TestBank- z
Public Health Nursing
z z
: Population-Centered Health Care in
z z z z
the Community
z
byMarciaStanhopeandJeanette Lancaster
z z z z z
11thEdition
z
,Chapter01: Public Health FoundationsandPopulation Health
z z z z z z z
Stanhope: PublicHealth Nursing: Population-CenteredHealth Care inthe Community,
z z z z z z z z z
11thEdition
z z
MULTIPLE CHOICE z
1. What is the primary focus to be addressed concerning the improvement of the health of the
z z z z z z z z z z z z z z z
American people in the twenty-first century?
z z z z z z
a. Bioterrorism and global health threats z z z z
b. Delivery of individual care and hygiene z z z z z
c. The need for increased hospital and acute care
z z z z z z z
d. Chronic disease and disability management z z z z
CORRECT ANSWER: A z z
There are new concerns, and of the most serious are bioterrorism and globally induced
z z z z z z z z z z z z z
infections, such as the avian flu. These threats will divert health care funds and resources from
z z z z z z z z z z z z z z z z
other health care programs to be spent for public safety. The others are not related to public
z z z z z z z z z z z z z z z z z
health or are concerns that have been present for many years.
z z z z z z z z z z z
DIF: Cognitive level: Understanding TOP: Nursing process: Planning z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
2. A community is concerned about the threat of bioterrorism. Which of the following best
z z z z z z z z z z z z z
describesthebasisforthisconcern?
z z z z z z
a. Bioterrorism has the potential to dissolve community-based programs. z z z z z z z
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
z z z z
c. The threat may divert funds from other public safety health care programs.
z z z z z z z z z z z
d. Fear of bioterrorism will increase the need for shelters.
z z z z z z z z
CORRECT ANSWER: C z z
Bioterrorism may have an impact on the availability of resources for public safety health care
z z z z z z z z z z z z z z
programs. Because funds are diverted it is possible that community-based programs would be
z z z z z z z z z z z z z
eliminated, the health care system could experience changes, and that there woul be an
z z z z z z z z z z z z z z
increase in the need for shelter. However, all the remaining options would happen becauseof
z z z z z z z z z z z z z z z
thediversionoffunds.
z z z z
DIF: Cognitive level: Analyzing z z TOP: Nursing process: Diagnosis
z z z
MSC: NCLEX: Physiological Integrity
z z z z
3. Which statement describes the consequence of the successful implementation of the
z z z z z z z z z z
AffordableCare Act?
z z z
a. Americans will pay closer attention to their health status. z z z z z z z z
b. Most of the population will be covered by health insurance.
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c. Public health departments will need to increase the number of nursing positions.
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d. The prevalence of obesity will decrease.
z z z z z
ANS: B
z z
, 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 not
z z z z z z z z z z z z z z z
need to provide direct clinical services in order to assure that those who need them can receive
z z z z z z z z z z z z z z z z z
them. The Affordable Care Act will not directly cause Americans to pay closer attention to their
z z z z z z z z z z z z z z z z
health status or decrease the prevalence of obesity.
z z z z z z z z
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
4. The public health NURSE (PHN) must participate in the essential services of public
z z z z z z z z z z z z
zhealth. What is one of the essential services of public health nursing?
z z z z z z z z z z z
a. Monitoring health status by completing a community assessment z z z z z z z
b. Diagnosing and investigating health problems in the world z z z z z z z
c. Informing, educating, and empowering people about health issues z z z z z z z
d. Working in law enforcement to regulate health and ensure safety
z z z z z z z z z
zCORRECTANSWER:C z z
The PHN monitors health status in several ways, completing a community assessment is only
z z z z z z z z z z z z z
zone way that health status is monitored. The PHN would not diagnose or solve “world” problems,
z z z z z z z z z z z z z z z
zor work in law enforcement. Rather, the PHN would participate with local regulators to protect
z z z z z z z z z z z z z z
zcommunities and empower people to address health issues. z z z z z z z
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
5. A public health department is using the mission of public health as described by the Institute
z z z z z z z z z z z z z z z
ofMedicine whenplU
z aintnsiR
nSgN
h eaNIlt hT pGrogBra.mO CminMg. Which z z z z z z z z
most likely be implemented?
z z z
a. Tracking avian flu outbreaks and doing surveillance in the United States
z z z z z z z z z z
b. Providing a flu shot for an elderly person at the health department
z z z z z z z z z z z
c. Keeping track of alternative therapies in use in the United States
z z z z z z z z z z
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
z z z z z z z z z z z
Atlanta z
CORRECT ANSWER: A z z
The Institute of Medicine’s stated mission on public health is “to generate organized
z z z z z z z z z z z z
community and technical knowledge to prevent disease and promote health.” Tracking avia flu
z z z z z z z z z z z z z
outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
z z z z z z z z z z z z z z z
for an elderly person only addresses individual care. Keeping track of the use of alternative
z z z z z z z z z z z z z z z
therapies does nothing to prevent disease or promote health of the population. Keeping snake
z z z z z z z z z z z z z z
antivenom is aimed at disease care for an individual, not health promotion or disease
z z z z z z z z z z z z z z
prevention.
z
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
6. A public health department makes sure that the essential community-oriented health services
z z z z z z z z z z z
zare available in the community. Which of the following core public health functions isbeing
z z z z z z z z z z z z z z
zimplemented?
a. Policy development z
, b. Assessment
c. Assurance
d. Scientific knowledge-based care z z
CORRECTANSWER:C
z z z
Assurance focuses on the responsibility of public health agencies to ensure certain activities
z z z z z z z z z z z z
have been appropriately carried out to meet public health goals and plans. Policy
z z z z z z z z z z z z
development seeks to build constituencies that can help bring about change in public policy
z z z z z z z z z z z z z z
Assessment includes activities that involve collecting, analyzing, and disseminating
z z z z z z z z z
information on both the health status and the health-related aspects of a community or a
z z z z z z z z z z z z z z z
specific population. Public health is based on scientific knowledge but is not a core function
z z z z z z z z z z z z z z z
DIF: Cognitive level: Applying TOP: Nursing process: Assessment z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
7. What is the purpose of public health core functions?
z z z z z z z z
a. Clarifying the role of the government in fulfilling the mission of public health
z z z z z z z z z z z z
b. Ensuring the safety of populations in receiving quality health care
z z z z z z z z z
c. Providing community-based individualized care to every person in the United
z z z z z z z z z
States
z
d. Uniting public and private providers of care in a comprehensive approach to
z z z z z z z z z z z
providinghealthcare
z z z
CORRECT ANSWER: A z z
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
z z z z z z z z z z z z z z z
assessment, policy development, and assurance are core functions at all levels of government
z z z z z z z z z z z z z
for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
z z z
USNT z z z
z
z O z
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
8. Which of the following statements about public health is accurate?
z z z z z z z z z
a. Prevention of early deaths can be more effectively accomplished by medical
z z z z z z z z z z
treatment than by public health approaches.
z z z z z z
b. Expenditures and resources for public health have increased in recent years. z z z z z z z z z z
c. Historically, gains in the health of populations have been related largely to changes in
z z z z z z z z z z z z z
safety, sanitation, and food safety.
z z z z z
d. Reform of the medical insurance system is the single change needed to improve the
z z z z z z z z z z z z z
healthofAmericans.
z z z
CORRECT ANSWER: C z z
Fielding and Tilson have asserted that most of the increase in life span has been made through
z z z z z z z z z z z z z z z z
improvements in sanitation, clean water supplies, making workplaces safer, improving food
z z z z z z z z z z z
and drug safety, immunizing children, and improving nutrition, hygiene,
z z z z z z z z z
and housing. Medical treatment has not made as significant of an impact on the life span as
z z z z z z z z z z z z z z z z
public health measures. Funding for public health in recent years has been on a gradual
z z z z z z z z z z z z z z z
decline. Although reform of the medical insurance system may help improve the health of
z z z z z z z z z z z z z z
Americans, there are many other factors that will need to be addressed.
z z z z z z z z z z z z
DIF: Cognitive level: Understanding z z TOP: Nursing process: Assessment z z z
Public Health Nursing
z z
: Population-Centered Health Care in
z z z z
the Community
z
byMarciaStanhopeandJeanette Lancaster
z z z z z
11thEdition
z
,Chapter01: Public Health FoundationsandPopulation Health
z z z z z z z
Stanhope: PublicHealth Nursing: Population-CenteredHealth Care inthe Community,
z z z z z z z z z
11thEdition
z z
MULTIPLE CHOICE z
1. What is the primary focus to be addressed concerning the improvement of the health of the
z z z z z z z z z z z z z z z
American people in the twenty-first century?
z z z z z z
a. Bioterrorism and global health threats z z z z
b. Delivery of individual care and hygiene z z z z z
c. The need for increased hospital and acute care
z z z z z z z
d. Chronic disease and disability management z z z z
CORRECT ANSWER: A z z
There are new concerns, and of the most serious are bioterrorism and globally induced
z z z z z z z z z z z z z
infections, such as the avian flu. These threats will divert health care funds and resources from
z z z z z z z z z z z z z z z z
other health care programs to be spent for public safety. The others are not related to public
z z z z z z z z z z z z z z z z z
health or are concerns that have been present for many years.
z z z z z z z z z z z
DIF: Cognitive level: Understanding TOP: Nursing process: Planning z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
2. A community is concerned about the threat of bioterrorism. Which of the following best
z z z z z z z z z z z z z
describesthebasisforthisconcern?
z z z z z z
a. Bioterrorism has the potential to dissolve community-based programs. z z z z z z z
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
z z z z
c. The threat may divert funds from other public safety health care programs.
z z z z z z z z z z z
d. Fear of bioterrorism will increase the need for shelters.
z z z z z z z z
CORRECT ANSWER: C z z
Bioterrorism may have an impact on the availability of resources for public safety health care
z z z z z z z z z z z z z z
programs. Because funds are diverted it is possible that community-based programs would be
z z z z z z z z z z z z z
eliminated, the health care system could experience changes, and that there woul be an
z z z z z z z z z z z z z z
increase in the need for shelter. However, all the remaining options would happen becauseof
z z z z z z z z z z z z z z z
thediversionoffunds.
z z z z
DIF: Cognitive level: Analyzing z z TOP: Nursing process: Diagnosis
z z z
MSC: NCLEX: Physiological Integrity
z z z z
3. Which statement describes the consequence of the successful implementation of the
z z z z z z z z z z
AffordableCare Act?
z z z
a. Americans will pay closer attention to their health status. z z z z z z z z
b. Most of the population will be covered by health insurance.
z z z z z z z z z
c. Public health departments will need to increase the number of nursing positions.
z z z z z z z z z z z
d. The prevalence of obesity will decrease.
z z z z z
ANS: B
z z
, One consequence of successful implementation of the Affordable Care Act might be that the
z z z z z z z z z z z z z
majority of the population would be covered by insurance and public health agencies will not
z z z z z z z z z z z z z z z
need to provide direct clinical services in order to assure that those who need them can receive
z z z z z z z z z z z z z z z z z
them. The Affordable Care Act will not directly cause Americans to pay closer attention to their
z z z z z z z z z z z z z z z z
health status or decrease the prevalence of obesity.
z z z z z z z z
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
4. The public health NURSE (PHN) must participate in the essential services of public
z z z z z z z z z z z z
zhealth. What is one of the essential services of public health nursing?
z z z z z z z z z z z
a. Monitoring health status by completing a community assessment z z z z z z z
b. Diagnosing and investigating health problems in the world z z z z z z z
c. Informing, educating, and empowering people about health issues z z z z z z z
d. Working in law enforcement to regulate health and ensure safety
z z z z z z z z z
zCORRECTANSWER:C z z
The PHN monitors health status in several ways, completing a community assessment is only
z z z z z z z z z z z z z
zone way that health status is monitored. The PHN would not diagnose or solve “world” problems,
z z z z z z z z z z z z z z z
zor work in law enforcement. Rather, the PHN would participate with local regulators to protect
z z z z z z z z z z z z z z
zcommunities and empower people to address health issues. z z z z z z z
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
5. A public health department is using the mission of public health as described by the Institute
z z z z z z z z z z z z z z z
ofMedicine whenplU
z aintnsiR
nSgN
h eaNIlt hT pGrogBra.mO CminMg. Which z z z z z z z z
most likely be implemented?
z z z
a. Tracking avian flu outbreaks and doing surveillance in the United States
z z z z z z z z z z
b. Providing a flu shot for an elderly person at the health department
z z z z z z z z z z z
c. Keeping track of alternative therapies in use in the United States
z z z z z z z z z z
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
z z z z z z z z z z z
Atlanta z
CORRECT ANSWER: A z z
The Institute of Medicine’s stated mission on public health is “to generate organized
z z z z z z z z z z z z
community and technical knowledge to prevent disease and promote health.” Tracking avia flu
z z z z z z z z z z z z z
outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
z z z z z z z z z z z z z z z
for an elderly person only addresses individual care. Keeping track of the use of alternative
z z z z z z z z z z z z z z z
therapies does nothing to prevent disease or promote health of the population. Keeping snake
z z z z z z z z z z z z z z
antivenom is aimed at disease care for an individual, not health promotion or disease
z z z z z z z z z z z z z z
prevention.
z
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
6. A public health department makes sure that the essential community-oriented health services
z z z z z z z z z z z
zare available in the community. Which of the following core public health functions isbeing
z z z z z z z z z z z z z z
zimplemented?
a. Policy development z
, b. Assessment
c. Assurance
d. Scientific knowledge-based care z z
CORRECTANSWER:C
z z z
Assurance focuses on the responsibility of public health agencies to ensure certain activities
z z z z z z z z z z z z
have been appropriately carried out to meet public health goals and plans. Policy
z z z z z z z z z z z z
development seeks to build constituencies that can help bring about change in public policy
z z z z z z z z z z z z z z
Assessment includes activities that involve collecting, analyzing, and disseminating
z z z z z z z z z
information on both the health status and the health-related aspects of a community or a
z z z z z z z z z z z z z z z
specific population. Public health is based on scientific knowledge but is not a core function
z z z z z z z z z z z z z z z
DIF: Cognitive level: Applying TOP: Nursing process: Assessment z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
7. What is the purpose of public health core functions?
z z z z z z z z
a. Clarifying the role of the government in fulfilling the mission of public health
z z z z z z z z z z z z
b. Ensuring the safety of populations in receiving quality health care
z z z z z z z z z
c. Providing community-based individualized care to every person in the United
z z z z z z z z z
States
z
d. Uniting public and private providers of care in a comprehensive approach to
z z z z z z z z z z z
providinghealthcare
z z z
CORRECT ANSWER: A z z
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
z z z z z z z z z z z z z z z
assessment, policy development, and assurance are core functions at all levels of government
z z z z z z z z z z z z z
for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
z z z
USNT z z z
z
z O z
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment z z z z z
MSC: NCLEX: Health Promotion and Maintenance
z z z z z z
8. Which of the following statements about public health is accurate?
z z z z z z z z z
a. Prevention of early deaths can be more effectively accomplished by medical
z z z z z z z z z z
treatment than by public health approaches.
z z z z z z
b. Expenditures and resources for public health have increased in recent years. z z z z z z z z z z
c. Historically, gains in the health of populations have been related largely to changes in
z z z z z z z z z z z z z
safety, sanitation, and food safety.
z z z z z
d. Reform of the medical insurance system is the single change needed to improve the
z z z z z z z z z z z z z
healthofAmericans.
z z z
CORRECT ANSWER: C z z
Fielding and Tilson have asserted that most of the increase in life span has been made through
z z z z z z z z z z z z z z z z
improvements in sanitation, clean water supplies, making workplaces safer, improving food
z z z z z z z z z z z
and drug safety, immunizing children, and improving nutrition, hygiene,
z z z z z z z z z
and housing. Medical treatment has not made as significant of an impact on the life span as
z z z z z z z z z z z z z z z z
public health measures. Funding for public health in recent years has been on a gradual
z z z z z z z z z z z z z z z
decline. Although reform of the medical insurance system may help improve the health of
z z z z z z z z z z z z z z
Americans, there are many other factors that will need to be addressed.
z z z z z z z z z z z z
DIF: Cognitive level: Understanding z z TOP: Nursing process: Assessment z z z