4 4 4 4 4 4
TION CENTERED HEALTH CARE IN THE COMMUNITY
4 4 4 4 4 4 4
10TH EDITION STANHOPE
4 4
,Chapter401:4Public4Health4Foundations4and4Population4Health4Stanhope
:4Public4Health4Nursing:4Population-
Centered4Health4Care4in4the4Community,410th4Edition
MULTIPLE4CHOICE
1. What4is4the4primary4focus4to4be4addressed4concerning4the4improvement4of4the4health4of
4the4American4people4in4the4twenty-first4century?
a. Bioterrorism4and4global4health4threats
b. Delivery4of4individual4care4and4hygiene
c. The4need4for4increased4hospital4and4acute4care
d. Chronic4disease4and4disability4management
ANS:4 A
There4are4new4concerns,4and4of4the4most4serious4are4bioterrorism4and4globally4induced4infec
tions,4such4as4the4avian4flu.4These4threats4will4divert4health4care4funds4and4resources4from4ot
her4health4care4programs4to4be4spent4for4public4safety.4The4others4are4not4related4to4public4he
alth4or4are4concerns4that4have4been4present4for4many4years.
DIF: Cognitive4level:4Understanding
TOP:4Nursing4process:4Planning4MSC:4 NCLEX:4Health4Promotion4a
nd4Maintenance
2. A4community4is4concerned4about4the4threat4of4bioterrorism.4Which4of4the4following
4best4describes4the4basis4for4this4concern?
a. Bioterrorism4has4the4potential4to4dissolve4community-based4programs.
b. This4threat4could4causeNthUeRhSeaIlthNcGaTreBsy.sCteOmMto4 collapse.
c. The4threat4may4divert4funds4from4other4public4safety4health4care4programs.
d. Fear4of4bioterrorism4will4increase4the4need4for4shelters.
ANS:4 C
Bioterrorism4may4have4an4impact4on4the4availability4of4resources4for4public4safety4health4car
e4programs.4Because4funds4are4diverted4it4is4possible4that4community-
based4programs4would4be4eliminated,4the4health4care4system4could4experience4changes,4and4t
hat4there4would4be4an4increase4in4the4need4for4shelter.4However,4all4the4remaining4options4w
ould4happen4because4of4the4diversion4of4funds.
DIF: Cognitive4level:4Analyzing
TOP:4Nursing4process:4Diagnosis4MSC:4 NCLEX:4Physiological4Integr
ity
3. Which4statement4describes4the4consequence4of4the4successful4implementation4of
4the4Affordable4Care4Act?
a. Americans4will4pay4closer4attention4to4their4health4status.
b. Most4of4the4population4will4be4covered4by4health4insurance.
c. Public4health4departments4will4need4to4increase4the4number4of4nursing4positions.
,d. The4prevalence4of4obesity4will
4decrease.4ANS:4B
, One4consequence4of4successful4implementation4of4the4Affordable4Care4Act4might4be4that4t
he4majority4of4the4population4would4be4covered4by4insurance4and4public4health4agencies4wi
ll4not4need4to4provide4direct4clinical4services4in4order4to4assure4that4those4who4need4them4ca
n4receive4them.4The4Affordable4Care4Act4will4not4directly4cause4Americans4to4pay4closer4at
tention4to4their4health4status4or4decrease4the4prevalence4of4obesity.
DIF: Cognitive4level:4Understanding
TOP:4Nursing4process:4Assessment4MSC:4 NCLEX:4Health4Promotion4a
nd4Maintenance
4. The4public4health4nurse4(PHN)4must4participate4in4the4essential4services4of4public
4health.4What4is4one4of4the4essential4services4of4public4health4nursing?
a. Monitoring4health4status4by4completing4a4community4assessment
b. Diagnosing4and4investigating4health4problems4in4the4world
c. Informing,4educating,4and4empowering4people4about4health4issues
d. Working4in4law4enforcement4to4regulate4health4and4ensure4safety
ANS:4 C
The4PHN4monitors4health4status4in4several4ways,4completing4a4community4assessment4is4onl
y4one4way4that4health4status4is4monitored.4The4PHN4would4not4diagnose4or4solve4“world”4pr
oblems,4or4work4in4law4enforcement.4Rather,4the4PHN4would4participate4with4local4regulator
s4to4protect4communities4and4empower4people4to4address4health4issues.
DIF: Cognitive4level:4Understanding
TOP:4Nursing4process:4Implementation4MSC:4 NCLEX:4Health4Promotion4a
nd4Maintenance
5. A4public4health4department4is4using4the4mission4of4public4health4as4described4by4the4Insti
tute4of4Medicine4when4planningNitsRheaIlth4pGrogBra.mCminMg.4Which4of4the4foll
U4S4be4implemented?
owing4activities4will4most4likely
a. Tracking4avian4flu4outbreaks4and4doing4surveillance4in4the4United4States
b. Providing4a4flu4shot4for4an4elderly4person4at4the4health4department
c. Keeping4track4of4alternative4therapies4in4use4in4the4United4States
d. Keeping4snake4antivenom4at4the4Centers4for4Disease4Control4and4Prevention
4in4Atlanta
ANS:4 A
The4Institute4of4Medicine’s4stated4mission4on4public4health4is4“to4generate4organized4commu
nity4and4technical4knowledge4to4prevent4disease4and4promote4health.”4Tracking4avian4flu4out
breaks4and4doing4surveillance4applies4this4concept4at4a4population4level.4Providing4a4flu4shot4
for4an4elderly4person4only4addresses4individual4care.4Keeping4track4of4the4use4of4alternative4t
herapies4does4nothing4to4prevent4disease4or4promote4health4of4the4population.
Keeping4snake4antivenom4is4aimed4at4disease4care4for4an4individual,4not4health4promotion4or4
disease4prevention.
DIF: Cognitive4level:4Analyzing
TOP:4Nursing4process:4Assessment4MSC:4 NCLEX:4Health4Promotion4a
nd4Maintenance
6. A4public4health4department4makes4sure4that4the4essential4community-
oriented4health4services4are4available4in4the4community.4Which4of4the4following4cor
e4public4health4functions4is4being4implemented?
a. Policy4development