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- 1




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 1




1. What istheprimaryfocustobeaddressedconcerningthe improvement ofthehealthofthe
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American people in the twenty-first century?
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a. Bioterrorism and global health threats 11 11 11 11




b. Delivery of individual care and hygiene 11 11 11 11 11




c. Theneedforincreasedhospitalandacutecare 11 1 11 11 11 11 1




d. Chronicdiseaseanddisabilitymanagement 1 1 1 1




CORRECT ANSWER: A 11 11




Therearenewconcerns, andofthe mostserious arebioterrorismandglobally induced
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infections,suchastheavianflu.Thesethreatswilldiverthealthcarefundsandresources from
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otherhealthcareprogramstobespentforpublicsafety.Theothersarenotrelatedto public health
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or areconcerns thathave been presentformany years.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning 11 11 1 1 1




MSC: NCLEX: Health Promotion and Maintenance
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2. Acommunity isconcernedaboutthethreat of bioterrorism. Whichofthefollowing best
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describesthebasisforthisconcern?
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a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms. 1 1 1 1 1 1 1




b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c 11 11 11 11




c. The threat may divert funds from other public safety health care programs.
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d. Fearofbioterrorismwillincreasetheneedforshelters.
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CORRECT ANSWER: C 11 11




Bioterrorismmayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealth care 1 1 1 1 1 1 1 1 1 1 1 1 1 11




programs.Becausefundsarediverteditispossiblethatcommunity-basedprograms wouldbe
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eliminated,the health care systemcould experiencechanges, andthat therewoul bean increase
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intheneedforshelter.However,alltheremainingoptionswouldhappen becauseofthe
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diversionoffunds.
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DIF: Cognitive level: Analyzing 11 11 TOP:Nursingprocess:Diagnosis 11 11 11




MSC: NCLEX: Physiological Integrity
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3. Whichstatementdescribestheconsequenceofthesuccessfulimplementationofthe
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AffordableCareAct?
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a. Americanswillpaycloserattentiontotheirhealthstatus. 1 1 1 1 1 1 1 1




b. Most ofthe populationwill be coveredby healthinsurance.
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c. Publichealthdepartmentswillneedtoincreasethenumberofnursingpositions.
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d. The prevalence of obesity will decrease. 11 11 11 11 11




ANS:B
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, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe
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majority of the population would be coveredby insurance and public healthagencies will not
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needtoprovide direct clinicalservices in ordertoassure thatthosewhoneedthemcan receive
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them. The Affordable Care Act will not directly cause Americans to pay closer attention totheir
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health status or decreasethe prevalence of obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment 11 11 1 1 1




MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublic
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11health. What is one of the essentialservices of public health nursing?
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a. Monitoring healthstatus by completing a community assessment 11 11 11 11 11 11 11




b. Diagnosing and investigating health problems in the world 11 11 11 11 11 11 11




c. Informing, educating, and empowering people about health issues 11 11 11 11 11 11 11




d. Workinginlawenforcementtoregulatehealthandensuresafety 1 1 1 1 1 1 1 1 1




CORRECTANSWER:C
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The PHNmonitors healthstatus in severalways,completing acommunity assessment is onlyone
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1waythathealthstatusismonitored.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 11 11 1 1 1




MSC: NCLEX: Health Promotion and Maintenance
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5. Apublichealth departmentis usingthemissionofpublichealth asdescribedbytheInstitute
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ofMedicinewhenplUaintnsiR
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heaNIlthTpGrogBra.mOCminMg.Which 1 1 1 1 1 1 1 1




mostlikelybe implemented? 11 1 11




a. Tracking avian flu outbreaks and doing surveillance in the United States 11 11 11 11 11 11 11 11 11 11




b. Providingaflushotforanelderlypersonatthehealthdepartment 1 1 1 1 1 1 1 1 1 1 1




c. Keepingtrack of alternative therapies in use in the United States 11 11 11 11 11 11 11 11 11 11




d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin 1 1 1 1 1 1 1 1 1 1 1




Atlanta 11




CORRECT ANSWER: A 11 11




The Institute of Medicine’s stated mission on public health is “to generate organized community
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and technicalknowledgeto prevent disease and promote health.” Tracking avia fluoutbreaks
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anddoingsurveillance appliesthis concept atapopulation level.Providinga flushotforanelderly
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persononly addresses individualcare.Keepingtrack oftheuseof 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 11 11 1 1 1




MSC: NCLEX: Health Promotion and Maintenance
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6. Apublic health department makes surethat theessentialcommunity-orientedhealth services
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areavailable inthe community. Whichof the following core public health functions isbeing
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1implemented?
a. Policy development 11

, b. Assessment
c. Assurance
d. Scientific knowledge-based care 11 11




CORRECTANSWER:C
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Assurancefocusesontheresponsibility ofpublichealthagenciestoensurecertainactivities 1 1 1 1 11 1 11 11 1 1 11 11




have been appropriately carried outtomeet public health goals and plans. Policy development
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seekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicy Assessment
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includesactivitiesthatinvolvecollecting,analyzing,anddisseminating informationon boththe
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healthstatusandthehealth-relatedaspectsof acommunityor a specificpopulation.Public
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health isbasedonscientificknowledgebutisnotacorefunction
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment 11 11 1 1 1




MSC: NCLEX: Health Promotion and Maintenance
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7. What isthepurpose of publichealthcorefunctions?
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a. Clarifying the role of the government in fulfilling the mission of public health 11 11 11 11 11 11 11 11 11 11 11 11




b. Ensuring the safety of populations in receiving quality health care 11 11 11 11 11 11 11 11 11




c. Providingcommunity-basedindividualizedcaretoeverypersonintheUnited 1 1 1 1 1 1 1 1 1




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d. Unitingpublic andprivate providers ofcareinacomprehensiveapproachto 11 11 11 11 11 11 11 1 11 11 11




providinghealthcare
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CORRECT ANSWER: A 11 11




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 11 11
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MSC: NCLEX: Health Promotion and Maintenance
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8. Whichofthefollowingstatementsabout publichealthisaccurate?
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a. Prevention of early deaths can be more effectively accomplished by medical 11 11 11 11 11 11 11 11 11 11




treatment than by public health approaches.
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b. Expendituresandresourcesforpublichealthhaveincreasedinrecentyears. 1 1 1 1 1 1 1 1 1 1




c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochanges in 1 11 11 11 1 1 1 11 11 11 11 11 11




safety, sanitation, and food safety.
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d. Reformofthe medicalinsurancesystemisthesinglechange neededtoimprove the 11 11 11 11 11 11 11 11 11 11 11 11 11




healthofAmericans.
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CORRECT ANSWER: C 11 11




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 hasnot madeassignificantofanimpact onthelifespan as public
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healthmeasures.Fundingforpublichealthinrecentyearshas beenonagradual decline.
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Althoughreformofthemedicalinsurancesystemmayhelpimprovethehealthof Americans,
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thereare many otherfactors thatwillneedtobe addressed.
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DIF: Cognitive level: Understanding 11 11 TOP: Nursing process: Assessment 11 11 11