PUBLIC HEALTH NURSING: POPULATION-CENTERED
n7 n7 n7
n7 PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
n7 n7 n7 n7 n7 n7
MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
n7 n7 n7 n7 n7 n7 n7
46/COMPLETE GUIDE 2026-2027
n7 n7 n7
,Chapter 01: Public Health Foundations and Population Health
n7 n7 n7 n7 n7 n7 n7
Stanhope: Public Health Nursing: Population-Centered Primary care in the
n7 n7 n7 n7 n7 n7 n7 n7
Community, 11th Edition
n7 n7 n7
1. What is the primary focus to be addressed concerning the improvement of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health of the American people in the twenty-first century?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Bioterrorism and global health threats n7 n7 n7 n7
b. Delivery of individual care and hygiene n7 n7 n7 n7 n7
c. The need for increased health center and acute care
n7 n7 n7 n7 n7 n7 n7 n7
d. Chronic disease and disability management n7 n7 n7 n7
ACCURATE ANSWER:-A n7
REASONING:->>>There are new concerns, and of the most serious are bioterrorism n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and globally induced infections, such as the avian flu. These threats will divert
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
primary care funds and resources from other primary care programs to be spent for
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
public safety. The others are not related to public health or are concerns that have
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
been present for many years.
n7 n7 n7 n7 n7
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing n7 n7 n7
process: Planning MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n7 n 7 n7 n7 n7 n7
2. A community is concerned about the threat of bioterrorism. Which of the following
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
best describes the basis for this concern?
n7 n7 n7 n7 n7 n7 n7
a. Bioterrorism has the potential to dissolve community-based programs. n7 n7 n7 n7 n7 n7 n7
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
n7 n7 n7 n7
c. The threat may divert funds from other public safety primary care programs.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Fear of bioterrorism will increase the need for shelters.
n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER:-C n7
REASONING:->>>Bioterrorism may have an impact on the availability of resources n7 n7 n7 n7 n7 n7 n7 n7 n7
for public safety primary care programs. Because funds are diverted it is possible
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
those community-based programs would be eliminated, the primary care system could
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
experience changes, and that there would be an increase in the need for shelter.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
However, all the remaining options would happen because of the diversion of funds.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:
n7 n7 n7 n7
Diagnosis MSC: NCLEX: Physiological Integrity
n7 n7 n 7 n7 n7
3. Which statement describes the consequence of the successful implementation of
n7 n7 n7 n7 n7 n7 n7 n7 n7
the Affordable Care Act?
n7 n7 n7 n7
a. Americans will pay closer attention to their health status. n7 n7 n7 n7 n7 n7 n7 n7
b. Most of the population will be covered by health insurance.
n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Public health departments will need to increase the number of nursing positions.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. The prevalence of obesity will
n7 n7 n7 n7
decrease. ACCURATE ANSWER:-B
n7 n7 n7
REASONING:->>>One consequence of successful implementation of the Affordable n7 n7 n7 n7 n7 n7 n7
Care Act might be that the majority of the population would be covered by insurance
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and public health agencies will not need to provide direct clinical services in order to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
assure that those who need them can receive them. The Affordable Care Act will not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
directly cause Americans to pay closer attention to their health status or decrease the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
prevalence of obesity.
n7 n7 n7
DIFFICULT: Cognitive level: Understanding n7 n7 n7 TOPIC: Nursing process: n7
, Assessment MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n 7 n7 n7 n7 n7
4. The public health nursing attendant (PHN) must participate in the essential
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
services of public health. What is one of the essential services of public
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health nursing?
n7 n7
a. Monitoring health status by completing a community assessment
n7 n7 n7 n7 n7 n7 n7
b. Diagnosing and investigating health problems in the world n7 n7 n7 n7 n7 n7 n7
c. Informing, educating, and empowering people about health issues
n7 n7 n7 n7 n7 n7 n7
d. Working in law enforcement to regulate health and ensure safety
n7 n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER:-C n7
REASONING:->>>The PHN monitors health status in several ways, completing a n7 n7 n7 n7 n7 n7 n7 n7 n7
community assessment is only one way that health status is monitored. The PHN would
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
not diagnose or solve ―world‖ problems, or work in law enforcement. Rather, the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
PHN would participate with local regulators to protect communities and empower
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
people to address health issues.
n7 n7 n7 n7 n7
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process:
n7 n7 n7 n7
Implementation MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n 7 n7 n7 n7 n7
5. A public health department is using the mission of public health as described by the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Institute of Medicine when planning its health programming. Which of the following
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
activities will most likely be implemented?
n7 n7 n7 n7 n7 n7
a. Tracking avian flu outbreaks and doing surveillance in the United States
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Providing a flu shot for an elderly person at the health department
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Keeping track of alternative therapies in use in the United States
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Keeping snake antivenom at the Centers for Disease Control and Prevention
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
in Atlanta
n7 n7
ACCURATE ANSWER:-A n7
REASONING:->>>The Institute of Medicine‘s stated mission on public health is ―to n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
generate organized community and technical knowledge to prevent disease and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
promote health.‖ Tracking avian flu outbreaks and doing surveillance applies this
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
concept at a population level. Providing a flu shot for an elderly person only
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
addresses individual care. Keeping track of the use of alternative therapies does
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nothing to prevent disease or promote health of the population.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
disease prevention.
n7 n7
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:
n7 n7 n7 n7
Assessment MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n 7 n7 n7 n7 n7
6. A public health department makes sure that the essential community-oriented health
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
services are available in the community. Which of the following core public health
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
functions is being implemented?
n7 n7 n7 n7
a. Policy development n7
b. Assessment
c. Assurance
d. Scientific knowledge-based care n7 n7
ACCURATE ANSWER:-C n7
REASONING:->>>Assurance focuses on the responsibility of public health agencies to n7 n7 n7 n7 n7 n7 n7 n7 n7
ensure certain activities have been appropriately carried out to meet public health
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
goals and plans. Policy development seeks to build constituencies that can help bring
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
about change in public policy. Assessment includes activities that involve collecting,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
analyzing, and disseminating information on both the health status and the health-
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
related aspects of a community or a specific population. Public health is based on
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
, scientific knowledge but is not a core function.
n7 n7 n7 n7 n7 n7 n7 n7
DIFFICULT: Cognitive level: Applying TOPIC: Nursing process:
n7 n7 n7 n7
Assessment MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n 7 n7 n7 n7 n7
7. What is the purpose of public health core functions?
n7 n7 n7 n7 n7 n7 n7 n7
a. Clarifying the role of the government in fulfilling the mission of public health
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Ensuring the safety of populations in receiving quality primary care
n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Providing community-based individualized care to every person in the
n7 n7 n7 n7 n7 n7 n7 n7
United States
n7 n7
d. Uniting public and private providers of care in a comprehensive
n7 n7 n7 n7 n7 n7 n7 n7 n7
approach to providing primary care
n7 n7 n7 n7 n7
ACCURATE ANSWER:-A n7
REASONING:->>>As defined by the Institute of Medicine in its 1988 report The n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Future of Public Health, assessment, policy development, and assurance are core
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
functions
n7
at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment‘s
n7 n7 n7 n7 n7 n7 n7 n7
role.
n7 n7 n7
n7 PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
n7 n7 n7 n7 n7 n7
MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
n7 n7 n7 n7 n7 n7 n7
46/COMPLETE GUIDE 2026-2027
n7 n7 n7
,Chapter 01: Public Health Foundations and Population Health
n7 n7 n7 n7 n7 n7 n7
Stanhope: Public Health Nursing: Population-Centered Primary care in the
n7 n7 n7 n7 n7 n7 n7 n7
Community, 11th Edition
n7 n7 n7
1. What is the primary focus to be addressed concerning the improvement of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health of the American people in the twenty-first century?
n7 n7 n7 n7 n7 n7 n7 n7 n7
a. Bioterrorism and global health threats n7 n7 n7 n7
b. Delivery of individual care and hygiene n7 n7 n7 n7 n7
c. The need for increased health center and acute care
n7 n7 n7 n7 n7 n7 n7 n7
d. Chronic disease and disability management n7 n7 n7 n7
ACCURATE ANSWER:-A n7
REASONING:->>>There are new concerns, and of the most serious are bioterrorism n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and globally induced infections, such as the avian flu. These threats will divert
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
primary care funds and resources from other primary care programs to be spent for
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
public safety. The others are not related to public health or are concerns that have
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
been present for many years.
n7 n7 n7 n7 n7
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing n7 n7 n7
process: Planning MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n7 n 7 n7 n7 n7 n7
2. A community is concerned about the threat of bioterrorism. Which of the following
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
best describes the basis for this concern?
n7 n7 n7 n7 n7 n7 n7
a. Bioterrorism has the potential to dissolve community-based programs. n7 n7 n7 n7 n7 n7 n7
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
n7 n7 n7 n7
c. The threat may divert funds from other public safety primary care programs.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Fear of bioterrorism will increase the need for shelters.
n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER:-C n7
REASONING:->>>Bioterrorism may have an impact on the availability of resources n7 n7 n7 n7 n7 n7 n7 n7 n7
for public safety primary care programs. Because funds are diverted it is possible
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
those community-based programs would be eliminated, the primary care system could
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
experience changes, and that there would be an increase in the need for shelter.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
However, all the remaining options would happen because of the diversion of funds.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:
n7 n7 n7 n7
Diagnosis MSC: NCLEX: Physiological Integrity
n7 n7 n 7 n7 n7
3. Which statement describes the consequence of the successful implementation of
n7 n7 n7 n7 n7 n7 n7 n7 n7
the Affordable Care Act?
n7 n7 n7 n7
a. Americans will pay closer attention to their health status. n7 n7 n7 n7 n7 n7 n7 n7
b. Most of the population will be covered by health insurance.
n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Public health departments will need to increase the number of nursing positions.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. The prevalence of obesity will
n7 n7 n7 n7
decrease. ACCURATE ANSWER:-B
n7 n7 n7
REASONING:->>>One consequence of successful implementation of the Affordable n7 n7 n7 n7 n7 n7 n7
Care Act might be that the majority of the population would be covered by insurance
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
and public health agencies will not need to provide direct clinical services in order to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
assure that those who need them can receive them. The Affordable Care Act will not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
directly cause Americans to pay closer attention to their health status or decrease the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
prevalence of obesity.
n7 n7 n7
DIFFICULT: Cognitive level: Understanding n7 n7 n7 TOPIC: Nursing process: n7
, Assessment MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n 7 n7 n7 n7 n7
4. The public health nursing attendant (PHN) must participate in the essential
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
services of public health. What is one of the essential services of public
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health nursing?
n7 n7
a. Monitoring health status by completing a community assessment
n7 n7 n7 n7 n7 n7 n7
b. Diagnosing and investigating health problems in the world n7 n7 n7 n7 n7 n7 n7
c. Informing, educating, and empowering people about health issues
n7 n7 n7 n7 n7 n7 n7
d. Working in law enforcement to regulate health and ensure safety
n7 n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER:-C n7
REASONING:->>>The PHN monitors health status in several ways, completing a n7 n7 n7 n7 n7 n7 n7 n7 n7
community assessment is only one way that health status is monitored. The PHN would
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
not diagnose or solve ―world‖ problems, or work in law enforcement. Rather, the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
PHN would participate with local regulators to protect communities and empower
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
people to address health issues.
n7 n7 n7 n7 n7
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process:
n7 n7 n7 n7
Implementation MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n 7 n7 n7 n7 n7
5. A public health department is using the mission of public health as described by the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Institute of Medicine when planning its health programming. Which of the following
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
activities will most likely be implemented?
n7 n7 n7 n7 n7 n7
a. Tracking avian flu outbreaks and doing surveillance in the United States
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Providing a flu shot for an elderly person at the health department
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Keeping track of alternative therapies in use in the United States
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
d. Keeping snake antivenom at the Centers for Disease Control and Prevention
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
in Atlanta
n7 n7
ACCURATE ANSWER:-A n7
REASONING:->>>The Institute of Medicine‘s stated mission on public health is ―to n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
generate organized community and technical knowledge to prevent disease and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
promote health.‖ Tracking avian flu outbreaks and doing surveillance applies this
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
concept at a population level. Providing a flu shot for an elderly person only
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
addresses individual care. Keeping track of the use of alternative therapies does
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nothing to prevent disease or promote health of the population.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
disease prevention.
n7 n7
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:
n7 n7 n7 n7
Assessment MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n 7 n7 n7 n7 n7
6. A public health department makes sure that the essential community-oriented health
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
services are available in the community. Which of the following core public health
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
functions is being implemented?
n7 n7 n7 n7
a. Policy development n7
b. Assessment
c. Assurance
d. Scientific knowledge-based care n7 n7
ACCURATE ANSWER:-C n7
REASONING:->>>Assurance focuses on the responsibility of public health agencies to n7 n7 n7 n7 n7 n7 n7 n7 n7
ensure certain activities have been appropriately carried out to meet public health
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
goals and plans. Policy development seeks to build constituencies that can help bring
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
about change in public policy. Assessment includes activities that involve collecting,
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
analyzing, and disseminating information on both the health status and the health-
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
related aspects of a community or a specific population. Public health is based on
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
, scientific knowledge but is not a core function.
n7 n7 n7 n7 n7 n7 n7 n7
DIFFICULT: Cognitive level: Applying TOPIC: Nursing process:
n7 n7 n7 n7
Assessment MSC: NCLEX: Health Promotion and Maintenance
n7 n7 n 7 n7 n7 n7 n7
7. What is the purpose of public health core functions?
n7 n7 n7 n7 n7 n7 n7 n7
a. Clarifying the role of the government in fulfilling the mission of public health
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
b. Ensuring the safety of populations in receiving quality primary care
n7 n7 n7 n7 n7 n7 n7 n7 n7
c. Providing community-based individualized care to every person in the
n7 n7 n7 n7 n7 n7 n7 n7
United States
n7 n7
d. Uniting public and private providers of care in a comprehensive
n7 n7 n7 n7 n7 n7 n7 n7 n7
approach to providing primary care
n7 n7 n7 n7 n7
ACCURATE ANSWER:-A n7
REASONING:->>>As defined by the Institute of Medicine in its 1988 report The n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Future of Public Health, assessment, policy development, and assurance are core
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
functions
n7
at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment‘s
n7 n7 n7 n7 n7 n7 n7 n7
role.