Test Bank For Public Health Nursing 11th Edition (Stanhope, 2025), All Chapters.

TestBank- c
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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 c
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1. Whatistheprimaryfocustobeaddressedconcerningtheimprovementofthehealthofthe
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American people in the twenty-first century?
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a. Bioterrorism and global health threats cn cn cn cn




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




c. Theneedforincreasedhospitalandacutecare cn cn cn cn cn cn cn




d. Chronicdiseaseanddisabilitymanagement cn cn cn cn




CORRECT ANSWER: A cn cn




Therearenewconcerns,andofthemostseriousarebioterrorismandgloballyinduced
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infections,suchastheavianflu.Thesethreatswilldiverthealthcarefundsandresources from
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otherhealthcareprogramstobespentforpublicsafety.Theothersarenotrelatedto publichealth
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or areconcernsthathavebeenpresentformanyyears.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning cn cn cn cn cn




MSC: NCLEX: Health Promotion and Maintenance
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2. Acommunityisconcernedaboutthethreat ofbioterrorism.Whichofthefollowingbest
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describesthebasisforthisconcern?
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a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms. cn cn cn cn cn cn cn




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




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




CORRECT ANSWER: C cn cn




Bioterrorismmayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealth care cn cn cn cn cn cn cn cn cn cn cn cn cn cn




programs.Becausefundsarediverteditispossiblethatcommunity-basedprograms wouldbe
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eliminated,thehealthcaresystemcouldexperiencechanges,andthattherewoul beanincrease
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intheneedforshelter.However,alltheremainingoptionswouldhappen becauseofthe
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diversionoffunds.
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DIF: Cognitive level: Analyzing cn cn TOP:Nursingprocess:Diagnosis cn cn cn




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




b. Mostofthepopulationwillbecoveredbyhealthinsurance. cn cn cn cn cn cn cn cn cn




c. Publichealthdepartmentswillneedtoincreasethenumberofnursingpositions.
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d. Theprevalenceof obesitywill decrease. cn cn cn cn cn




ANS:B
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, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe
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majorityofthepopulationwouldbecoveredby insuranceandpublichealthagencieswill notneed
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toprovidedirectclinicalservicesinorder toassurethatthosewhoneedthemcan receive them.
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The Affordable CareAct willnot directly causeAmericans topay closer attentiontotheirhealth
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statusordecreasethe prevalenceof obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment cn cn cn cn cn




MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublic
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health.What is oneofthe essentialservicesof publichealthnursing?
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a. Monitoringhealthstatus bycompletinga communityassessment cn cn cn cn cn cn cn




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




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




d. Workinginlawenforcementtoregulatehealthandensuresafety cn cn cn cn cn cn cn cn cn




CORRECTANSWER:C
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ThePHNmonitorshealthstatusinseveralways,completingacommunityassessmentis onlyone
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waythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve“world” problems, or
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work in law enforcement.Rather,the PHNwouldparticipatewith local regulators toprotect
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communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation cn cn cn cn cn




MSC: NCLEX: Health Promotion and Maintenance
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5. ApublichealthdepartmentisusingthemissionofpublichealthasdescribedbytheInstitute
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ofMedicinewhenplUaintnsiR
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heaNIlthTpGrogBra.mOCminMg.Which cn cn cn cn cn cn cn cn




mostlikelybeimplemented? cn cn cn




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




b. Providingaflushotforanelderlypersonatthehealthdepartment cn cn cn cn cn cn cn cn cn cn cn




c. Keepingtrack of alternative therapies in useintheUnitedStates cn cn cn cn cn cn cn cn cn cn




d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin cn cn cn cn cn cn cn cn cn cn cn




Atlanta cn




CORRECT ANSWER: A cn cn




The Institute of Medicine’s stated mission on public health is “togenerate organized community
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andtechnicalknowledgetoprevent disease andpromote health.” Trackingavia fluoutbreaksand
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doingsurveillanceappliesthisconceptatapopulation level.Providinga flushotforanelderly
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persononlyaddressesindividualcare.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 cn cn cn cn cn




MSC: NCLEX: Health Promotion and Maintenance
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6. Apublichealthdepartment makessurethattheessentialcommunity-orientedhealth services
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are available inthecommunity. Whichofthefollowingcorepublic healthfunctions isbeing
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nimplemented?
a. Policy development cn

, b. Assessment
c. Assurance
d. Scientific knowledge-basedcare cn cn




CORRECTANSWER:C
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Assurancefocusesontheresponsibilityofpublichealthagenciestoensurecertainactivities cn cn cn cn cn cn cn cn cn cn cn cn




havebeenappropriatelycarriedouttomeetpublichealthgoalsandplans.Policy development
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seekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicy Assessment
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includesactivitiesthatinvolvecollecting,analyzing,anddisseminating informationonboththe
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healthstatusandthehealth-relatedaspectsofacommunityora specificpopulation.Public
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healthisbasedonscientificknowledgebutisnotacorefunction
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment cn cn cn cn cn




MSC: NCLEX: Health Promotion and Maintenance
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7. Whatisthepurposeofpublichealthcorefunctions?
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a. Clarifyingthe roleof thegovernment in fulfillingthe mission of public health cn cn cn cn cn cn cn cn cn cn cn cn




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




c. Providingcommunity-basedindividualizedcaretoeverypersonintheUnited cn cn cn cn cn cn cn cn cn




Statescn




d. Unitingpublicandprivateprovidersofcareinacomprehensiveapproachto cn cn cn cn cn cn cn cn cn cn cn




providinghealthcare
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CORRECT ANSWER: A cn cn




As defined by the Institute of Medicine in its1988report The Future of Public Health, assessment,
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policy development,andassurancearecorefunctionsatalllevels of government forthe
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puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’srole.
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DIF: O
Cognitive level: Understanding
TOP:Nursingprocess:Assessment cn cn
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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 accomplishedby medical cn cn cn cn cn cn cn cn cn cn




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




c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochanges in cn cn cn cn cn cn cn cn cn cn cn cn cn




safety, sanitation, and food safety.
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d. Reformofthemedicalinsurancesystemisthesinglechangeneededtoimprove the cn cn cn cn cn cn cn cn cn cn cn cn cn




healthofAmericans.
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CORRECT ANSWER: C cn cn




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.Medicaltreatmenthasnotmadeassignificantofanimpact onthelifespanas public
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healthmeasures.Fundingforpublichealthinrecentyearshasbeenonagradual decline.
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Althoughreformofthemedicalinsurancesystemmayhelpimprovethehealthof Americans,
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therearemany otherfactorsthatwillneedtobeaddressed.
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DIF: Cognitive level: Understanding cn cn TOP: Nursing process: Assessment cn cn cn