
A)Voluntary home nursing care for the sick poor via district nursing
B)Care provided termed public health nursing
C)Lay and religious groups providing care to the sick poor in their homes
D)Focus on populations with community health nursing seen as a specialty field

D

Which factor was the most significant feature associated with district nursing?
A)Caring for the sick
B)Teaching hygiene and cleanliness
C)Preventing illness
D)Gathering statistical data

B

In their early stages, district nursing was sponsored by which of the following?
A)Religious organizations
B)Private philanthropy
C)Contributions
D)Public funding

A

Which of the following would characterize the public health stage of community health nursing?
A)Voluntary health agencies emphasizing disease prevention
B)Family considered as the primary unit of care
C)Service provision to the sick poor population
D)Primary health care as the key to health for all

B

At which time did the focus of district nursing broadened to include the health and welfare of the general public?
A)Beginning of 20th century
B)In the late 19th century
C)Prior to the 1850s
D)By the early 1970s

A

A student is planning a presentation about the evolution of public health nursing. As part of the presentation, the student would identify which person as being the first one to use the term "public health nursing"?
A)Jessie Sleet
B)Lillian Wald
C)Lina Rogers
D)Margaret Sanger

B

Which of the following are important contributions made by Lillian Wald to the profession of public health nursing? Select all that apply.
A)Demonstrating the effectiveness of placing school nurses in public schools to reduce absenteeism and improve follow-up of problems identified in school children
B)Promoting the use of birth control
C)Convincing the Metropolitan Life Company that nurse intervention could reduce death rates
D)Providing rural "frontier nursing" to serve mountain families in Kentucky
E)Founding the National Organization for Public Health Nursing (NOPHN)

A,C,E

After a class discussion about the contributions of Lillian Wald to the advancement of community health nursing, which of the following if stated by the class indicates that the discussion was effective?
A)Establishment of family-centered nursing and outreach services in New York City at the turn of the 20th century
B)Use of clean and safe nursing care practices to soldiers during the Crimean War in the 1850s
C)Assistance to high-risk populations experiencing tropical diseases in Central America and the Caribbean in the late 1800s
D)Creation of home nursing services in London, marking the beginning of district nursing in the 1860s

A

A group of nursing students are studying for an examination on influential nursing leaders involved in the advancement of community health nursing. The students demonstrate that they are prepared for the examination when they identify which person as the first community health nurse in the United States?
A)Frances Root
B)Mary Robinson
C)Mary Seacole
D)Reba Thelin

A

Which of the following nurses openly defied a law that she saw as unjust and eventually resulted in the formation of The International Planned Parenthood Federation?
A)Lillian Wald
B)Florence Nightingale
C)Margaret Sanger
D)Mary Brewster

C

The community health nurse is preparing a presentation for a group of nursing students about the societal influences on the development of community health nursing. Which factors should the nurse include that have influenced the growth of community health nursing? Select all that apply.
A)Advances in the technology
B)The recognition that one single agent could be considered a cause of illness
C)Access to education being limited to the privileged few
D)Continued increase in the number of women entering nursing because it is recognized as a choice career for women and not men
E)Consumer demand for quality services coupled with community health nurses provision of holistic care

A,E

Which of the following actions by the community health nurse exemplifies the societal influence of causality on the practice of community health nursing?
A)Using computer-based education programs for client education
B)Engaging in video conferencing to share research findings
C)Identifying multiple factors associated with promoting wellness
D)Developing a plan to address the rapid increase in older adult population

C

A community health nurse who is teaching a group of nursing students about the various societal influences on community health nursing is explaining the effects of the consumer movement. Which of the following student responses would lead the community health nurse to determine that the teaching was successful?
A)Individuals are considered passive members of the health care team.
B)Consumers are demanding more coordinated comprehensive care.
C)People are expecting community health nurses to develop new programs.
D)Consumers are identifying a greater need for care by a variety of care providers.

B

Which of the following most accurately reflects the response of community health nursing to economic forces?
A)Decreased competition with other community health service providers
B)Reduction in available programs and services
C)Development of new services for generating revenue
D)Switch to a more illness-oriented philosophy for service

C

A prospective nursing student is interested in working in community health nursing after graduation. Which type of education would be most appropriate for this student to choose?
A)Diploma program
B)Associate degree
C)Baccalaureate degree
D)Graduate degree

C

A community health nurse desires to attain a tenure-track position at a local university to teach community health nursing. Which of the following would this nurse need?
A)Certification
B)Master's degree
C)Doctoral degree
D)Nurse practitioner license

C

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