PUBLIC HEALTH NURSING: POPULATION-CENTERED
n1 n1 n1
PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
n1 n1 n1 n1 n1 n1 n1
MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
n1 n1 n1 n1 n1 n1 n1
46/COMPLETE GUIDE 2026-2027
n1 n1 n1
,Chapter 01: Public Health Foundations and Population Health
n1 n1 n1 n1 n1 n1 n1
Stanhope: Public Health Nursing: Population-Centered Primary care in the
n1 n1 n1 n1 n1 n1 n1 n1
Community, 11th Edition
n1 n1 n1
1. What is the primary focus to be addressed concerning the improvement of the health of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the American people in the twenty-first century?
n1 n1 n1 n1 n1 n1 n1
a. Bioterrorism and global health threats n1 n1 n1 n1
b. Delivery of individual care and hygiene n1 n1 n1 n1 n1
c. The need for increased health center and acute care
n1 n1 n1 n1 n1 n1 n1 n1
d. Chronic disease and disability management n1 n1 n1 n1
ACCURATE ANSWER:-A n1
REASONING:->>>There are new concerns, and of the most serious are bioterrorism and n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
globally induced infections, such as the avian flu. These threats will divert primary care
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
funds and resources from other primary care programs to be spent for public safety. The
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
others are not related to public health or are concerns that have been present for many
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
years.
n1
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing n1 n1 n1
process: Planning MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n1 n 1 n1 n1 n1 n1
2. A community is concerned about the threat of bioterrorism. Which of the following best
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
describes the basis for this concern?
n1 n1 n1 n1 n1 n1
a. Bioterrorism has the potential to dissolve community-based programs. n1 n1 n1 n1 n1 n1 n1
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
n1 n1 n1 n1
c. The threat may divert funds from other public safety primary care programs.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
d. Fear of bioterrorism will increase the need for shelters.
n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:-C n1
REASONING:->>>Bioterrorism may have an impact on the availability of resources for n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
public safety primary care programs. Because funds are diverted it is possible those
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
community-based programs would be eliminated, the primary care system could
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
experience changes, and that there would be an increase in the need for shelter.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
However, all the remaining options would happen because of the diversion of funds.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
DIFFICULT: Cognitive level: Analyzing TOPIC: n1 n1 n1 Nursing process: n1
Diagnosis MSC: NCLEX: Physiological Integrity
n1 n1 n 1 n1 n1
3. Which statement describes the consequence of the successful implementation of the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Affordable Care Act?
n1 n1 n1
a. Americans will pay closer attention to their health status. n1 n1 n1 n1 n1 n1 n1 n1
b. Most of the population will be covered by health insurance.
n1 n1 n1 n1 n1 n1 n1 n1 n1
c. Public health departments will need to increase the number of nursing positions.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
d. The prevalence of obesity will decrease.
n1 n1 n1 n1 n1
n1 ACCURATE ANSWER:-B n1
REASONING:->>>One consequence of successful implementation of the Affordable n1 n1 n1 n1 n1 n1 n1
Care Act might be that the majority of the population would be covered by insurance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
and public health agencies will not need to provide direct clinical services in order to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
assure that those who need them can receive them. The Affordable Care Act will not
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
directly cause Americans to pay closer attention to their health status or decrease the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
prevalence of obesity.
n1 n1 n1
DIFFICULT: Cognitive level: Understanding n1 n1 n1 TOPIC: Nursing process: n1
, Assessment MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n 1 n1 n1 n1 n1
4. The public health nursing attendant (PHN) must participate in the essential
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
services of public health. What is one of the essential services of public health
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
nursing?
n1
a. Monitoring health status by completing a community assessment n1 n1 n1 n1 n1 n1 n1
b. Diagnosing and investigating health problems in the world n1 n1 n1 n1 n1 n1 n1
c. Informing, educating, and empowering people about health issues n1 n1 n1 n1 n1 n1 n1
d. Working in law enforcement to regulate health and ensure safety n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:-C n1
REASONING:->>>The PHN monitors health status in several ways, completing a n1 n1 n1 n1 n1 n1 n1 n1 n1
community assessment is only one way that health status is monitored. The PHN would
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
not diagnose or solve ―world‖ problems, or work in law enforcement. Rather, the PHN
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
would participate with local regulators to protect communities and empower people to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
address health issues.
n1 n1 n1
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: n1 n1 n1 n1
Implementation MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n 1 n1 n1 n1 n1
5. A public health department is using the mission of public health as described by the Institute
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
of Medicine when planning its health programming. Which of the following activities
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
will most likely be implemented?
n1 n1 n1 n1 n1
a. Tracking avian flu outbreaks and doing surveillance in the United States
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. Providing a flu shot for an elderly person at the health department n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
c. Keeping track of alternative therapies in use in the United States
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Atlanta n1
ACCURATE ANSWER:-A n1
REASONING:->>>The Institute of Medicine‘s stated mission on public health is ―to n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
generate organized community and technical knowledge to prevent disease and promote
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
health.‖ Tracking avian flu outbreaks and doing surveillance applies this concept at a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
population level. Providing a flu shot for an elderly person only addresses individual
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
care. Keeping track of the use of alternative therapies does nothing to prevent disease or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
promote health of the population.
n1 n1 n1 n1 n1
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
disease prevention.
n1 n1
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process: n1 n1 n1 n1
Assessment MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n 1 n1 n1 n1 n1
6. A public health department makes sure that the essential community-oriented health
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
services are available in the community. Which of the following core public health functions
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
is being implemented?
n1 n1 n1
a. Policy development n1
b. Assessment
c. Assurance
d. Scientific knowledge-based care n1 n1
ACCURATE ANSWER:-C n1
REASONING:->>>Assurance focuses on the responsibility of public health agencies to n1 n1 n1 n1 n1 n1 n1 n1 n1
ensure certain activities have been appropriately carried out to meet public health goals
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
and plans. Policy development seeks to build constituencies that can help bring about
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
change in public policy. Assessment includes activities that involve collecting, analyzing,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
and disseminating information on both the health status and the health-related aspects of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a community or a specific population. Public health is based on scientific knowledge but is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
, not a core function.
n1 n1 n1 n1
DIFFICULT: Cognitive level: Applying TOPIC: Nursing process:
n1 n1 n1 n1
Assessment MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n 1 n1 n1 n1 n1
7. What is the purpose of public health core functions?
n1 n1 n1 n1 n1 n1 n1 n1
a. Clarifying the role of the government in fulfilling the mission of public health
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. Ensuring the safety of populations in receiving quality primary care
n1 n1 n1 n1 n1 n1 n1 n1 n1
c. Providing community-based individualized care to every person in the United
n1 n1 n1 n1 n1 n1 n1 n1 n1
States n1
d. Uniting public and private providers of care in a comprehensive approach
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
to providing primary care
n1 n1 n1 n1
ACCURATE ANSWER:-A n1
REASONING:->>>As defined by the Institute of Medicine in its 1988 report The Future n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
of Public Health, assessment, policy development, and assurance are core functions
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment‘s
n1 n1 n1 n1 n1 n1 n1 n1
role.
n1 n1 n1
PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
n1 n1 n1 n1 n1 n1 n1
MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
n1 n1 n1 n1 n1 n1 n1
46/COMPLETE GUIDE 2026-2027
n1 n1 n1
,Chapter 01: Public Health Foundations and Population Health
n1 n1 n1 n1 n1 n1 n1
Stanhope: Public Health Nursing: Population-Centered Primary care in the
n1 n1 n1 n1 n1 n1 n1 n1
Community, 11th Edition
n1 n1 n1
1. What is the primary focus to be addressed concerning the improvement of the health of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the American people in the twenty-first century?
n1 n1 n1 n1 n1 n1 n1
a. Bioterrorism and global health threats n1 n1 n1 n1
b. Delivery of individual care and hygiene n1 n1 n1 n1 n1
c. The need for increased health center and acute care
n1 n1 n1 n1 n1 n1 n1 n1
d. Chronic disease and disability management n1 n1 n1 n1
ACCURATE ANSWER:-A n1
REASONING:->>>There are new concerns, and of the most serious are bioterrorism and n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
globally induced infections, such as the avian flu. These threats will divert primary care
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
funds and resources from other primary care programs to be spent for public safety. The
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
others are not related to public health or are concerns that have been present for many
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
years.
n1
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing n1 n1 n1
process: Planning MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n1 n 1 n1 n1 n1 n1
2. A community is concerned about the threat of bioterrorism. Which of the following best
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
describes the basis for this concern?
n1 n1 n1 n1 n1 n1
a. Bioterrorism has the potential to dissolve community-based programs. n1 n1 n1 n1 n1 n1 n1
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
n1 n1 n1 n1
c. The threat may divert funds from other public safety primary care programs.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
d. Fear of bioterrorism will increase the need for shelters.
n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:-C n1
REASONING:->>>Bioterrorism may have an impact on the availability of resources for n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
public safety primary care programs. Because funds are diverted it is possible those
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
community-based programs would be eliminated, the primary care system could
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
experience changes, and that there would be an increase in the need for shelter.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
However, all the remaining options would happen because of the diversion of funds.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
DIFFICULT: Cognitive level: Analyzing TOPIC: n1 n1 n1 Nursing process: n1
Diagnosis MSC: NCLEX: Physiological Integrity
n1 n1 n 1 n1 n1
3. Which statement describes the consequence of the successful implementation of the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Affordable Care Act?
n1 n1 n1
a. Americans will pay closer attention to their health status. n1 n1 n1 n1 n1 n1 n1 n1
b. Most of the population will be covered by health insurance.
n1 n1 n1 n1 n1 n1 n1 n1 n1
c. Public health departments will need to increase the number of nursing positions.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
d. The prevalence of obesity will decrease.
n1 n1 n1 n1 n1
n1 ACCURATE ANSWER:-B n1
REASONING:->>>One consequence of successful implementation of the Affordable n1 n1 n1 n1 n1 n1 n1
Care Act might be that the majority of the population would be covered by insurance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
and public health agencies will not need to provide direct clinical services in order to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
assure that those who need them can receive them. The Affordable Care Act will not
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
directly cause Americans to pay closer attention to their health status or decrease the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
prevalence of obesity.
n1 n1 n1
DIFFICULT: Cognitive level: Understanding n1 n1 n1 TOPIC: Nursing process: n1
, Assessment MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n 1 n1 n1 n1 n1
4. The public health nursing attendant (PHN) must participate in the essential
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
services of public health. What is one of the essential services of public health
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
nursing?
n1
a. Monitoring health status by completing a community assessment n1 n1 n1 n1 n1 n1 n1
b. Diagnosing and investigating health problems in the world n1 n1 n1 n1 n1 n1 n1
c. Informing, educating, and empowering people about health issues n1 n1 n1 n1 n1 n1 n1
d. Working in law enforcement to regulate health and ensure safety n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:-C n1
REASONING:->>>The PHN monitors health status in several ways, completing a n1 n1 n1 n1 n1 n1 n1 n1 n1
community assessment is only one way that health status is monitored. The PHN would
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
not diagnose or solve ―world‖ problems, or work in law enforcement. Rather, the PHN
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
would participate with local regulators to protect communities and empower people to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
address health issues.
n1 n1 n1
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: n1 n1 n1 n1
Implementation MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n 1 n1 n1 n1 n1
5. A public health department is using the mission of public health as described by the Institute
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
of Medicine when planning its health programming. Which of the following activities
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
will most likely be implemented?
n1 n1 n1 n1 n1
a. Tracking avian flu outbreaks and doing surveillance in the United States
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. Providing a flu shot for an elderly person at the health department n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
c. Keeping track of alternative therapies in use in the United States
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
Atlanta n1
ACCURATE ANSWER:-A n1
REASONING:->>>The Institute of Medicine‘s stated mission on public health is ―to n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
generate organized community and technical knowledge to prevent disease and promote
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
health.‖ Tracking avian flu outbreaks and doing surveillance applies this concept at a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
population level. Providing a flu shot for an elderly person only addresses individual
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
care. Keeping track of the use of alternative therapies does nothing to prevent disease or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
promote health of the population.
n1 n1 n1 n1 n1
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
disease prevention.
n1 n1
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process: n1 n1 n1 n1
Assessment MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n 1 n1 n1 n1 n1
6. A public health department makes sure that the essential community-oriented health
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
services are available in the community. Which of the following core public health functions
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
is being implemented?
n1 n1 n1
a. Policy development n1
b. Assessment
c. Assurance
d. Scientific knowledge-based care n1 n1
ACCURATE ANSWER:-C n1
REASONING:->>>Assurance focuses on the responsibility of public health agencies to n1 n1 n1 n1 n1 n1 n1 n1 n1
ensure certain activities have been appropriately carried out to meet public health goals
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
and plans. Policy development seeks to build constituencies that can help bring about
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
change in public policy. Assessment includes activities that involve collecting, analyzing,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
and disseminating information on both the health status and the health-related aspects of
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a community or a specific population. Public health is based on scientific knowledge but is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
, not a core function.
n1 n1 n1 n1
DIFFICULT: Cognitive level: Applying TOPIC: Nursing process:
n1 n1 n1 n1
Assessment MSC: NCLEX: Health Promotion and Maintenance
n1 n1 n 1 n1 n1 n1 n1
7. What is the purpose of public health core functions?
n1 n1 n1 n1 n1 n1 n1 n1
a. Clarifying the role of the government in fulfilling the mission of public health
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
b. Ensuring the safety of populations in receiving quality primary care
n1 n1 n1 n1 n1 n1 n1 n1 n1
c. Providing community-based individualized care to every person in the United
n1 n1 n1 n1 n1 n1 n1 n1 n1
States n1
d. Uniting public and private providers of care in a comprehensive approach
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
to providing primary care
n1 n1 n1 n1
ACCURATE ANSWER:-A n1
REASONING:->>>As defined by the Institute of Medicine in its 1988 report The Future n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
of Public Health, assessment, policy development, and assurance are core functions
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment‘s
n1 n1 n1 n1 n1 n1 n1 n1
role.