Test bank for Public Health Nursing: Population Centered Health Care in the Community 11th Edition by Marcia Stanhope and Jeanette Lancaster isbn-9780323882828 All Chapter Latest Complete Guide A+

TestBank- b
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PublicHealthNursing
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: Population-Centered Health Care in
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the Community
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byMarciaStanhopeandJeanetteLancaster
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11thEdition
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,Chapter01:PublicHealthFoundationsandPopulationHealth
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Stanhope:PublicHealthNursing:Population-CenteredHealthCareinthe Community,
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11thEdition
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MULTIPLECHOICE b
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1. Whatisthe primaryfocustobeaddressedconcerningtheimprovement ofthehealthofthe
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American people in the twenty-first century?
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a. Bioterrorism and global health threats qb qb qb qb




b. Delivery of individual care and hygiene qb qb qb qb qb




c. Theneedforincreasedhospitalandacutecare qb qb bq qb qb bq qb




d. Chronicdiseaseanddisabilitymanagement bq bq bq bq




CORRECT ANSWER: A qb qb




Therearenewconcerns,andofthemostserious arebioterrorismandglobally induced
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infections,suchastheavianflu.Thesethreatswilldiverthealthcarefundsandresources from
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otherhealthcareprogramstobespentforpublicsafety.Theothersarenotrelatedto public health
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or areconcerns thathavebeen presentformanyyears.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning qb qb bq bq bq




MSC: NCLEX: Health Promotion and Maintenance
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2. Acommunityis concernedaboutthethreat of bioterrorism.Which ofthefollowingbest
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describesthebasisforthisconcern?
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a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms. bq bq bq bq bq bq bq




b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c qb qb qb qb




c. The threat may divert funds from other public safety health care programs.
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d. Fearofbioterrorismwillincreasetheneedforshelters. bq bq qb bq bq bq qb bq




CORRECT ANSWER: C qb qb




Bioterrorismmayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealth care bq bq bq bq bq bq bq bq bq bq bq bq bq qb




programs.Becausefundsarediverteditispossiblethatcommunity-basedprograms would be
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eliminated,the healthcare systemcould experiencechanges, andthat therewoul beanincrease
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intheneedforshelter.However,alltheremainingoptionswouldhappen becauseofthe
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diversionoffunds.
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DIF: Cognitive level: Analyzing qb qb TOP:Nursingprocess:Diagnosis bq bq bq




MSC: NCLEX: Physiological Integrity
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3. Whichstatementdescribestheconsequenceofthesuccessfulimplementationofthe
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AffordableCareAct?
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a. Americanswillpaycloserattentiontotheirhealthstatus. bq bq bq bq bq bq bq qb




b. Mostofthe population willbe coveredby healthinsurance. qb qb qb qb qb qb qb qb qb




c. Publichealthdepartmentswillneedtoincreasethenumberofnursingpositions.
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d. The prevalence of obesity will decrease. qb qb qb qb qb




ANS:B
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, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe
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majority of thepopulation wouldbecoveredby insurance and public health agencies will not
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needto provide directclinicalservices in ordertoassure thatthosewhoneedthemcan receive
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them. The Affordable Care Act willnot directly causeAmericans to pay closer attention totheir
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healthstatus or decreasethe prevalence of obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment qb qb bq bq bq




MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublic
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health.What is one of the essentialservices of public health nursing?
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a. Monitoring healthstatus by completing a community assessment qb qb qb qb qb qb qb




b. Diagnosing and investigating health problems in the world qb qb qb qb qb qb qb




c. Informing, educating, and empowering people about health issues qb qb qb qb qb qb qb




d. Workinginlawenforcementtoregulatehealthandensuresafety qb bq bq bq bq bq bq bq bq




CORRECTANSWER:C
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The PHNmonitorshealthstatus in severalways, completing acommunityassessment is onlyone
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waythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve“world” problems, or
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work in law enforcement. Rather, the PHNwould participate with local regulators to protect
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communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation qb qb bq bq bq




MSC: NCLEX: Health Promotion and Maintenance
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5. Apublichealthdepartment isusingthemissionofpublichealthasdescribedbytheInstitute
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ofMedicinewhenplUaintnsiR
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heaNIlthTpGrogBra.mOCminMg.Which bq bq bq bq bq bq bq bq




mostlikelybeimplemented? bq qb qb




a. Tracking avian flu outbreaks and doing surveillance in the United States qb qb qb qb qb qb qb qb qb qb




b. Providingaflushotforanelderlypersonatthehealthdepartment bq bq bq bq bq bq bq bq bq bq bq




c. Keepingtrack of alternative therapies in use in the United States qb qb qb qb qb qb qb qb qb qb




d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin bq bq bq bq bq bq bq bq bq bq bq




Atlanta qb




CORRECT ANSWER: A qb qb




The Institute of Medicine’s stated mission on public health is “to generate organized community
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andtechnical knowledgetoprevent disease and promote health.” Tracking avia fluoutbreaks
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anddoingsurveillance appliesthis conceptatapopulation level.Providinga flushotfor anelderly
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person onlyaddressesindividualcare.Keepingtrackoftheuseof alternativetherapiesdoes
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nothingtopreventdiseaseorpromotehealthofthepopulation. Keepingsnakeantivenomis
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aimedatdiseasecareforanindividual,nothealthpromotionor diseaseprevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment qb qb bq bq bq




MSC: NCLEX: Health Promotion and Maintenance
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6. Apublichealthdepartment makessurethat theessentialcommunity-orientedhealth services
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are available inthecommunity. Whichofthe followingcore public health functions isbeing
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b
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a. Policy development qb

, b. Assessment
c. Assurance
d. Scientific knowledge-based care qb qb




CORRECTANSWER:C
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Assurancefocusesontheresponsibility ofpublichealthagenciestoensurecertainactivities bq qb qb bq qb bq bq bq qb bq bq bq




have beenappropriately carried outtomeet public health goals andplans. Policy development
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seekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicy Assessment
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includesactivitiesthatinvolvecollecting,analyzing,anddisseminating informationon boththe
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healthstatusandthehealth-relatedaspectsofacommunityora specific population.Public
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healthisbasedonscientificknowledgebutisnotacorefunction
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment qb qb bq bq bq




MSC: NCLEX: Health Promotion and Maintenance
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7. Whatisthe purposeof publichealthcorefunctions?
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a. Clarifyingthe role of the government in fulfilling the mission of public health qb qb qb qb qb qb qb qb qb qb qb qb




b. Ensuring the safety of populations in receiving quality health care qb qb qb qb qb qb qb qb qb




c. Providingcommunity-basedindividualizedcaretoeverypersonintheUnited bq bq bq bq bq bq bq bq bq




Statesqb




d. Unitingpublicandprivateproviders ofcareinacomprehensiveapproachto qb bq qb qb qb bq qb qb qb bq bq




providinghealthcare
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CORRECT ANSWER: A qb qb




As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assessment,
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policy development, and assurance are core functions at all levels of government for the
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puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
USNT
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DIF: O
Cognitive level: Understanding
TOP:Nursingprocess:Assessment qb qb
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MSC: NCLEX: Health Promotion and Maintenance
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8. Whichofthefollowingstatementsaboutpublichealthisaccurate?
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a. Prevention of early deaths can be more effectively accomplished by medical qb qb qb qb qb qb qb qb qb qb




treatment than by public health approaches.
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b. Expendituresandresourcesforpublichealthhaveincreasedinrecentyears. bq bq bq bq bq bq bq bq bq bq




c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochanges in bq bq bq qb bq qb bq bq bq qb qb bq qb




safety, sanitation, and food safety.
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d. Reformofthemedicalinsurancesystemisthe singlechangeneededtoimprove the qb qb qb qb qb qb qb qb qb bq qb qb qb




healthofAmericans.
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CORRECT ANSWER: C qb qb




FieldingandTilsonhaveassertedthatmostoftheincreaseinlifespanhasbeenmade through
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improvementsinsanitation,cleanwatersupplies,makingworkplacessafer, improving food and
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drug safety, immunizing children, and improving nutrition, hygiene,
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andhousing.Medicaltreatment hasnotmadeassignificantofanimpact onthelifespanas public
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healthmeasures.Fundingforpublichealthinrecentyearshasbeenon agradual decline.
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Althoughreformofthemedicalinsurancesystemmayhelpimprovethehealthof Americans,
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therearemany otherfactorsthatwillneedto be addressed.
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DIF: Cognitive level: Understanding qb qb TOP: Nursing process: Assessment qb qb qb