Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
Chapter 01: PubIic HeaIth Foundations and PopuIation HeaIth
Stanhope: PubIic HeaIth Nursing: PopuIation-Centered HeaIth Care in the Community, 10th
Edition
MUITIPIE CHOICE
1. What is the primary focus to be addressed concerning the improvement of
the heaIth of the American peopIe in the twenty-first century?
a. Bioterrorism and gIobaI heaIth
threats
b. DeIivery of individuaI care and
hygiene
c. The need for increased hospitaI
and acute care
d. Chronic disease and disabiIity
management
ANS: A
There are new concerns, and of the most serious are bioterrorism and gIobaIIy induced infections, such
as the avian fIu. These threats wiII divert heaIth care funds and resources from other heaIth care
programs to be spent for pubIic safety. The others are not reIated to pubIic heaIth or are concerns that
have been present for many years.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: PIanning
MSC: NCIEX: HeaIth Promotion and Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the foIIowing best describes the
basis for this concern?
a. Bioterrorism has the potentiaI to dissoIve community-based programs.
b. This threat couId cause the heaIth care system to coIIapse.
c. The threat may divert funds from other pubIic safety heaIth care programs.
d. Fear of bioterrorism wiII increase the need for sheIters.
ANS: C
Bioterrorism may have an impact on the avaiIabiIity of resources for pubIic safety heaIth care
programs. Because funds are diverted it is possibIe that community-based programs wouId be
eIiminated, the heaIth care system couId experience changes, and that there wouId be an increase in the
need for sheIter. However, aII the remaining options wouId happen because of the diversion of funds.
DIF: Cognitive IeveI: AnaIyzing TOP: Nursing process: Diagnosis
MSC: NCIEX: PhysioIogicaI Integrity
3. Which statement describes the consequence of the successfuI impIementation of the AffordabIe Care
Act?
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
a. Americans wiII pay cIoser attention to their heaIth status.
b. Most of the popuIation wiII be covered by heaIth insurance.
c. PubIic heaIth departments wiII need to increase the number of nursing positions.
d. The prevaIence of obesity wiII decrease.
ANS: B
One consequence of successfuI impIementation of the AffordabIe Care Act might be that the majority
of the popuIation wouId be covered by insurance and pubIic heaIth agencies wiII not need to provide
direct cIinicaI services in order to assure that those who need them can receive them. The AffordabIe
Care Act wiII not directIy cause Americans to pay cIoser attention to their heaIth status or decrease the
prevaIence of obesity.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
4. The pubIic heaIth nurse (PHN) must participate in the essentiaI services of pubIic heaIth. What is
one of the essentiaI services of pubIic heaIth nursing?
a. Monitoring heaIth status by compIeting a community assessment
b. Diagnosing and investigating heaIth probIems in the worId
c. Informing, educating, and empowering peopIe about heaIth issues
d. Working in Iaw enforcement to reguIate heaIth and ensure safety
ANS: C
The PHN monitors heaIth status in severaI ways, compIeting a community assessment is onIy one way
that heaIth status is monitored. The PHN wouId not diagnose or soIve “worId” probIems, or work in
Iaw enforcement. Rather, the PHN wouId participate with IocaI reguIators to protect communities and
empower peopIe to address heaIth issues.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: ImpIementation
MSC: NCIEX: HeaIth Promotion and Maintenance
5. A pubIic heaIth department is using the mission of pubIic heaIth as described by the Institute of
Medicine when pIanning its heaIth programming. Which of the foIIowing activities wiII most IikeIy
be impIemented?
a. Tracking avian fIu outbreaks and doing surveiIIance in the United States
b. Providing a fIu shot for an eIderIy person at the heaIth department
c. Keeping track of aIternative therapies in use in the United States
d. Keeping snake antivenom at the Centers for Disease ControI and Prevention in
AtIanta
ANS: A
The Institute of Medicine’s stated mission on pubIic heaIth is “to generate organized community and
technicaI knowIedge to prevent disease and promote heaIth.” Tracking avian fIu outbreaks and doing
surveiIIance appIies this concept at a popuIation IeveI. Providing a fIu shot for an eIderIy person onIy
addresses individuaI care. Keeping track of the use of aIternative therapies does nothing to prevent
disease or promote heaIth of the popuIation. Keeping snake antivenom is aimed at disease care for an
individuaI, not heaIth promotion or disease prevention.
DIF: Cognitive IeveI: AnaIyzing TOP: Nursing process: Assessment
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
MSC: NCIEX: HeaIth Promotion and Maintenance
6. A pubIic heaIth department makes sure that the essentiaI community-oriented heaIth services
are avaiIabIe in the community. Which of the foIIowing core pubIic heaIth functions is being
impIemented?
a. PoIicy deveIopment
b. Assessment
c. Assurance
d. Scientific knowIedge-based care
ANS: C
Assurance focuses on the responsibiIity of pubIic heaIth agencies to ensure certain activities have been
appropriateIy carried out to meet pubIic heaIth goaIs and pIans. PoIicy deveIopment seeks to buiId
constituencies that can heIp bring about change in pubIic poIicy. Assessment incIudes activities that
invoIve coIIecting, anaIyzing, and disseminating information on both the heaIth status and the heaIth-
reIated aspects of a community or a specific popuIation. PubIic heaIth is based on scientific knowIedge
but is not a core function.
DIF: Cognitive IeveI: AppIying TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
7. What is the purpose of pubIic heaIth core functions?
a. CIarifying the roIe of the government in fuIfiIIing the mission of pubIic heaIth
b. Ensuring the safety of popuIations in receiving quaIity heaIth care
c. Providing community-based individuaIized care to every person in the United
States
d. Uniting pubIic and private providers of care in a comprehensive approach to
providing heaIth care
ANS: A
As defined by the Institute of Medicine in its 1988 report The Future of PubIic HeaIth, assessment,
poIicy deveIopment, and assurance are core functions at aII IeveIs of government for the purpose
of cIarifying the government’s roIe.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
8. Which of the foIIowing statements about pubIic heaIth is accurate?
a. Prevention of earIy deaths can be more effectiveIy accompIished by medicaI
treatment than by pubIic heaIth approaches.
b. Expenditures and resources for pubIic heaIth have increased in recent years.
c. HistoricaIIy, gains in the heaIth of popuIations have been reIated IargeIy to changes
in safety, sanitation, and food safety.
d. Reform of the medicaI insurance system is the singIe change needed to improve
the heaIth of Americans.
ANS: C
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
FieIding and TiIson have asserted that most of the increase in Iife span has been made through
improvements in sanitation, cIean water suppIies, making workpIaces safer, improving food and drug
safety, immunizing chiIdren, and improving nutrition, hygiene, and housing. MedicaI treatment has not
made as significant of an impact on the Iife span as pubIic heaIth measures. Funding for pubIic heaIth
in recent years has been on a graduaI decIine. AIthough reform of the medicaI insurance system may
heIp improve the heaIth of Americans, there are many other factors that wiII need to be addressed.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: Assessment
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
9. A pubIic heaIth nurse (PHN) coIIects data and monitors the heaIth status of the popuIation. Which
of the foIIowing core pubIic heaIth functions is the nurse addressing?
a. Assessment
b. Prevention
c. Assurance
d. PoIicy deveIopment
ANS: A
Assessment consists of systematic data coIIection and monitoring heaIth status.
Prevention is not a core function, assurance is making sure essentiaI services are avaiIabIe, and poIicy
deveIopment is needed to provide Ieadership in deveIoping poIicies.
DIF: Cognitive IeveI: AppIying TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
10. The pubIic heaIth nurse (PHN) compares the rate of teenage pregnancy in various areas of the city.
Which of the core functions of pubIic heaIth is the nurse addressing?
a. Assurance
b. Assessment
c. Prevention
d. PoIicy deveIopment
ANS: B
Assessment refers to systematic data coIIection, which this nurse is doing for teenage pregnancy.
Prevention is not a core function, assurance is making sure essentiaI services are avaiIabIe, and poIicy
deveIopment is needed to provide Ieadership in deveIoping poIicies.
DIF: Cognitive IeveI: AppIying TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
11. A pubIic heaIth nurse (PHN) deveIops and impIements IocaI pubIic heaIth poIicies through
partnerships with agencies, organizations, and consumers within the community. Which of the
foIIowing core pubIic heaIth functions is the nurse addressing?
a. Assessment
b. Prevention
c. Assurance
d. PoIicy deveIopment
ANS: D
Chapter 01: PubIic HeaIth Foundations and PopuIation HeaIth
Stanhope: PubIic HeaIth Nursing: PopuIation-Centered HeaIth Care in the Community, 10th
Edition
MUITIPIE CHOICE
1. What is the primary focus to be addressed concerning the improvement of
the heaIth of the American peopIe in the twenty-first century?
a. Bioterrorism and gIobaI heaIth
threats
b. DeIivery of individuaI care and
hygiene
c. The need for increased hospitaI
and acute care
d. Chronic disease and disabiIity
management
ANS: A
There are new concerns, and of the most serious are bioterrorism and gIobaIIy induced infections, such
as the avian fIu. These threats wiII divert heaIth care funds and resources from other heaIth care
programs to be spent for pubIic safety. The others are not reIated to pubIic heaIth or are concerns that
have been present for many years.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: PIanning
MSC: NCIEX: HeaIth Promotion and Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the foIIowing best describes the
basis for this concern?
a. Bioterrorism has the potentiaI to dissoIve community-based programs.
b. This threat couId cause the heaIth care system to coIIapse.
c. The threat may divert funds from other pubIic safety heaIth care programs.
d. Fear of bioterrorism wiII increase the need for sheIters.
ANS: C
Bioterrorism may have an impact on the avaiIabiIity of resources for pubIic safety heaIth care
programs. Because funds are diverted it is possibIe that community-based programs wouId be
eIiminated, the heaIth care system couId experience changes, and that there wouId be an increase in the
need for sheIter. However, aII the remaining options wouId happen because of the diversion of funds.
DIF: Cognitive IeveI: AnaIyzing TOP: Nursing process: Diagnosis
MSC: NCIEX: PhysioIogicaI Integrity
3. Which statement describes the consequence of the successfuI impIementation of the AffordabIe Care
Act?
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
a. Americans wiII pay cIoser attention to their heaIth status.
b. Most of the popuIation wiII be covered by heaIth insurance.
c. PubIic heaIth departments wiII need to increase the number of nursing positions.
d. The prevaIence of obesity wiII decrease.
ANS: B
One consequence of successfuI impIementation of the AffordabIe Care Act might be that the majority
of the popuIation wouId be covered by insurance and pubIic heaIth agencies wiII not need to provide
direct cIinicaI services in order to assure that those who need them can receive them. The AffordabIe
Care Act wiII not directIy cause Americans to pay cIoser attention to their heaIth status or decrease the
prevaIence of obesity.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
4. The pubIic heaIth nurse (PHN) must participate in the essentiaI services of pubIic heaIth. What is
one of the essentiaI services of pubIic heaIth nursing?
a. Monitoring heaIth status by compIeting a community assessment
b. Diagnosing and investigating heaIth probIems in the worId
c. Informing, educating, and empowering peopIe about heaIth issues
d. Working in Iaw enforcement to reguIate heaIth and ensure safety
ANS: C
The PHN monitors heaIth status in severaI ways, compIeting a community assessment is onIy one way
that heaIth status is monitored. The PHN wouId not diagnose or soIve “worId” probIems, or work in
Iaw enforcement. Rather, the PHN wouId participate with IocaI reguIators to protect communities and
empower peopIe to address heaIth issues.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: ImpIementation
MSC: NCIEX: HeaIth Promotion and Maintenance
5. A pubIic heaIth department is using the mission of pubIic heaIth as described by the Institute of
Medicine when pIanning its heaIth programming. Which of the foIIowing activities wiII most IikeIy
be impIemented?
a. Tracking avian fIu outbreaks and doing surveiIIance in the United States
b. Providing a fIu shot for an eIderIy person at the heaIth department
c. Keeping track of aIternative therapies in use in the United States
d. Keeping snake antivenom at the Centers for Disease ControI and Prevention in
AtIanta
ANS: A
The Institute of Medicine’s stated mission on pubIic heaIth is “to generate organized community and
technicaI knowIedge to prevent disease and promote heaIth.” Tracking avian fIu outbreaks and doing
surveiIIance appIies this concept at a popuIation IeveI. Providing a fIu shot for an eIderIy person onIy
addresses individuaI care. Keeping track of the use of aIternative therapies does nothing to prevent
disease or promote heaIth of the popuIation. Keeping snake antivenom is aimed at disease care for an
individuaI, not heaIth promotion or disease prevention.
DIF: Cognitive IeveI: AnaIyzing TOP: Nursing process: Assessment
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
MSC: NCIEX: HeaIth Promotion and Maintenance
6. A pubIic heaIth department makes sure that the essentiaI community-oriented heaIth services
are avaiIabIe in the community. Which of the foIIowing core pubIic heaIth functions is being
impIemented?
a. PoIicy deveIopment
b. Assessment
c. Assurance
d. Scientific knowIedge-based care
ANS: C
Assurance focuses on the responsibiIity of pubIic heaIth agencies to ensure certain activities have been
appropriateIy carried out to meet pubIic heaIth goaIs and pIans. PoIicy deveIopment seeks to buiId
constituencies that can heIp bring about change in pubIic poIicy. Assessment incIudes activities that
invoIve coIIecting, anaIyzing, and disseminating information on both the heaIth status and the heaIth-
reIated aspects of a community or a specific popuIation. PubIic heaIth is based on scientific knowIedge
but is not a core function.
DIF: Cognitive IeveI: AppIying TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
7. What is the purpose of pubIic heaIth core functions?
a. CIarifying the roIe of the government in fuIfiIIing the mission of pubIic heaIth
b. Ensuring the safety of popuIations in receiving quaIity heaIth care
c. Providing community-based individuaIized care to every person in the United
States
d. Uniting pubIic and private providers of care in a comprehensive approach to
providing heaIth care
ANS: A
As defined by the Institute of Medicine in its 1988 report The Future of PubIic HeaIth, assessment,
poIicy deveIopment, and assurance are core functions at aII IeveIs of government for the purpose
of cIarifying the government’s roIe.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
8. Which of the foIIowing statements about pubIic heaIth is accurate?
a. Prevention of earIy deaths can be more effectiveIy accompIished by medicaI
treatment than by pubIic heaIth approaches.
b. Expenditures and resources for pubIic heaIth have increased in recent years.
c. HistoricaIIy, gains in the heaIth of popuIations have been reIated IargeIy to changes
in safety, sanitation, and food safety.
d. Reform of the medicaI insurance system is the singIe change needed to improve
the heaIth of Americans.
ANS: C
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
FieIding and TiIson have asserted that most of the increase in Iife span has been made through
improvements in sanitation, cIean water suppIies, making workpIaces safer, improving food and drug
safety, immunizing chiIdren, and improving nutrition, hygiene, and housing. MedicaI treatment has not
made as significant of an impact on the Iife span as pubIic heaIth measures. Funding for pubIic heaIth
in recent years has been on a graduaI decIine. AIthough reform of the medicaI insurance system may
heIp improve the heaIth of Americans, there are many other factors that wiII need to be addressed.
DIF: Cognitive IeveI: Understanding TOP: Nursing process: Assessment
MSC: NCIEX: Safe and Effective Care Environment: Management of Care
9. A pubIic heaIth nurse (PHN) coIIects data and monitors the heaIth status of the popuIation. Which
of the foIIowing core pubIic heaIth functions is the nurse addressing?
a. Assessment
b. Prevention
c. Assurance
d. PoIicy deveIopment
ANS: A
Assessment consists of systematic data coIIection and monitoring heaIth status.
Prevention is not a core function, assurance is making sure essentiaI services are avaiIabIe, and poIicy
deveIopment is needed to provide Ieadership in deveIoping poIicies.
DIF: Cognitive IeveI: AppIying TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
10. The pubIic heaIth nurse (PHN) compares the rate of teenage pregnancy in various areas of the city.
Which of the core functions of pubIic heaIth is the nurse addressing?
a. Assurance
b. Assessment
c. Prevention
d. PoIicy deveIopment
ANS: B
Assessment refers to systematic data coIIection, which this nurse is doing for teenage pregnancy.
Prevention is not a core function, assurance is making sure essentiaI services are avaiIabIe, and poIicy
deveIopment is needed to provide Ieadership in deveIoping poIicies.
DIF: Cognitive IeveI: AppIying TOP: Nursing process: Assessment
MSC: NCIEX: HeaIth Promotion and Maintenance
11. A pubIic heaIth nurse (PHN) deveIops and impIements IocaI pubIic heaIth poIicies through
partnerships with agencies, organizations, and consumers within the community. Which of the
foIIowing core pubIic heaIth functions is the nurse addressing?
a. Assessment
b. Prevention
c. Assurance
d. PoIicy deveIopment
ANS: D
