TestBank-
PublicHealthNursing
:Population-CenteredHealthCarein
theCommunity
byMarciaStanhopeandJeanetteLancaster
11thEdition
,Chapter01:PublicHealthFoundationsandPopulationHealth
Stanhope:PublicHealthNursing:Population-
CenteredHealthCareintheCommunity,11thEdition
MULTIPLECHOICE
1. WhatistheprimaryfocustobeaddressedconcerningtheimprovementofthehealthoftheAmerica
npeopleinthetwenty-firstcentury?
a. Bioterrorismandglobalhealththreats
b. Deliveryofindividualcareandhygiene
c. Theneedforincreasedhospitalandacutecare
d. Chronicdiseaseanddisabilitymanagement
CORRECTANSWER:A
Therearenewconcerns,andofthemostseriousarebioterrorismandgloballyinducedinfections,
suchastheavianflu.Thesethreatswilldiverthealthcarefundsandresourcesfromotherhealthcar
eprogramstobespentforpublicsafety.Theothersarenotrelatedtopublichealthorareconcernsth
athavebeenpresentformanyyears.
DIF: Cognitivelevel:Understanding
TOP:Nursingprocess:PlanningMSC:NCLEX:HealthPromotionand
Maintenance
2. Acommunityisconcernedaboutthethreatofbioterrorism.Whichofthefollowingbestdescri
besthebasisforthisconcern?
a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms.
b. ThisthreatcouldcauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMtoc
c. Thethreatmaydivertfundsfromotherpublicsafetyhealthcareprograms.
d. Fearofbioterrorismwillincreasetheneedforshelters.
CORRECTANSWER:C
Bioterrorismmayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealthcareprog
rams.Becausefundsarediverteditispossiblethatcommunity-
basedprogramswouldbeeliminated,thehealthcaresystemcouldexperiencechanges,andthatt
herewoulbeanincreaseintheneedforshelter.However,alltheremainingoptionswouldhappen
becauseofthediversionoffunds.
DIF: Cognitivelevel:Analyzing
TOP:Nursingprocess:DiagnosisMSC:NCLEX:PhysiologicalIntegrity
3. WhichstatementdescribestheconsequenceofthesuccessfulimplementationoftheAffo
rdableCareAct?
a. Americanswillpaycloserattentiontotheirhealthstatus.
b. Mostofthepopulationwillbecoveredbyhealthinsurance.
c. Publichealthdepartmentswillneedtoincreasethenumberofnursingpositions.
d. Theprevalenceofobesitywilldecrease.A
NS:B
, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthemajor
tyofthepopulationwouldbecoveredbyinsuranceandpublichealthagencieswillnotneedtoprovi
dedirectclinicalservicesinordertoassurethatthosewhoneedthemcanreceivethem.TheAfforda
bleCareActwillnotdirectlycauseAmericanstopaycloserattentiontotheirhealthstatusordecrea
setheprevalenceofobesity.
DIF: Cognitivelevel:Understanding
TOP:Nursingprocess:AssessmentMSC:NCLEX:HealthPromotionand
Maintenance
4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublichealt
h.Whatisoneoftheessentialservicesofpublichealthnursing?
a. Monitoringhealthstatusbycompletingacommunityassessment
b. Diagnosingandinvestigatinghealthproblemsintheworld
c. Informing,educating,andempoweringpeopleabouthealthissues
d. WorkinginlawenforcementtoregulatehealthandensuresafetyCOR
RECTANSWER:C
ThePHNmonitorshealthstatusinseveralways,completingacommunityassessmentisonlyone
waythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve“world”problems,orwor
kinlawenforcement.Rather,thePHNwouldparticipatewithlocalregulatorstoprotectcommuniti
esandempowerpeopletoaddresshealthissues.
DIF: Cognitivelevel:Understanding
TOP:Nursingprocess:ImplementationMSC:NCLEX:HealthPromotionand
Maintenance
5. ApublichealthdepartmentisusingthemissionofpublichealthasdescribedbytheInstitute
ofMedicinewhenplU
aintnsiR
nSgN
heaNIlthTpGrogBra.mOCminMg.Which
mostlikelybeimplemented?
a. TrackingavianfluoutbreaksanddoingsurveillanceintheUnitedStates
b. Providingaflushotforanelderlypersonatthehealthdepartment
c. KeepingtrackofalternativetherapiesinuseintheUnitedStates
d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventioninAtlan
ta
CORRECTANSWER:A
TheInstituteofMedicine’sstatedmissiononpublichealthis“togenerateorganizedcommunitya
ndtechnicalknowledgetopreventdiseaseandpromotehealth.”Trackingaviafluoutbreaksanddo
ingsurveillanceappliesthisconceptatapopulationlevel.Providingaflushotforanelderlyperson
onlyaddressesindividualcare.Keepingtrackoftheuseofalternativetherapiesdoesnothingtopr
eventdiseaseorpromotehealthofthepopulation.Keepingsnakeantivenomisaimedatdiseaseca
reforanindividual,nothealthpromotionordiseaseprevention.
DIF: Cognitivelevel:Analyzing
TOP:Nursingprocess:AssessmentMSC:NCLEX:HealthPromotionand
Maintenance
6. Apublichealthdepartmentmakessurethattheessentialcommunity-
orientedhealthservicesareavailableinthecommunity.Whichofthefollowingcorepublichealthf
unctionsisbeingimplemented?
a. Policydevelopment
, b. Assessment
c. Assurance
d. Scientificknowledge-
basedcareCORRECTANSWER:C
Assurancefocusesontheresponsibilityofpublichealthagenciestoensurecertainactivities
havebeenappropriatelycarriedouttomeetpublichealthgoalsandplans.Policydevelopmentse
ekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicyAssessmentincludesa
ctivitiesthatinvolvecollecting,analyzing,anddisseminatinginformationonboththehealthstat
usandthehealth-
relatedaspectsofacommunityoraspecificpopulation.Publichealthisbasedonscientificknowle
dgebutisnotacorefunction
DIF: Cognitivelevel:Applying
TOP:Nursingprocess:AssessmentMSC:NCLEX:HealthPromotionand
Maintenance
7. Whatisthepurposeofpublichealthcorefunctions?
a. Clarifyingtheroleofthegovernmentinfulfillingthemissionofpublichealth
b. Ensuringthesafetyofpopulationsinreceivingqualityhealthcare
c. Providingcommunity-
basedindividualizedcaretoeverypersonintheUnitedStates
d. Unitingpublicandprivateprovidersofcareinacomprehensiveapproachtoprovi
dinghealthcare
CORRECTANSWER:A
AsdefinedbytheInstituteofMedicineinits1988reportTheFutureofPublicHealth,assessment,poli
cydevelopment,andassurancearecorefunctionsatalllevelsofgovernmentforthepuNrpoofsRe cla
rIifyiGngtBhe.gCoveMrnment’srole.
USNTO
DIF: Cognitivelevel:Understanding
TOP:Nursingprocess:AssessmentMSC:NCLEX:HealthPromotionand
Maintenance
8. Whichofthefollowingstatementsaboutpublichealthisaccurate?
a. Preventionofearlydeathscanbemoreeffectivelyaccomplishedbymedicaltreat
mentthanbypublichealthapproaches.
b. Expendituresandresourcesforpublichealthhaveincreasedinrecentyears.
c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochangesinsafe
ty,sanitation,andfoodsafety.
d. Reformofthemedicalinsurancesystemisthesinglechangeneededtoimprovethehe
althofAmericans.
CORRECTANSWER:C
FieldingandTilsonhaveassertedthatmostoftheincreaseinlifespanhasbeenmadethroughimpr
ovementsinsanitation,cleanwatersupplies,makingworkplacessafer,improvingfoodanddrugsa
fety,immunizingchildren,andimprovingnutrition,hygiene,
andhousing.Medicaltreatmenthasnotmadeassignificantofanimpactonthelifespanaspubliche
althmeasures.Fundingforpublichealthinrecentyearshasbeenonagradualdecline.Althoughre
formofthemedicalinsurancesystemmayhelpimprovethehealthofAmericans,therearemanyo
therfactorsthatwillneedtobeaddressed.
DIF: Cognitivelevel:Understanding TOP:Nursingprocess:Assessment
PublicHealthNursing
:Population-CenteredHealthCarein
theCommunity
byMarciaStanhopeandJeanetteLancaster
11thEdition
,Chapter01:PublicHealthFoundationsandPopulationHealth
Stanhope:PublicHealthNursing:Population-
CenteredHealthCareintheCommunity,11thEdition
MULTIPLECHOICE
1. WhatistheprimaryfocustobeaddressedconcerningtheimprovementofthehealthoftheAmerica
npeopleinthetwenty-firstcentury?
a. Bioterrorismandglobalhealththreats
b. Deliveryofindividualcareandhygiene
c. Theneedforincreasedhospitalandacutecare
d. Chronicdiseaseanddisabilitymanagement
CORRECTANSWER:A
Therearenewconcerns,andofthemostseriousarebioterrorismandgloballyinducedinfections,
suchastheavianflu.Thesethreatswilldiverthealthcarefundsandresourcesfromotherhealthcar
eprogramstobespentforpublicsafety.Theothersarenotrelatedtopublichealthorareconcernsth
athavebeenpresentformanyyears.
DIF: Cognitivelevel:Understanding
TOP:Nursingprocess:PlanningMSC:NCLEX:HealthPromotionand
Maintenance
2. Acommunityisconcernedaboutthethreatofbioterrorism.Whichofthefollowingbestdescri
besthebasisforthisconcern?
a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms.
b. ThisthreatcouldcauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMtoc
c. Thethreatmaydivertfundsfromotherpublicsafetyhealthcareprograms.
d. Fearofbioterrorismwillincreasetheneedforshelters.
CORRECTANSWER:C
Bioterrorismmayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealthcareprog
rams.Becausefundsarediverteditispossiblethatcommunity-
basedprogramswouldbeeliminated,thehealthcaresystemcouldexperiencechanges,andthatt
herewoulbeanincreaseintheneedforshelter.However,alltheremainingoptionswouldhappen
becauseofthediversionoffunds.
DIF: Cognitivelevel:Analyzing
TOP:Nursingprocess:DiagnosisMSC:NCLEX:PhysiologicalIntegrity
3. WhichstatementdescribestheconsequenceofthesuccessfulimplementationoftheAffo
rdableCareAct?
a. Americanswillpaycloserattentiontotheirhealthstatus.
b. Mostofthepopulationwillbecoveredbyhealthinsurance.
c. Publichealthdepartmentswillneedtoincreasethenumberofnursingpositions.
d. Theprevalenceofobesitywilldecrease.A
NS:B
, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthemajor
tyofthepopulationwouldbecoveredbyinsuranceandpublichealthagencieswillnotneedtoprovi
dedirectclinicalservicesinordertoassurethatthosewhoneedthemcanreceivethem.TheAfforda
bleCareActwillnotdirectlycauseAmericanstopaycloserattentiontotheirhealthstatusordecrea
setheprevalenceofobesity.
DIF: Cognitivelevel:Understanding
TOP:Nursingprocess:AssessmentMSC:NCLEX:HealthPromotionand
Maintenance
4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublichealt
h.Whatisoneoftheessentialservicesofpublichealthnursing?
a. Monitoringhealthstatusbycompletingacommunityassessment
b. Diagnosingandinvestigatinghealthproblemsintheworld
c. Informing,educating,andempoweringpeopleabouthealthissues
d. WorkinginlawenforcementtoregulatehealthandensuresafetyCOR
RECTANSWER:C
ThePHNmonitorshealthstatusinseveralways,completingacommunityassessmentisonlyone
waythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve“world”problems,orwor
kinlawenforcement.Rather,thePHNwouldparticipatewithlocalregulatorstoprotectcommuniti
esandempowerpeopletoaddresshealthissues.
DIF: Cognitivelevel:Understanding
TOP:Nursingprocess:ImplementationMSC:NCLEX:HealthPromotionand
Maintenance
5. ApublichealthdepartmentisusingthemissionofpublichealthasdescribedbytheInstitute
ofMedicinewhenplU
aintnsiR
nSgN
heaNIlthTpGrogBra.mOCminMg.Which
mostlikelybeimplemented?
a. TrackingavianfluoutbreaksanddoingsurveillanceintheUnitedStates
b. Providingaflushotforanelderlypersonatthehealthdepartment
c. KeepingtrackofalternativetherapiesinuseintheUnitedStates
d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventioninAtlan
ta
CORRECTANSWER:A
TheInstituteofMedicine’sstatedmissiononpublichealthis“togenerateorganizedcommunitya
ndtechnicalknowledgetopreventdiseaseandpromotehealth.”Trackingaviafluoutbreaksanddo
ingsurveillanceappliesthisconceptatapopulationlevel.Providingaflushotforanelderlyperson
onlyaddressesindividualcare.Keepingtrackoftheuseofalternativetherapiesdoesnothingtopr
eventdiseaseorpromotehealthofthepopulation.Keepingsnakeantivenomisaimedatdiseaseca
reforanindividual,nothealthpromotionordiseaseprevention.
DIF: Cognitivelevel:Analyzing
TOP:Nursingprocess:AssessmentMSC:NCLEX:HealthPromotionand
Maintenance
6. Apublichealthdepartmentmakessurethattheessentialcommunity-
orientedhealthservicesareavailableinthecommunity.Whichofthefollowingcorepublichealthf
unctionsisbeingimplemented?
a. Policydevelopment
, b. Assessment
c. Assurance
d. Scientificknowledge-
basedcareCORRECTANSWER:C
Assurancefocusesontheresponsibilityofpublichealthagenciestoensurecertainactivities
havebeenappropriatelycarriedouttomeetpublichealthgoalsandplans.Policydevelopmentse
ekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicyAssessmentincludesa
ctivitiesthatinvolvecollecting,analyzing,anddisseminatinginformationonboththehealthstat
usandthehealth-
relatedaspectsofacommunityoraspecificpopulation.Publichealthisbasedonscientificknowle
dgebutisnotacorefunction
DIF: Cognitivelevel:Applying
TOP:Nursingprocess:AssessmentMSC:NCLEX:HealthPromotionand
Maintenance
7. Whatisthepurposeofpublichealthcorefunctions?
a. Clarifyingtheroleofthegovernmentinfulfillingthemissionofpublichealth
b. Ensuringthesafetyofpopulationsinreceivingqualityhealthcare
c. Providingcommunity-
basedindividualizedcaretoeverypersonintheUnitedStates
d. Unitingpublicandprivateprovidersofcareinacomprehensiveapproachtoprovi
dinghealthcare
CORRECTANSWER:A
AsdefinedbytheInstituteofMedicineinits1988reportTheFutureofPublicHealth,assessment,poli
cydevelopment,andassurancearecorefunctionsatalllevelsofgovernmentforthepuNrpoofsRe cla
rIifyiGngtBhe.gCoveMrnment’srole.
USNTO
DIF: Cognitivelevel:Understanding
TOP:Nursingprocess:AssessmentMSC:NCLEX:HealthPromotionand
Maintenance
8. Whichofthefollowingstatementsaboutpublichealthisaccurate?
a. Preventionofearlydeathscanbemoreeffectivelyaccomplishedbymedicaltreat
mentthanbypublichealthapproaches.
b. Expendituresandresourcesforpublichealthhaveincreasedinrecentyears.
c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochangesinsafe
ty,sanitation,andfoodsafety.
d. Reformofthemedicalinsurancesystemisthesinglechangeneededtoimprovethehe
althofAmericans.
CORRECTANSWER:C
FieldingandTilsonhaveassertedthatmostoftheincreaseinlifespanhasbeenmadethroughimpr
ovementsinsanitation,cleanwatersupplies,makingworkplacessafer,improvingfoodanddrugsa
fety,immunizingchildren,andimprovingnutrition,hygiene,
andhousing.Medicaltreatmenthasnotmadeassignificantofanimpactonthelifespanaspubliche
althmeasures.Fundingforpublichealthinrecentyearshasbeenonagradualdecline.Althoughre
formofthemedicalinsurancesystemmayhelpimprovethehealthofAmericans,therearemanyo
therfactorsthatwillneedtobeaddressed.
DIF: Cognitivelevel:Understanding TOP:Nursingprocess:Assessment
