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Centered Health Care in the Community 10th Edition
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by Lancaster & Stanhope, Full Chapter 1-46,Version
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2023/2024 (A+).
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ISBN:9780323611114. L
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ORIGINAL FILE
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VERSION 2023
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TESTBANK L
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, Public Health Nursing 10th Edition Stanhope Test Bank L
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Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-Centered Health Care in the
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Community, 10th Edition
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MULTIPLE CHOICE L
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1. What is the primary focus to be addressed concerning the improvement of the health of the
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American people in the twenty-first century?
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a. Bioterrorism and global health threats L
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b. Delivery of individual care and hygiene L
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c. The need for increased hospital and acute care F,T L L
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d. Chronic disease and disability management L
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ANS: A F , T L
There are new concerns, and of the most serious are bioterrorism and globally induced
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infections, such as the avian flu. These threats will divert health care funds and
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resources from other health care programs to be spent for public safety. The others are not
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related to public health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP: Nursing process: Planning F,T L F, T L L
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MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best
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describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs. L
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b. This threat could causeN thUeR
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ysC mMto collapse.
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c. The threat may divert funds from other public safety health care programs. F,T L F,T L F,T L F,T L L
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d. Fear of bioterrorism will increase the need for shelters. F,T L F,TL L
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ANS: C F , T L
Bioterrorism may have an impact on the availability of resources for public safety health F,T L F ,T L F, T L F, T L L
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care programs. Because funds are diverted it is possible that community-based programs
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would be eliminated, the health care system could experience changes, and that there would
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be an increase in the need for shelter. However, all the remaining options would happen
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because of the diversion of funds.
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DIF: Cognitive level: Analyzing TOP: Nursing process: Diagnosis F,T L F, T L L
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MSC: NCLEX: Physiological Integrity
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3. Which statement describes the consequence of the successful implementation of the
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Affordable Care Act?
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a. Americans will pay closer attention to their health status. L
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b. Most of the population will be covered by health insurance. F,TL L
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c. Public health departments will need to increase the number of nursing positions. L
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d. The prevalence of obesity will decrease. L
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One consequence of successful implementation of the Affordable Care Act might be that the
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majority of the population would be covered by insurance and public health agencies will
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not need to provide direct clinical services in order to assure that those who need them
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can receive them. The Affordable Care Act will not directly cause Americans to pay
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closer attention to their health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP: Nursing process: Assessment F,T L L
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MSC: NCLEX: Health Promotion and Maintenance
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4. The public health nurse (PHN) must participate in the essential services of public health.
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What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment F,T L L
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b. Diagnosing and investigating health problems in the world L
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c. Informing, educating, and empowering people about health issues L
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d. Working in law enforcement to regulate health and ensure safety L
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ANS: C F , T L
The PHN monitors health status in several ways, completing a community assessment is
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only one way that health status is monitored. The PHN would not diagnose or solve “world”
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problems, or work in law enforcement. Rather, the PHN would participate with local
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regulators to protect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP: Nursing process: Implementation F,T L L
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MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is using the mission of public health as described by the Institute
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of Medicine when planningNit s RheaI lt h pGrogB
ra.mCminMg. Which of the following activities will
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most likely be implemented?
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O surveillance in the United States
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a. Tracking avian flu outbreaks and doing F,T L F,T L F,T L
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b. Providing a flu shot for an elderly person at the health department L
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c. Keeping track of alternative therapies in use in the United States F,T L L
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d. Keeping snake antivenom at the Centers for Disease Control and Prevention in F,TL F,T L L
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Atlanta F,T L
ANS: A F , T L
The Institute of Medicine’s stated mission on public health is “to generate organized
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community and technical knowledge to prevent disease and promote health.” Tracking avian
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flu outbreaks and doing surveillance applies this concept at a population level. Providing a
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flu shot for an elderly person only addresses individual care. Keeping track of the use of
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alternative therapies does nothing to prevent disease or promote health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotion or L
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disease prevention.
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6. A public health department makes sure that the essential community-oriented health
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F services are available in the community. Which of the following core public health
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functions is being implemented?
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a. Policy development F,TL
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b. Assessment
c. Assurance
d. Scientific knowledge-based care L
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Assurance focuses on the responsibility of public health agencies to ensure certain F,T L F, T L F,T L F, T L L
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activities have been appropriately carried out to meet public health goals and plans. Policy
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development seeks to build constituencies that can help bring about change in public
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policy. Assessment includes activities that involve collecting, analyzing, and
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disseminating information on both the health status and the health-related aspects of a
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community or a specific population. Public health is based on scientific knowledge but is
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not a core function.
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MSC: NCLEX: Health Promotion and Maintenance
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7. What is the purpose of public health core functions?
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a. Clarifying the role of the government in fulfilling the mission of public health F,T L L
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b. Ensuring the safety of populations in receiving quality health care F,T L L
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c. Providing community-based individualized care to every person in the United L
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d. Uniting public and private providers of care in a comprehensive approach to F,T L L
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providing health care
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ANS: A F , T L
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
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assessment, policy development, and assurance are core functions at all levels of
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government for the purposeNof R
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DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion andOMaintenance
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8. Which of the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medical L
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treatment than by public health approaches.
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b. Expenditures and resources for public health have increased in recent years. F,T L L
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c. Historically, gains in the health of populations have been related largely to changes L
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in safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve F,T L L
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the health of Americans.
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ANS: C F , T L
Fielding and Tilson have asserted that most of the increase in life span has been made
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through improvements in sanitation, clean water supplies, making workplaces safer,
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improving food and drug safety, immunizing children, and improving nutrition, hygiene,
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and housing. Medical treatment has not made as significant of an impact on the life span as
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public health measures. Funding for public health in recent years has been on a gradual
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decline. Although reform of the medical insurance system may help improve the health
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of Americans, there are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding F,T L L
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