Test bank for Public Health Nursing Population-Centered
Health Care in the Community 11th Edition by Stanhope
NURSINGTB.COM
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-
Centered Health Care in the Community, 11th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the 9i
American people in the twenty- first century?
9i
a. Bioterrorism and global health threats
b. Delivery of individual care and hygiene
c. The need for increased hospital and acute care
d. Chronic disease and disability management
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally induced infe 9i
ctions, such as the avian flu. These threats will divert health care funds and resources from
9i 9i 9i 9
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.
9i
DIF: Cognitive level: Understanding TOP:
Nursing process:Planning MSC: NCLEX: Health Promotion and Ma
9i 9
intenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could causeNthUeRheSaI
lthNcGaT
reBsy.sC mMto collapse.
teO
c. The threat may divert funds from other public safety health care programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health ca
9 9i
re programs. Because funds are diverted it is possible that community-
9i
based programs would be eliminated, the health care system could experience changes, and t
9i 9i
hat there would be an increase in the need for shelter. However, all the remaining options w
9i 9i 9i
ould happen because of the diversion of funds.
9i 9i
DIF: Cognitive level: Analyzing TOP:
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
9i 9i
3. Which statement describes the consequence of the successful implementation of the
9i 9i 9i 9i
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
9i 9i
c. Public health departments will need to increase the number of nursing positions.
9i
d. Theprevalence of obesity will decrease. 9i
ANS: B
NURSINGTB.COM
, One consequence of successful implementation of the Affordable Care Act might be that the
9i 9i
majority of the population would be covered by insurance and public health agencies will n
ot need to provide direct clinical services in order to assure that those who need them can re
9i 9i 9i
ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti 9i
on to their health status or decrease the prevalence of obesity.
9i 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
4. The public health nurse (PHN) must participate in the essential services of public health.
9i 9i 9i
What is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
9i 9i
b. Diagnosing and investigating health problems in the world 9i
c. Informing, educating, and empowering people about health issues 9i 9i
d. Working in law enforcement to regulate health and ensure safety
9i
ANS: C
The PHN monitors health status in several ways, completing a community assessment is onl 9i 9i
y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ pro
9i 9i
blems, or work in law enforcement. Rather, the PHN would participate with local regulators
9i 9i
to protect communities and empower people to address health issues. 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Implementation MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
5. A public health department is using the mission of public health as described by the Institute 9i 9i
of Medicine when pla nni ngNU Rhea
itsS NTIlt h pGrogBra.mCminMg. Which of the following activities will
9i 9i 9i 9i
most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the United States
9i 9i 9i
b. Providing a flu shot for an elderly person at the health department
9i 9i 9i 9i 9i
c. Keeping track of alternative therapies in use in the United States
9i 9i
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
9i 9i 9i 9
Atlanta
ANS: A
The Institute of Medicine‘s stated mission on public health is ―to generate organized 9i 9i 9i
community and technical knowledge to prevent disease and promote health.‖ Tracking avian
9i 9i
flu outbreaks and doing surveillance applies this concept at a population level. Providing a f
9i 9i 9i 9i 9i
lu shot for an elderly person only addresses individual care. Keeping track of the use of alter 9i 9i
native therapies does nothing to prevent disease or promote health of the population.
9i 9i 9i
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or di
9i 9i
sease prevention.
DIF: Cognitive level: Analyzing TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
6. A public health department makes sure that the essential community-
9i 9i
oriented health services are available in the community. Which of the following core public 9i 9i
health functions is being implemented?
9i 9i
a. Policy development
NURSINGTB.COM
, b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance sfocuses son s sthe sresponsibility sof spublic shealth sagencies sto sensure scertain
9 i
sactivities shave sbeen appropriately scarried sout sto smeet spublic shealth goals sand splans.
9i 9i
sPolicy sdevelopm sent seeks sto sbuild sconstituencies sthat scan s help sbring sabout schange sin
9i 9 i 9
s public spolicy. sAssessm sent includes sactivities sthat sinvolve scollecting, sanalyzing, sand
i 9i
sdisseminating information on s b soth the shealth sstatus sand sthe shealth-
9i 9i 9 i 9i
related saspects sof sa scommunity sor sa sspecific spopulation. sPublic shealth sis sbased son 9i
sscientific sknowledge sbut sis snot sa score sfunction.
DIF: Cognitive slevel: sApplying
s s TOP:
Nursing process: Assessment sMSC: NCLEX: sHealth sPromotion sand
9i 9i 9i
sMa sintenance
7. What sis sthe spurpose sof spublic shealth core sfunctions? 9 i 9i
a. Clarifying sthe srole sof sthe sgovernment sin sfulfilling the smission sof spublic shealth 9i
b. Ensuring sthe ssafety sof s populations sin receiving quality shealth scare
9 9 i 9i 9i
c. Providing community- 9i
based sindividualized scare sto severy sperson sin sthe sUnited sStates
d. Uniting spublic sand sprivate sproviders sof s care sin sa scomprehensive 9 i
sapproach sto sproviding shealth scare
ANS: A
As sdefined sby sthe sInstitute sof sMedicine sin sits s1988 sreport sThe sFuture sof sPublic sHealth,
sassess sment, spolicy sdevelopment, sand sassurance sare score sfunctions sat sall slevels sof
government s s forsthe s purposeNofR
9 i clarIifyiG h e.gCo v eMr snment‘ss s role.
ng s stB 9 i 9 i
US sNsT O
DIF: s s Cognitive s level: sUnderstanding s s s s TOP:
Nursing process: sAssessment sMSC: NCLEX: sHealth sPromotion sand
9i
sMa sintenance
8. Which of the s following sstatements sabout spublic s health sis saccurate?
9i 9i 9i 9i
a. Prevention sof searly sdeaths scan be smore seffectively saccomplished sby 9i
smedical streatment sthan sby spublic s health sapproaches.
b. Expenditures sand sresources sfor spublic shealth have sincreased sin srecent syears. 9i
c. Historically, sgains sin the shealth sof spopulations shave sbeen srelated slargely sto
9i 9 i
schanges sin safety, ssanitation, sand s food ssafety.
9i
d. Reform sof sthe smedical sinsurance ssystem s sis sthe ssingle schange sneeded sto 9 i
simprove sthe shealth of s sAmericans. 9i 9 i
ANS: C
Fielding s and sTilson shave sasserted sthat most sof sthe s increase sin s life sspan has sbeen
9 i 9i 9 i 9i
smade sthro sugh simprovements sin ssanitation, sclean water ssupplies, smaking workplaces 9i 9i 9i
ssafer, simproving sfood sand sdrug ssafety, simmunizing schildren, sand simproving snutrition, 9i
shygiene, sand shousing
. sMedical streatment shas snot smade sas ssignificant of s an s impact on sthe slife sspan as spublic 9i 9 i 9 i 9i 9i
shealt sh smeasures. sFunding for spublic shealth sin srecent syears shas sbeen son sa sgradual
9i
sdecline. sAltho sugh sreform sof s the smedical sinsurance ssystem smay shelp simprove sthe 9 i
s health of sAmericans, sth sere sare smany sother sfactors sthat swill sneed sto sbe saddressed.
9i
DIF: s s Cognitive slevel: sUnderstanding TOP: s Nursing sprocess: sAssessment
NURSINGTB.COM
Health Care in the Community 11th Edition by Stanhope
NURSINGTB.COM
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-
Centered Health Care in the Community, 11th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the 9i
American people in the twenty- first century?
9i
a. Bioterrorism and global health threats
b. Delivery of individual care and hygiene
c. The need for increased hospital and acute care
d. Chronic disease and disability management
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally induced infe 9i
ctions, such as the avian flu. These threats will divert health care funds and resources from
9i 9i 9i 9
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.
9i
DIF: Cognitive level: Understanding TOP:
Nursing process:Planning MSC: NCLEX: Health Promotion and Ma
9i 9
intenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could causeNthUeRheSaI
lthNcGaT
reBsy.sC mMto collapse.
teO
c. The threat may divert funds from other public safety health care programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health ca
9 9i
re programs. Because funds are diverted it is possible that community-
9i
based programs would be eliminated, the health care system could experience changes, and t
9i 9i
hat there would be an increase in the need for shelter. However, all the remaining options w
9i 9i 9i
ould happen because of the diversion of funds.
9i 9i
DIF: Cognitive level: Analyzing TOP:
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
9i 9i
3. Which statement describes the consequence of the successful implementation of the
9i 9i 9i 9i
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
9i 9i
c. Public health departments will need to increase the number of nursing positions.
9i
d. Theprevalence of obesity will decrease. 9i
ANS: B
NURSINGTB.COM
, One consequence of successful implementation of the Affordable Care Act might be that the
9i 9i
majority of the population would be covered by insurance and public health agencies will n
ot need to provide direct clinical services in order to assure that those who need them can re
9i 9i 9i
ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti 9i
on to their health status or decrease the prevalence of obesity.
9i 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
4. The public health nurse (PHN) must participate in the essential services of public health.
9i 9i 9i
What is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
9i 9i
b. Diagnosing and investigating health problems in the world 9i
c. Informing, educating, and empowering people about health issues 9i 9i
d. Working in law enforcement to regulate health and ensure safety
9i
ANS: C
The PHN monitors health status in several ways, completing a community assessment is onl 9i 9i
y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ pro
9i 9i
blems, or work in law enforcement. Rather, the PHN would participate with local regulators
9i 9i
to protect communities and empower people to address health issues. 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Implementation MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
5. A public health department is using the mission of public health as described by the Institute 9i 9i
of Medicine when pla nni ngNU Rhea
itsS NTIlt h pGrogBra.mCminMg. Which of the following activities will
9i 9i 9i 9i
most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the United States
9i 9i 9i
b. Providing a flu shot for an elderly person at the health department
9i 9i 9i 9i 9i
c. Keeping track of alternative therapies in use in the United States
9i 9i
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
9i 9i 9i 9
Atlanta
ANS: A
The Institute of Medicine‘s stated mission on public health is ―to generate organized 9i 9i 9i
community and technical knowledge to prevent disease and promote health.‖ Tracking avian
9i 9i
flu outbreaks and doing surveillance applies this concept at a population level. Providing a f
9i 9i 9i 9i 9i
lu shot for an elderly person only addresses individual care. Keeping track of the use of alter 9i 9i
native therapies does nothing to prevent disease or promote health of the population.
9i 9i 9i
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or di
9i 9i
sease prevention.
DIF: Cognitive level: Analyzing TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
6. A public health department makes sure that the essential community-
9i 9i
oriented health services are available in the community. Which of the following core public 9i 9i
health functions is being implemented?
9i 9i
a. Policy development
NURSINGTB.COM
, b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance sfocuses son s sthe sresponsibility sof spublic shealth sagencies sto sensure scertain
9 i
sactivities shave sbeen appropriately scarried sout sto smeet spublic shealth goals sand splans.
9i 9i
sPolicy sdevelopm sent seeks sto sbuild sconstituencies sthat scan s help sbring sabout schange sin
9i 9 i 9
s public spolicy. sAssessm sent includes sactivities sthat sinvolve scollecting, sanalyzing, sand
i 9i
sdisseminating information on s b soth the shealth sstatus sand sthe shealth-
9i 9i 9 i 9i
related saspects sof sa scommunity sor sa sspecific spopulation. sPublic shealth sis sbased son 9i
sscientific sknowledge sbut sis snot sa score sfunction.
DIF: Cognitive slevel: sApplying
s s TOP:
Nursing process: Assessment sMSC: NCLEX: sHealth sPromotion sand
9i 9i 9i
sMa sintenance
7. What sis sthe spurpose sof spublic shealth core sfunctions? 9 i 9i
a. Clarifying sthe srole sof sthe sgovernment sin sfulfilling the smission sof spublic shealth 9i
b. Ensuring sthe ssafety sof s populations sin receiving quality shealth scare
9 9 i 9i 9i
c. Providing community- 9i
based sindividualized scare sto severy sperson sin sthe sUnited sStates
d. Uniting spublic sand sprivate sproviders sof s care sin sa scomprehensive 9 i
sapproach sto sproviding shealth scare
ANS: A
As sdefined sby sthe sInstitute sof sMedicine sin sits s1988 sreport sThe sFuture sof sPublic sHealth,
sassess sment, spolicy sdevelopment, sand sassurance sare score sfunctions sat sall slevels sof
government s s forsthe s purposeNofR
9 i clarIifyiG h e.gCo v eMr snment‘ss s role.
ng s stB 9 i 9 i
US sNsT O
DIF: s s Cognitive s level: sUnderstanding s s s s TOP:
Nursing process: sAssessment sMSC: NCLEX: sHealth sPromotion sand
9i
sMa sintenance
8. Which of the s following sstatements sabout spublic s health sis saccurate?
9i 9i 9i 9i
a. Prevention sof searly sdeaths scan be smore seffectively saccomplished sby 9i
smedical streatment sthan sby spublic s health sapproaches.
b. Expenditures sand sresources sfor spublic shealth have sincreased sin srecent syears. 9i
c. Historically, sgains sin the shealth sof spopulations shave sbeen srelated slargely sto
9i 9 i
schanges sin safety, ssanitation, sand s food ssafety.
9i
d. Reform sof sthe smedical sinsurance ssystem s sis sthe ssingle schange sneeded sto 9 i
simprove sthe shealth of s sAmericans. 9i 9 i
ANS: C
Fielding s and sTilson shave sasserted sthat most sof sthe s increase sin s life sspan has sbeen
9 i 9i 9 i 9i
smade sthro sugh simprovements sin ssanitation, sclean water ssupplies, smaking workplaces 9i 9i 9i
ssafer, simproving sfood sand sdrug ssafety, simmunizing schildren, sand simproving snutrition, 9i
shygiene, sand shousing
. sMedical streatment shas snot smade sas ssignificant of s an s impact on sthe slife sspan as spublic 9i 9 i 9 i 9i 9i
shealt sh smeasures. sFunding for spublic shealth sin srecent syears shas sbeen son sa sgradual
9i
sdecline. sAltho sugh sreform sof s the smedical sinsurance ssystem smay shelp simprove sthe 9 i
s health of sAmericans, sth sere sare smany sother sfactors sthat swill sneed sto sbe saddressed.
9i
DIF: s s Cognitive slevel: sUnderstanding TOP: s Nursing sprocess: sAssessment
NURSINGTB.COM
