Test Generator Questions, Chapter 3, History and Evolution of Public Health Nursing

Format: Multiple Choice

Chapter: 3

Client Needs: Safe and Effective Care Environment: Management of Care

Cognitive Level: Apply

Difficulty: Easy

Integrated Process: Caring

Objective: 1

Page and Header: 40, Introduction

1. A nursing instructor is describing the history related to the development of community health nursing. The nurse recognizes that the students understand the teaching when they identify which contribution had the greatest influence?

A) The settings and the nurses delivering health care in the community

B) Decisions made by the American Nurses Association

C) Choices made by physicians in a variety of community settings

D) The demand to eliminate the word “public” from health services

Difficulty: Easy

Integrated Process: Caring

Objective: 1

Page and Header: 41, Early Home Care Nursing (Before Mid-1800s)

2. A nurse is discussing the growth and changes of community health nursing with a group of student nurses. Which factor will the nurse mention is most notable before 1850?

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

Difficulty: Easy

Integrated Process: Caring

Objective: 2

Page and Header: 40, Introduction

3. A nurse instructor is preparing to discuss the various forms of community health nursing with the class. Which form of service will the instructor identify as the 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

Difficulty: Easy

Integrated Process: Caring

Objective: 1

Page and Header: 45, Home Visiting Takes Root

4. Which district nursing role most contributed to the advancement of public health nursing?

A) Caring for the sick

B) Teaching hygiene and cleanliness

C) Preventing illness

D) Gathering statistical data

Difficulty: Easy

Integrated Process: Caring

Objective: 1

Page and Header: 51, Public Health Nursing Advances

5. A nurse recognizes that each stage of community health nursing has certain emphasis and characteristics. What was a defining characteristic during of the public health nursing stage?

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

Difficulty: Easy

Integrated Process: Caring

Objective: 1

Page and Header: 45, Public Health Nursing (1900–1970)

6. District nursing continued to evolve over time with its focus eventually including the health and welfare of the general public. The nurse will recognize that this occurred at which stage?

A) Beginning of 20th century

B) In the late 19th century

C) Prior to the 1850s

D) By the early 1970s

Difficulty: Easy

Integrated Process: Caring

Objective: 5

Page and Header: 47, Nurses Making a Difference

7. An instructor is teaching a group of students about the settings of public health nursing. The instructor recognizes that the teaching is successful when the students identify which focused on the home setting?

A) Jessie Sleet

B) Lillian Wald

C) Lina Rogers

D) Margaret Sanger

Difficulty: Easy

Integrated Process: Caring

Objective: 2

Page and Header: 45–50, Public Health Nursing (1900–1970) (Table 3-7)

8. Nursing group of student nurses are preparing to create a poster depicting the various contributions to public health nursing by Lillian Wald. Which contributions will the students include? 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)

Difficulty: Easy

Integrated Process: Caring

Objective: 2

Page and Header: 47, Nurses Making a Difference

9. The nurse recognizes Lillian Wald as an early leader and innovator of community health nursing. Which contribution is attributed to Wald?

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

Difficulty: Easy

Integrated Process: Nursing Process

Objective: 2

Page and Header: 51, Another Nurse—Another Problem

10. A group of student nurses are discussing the many traits necessary to be a public health nurse. Which early leader should the students recognize as an example of advocacy for her patients by defying the laws of her time?

A) Lillian Wald

B) Florence Nightingale

C) Margaret Sanger

D) Mary Brewster

Difficulty: Moderate

Integrated Process: Caring

Objective: 2

Page and Header: 57, Community Health Nursing (1970 to the present)

11. A prospective nursing student is interested in working in community health nursing after graduation. Which level of education would be most appropriate for this student to complete?

A) Diploma program

B) Associate degree

C) Baccalaureate degree

D) Master’s degree

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 4

Page and Header: 48, Table 3-6: Landmarks in Nursing History: 1900–1970

12. As the field of public health nursing advanced, providing adequate education became vital. Which piece of legislation is recognized as providing federal funds to support advanced training for public health nursing in the 1950s?

A) Health Amendment Act

B) Public Health Service Act

C) Hill-Burton Act

D) Public Health Nursing Act

Difficulty: Moderate

Integrated Process: Caring

Objective: 4

Page and Header: 55, The Profession Evolves

13. A group of students are reviewing the history of public health nursing and the evolution of the education preparing the nurse to take on this role. Which training will the students recognize from the 1960s that emphasized primary health care to rural areas?

A) Nurse practitioners

B) Baccalaureate degree in public health nursing

C) Postgraduate courses in public health nursing

D) Master degree in public health nursing

Difficulty: Moderate

Integrated Process: Nursing Process

Objective: 2

Page and Header: 43, The Early Nightingale Years

14. Nightingale’s work is fundamental to nursing today. Which are essential elements learned in those early years and still essential to optimal health and healing in today’s community health nursing? Select all that apply.

A) Reduction of airborne pathogens

B) Efficient drainage

C) Well-organized exercise

D) Adequate illumination

E) Culturally acceptable diet

F) Hand hygiene