TestBank- v
Public Health Nursing
v v
: Population-Centered Health Care in
v v v v
the Community
v
by Marcia Stanhope and Jeanette Lancaster
v v v v v
11thEdition
v
,Chapter 01: Public Health Foundations and Population Health
v v v v v v v
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
v v v v v v v v v
11th Edition
v v
MULTIPLE CHOICE v
1. What is the primary focus to be addressed concerning the improvement of the health of the
v v v v v v v v v v v v v v v
American people in the twenty-first century?
v v v v v v
a. Bioterrorism and global health threats v v v v
b. Delivery of individual care and hygiene v v v v v
c. The need for increased hospital and acute care
v v v v v v v
d. Chronic disease and disability management v v v v
CORRECT ANSWER: A v v
There are new concerns, and of the most serious are bioterrorism and globally induced
v v v v v v v v v v v v v
infections, such as the avian flu. These threats will divert health care funds and resources
v v v v v v v v v v v v v v v
from other health care programs to be spent for public safety. The others are not related to
v v v v v v v v v v v v v v v v v
public health or are concerns that have been present for many years.
v v v v v v v v v v v v
DIF: Cognitive level: Understanding TOP: Nursing process: Planning v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
2. A community is concerned about the threat of bioterrorism. Which of the following best
v v v v v v v v v v v v v
describesthebasisforthisconcern?
v v v v v v
a. Bioterrorism has the potential to dissolve community-based programs. v v v v v v v
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
v v v v
c. The threat may divert funds from other public safety health care programs.
v v v v v v v v v v v
d. Fear of bioterrorism will increase the need for shelters.
v v v v v v v v
CORRECT ANSWER: C v v
Bioterrorism may have an impact on the availability of resources for public safety health care
v v v v v v v v v v v v v v
programs. Because funds are diverted it is possible that community-based programs would
v v v v v v v v v v v v
be eliminated, the health care system could experience changes, and that there woul be an
v v v v v v v v v v v v v v v
increase in the need for shelter. However, all the remaining options would happen becauseof
v v v v v v v v v v v v v v v
thediversionoffunds.
v v v v
DIF: Cognitive level: Analyzing v v TOP: Nursing process: Diagnosis
v v v
MSC: NCLEX: Physiological Integrity
v v v v
3. Which statement describes the consequence of the successful implementation of the
v v v v v v v v v v
Affordable Care Act?
v v v
a. Americans will pay closer attention to their health status. v v v v v v v v
b. Most of the population will be covered by health insurance.
v v v v v v v v v
c. Public health departments will need to increase the number of nursing positions.
v v v v v v v v v v v
d. The prevalence of obesity will decrease.
v v v v v
ANS: B
v v
, One consequence of successful implementation of the Affordable Care Act might be that the
v v v v v v v v v v v v v
majority of the population would be covered by insurance and public health agencies will not
v v v v v v v v v v v v v v v
need to provide direct clinical services in order to assure that those who need them can
v v v v v v v v v v v v v v v v
receive them. The Affordable Care Act will not directly cause Americans to pay closer
v v v v v v v v v v v v v v
attention to their health status or decrease the prevalence of obesity.
v v v v v v v v v v v
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
4. The public health NURSE (PHN) must participate in the essential services of public
v v v v v v v v v v v v
vhealth. What is one of the essential services of public health nursing?
v v v v v v v v v v v
a. Monitoring health status by completing a community assessment v v v v v v v
b. Diagnosing and investigating health problems in the world v v v v v v v
c. Informing, educating, and empowering people about health issues v v v v v v v
d. Working in law enforcement to regulate health and ensure safety
v v v v v v v v v
vCORRECTANSWER:C v v
The PHN monitors health status in several ways, completing a community assessment is only
v v v v v v v v v v v v v
vone way that health status is monitored. The PHN would not diagnose or solve “world”
v v v v v v v v v v v v v v
vproblems, or work in law enforcement. Rather, the PHN would participate with local
v v v v v v v v v v v v
vregulators to protect communities and empower people to address health issues.
v v v v v v v v v v
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
5. A public health department is using the mission of public health as described by the Institute
v v v v v v v v v v v v v v v
of Medicine when plU
v aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which v v v v v v v v
most likely be implemented? v v v
a. Tracking avian flu outbreaks and doing surveillance in the United States
v v v v v v v v v v
b. Providing a flu shot for an elderly person at the health department
v v v v v v v v v v v
c. Keeping track of alternative therapies in use in the United States
v v v v v v v v v v
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
v v v v v v v v v v v
Atlanta v
CORRECT ANSWER: A v v
The Institute of Medicine’s stated mission on public health is “to generate organized
v v v v v v v v v v v v
community and technical knowledge to prevent disease and promote health.” Tracking avia
v v v v v v v v v v v v
flu outbreaks and doing surveillance applies this concept at a population level. Providing a flu
v v v v v v v v v v v v v v v
shot for an elderly person only addresses individual care. Keeping track of the use of
v v v v v v v v v v v v v v v
alternative therapies does nothing to prevent disease or promote health of the population.
v v v v v v v v v v v v v
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
v v v v v v v v v v v v v v v
disease prevention.
v v
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
6. A public health department makes sure that the essential community-oriented health
v v v v v v v v v v
vservices are available in the community. Which of the following core public health functions is
v v v v v v v v v v v v v v
vbeing implemented? v
a. Policy development v
, b. Assessment
c. Assurance
d. Scientific knowledge-based care v v
CORRECTANSWER:C
v v v
Assurance focuses on the responsibility of public health agencies to ensure certain activities
v v v v v v v v v v v v
have been appropriately carried out to meet public health goals and plans. Policy
v v v v v v v v v v v v
development seeks to build constituencies that can help bring about change in public policy
v v v v v v v v v v v v v v
Assessment includes activities that involve collecting, analyzing, and disseminating
v v v v v v v v v
information on both the health status and the health-related aspects of a community or a
v v v v v v v v v v v v v v v
specific population. Public health is based on scientific knowledge but is not a core function
v v v v v v v v v v v v v v v
DIF: Cognitive level: Applying TOP: Nursing process: Assessment v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
7. What is the purpose of public health core functions?
v v v v v v v v
a. Clarifying the role of the government in fulfilling the mission of public health
v v v v v v v v v v v v
b. Ensuring the safety of populations in receiving quality health care
v v v v v v v v v
c. Providing community-based individualized care to every person in the United
v v v v v v v v v
States
v
d. Uniting public and private providers of care in a comprehensive approach to
v v v v v v v v v v v
providing health care
v v v
CORRECT ANSWER: A v v
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
v v v v v v v v v v v v v v v
assessment, policy development, and assurance are core functions at all levels of government
v v v v v v v v v v v v v
for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
v v v
USNT v v v
v
v O v
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
8. Which of the following statements about public health is accurate?
v v v v v v v v v
a. Prevention of early deaths can be more effectively accomplished by medical
v v v v v v v v v v
treatment than by public health approaches.
v v v v v v
b. Expenditures and resources for public health have increased in recent years. v v v v v v v v v v
c. Historically, gains in the health of populations have been related largely to changes in
v v v v v v v v v v v v v
safety, sanitation, and food safety.
v v v v v
d. Reform of the medical insurance system is the single change needed to improve
v v v v v v v v v v v v
the healthofAmericans.
v v v v
CORRECT ANSWER: C v v
Fielding and Tilson have asserted that most of the increase in life span has been made through
v v v v v v v v v v v v v v v v
improvements in sanitation, clean water supplies, making workplaces safer, improving food
v v v v v v v v v v v
and drug safety, immunizing children, and improving nutrition, hygiene,
v v v v v v v v v
and housing. Medical treatment has not made as significant of an impact on the life span as
v v v v v v v v v v v v v v v v
public health measures. Funding for public health in recent years has been on a gradual
v v v v v v v v v v v v v v v
decline. Although reform of the medical insurance system may help improve the health of
v v v v v v v v v v v v v v
Americans, there are many other factors that will need to be addressed.
v v v v v v v v v v v v
DIF: Cognitive level: Understanding v v TOP: Nursing process: Assessment v v v
Public Health Nursing
v v
: Population-Centered Health Care in
v v v v
the Community
v
by Marcia Stanhope and Jeanette Lancaster
v v v v v
11thEdition
v
,Chapter 01: Public Health Foundations and Population Health
v v v v v v v
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
v v v v v v v v v
11th Edition
v v
MULTIPLE CHOICE v
1. What is the primary focus to be addressed concerning the improvement of the health of the
v v v v v v v v v v v v v v v
American people in the twenty-first century?
v v v v v v
a. Bioterrorism and global health threats v v v v
b. Delivery of individual care and hygiene v v v v v
c. The need for increased hospital and acute care
v v v v v v v
d. Chronic disease and disability management v v v v
CORRECT ANSWER: A v v
There are new concerns, and of the most serious are bioterrorism and globally induced
v v v v v v v v v v v v v
infections, such as the avian flu. These threats will divert health care funds and resources
v v v v v v v v v v v v v v v
from other health care programs to be spent for public safety. The others are not related to
v v v v v v v v v v v v v v v v v
public health or are concerns that have been present for many years.
v v v v v v v v v v v v
DIF: Cognitive level: Understanding TOP: Nursing process: Planning v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
2. A community is concerned about the threat of bioterrorism. Which of the following best
v v v v v v v v v v v v v
describesthebasisforthisconcern?
v v v v v v
a. Bioterrorism has the potential to dissolve community-based programs. v v v v v v v
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
v v v v
c. The threat may divert funds from other public safety health care programs.
v v v v v v v v v v v
d. Fear of bioterrorism will increase the need for shelters.
v v v v v v v v
CORRECT ANSWER: C v v
Bioterrorism may have an impact on the availability of resources for public safety health care
v v v v v v v v v v v v v v
programs. Because funds are diverted it is possible that community-based programs would
v v v v v v v v v v v v
be eliminated, the health care system could experience changes, and that there woul be an
v v v v v v v v v v v v v v v
increase in the need for shelter. However, all the remaining options would happen becauseof
v v v v v v v v v v v v v v v
thediversionoffunds.
v v v v
DIF: Cognitive level: Analyzing v v TOP: Nursing process: Diagnosis
v v v
MSC: NCLEX: Physiological Integrity
v v v v
3. Which statement describes the consequence of the successful implementation of the
v v v v v v v v v v
Affordable Care Act?
v v v
a. Americans will pay closer attention to their health status. v v v v v v v v
b. Most of the population will be covered by health insurance.
v v v v v v v v v
c. Public health departments will need to increase the number of nursing positions.
v v v v v v v v v v v
d. The prevalence of obesity will decrease.
v v v v v
ANS: B
v v
, One consequence of successful implementation of the Affordable Care Act might be that the
v v v v v v v v v v v v v
majority of the population would be covered by insurance and public health agencies will not
v v v v v v v v v v v v v v v
need to provide direct clinical services in order to assure that those who need them can
v v v v v v v v v v v v v v v v
receive them. The Affordable Care Act will not directly cause Americans to pay closer
v v v v v v v v v v v v v v
attention to their health status or decrease the prevalence of obesity.
v v v v v v v v v v v
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
4. The public health NURSE (PHN) must participate in the essential services of public
v v v v v v v v v v v v
vhealth. What is one of the essential services of public health nursing?
v v v v v v v v v v v
a. Monitoring health status by completing a community assessment v v v v v v v
b. Diagnosing and investigating health problems in the world v v v v v v v
c. Informing, educating, and empowering people about health issues v v v v v v v
d. Working in law enforcement to regulate health and ensure safety
v v v v v v v v v
vCORRECTANSWER:C v v
The PHN monitors health status in several ways, completing a community assessment is only
v v v v v v v v v v v v v
vone way that health status is monitored. The PHN would not diagnose or solve “world”
v v v v v v v v v v v v v v
vproblems, or work in law enforcement. Rather, the PHN would participate with local
v v v v v v v v v v v v
vregulators to protect communities and empower people to address health issues.
v v v v v v v v v v
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
5. A public health department is using the mission of public health as described by the Institute
v v v v v v v v v v v v v v v
of Medicine when plU
v aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which v v v v v v v v
most likely be implemented? v v v
a. Tracking avian flu outbreaks and doing surveillance in the United States
v v v v v v v v v v
b. Providing a flu shot for an elderly person at the health department
v v v v v v v v v v v
c. Keeping track of alternative therapies in use in the United States
v v v v v v v v v v
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
v v v v v v v v v v v
Atlanta v
CORRECT ANSWER: A v v
The Institute of Medicine’s stated mission on public health is “to generate organized
v v v v v v v v v v v v
community and technical knowledge to prevent disease and promote health.” Tracking avia
v v v v v v v v v v v v
flu outbreaks and doing surveillance applies this concept at a population level. Providing a flu
v v v v v v v v v v v v v v v
shot for an elderly person only addresses individual care. Keeping track of the use of
v v v v v v v v v v v v v v v
alternative therapies does nothing to prevent disease or promote health of the population.
v v v v v v v v v v v v v
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
v v v v v v v v v v v v v v v
disease prevention.
v v
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
6. A public health department makes sure that the essential community-oriented health
v v v v v v v v v v
vservices are available in the community. Which of the following core public health functions is
v v v v v v v v v v v v v v
vbeing implemented? v
a. Policy development v
, b. Assessment
c. Assurance
d. Scientific knowledge-based care v v
CORRECTANSWER:C
v v v
Assurance focuses on the responsibility of public health agencies to ensure certain activities
v v v v v v v v v v v v
have been appropriately carried out to meet public health goals and plans. Policy
v v v v v v v v v v v v
development seeks to build constituencies that can help bring about change in public policy
v v v v v v v v v v v v v v
Assessment includes activities that involve collecting, analyzing, and disseminating
v v v v v v v v v
information on both the health status and the health-related aspects of a community or a
v v v v v v v v v v v v v v v
specific population. Public health is based on scientific knowledge but is not a core function
v v v v v v v v v v v v v v v
DIF: Cognitive level: Applying TOP: Nursing process: Assessment v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
7. What is the purpose of public health core functions?
v v v v v v v v
a. Clarifying the role of the government in fulfilling the mission of public health
v v v v v v v v v v v v
b. Ensuring the safety of populations in receiving quality health care
v v v v v v v v v
c. Providing community-based individualized care to every person in the United
v v v v v v v v v
States
v
d. Uniting public and private providers of care in a comprehensive approach to
v v v v v v v v v v v
providing health care
v v v
CORRECT ANSWER: A v v
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
v v v v v v v v v v v v v v v
assessment, policy development, and assurance are core functions at all levels of government
v v v v v v v v v v v v v
for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
v v v
USNT v v v
v
v O v
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment v v v v v
MSC: NCLEX: Health Promotion and Maintenance
v v v v v v
8. Which of the following statements about public health is accurate?
v v v v v v v v v
a. Prevention of early deaths can be more effectively accomplished by medical
v v v v v v v v v v
treatment than by public health approaches.
v v v v v v
b. Expenditures and resources for public health have increased in recent years. v v v v v v v v v v
c. Historically, gains in the health of populations have been related largely to changes in
v v v v v v v v v v v v v
safety, sanitation, and food safety.
v v v v v
d. Reform of the medical insurance system is the single change needed to improve
v v v v v v v v v v v v
the healthofAmericans.
v v v v
CORRECT ANSWER: C v v
Fielding and Tilson have asserted that most of the increase in life span has been made through
v v v v v v v v v v v v v v v v
improvements in sanitation, clean water supplies, making workplaces safer, improving food
v v v v v v v v v v v
and drug safety, immunizing children, and improving nutrition, hygiene,
v v v v v v v v v
and housing. Medical treatment has not made as significant of an impact on the life span as
v v v v v v v v v v v v v v v v
public health measures. Funding for public health in recent years has been on a gradual
v v v v v v v v v v v v v v v
decline. Although reform of the medical insurance system may help improve the health of
v v v v v v v v v v v v v v
Americans, there are many other factors that will need to be addressed.
v v v v v v v v v v v v
DIF: Cognitive level: Understanding v v TOP: Nursing process: Assessment v v v