79
Public Health Nursing
79 79
: Population-
79
Centered Health Care in
the Communit
79
y
by79Marcia79Stanhope79and79Jeanette79Lancaste
r 11th Edition
79
,Chapter7901:79Public79Health79Foundations79and79Population79Health
Stanhope:79Public79Health79Nursing:79Population-
Centered79Health79Care79in79the79Community,7911th79Edition
MULTIPLE79CHOICE
1. What79is79the79primary79focus79to79be79addressed79concerning79the79improvement79of79the79healt
h79of79the79American79people79in79the79twenty-first79century?
a. Bioterrorism79and79global79health79threats
b. Delivery79of79individual79care79and79hygiene
c. The79need79for79increased79hospital79and79acute79care
d. Chronic79disease79and79disability79management
CORRECT79ANSWER:79A
There79are79new79concerns,79and79of79the79most79serious79are79bioterrorism79and79globally79ind
uced79infections,79such79as79the79avian79flu.79These79threats79will79divert79health79care79funds79a
nd79resources79from79other79health79care79programs79to79be79spent79for79public79safety.79The79ot
hers79are79not79related79to79public79health79or79are79concerns79that79have79been79present79for79m
any79years.
DIF: Cognitive79level:79Understanding
TOP:79Nursing79process:79Planning79MSC:79NCLEX:79Health79Promo
tion79and79Maintenance
2. A79community79is79concerned79about79the79threat79of79bioterrorism.79Which79of79the79followi
ng79best79describes79the79basis79for79this79concern?
a. Bioterrorism79has79the79potential79to79dissolve79community-based79programs.
b. This79threat79could79causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto79
c
c. The79threat79may79divert79funds79from79other79public79safety79health79care79programs.
d. Fear79of79bioterrorism79will79increase79the79need79for79shelters.
CORRECT79ANSWER:79C
Bioterrorism79may79have79an79impact79on79the79availability79of79resources79for79public79safety79h
ealth79care79programs.79Because79funds79are79diverted79it79is79possible79that79community-
based79programs79would79be79eliminated,79the79health79care79system79could79experience79chan
ges,79and79that79there79woul79be79an79increase79in79the79need79for79shelter.79However,79all79the79r
emaining79options79would79happen79because79of79the79diversion79of79funds.
DIF: Cognitive79level:79Analyzing
TOP:79Nursing79process:79Diagnosis79MSC:79NCLEX:79Physiological79
Integrity
3. Which79statement79describes79the79consequence79of79the79successful79implementation79
of79the79Affordable79Care79Act?
a. Americans79will79pay79closer79attention79to79their79health79status.
b. Most79of79the79population79will79be79covered79by79health79insurance.
c. Public79health79departments79will79need79to79increase79the79number79of79nursing79positions.
d. The79prevalence79of79obesity79will79decrea
se.79ANS:79B
, One79consequence79of79successful79implementation79of79the79Affordable79Care79Act79might79be79t
hat79the79majority79of79the79population79would79be79covered79by79insurance79and79public79health
79agencies79will79not79need79to79provide79direct79clinical79services79in79order79to79assure79that79th
ose79who79need79them79can79receive79them.79The79Affordable79Care79Act79will79not79directly79cau
se79Americans79to79pay79closer79attention79to79their79health79status79or79decrease79the79prevale
nce79of79obesity.
DIF: Cognitive79level:79Understanding
TOP:79Nursing79process:79Assessment79MSC:79NCLEX:79Health79Promo
tion79and79Maintenance
4. The79public79health79NURSE79(PHN)79must79participate79in79the79essential79services79of
79public79health.79What79is79one79of79the79essential79services 79of79public79health 79nurs
ing?
a. Monitoring79health79status79by79completing79a79community79assessment
b. Diagnosing79and79investigating79health79problems79in79the79world
c. Informing,79educating,79and79empowering79people79about79health79issues
d. Working79in79law79enforcement79to79regulate79health79and79ensure79s
afety79CORRECT79ANSWER:79C
The79PHN79monitors79health79status79in79several79ways,79completing79a79community79assessme
nt79is79only79one79way79that79health79status79is79monitored.79The79PHN79would79not79diagnose79or79
solve79―world‖79problems,79or79work79in79law79enforcement.79Rather,79the79PHN79would79partici
pate79with79local79regulators79to79protect79communities79and79empower79people79to79address79
health79issues.
DIF: Cognitive79level:79Understanding
TOP:79Nursing79process:79Implementation79MSC:79NCLEX:79Health79Promo
tion79and79Maintenance
5. A79public79health79department79is79using79the79mission79of79public79health79as79described79by79the79
Institute
of79Medicine79when79plU
aintnsiR
nSgN
h79eaNIlt79hT79pG79rogBra.mO79CminMg.79Whi
ch
most79likely79be79implemented?
a. Tracking79avian79flu79outbreaks79and79doing79surveillance79in79the79United79States
b. Providing79a79flu79shot79for79an79elderly79person79at79the79health79department
c. Keeping79track79of79alternative79therapies79in79use79in79the79United79States
d. Keeping79snake79antivenom79at79the79Centers79for79Disease79Control79and79Prevent
ion79in79Atlanta
CORRECT79ANSWER:79A
The79Institute79of79Medicine‘s79stated79mission79on79public79health79is79―to79generate79organize
d79community79and79technical79knowledge79to79prevent79disease79and79promote79health.‖79Trac
king79avia79flu79outbreaks79and79doing79surveillance79applies79this79concept79at79a79population79l
evel.79Providing79a79flu79shot79for79an79elderly79person79only79addresses79individual79care.79Keep
ing79track79of79the79use79of79alternative79therapies79does79nothing79to79prevent79disease79or79pro
mote79health79of79the79population.79Keeping79snake79antivenom79is79aimed79at79disease79care79fo
r79an79individual,79not79health79promotion79or79disease79prevention.
DIF: Cognitive79level:79Analyzing
TOP:79Nursing79process:79Assessment79MSC:79NCLEX:79Health79Promo
tion79and79Maintenance
6. A79public79health79department79makes79sure79that79the79essential79community-
oriented79health79services79are79available79in79the79community.79Which79of79the79following79cor
, e79public79health79functions79is79being79implemented?
a. Policy79development