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PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
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MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
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46/COMPLETE GUIDE 2024-2025
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,Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-Centered Primary care in the Community,
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11th Edition
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1. What is the primary focus to be addressed concerning the improvement of the health of the
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American 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 health center and acute care
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d. Chronic disease and disability management m m m m
ACCURATE ANSWER:-A m
REASONING:->>>There are new concerns, and of the most serious are bioterrorism and m m m m m m m m m m m
globally induced infections, such as the avian flu. These threats will divert primary care funds
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and resources from other primary care programs to be spent for public safety. The others are
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not related to public health or are concerns that have been present for many years.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: m m m m
Planning MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best
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describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs. m m m m m m m
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
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c. The threat may divert funds from other public safety primary care programs.
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d. Fear of bioterrorism will increase the need for shelters.
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ACCURATE ANSWER:-C m
REASONING:->>>Bioterrorism may have an impact on the availability of resources for m m m m m m m m m m
public safety primary care programs. Because funds are diverted it is possible those
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community-based programs would be eliminated, the primary care system could experience
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changes, and that there would be an increase in the need for shelter. However, all the
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remaining options would happen because of the diversion of funds.
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DIFFICULT: Cognitive level: Analyzing TOPIC: m m m Nursing process: m
Diagnosis MSC: NCLEX: Physiological Integrity
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3. Which statement describes the consequence of the successful implementation of the
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Affordable Care Act?
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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.
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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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ACCURATE ANSWER:-B
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REASONING:->>>One consequence of successful implementation of the Affordable Care m m m m m m m m
Act might be that the majority of the population would be covered by insurance and public
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health agencies will not need to provide direct clinical services in order to assure that those
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who need them can receive them. The Affordable Care Act will not directly cause Americans
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to pay closer attention to their health status or decrease the prevalence of obesity.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: m m m m
Assessment MSC: NCLEX: Health Promotion and Maintenance
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,4. The public health nursing attendant (PHN) must participate in the essential services
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of public health. What 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 m m m m m m m m m
ACCURATE ANSWER:-C m
REASONING:->>>The PHN monitors health status in several ways, completing a m m m m m m m m m
community assessment is only one way that health status is monitored. The PHN would not
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diagnose or solve “world” problems, or work in law enforcement. Rather, the PHN would
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participate with local regulators to protect communities and empower people to address
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health issues.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: m m m m
Implementation MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is using the mission of public health as described by the Institute of
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Medicine when planning its health programming. Which of the following activities will most
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likely be implemented?
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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
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d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
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Atlanta m
ACCURATE ANSWER:-A m
REASONING:->>>The Institute of Medicine’s stated mission on public health is “to m m m m m m m m m m
generate organized community and technical knowledge to prevent disease and promote
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health.” Tracking avian flu outbreaks and doing surveillance applies this concept at a
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population level. Providing a flu shot for an elderly person only addresses individual care.
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Keeping track of the use of alternative therapies does nothing to prevent disease or promote
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health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotion or disease
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prevention.
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DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process: m m m m
Assessment MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health services
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are available in the community. Which of the following core public health functions is being
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implemented?
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a. Policy development m
b. Assessment
c. Assurance
d. Scientific knowledge-based care m m
ACCURATE ANSWER:-C m
REASONING:->>>Assurance focuses on the responsibility of public health agencies to m m m m m m m m m
ensure certain activities have been appropriately carried out to meet public health goals and
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plans. Policy development seeks to build constituencies that can help bring about change in
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public policy. Assessment includes activities that involve collecting, analyzing, and
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disseminating information on both the health status and the health-related aspects of a
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community or a specific population. Public health is based on scientific knowledge but is not a
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core function.
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DIFFICULT: Cognitive level: Applying m m m TOPIC: Nursing process: m
, mAssessment MSC: NCLEX: Health Promotion and Maintenance
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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
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b. Ensuring the safety of populations in receiving quality primary care
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c. Providing community-based individualized care to every person in the United
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States
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d. Uniting public and private providers of care in a comprehensive approach to
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providing primary care
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ACCURATE ANSWER:-A m
REASONING:->>>As defined by the Institute of Medicine in its 1988 report The Future of
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Public Health, assessment, policy development, and assurance are core functions
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at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment’s
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role.