Public Health Nursing 10th Edition Stanhope Test Bank
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Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-
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Centered Health Care in the Community, 10th Edition
m m m m m m m
MULTIPLE CHOICE m
1. What is the primary focus to be addressed concerning the improvement of the health of the
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mAmerican people in the twenty-first century?
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a. Bioterrorism and global health threats m m m m
b. Delivery of individual care and hygiene m m m m m
c. The need for increased hospital and acute care
m m m m m m m
d. Chronic disease and disability managementm m m m
ANS: A mm
There are new concerns, and of the most serious are bioterrorism and globally induced infe
m m m m m m m m m m m m m m
ctions, such as the avian flu. These threats will divert health care funds and resources from
m m m m m m m m m m m m m m m
mother health care programs to be spent for public safety. The others are not related to publi
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c health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP: m m
Nursing process: Planning MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
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mdescribes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs.
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b. This threat could causeN m thUeReaI
hS lthNcGaT
reBsy.sC mMto collapse.
teO m m m
c. The threat may divert funds from other public safety health care programs.
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d. Fear of bioterrorism will increase the need for shelters.
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ANS: C mm
Bioterrorism may have an impact on the availability of resources for public safety health ca
m m m m m m m m m m m m m m
re programs. Because funds are diverted it is possible that community-
m m m m m m m m m m
based programs would be eliminated, the health care system could experience changes, and t
m m m m m m m m m m m m m
hat there would be an increase in the need for shelter. However, all the remaining options w
m m m m m m m m m m m m m m m m
ould happen because of the diversion of funds.
m m m m m m m
DIF: Cognitive level: Analyzing TOP: m m
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
m m m m m m
3. Which statement describes the consequence of the successful implementation of the
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mAffordable Care Act? m m
a. Americans will pay closer attention to their health status.
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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.
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mANS: B m
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
m m m m m m m
One consequence of successful implementation of the Affordable Care Act might be that the
m m m m m m m m m m m m m
mmajority of the population would be covered by insurance and public health agencies will n
m m m m m m m m m m m m m m
ot need to provide direct clinical services in order to assure that those who need them can re
m m m m m m m m m m m m m m m m m
ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti
m m m m m m m m m m m m m m
on to their health status or decrease the prevalence of obesity.
m m m m m m m m m m
DIF: Cognitive level: Understanding TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai m m m m m m m m
ntenance
4. The public health nurse (PHN) must participate in the essential services of public health.
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mWhat is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment m m m m m m m
b. Diagnosing and investigating health problems in the world m m m m m m m
c. Informing, educating, and empowering people about health issues m m m m m m m
d. Working in law enforcement to regulate health and ensure safety
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ANS: C mm
The PHN monitors health status in several ways, completing a community assessment is onl
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y one way that health status is monitored. The PHN would not diagnose or solve “world” pr
m m m m m m m m m m m m m m m m
oblems, or work in law enforcement. Rather, the PHN would participate with local regulato
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rs to protect communities and empower people to address health issues.
m m m m m m m m m m
DIF: Cognitive level: Understanding TOP: m m
Nursing process: Implementation MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
5. A public health department is using the mission of public health as described by the Institute
m m m m m m m m m m m m m m m
of Medicine when planningNits RheaI lth pGrogB
ra.mCminMg. Which of the following activities will
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m
most likely be implemented?
m
U S N T O m
m
m
m
m m m
m m m m m m m
a. Tracking avian flu outbreaks and doing surveillance in the United States
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b. Providing a flu shot for an elderly person at the health department
m m m m m m m m m m m
c. Keeping track of alternative therapies in use in the United States
m m m m m m m m m m
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
m m m m m m m m m m m
Atlanta m
ANS: A mm
The Institute of Medicine’s stated mission on public health is “to generate organized
m m m m m m m m m m m m
community and technical knowledge to prevent disease and promote health.” Tracking avian
m m m m m m m m m m m
mflu outbreaks and doing surveillance applies this concept at a population level. Providing a
m m m m m m m m m m m m m m
flu shot for an elderly person only addresses individual care. Keeping track of the use of alte
m m m m m m m m m m m m m m m m
rnative therapies does nothing to prevent disease or promote health of the population.
m m m m m m m m m m m m
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or d
m m m m m m m m m m m m m m m
isease prevention. m
DIF: Cognitive level: Analyzing TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai m m m m m m m m
ntenance
6. A public health department makes sure that the essential community-
m m m m m m m m m
oriented health services are available in the community. Which of the following core public
m m m m m m m m m m m m m m
health functions is being implemented?
m m m m
a. Policy development m
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
m m m m m m m
b. Assessment
c. Assurance
d. Scientific knowledge-based care m m
ANS: C mm
Assurance focuses on the responsibility of public health agencies to ensure certain activities
m m m m m m m m m m m m
mhave been appropriately carried out to meet public health goals and plans. Policy developm
m m m m m m m m m m m m m
ent seeks to build constituencies that can help bring about change in public policy. Assessm
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ent includes activities that involve collecting, analyzing, and disseminating information on b
m m m m m m m m m m m
oth the health status and the health-
m m m m m m
related aspects of a community or a specific population. Public health is based on scientific
m m m m m m m m m m m m m m m
knowledge but is not a core function.
m m m m m m
DIF: Cognitive level: Applying TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
7. What is the purpose of public health core functions?
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a. Clarifying the role of the government in fulfilling the mission of public health
m m m m m m m m m m m m
b. Ensuring the safety of populations in receiving quality health care
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c. Providing community- m
based individualized care to every person in the United States
m m m m m m m m m
d. Uniting public and private providers of care in a comprehensive approach to
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providing health care
m m m
ANS: A mm
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assess
m m m m m m m m m m m m m m m m
ment, policy development, and assurance are core functions at all levels of
m m m m m m m m m m m
government for the purposeNof R
clarI
m ifyiG
ng tB
he.gCoveMrnment’s role.
m m m m
USNT m m m O
DIF: Cognitive level: Understanding TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
8. Which of the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medical
m m m m m m m m m m
treatment than by public health approaches.
m m m m m m
b. Expenditures and resources for public health have increased in recent years.
m m m m m m m m m m
c. Historically, gains in the health of populations have been related largely to changes
m m m m m m m m m m m m
in safety, sanitation, and food safety.
m m m m m m
d. Reform of the medical insurance system is the single change needed to improve
m m m m m m m m m m m m
the health of Americans.
m m m m
ANS: C mm
Fielding and Tilson have asserted that most of the increase in life span has been made thro
m m m m m m m m m m m m m m m m
ugh improvements in sanitation, clean water supplies, making workplaces safer, improving
m m m m m m m m m m
mfood and drug safety, immunizing children, and improving nutrition, hygiene, and housing
m m m m m m m m m m m
. Medical treatment has not made as significant of an impact on the life span as public healt
m m m m m m m m m m m m m m m m m
h measures. Funding for public health in recent years has been on a gradual decline. Altho
m m m m m m m m m m m m m m m
ugh reform of the medical insurance system may help improve the health of Americans, th
m m m m m m m m m m m m m m
ere are many other factors that will need to be addressed.
m m m m m m m m m m
DIF: Cognitive level: Understanding m m TOP: Nursing process: Assessment m m
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
m m m m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
9. A public health nurse (PHN) collects data and monitors the health status of the population.
m m m m m m m m m m m m m m
mWhich of the following core public health functions is the nurse addressing?
m m m m m m m m m m m
a. Assessment
b. Prevention
c. Assurance
d. Policy development m
ANS: A mm
Assessment consists of systematic data collection and monitoring health status.
m m m m m m m m m
Prevention is not a core function, assurance is making sure essential services are available,
m m m m m m m m m m m m m m
and policy development is needed to provide leadership in developing policies.
m m m m m m m m m m
DIF: Cognitive level: Applying TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
10. The public health nurse (PHN) compares the rate of teenage pregnancy in various areas of
m m m m m m m m m m m m m m
mthe city. Which of the core functions of public health is the nurse addressing?
m m m m m m m m m m m m m
a. Assurance
b. Assessment
c. Prevention
d. Policy development m
ANS: B mm
Assessment refers to systematic data collection, which this nurse is doing for teenage pregnan
m m m m m m m m m m m m m
cy. Prevention is not a core function, assurance is making sure essential services are
m
N R I G B.C M
available, and policy developUmenSt isNneeTded to O
m m
m m m m
p rovide leadership in developing policies.
m
m
m m m
m
m
m
m
m
m
m
m m
m
m
m m
m m
m
DIF: Cognitive level: Applying TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
11. A public health nurse (PHN) develops and implements local public health policies through
m m m m m m m m m m m m
mpartnerships with agencies, organizations, and consumers within the community. Which o
m m m m m m m m m m
f the following core public health functions is the nurse addressing?
m m m m m m m m m m
a. Assessment
b. Prevention
c. Assurance
d. Policy development m
ANS: D mm
Policy development deals with developing and implementing health policies. Prevention is
m m m m m m m m m m m
not a core function, assurance is making sure essential services are available, and assessme
m m m m m m m m m m m m m
nt refers to systematic data collection.
m m m m m
DIF: Cognitive level: Applying TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
NURSINGTB.COM
m m m m m m m
Chapter 01: Public Health Foundations and Population Health
m m m m m m m
Stanhope: Public Health Nursing: Population-
m m m m
Centered Health Care in the Community, 10th Edition
m m m m m m m
MULTIPLE CHOICE m
1. What is the primary focus to be addressed concerning the improvement of the health of the
m m m m m m m m m m m m m m m
mAmerican people in the twenty-first century?
m m m m m
a. Bioterrorism and global health threats m m m m
b. Delivery of individual care and hygiene m m m m m
c. The need for increased hospital and acute care
m m m m m m m
d. Chronic disease and disability managementm m m m
ANS: A mm
There are new concerns, and of the most serious are bioterrorism and globally induced infe
m m m m m m m m m m m m m m
ctions, such as the avian flu. These threats will divert health care funds and resources from
m m m m m m m m m m m m m m m
mother health care programs to be spent for public safety. The others are not related to publi
m m m m m m m m m m m m m m m m
c health or are concerns that have been present for many years.
m m m m m m m m m m m
DIF: Cognitive level: Understanding TOP: m m
Nursing process: Planning MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
m m m m m m m m m m m m m
mdescribes the basis for this concern?
m m m m m
a. Bioterrorism has the potential to dissolve community-based programs.
m m m m m m m
b. This threat could causeN m thUeReaI
hS lthNcGaT
reBsy.sC mMto collapse.
teO m m m
c. The threat may divert funds from other public safety health care programs.
m m m m m m m m m m m
d. Fear of bioterrorism will increase the need for shelters.
m m m m m m m m
ANS: C mm
Bioterrorism may have an impact on the availability of resources for public safety health ca
m m m m m m m m m m m m m m
re programs. Because funds are diverted it is possible that community-
m m m m m m m m m m
based programs would be eliminated, the health care system could experience changes, and t
m m m m m m m m m m m m m
hat there would be an increase in the need for shelter. However, all the remaining options w
m m m m m m m m m m m m m m m m
ould happen because of the diversion of funds.
m m m m m m m
DIF: Cognitive level: Analyzing TOP: m m
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
m m m m m m
3. Which statement describes the consequence of the successful implementation of the
m m m m m m m m m m
mAffordable Care Act? m m
a. Americans will pay closer attention to their health status.
m m m m m m m m
b. Most of the population will be covered by health insurance.
m m m m m m m m m
c. Public health departments will need to increase the number of nursing positions.
m m m m m m m m m m m
d. The prevalence of obesity will decrease.
m m m m m
mANS: B m
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
m m m m m m m
One consequence of successful implementation of the Affordable Care Act might be that the
m m m m m m m m m m m m m
mmajority of the population would be covered by insurance and public health agencies will n
m m m m m m m m m m m m m m
ot need to provide direct clinical services in order to assure that those who need them can re
m m m m m m m m m m m m m m m m m
ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti
m m m m m m m m m m m m m m
on to their health status or decrease the prevalence of obesity.
m m m m m m m m m m
DIF: Cognitive level: Understanding TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai m m m m m m m m
ntenance
4. The public health nurse (PHN) must participate in the essential services of public health.
m m m m m m m m m m m m m
mWhat is one of the essential services of public health nursing?
m m m m m m m m m m
a. Monitoring health status by completing a community assessment m m m m m m m
b. Diagnosing and investigating health problems in the world m m m m m m m
c. Informing, educating, and empowering people about health issues m m m m m m m
d. Working in law enforcement to regulate health and ensure safety
m m m m m m m m m
ANS: C mm
The PHN monitors health status in several ways, completing a community assessment is onl
m m m m m m m m m m m m m
y one way that health status is monitored. The PHN would not diagnose or solve “world” pr
m m m m m m m m m m m m m m m m
oblems, or work in law enforcement. Rather, the PHN would participate with local regulato
m m m m m m m m m m m m m
rs to protect communities and empower people to address health issues.
m m m m m m m m m m
DIF: Cognitive level: Understanding TOP: m m
Nursing process: Implementation MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
5. A public health department is using the mission of public health as described by the Institute
m m m m m m m m m m m m m m m
of Medicine when planningNits RheaI lth pGrogB
ra.mCminMg. Which of the following activities will
m
m
m
most likely be implemented?
m
U S N T O m
m
m
m
m m m
m m m m m m m
a. Tracking avian flu outbreaks and doing surveillance in the United States
m m m m m m m m m m
b. Providing a flu shot for an elderly person at the health department
m m m m m m m m m m m
c. Keeping track of alternative therapies in use in the United States
m m m m m m m m m m
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
m m m m m m m m m m m
Atlanta m
ANS: A mm
The Institute of Medicine’s stated mission on public health is “to generate organized
m m m m m m m m m m m m
community and technical knowledge to prevent disease and promote health.” Tracking avian
m m m m m m m m m m m
mflu outbreaks and doing surveillance applies this concept at a population level. Providing a
m m m m m m m m m m m m m m
flu shot for an elderly person only addresses individual care. Keeping track of the use of alte
m m m m m m m m m m m m m m m m
rnative therapies does nothing to prevent disease or promote health of the population.
m m m m m m m m m m m m
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or d
m m m m m m m m m m m m m m m
isease prevention. m
DIF: Cognitive level: Analyzing TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai m m m m m m m m
ntenance
6. A public health department makes sure that the essential community-
m m m m m m m m m
oriented health services are available in the community. Which of the following core public
m m m m m m m m m m m m m m
health functions is being implemented?
m m m m
a. Policy development m
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
m m m m m m m
b. Assessment
c. Assurance
d. Scientific knowledge-based care m m
ANS: C mm
Assurance focuses on the responsibility of public health agencies to ensure certain activities
m m m m m m m m m m m m
mhave been appropriately carried out to meet public health goals and plans. Policy developm
m m m m m m m m m m m m m
ent seeks to build constituencies that can help bring about change in public policy. Assessm
m m m m m m m m m m m m m m
ent includes activities that involve collecting, analyzing, and disseminating information on b
m m m m m m m m m m m
oth the health status and the health-
m m m m m m
related aspects of a community or a specific population. Public health is based on scientific
m m m m m m m m m m m m m m m
knowledge but is not a core function.
m m m m m m
DIF: Cognitive level: Applying TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
7. What is the purpose of public health core functions?
m m m m m m m m
a. Clarifying the role of the government in fulfilling the mission of public health
m m m m m m m m m m m m
b. Ensuring the safety of populations in receiving quality health care
m m m m m m m m m
c. Providing community- m
based individualized care to every person in the United States
m m m m m m m m m
d. Uniting public and private providers of care in a comprehensive approach to
m m m m m m m m m m m
providing health care
m m m
ANS: A mm
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assess
m m m m m m m m m m m m m m m m
ment, policy development, and assurance are core functions at all levels of
m m m m m m m m m m m
government for the purposeNof R
clarI
m ifyiG
ng tB
he.gCoveMrnment’s role.
m m m m
USNT m m m O
DIF: Cognitive level: Understanding TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
8. Which of the following statements about public health is accurate?
m m m m m m m m m
a. Prevention of early deaths can be more effectively accomplished by medical
m m m m m m m m m m
treatment than by public health approaches.
m m m m m m
b. Expenditures and resources for public health have increased in recent years.
m m m m m m m m m m
c. Historically, gains in the health of populations have been related largely to changes
m m m m m m m m m m m m
in safety, sanitation, and food safety.
m m m m m m
d. Reform of the medical insurance system is the single change needed to improve
m m m m m m m m m m m m
the health of Americans.
m m m m
ANS: C mm
Fielding and Tilson have asserted that most of the increase in life span has been made thro
m m m m m m m m m m m m m m m m
ugh improvements in sanitation, clean water supplies, making workplaces safer, improving
m m m m m m m m m m
mfood and drug safety, immunizing children, and improving nutrition, hygiene, and housing
m m m m m m m m m m m
. Medical treatment has not made as significant of an impact on the life span as public healt
m m m m m m m m m m m m m m m m m
h measures. Funding for public health in recent years has been on a gradual decline. Altho
m m m m m m m m m m m m m m m
ugh reform of the medical insurance system may help improve the health of Americans, th
m m m m m m m m m m m m m m
ere are many other factors that will need to be addressed.
m m m m m m m m m m
DIF: Cognitive level: Understanding m m TOP: Nursing process: Assessment m m
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
m m m m m m m
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
m m m m m m m m m
9. A public health nurse (PHN) collects data and monitors the health status of the population.
m m m m m m m m m m m m m m
mWhich of the following core public health functions is the nurse addressing?
m m m m m m m m m m m
a. Assessment
b. Prevention
c. Assurance
d. Policy development m
ANS: A mm
Assessment consists of systematic data collection and monitoring health status.
m m m m m m m m m
Prevention is not a core function, assurance is making sure essential services are available,
m m m m m m m m m m m m m m
and policy development is needed to provide leadership in developing policies.
m m m m m m m m m m
DIF: Cognitive level: Applying TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
10. The public health nurse (PHN) compares the rate of teenage pregnancy in various areas of
m m m m m m m m m m m m m m
mthe city. Which of the core functions of public health is the nurse addressing?
m m m m m m m m m m m m m
a. Assurance
b. Assessment
c. Prevention
d. Policy development m
ANS: B mm
Assessment refers to systematic data collection, which this nurse is doing for teenage pregnan
m m m m m m m m m m m m m
cy. Prevention is not a core function, assurance is making sure essential services are
m
N R I G B.C M
available, and policy developUmenSt isNneeTded to O
m m
m m m m
p rovide leadership in developing policies.
m
m
m m m
m
m
m
m
m
m
m
m m
m
m
m m
m m
m
DIF: Cognitive level: Applying TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
11. A public health nurse (PHN) develops and implements local public health policies through
m m m m m m m m m m m m
mpartnerships with agencies, organizations, and consumers within the community. Which o
m m m m m m m m m m
f the following core public health functions is the nurse addressing?
m m m m m m m m m m
a. Assessment
b. Prevention
c. Assurance
d. Policy development m
ANS: D mm
Policy development deals with developing and implementing health policies. Prevention is
m m m m m m m m m m m
not a core function, assurance is making sure essential services are available, and assessme
m m m m m m m m m m m m m
nt refers to systematic data collection.
m m m m m
DIF: Cognitive level: Applying TOP: m m
Nursing process: Assessment MSC: NCLEX: Health Promotion and Mai
m m m m m m m m
ntenance
NURSINGTB.COM
