TEST BANK FOR PUBLIC HEALTH NURSING POPULATION CENTERED HEALTH CARE IN THE COMMUNITY 9TH EDITION STAN

One of the primary focuses of improving the health of the American people in the twenty-first century is ANS: A There are new concerns, and of the most serious are bioterrorism and globally induced infections, such as the avian flu. These threats will divert health care funds and resources from other health care programs to be spent for public safety. The others are not related to public health or are concerns that have been present for many years. DIF: Cognitive level: Understanding REF: p. 5 TOP: Nursing process: Planning MSC: NCLEX: Health Promotion and Maintenance 2. A community is concerned about the threat of bioterrorism. Which of the following best describes the ANS: C Bioterrorism may have an impact on the availability of resources for public safety health care programs. Because funds are diverted it is possible that community-based programs would be eliminated, the health care system could experience changes, and that there would be an increase in the need for shelter. However, all of these things would happen because of the diversion of funds. Page 2 of 301 2 DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis MSC: NCLEX: Psychosocial Integrity 3. Which of the following describes the consequence of the successful implementation of the Affordable ANS: B One consequence of successful implementation of the Affordable Care Act might actually be that the majority of the population would be covered by insurance and public health agencies will not need to provide direct clinical services in order to assure that those who need them can receive them. The Affordable Care Act will not directly cause Americans to pay closer attention to their health status or decrease the prevalence of obesity. DIF: Cognitive level: Remembering REF: p. 5 TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance 4. The public health nurse (PHN) must participate in the essential services of public health. Which of the ANS: C The PHN monitors health status in several ways, completing a community assessment is only one way that health status is monitored. The PHN would not diagnose or solve “world” problems, or work in law enforcement. Rather, the PHN would participate with local regulators to protect communities and empower people to address health issues. DIF: Cognitive level: Understanding REF: p. 8 (How to Box) TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance Page 3 of 301 3 5. A public health department is using the mission of public health as described by the Institute of Medicine when planning its health programming. Which of the following activities will most likely be implemented? ANS: A The Institute of Medicine’s stated mission on public health is “to generate organized community and technical knowledge to prevent disease and promote health.” Tracking avian flu outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot for an elderly person only addresses individual care. Keeping track of the use of alternative therapies does nothing to prevent disease or promote health of the population. Keeping snake antivenom is aimed at disease care for an individual, not health promotion or disease prevention. DIF: Cognitive level: Analyzing REF: p. 6 TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance 6. A public health department makes sure that the essential community-oriented health services are ANS: C Assurance focuses on the responsibility of public health agencies to ensure certain activities have been appropriately carried out to meet public health goals and plans. Policy development seeks to build constituencies that can help bring about change in public policy. Assessment includes activities that involve collecting, analyzing, and disseminating information on both the health status and the healthrelated aspects of a community or a specific population. Public health is based on scientific knowledge, but is not a core function. DIF: Cognitive level: Applying REF: p. 14 available in the community. Which of the following core public health functions is bei