PublicrHealthrNursingr10thrEditionrStanhoperTestrBank
NURSINGTB.COM
, PublicrHealthrNursingr10thrEditionrStanhoperTestrBank
Chapter 01: Public Health Foundations and Population Health
r r r r r r r
Stanhope: Public Health Nursing: Population-
r r r r
Centered Health Care in the Community, 10th Edition
r r r r r r r
MULTIPLErCHOICE
1. WhatrisrtherprimaryrfocusrtorberaddressedrconcerningrtherimprovementrofrtherhealthrofrtherAm
ericanrpeoplerinrthertwenty-firstrcentury?
a. Bioterrorismrandrglobalrhealthrthreats
b. Deliveryrofrindividualrcarerandrhygiene
c. Therneedrforrincreasedrhospitalrandracutercare
d. Chronicrdiseaserandrdisabilityrmanagement
ANS:r r A
Thererarernewrconcerns,randrofrthermostrseriousrarerbioterrorismrandrgloballyrinducedrinfectio
ns,rsuchrasrtheravianrflu.rTheserthreatsrwillrdivertrhealthrcarerfundsrandrresourcesrfromrotherrhe
althrcarerprogramsrtorberspentrforrpublicrsafety.rTherothersrarernotrrelatedrtorpublicrhealthrorrarer
concernsrthatrhaverbeenrpresentrforrmanyryears.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rPlanningrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
2. Arcommunityrisrconcernedraboutrtherthreatrofrbioterrorism.rWhichrofrtherfollowingrbestrdes
cribesrtherbasisrforrthisrconcern?
a. Bioterrorismrhasrtherpotentialrtordissolvercommunity-basedrprograms.
b. ThisrthreatrcouldrcauseN thUeReaI
hS lthNcGaT
reBsy.sC mMtorcollapse.
teO
c. Therthreatrmayrdivertrfundsrfromrotherrpublicrsafetyrhealthrcarerprograms.
d. Fearrofrbioterrorismrwillrincreasertherneedrforrshelters.
ANS:r r C
Bioterrorismrmayrhaveranrimpactronrtheravailabilityrofrresourcesrforrpublicrsafetyrhealthrcarerpr
ograms.rBecauserfundsrarerdivertedritrisrpossiblerthatrcommunity-
basedrprogramsrwouldrbereliminated,rtherhealthrcarersystemrcouldrexperiencerchanges,randrthatr
thererwouldrberanrincreaserinrtherneedrforrshelter.rHowever,rallrtherremainingroptionsrwouldrhap
penrbecauserofrtherdiversionrofrfunds.
DIF: Cognitiverlevel:rAnalyzing TOP:
Nursingrprocess:rDiagnosisrMSC:r NCLEX:rPhysiologicalrIntegrity
3. WhichrstatementrdescribesrtherconsequencerofrthersuccessfulrimplementationrofrtherAf
fordablerCarerAct?
a. Americansrwillrpayrcloserrattentionrtortheirrhealthrstatus.
b. Mostrofrtherpopulationrwillrbercoveredrbyrhealthrinsurance.
c. Publicrhealthrdepartmentsrwillrneedrtorincreaserthernumberrofrnursingrpositions.
d. Therprevalencerofrobesityrwillrdecrease.r
ANS:r B
NURSINGTB.COM
, PublicrHealthrNursingr10thrEditionrStanhoperTestrBank
OnerconsequencerofrsuccessfulrimplementationrofrtherAffordablerCarerActrmightrberthatrtherma
jorityrofrtherpopulationrwouldrbercoveredrbyrinsurancerandrpublicrhealthragenciesrwillrnotrneedrt
orproviderdirectrclinicalrservicesrinrorderrtorassurerthatrthoserwhorneedrthemrcanrreceiverthem.rT
herAffordablerCarerActrwillrnotrdirectlyrcauserAmericansrtorpayrcloserrattentionrtortheirrhealthrs
tatusrorrdecreasertherprevalencerofrobesity.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
4. Therpublicrhealthrnurser(PHN)rmustrparticipaterinrtheressentialrservicesrofrpublicrhealth.rWh
atrisronerofrtheressentialrservicesrofrpublicrhealthrnursing?
a. Monitoringrhealthrstatusrbyrcompletingrarcommunityrassessment
b. Diagnosingrandrinvestigatingrhealthrproblemsrinrtherworld
c. Informing,reducating,randrempoweringrpeopleraboutrhealthrissues
d. Workingrinrlawrenforcementrtorregulaterhealthrandrensurersafety
ANS:r r C
TherPHNrmonitorsrhealthrstatusrinrseveralrways,rcompletingrarcommunityrassessmentrisronlyro
nerwayrthatrhealthrstatusrisrmonitored.rTherPHNrwouldrnotrdiagnoserorrsolver“world”rproblems,r
orrworkrinrlawrenforcement.rRather,rtherPHNrwouldrparticipaterwithrlocalrregulatorsrtorprotectrc
ommunitiesrandrempowerrpeoplertoraddressrhealthrissues.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rImplementationrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
5. ArpublicrhealthrdepartmentrisrusingrthermissionrofrpublicrhealthrasrdescribedrbyrtherInstituterofr
MedicinerwhenrplanningNitsU Rhea Ilth rpGrogBra.mCmin
rSrNrT OMg.rWhichrofrtherfollowingractivitiesrwillrmostr
likelyrberimplemented?
a. TrackingravianrfluroutbreaksrandrdoingrsurveillancerinrtherUnitedrStates
b. Providingrarflurshotrforranrelderlyrpersonratrtherhealthrdepartment
c. KeepingrtrackrofralternativertherapiesrinruserinrtherUnitedrStates
d. KeepingrsnakerantivenomratrtherCentersrforrDiseaserControlrandrPreventionrinrAtl
anta
ANS:r r A
TherInstituterofrMedicine’srstatedrmissionronrpublicrhealthrisr“torgeneraterorganized
communityrandrtechnicalrknowledgertorpreventrdiseaserandrpromoterhealth.”rTrackingravianrflur
outbreaksrandrdoingrsurveillancerappliesrthisrconceptratrarpopulationrlevel.rProvidingrarflurshotrf
orranrelderlyrpersonronlyraddressesrindividualrcare.rKeepingrtrackrofrtheruserofralternativerthera
piesrdoesrnothingrtorpreventrdiseaserorrpromoterhealthrofrtherpopulation.
Keepingrsnakerantivenomrisraimedratrdiseasercarerforranrindividual,rnotrhealthrpromotionrorrdisea
serprevention.
DIF: Cognitiverlevel:rAnalyzing TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
6. Arpublicrhealthrdepartmentrmakesrsurerthatrtheressentialrcommunity-
orientedrhealthr servicesrareravailablerinrthercommunity.rWhichrofrtherfollowingrcorerpublicrheal
thrfunctionsrisrbeingrimplemented?
a. Policyrdevelopment
NURSINGTB.COM
, PublicrHealthrNursingr10thrEditionrStanhoperTestrBank
b. Assessment
c. Assurance
d. Scientificrknowledge-basedrcare
ANS:r r C
Assurancerfocusesronrtherresponsibilityrofrpublicrhealthragenciesrtorensurercertainractivitiesrhav
erbeenrappropriatelyrcarriedroutrtormeetrpublicrhealthrgoalsrandrplans.rPolicyrdevelopmentrseek
srtorbuildrconstituenciesrthatrcanrhelprbringraboutrchangerinrpublicrpolicy.rAssessmentrincludesr
activitiesrthatrinvolvercollecting,ranalyzing,randrdisseminatingrinformationronrbothrtherhealthrst
atusrandrtherhealth-
relatedraspectsrofrarcommunityrorrarspecificrpopulation.rPublicrhealthrisrbasedronrscientificrkno
wledgerbutrisrnotrarcorerfunction.
DIF: Cognitiverlevel:rApplying TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
7. Whatrisrtherpurposerofrpublicrhealthrcorerfunctions?
a. Clarifyingrtherrolerofrthergovernmentrinrfulfillingrthermissionrofrpublicrhealth
b. Ensuringrthersafetyrofrpopulationsrinrreceivingrqualityrhealthrcare
c. Providingrcommunity-
basedrindividualizedrcarertoreveryrpersonrinrtherUnitedrStates
d. Unitingrpublicrandrprivaterprovidersrofrcarerinrarcomprehensiverapproachrtorpr
ovidingrhealthrcare
ANS:r r A
AsrdefinedrbyrtherInstituterofrMedicinerinritsr1988rreportrTherFuturerofrPublicrHealth,rassessment
,rpolicyrdevelopment,randrassurancerarercorerfunctionsratrallrlevelsrof
governmentr forr ther purposeNof R
clarI
ifyiG
ngr tB
he.gCoveMrnment’s r role.
USNT
r r r O
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
8. Whichrofrtherfollowingrstatementsraboutrpublicrhealthrisraccurate?
a. Preventionrofrearlyrdeathsrcanrbermorereffectivelyraccomplishedrbyrmedicalrtre
atmentrthanrbyrpublicrhealthrapproaches.
b. Expendituresrandrresourcesrforrpublicrhealthrhaverincreasedrinrrecentryears.
c. Historically,rgainsrinrtherhealthrofrpopulationsrhaverbeenrrelatedrlargelyrtorchangesrinrs
afety,rsanitation,randrfoodrsafety.
d. Reformrofrthermedicalrinsurancersystemrisrthersinglerchangerneededrtorimproverther
healthrofrAmericans.
ANS:r r C
FieldingrandrTilsonrhaverassertedrthatrmostrofrtherincreaserinrliferspanrhasrbeenrmaderthroughri
mprovementsrinrsanitation,rcleanrwaterrsupplies,rmakingrworkplacesrsafer,rimprovingrfoodran
drdrugrsafety,rimmunizingrchildren,randrimprovingrnutrition,rhygiene,randrhousing.rMedicalrtr
eatmentrhasrnotrmaderasrsignificantrofranrimpactronrtherliferspanrasrpublicrhealthrmeasures.rFun
dingrforrpublicrhealthrinrrecentryearsrhasrbeenronrargradualrdecline.rAlthoughrreformrofrtherme
dicalrinsurancersystemrmayrhelprimprovertherhealthrofrAmericans,rthererarermanyrotherrfactor
srthatrwillrneedrtorberaddressed.
DIF: Cognitiverlevel:rUnderstanding TOP: Nursingrprocess:rAssessment
NURSINGTB.COM
NURSINGTB.COM
, PublicrHealthrNursingr10thrEditionrStanhoperTestrBank
Chapter 01: Public Health Foundations and Population Health
r r r r r r r
Stanhope: Public Health Nursing: Population-
r r r r
Centered Health Care in the Community, 10th Edition
r r r r r r r
MULTIPLErCHOICE
1. WhatrisrtherprimaryrfocusrtorberaddressedrconcerningrtherimprovementrofrtherhealthrofrtherAm
ericanrpeoplerinrthertwenty-firstrcentury?
a. Bioterrorismrandrglobalrhealthrthreats
b. Deliveryrofrindividualrcarerandrhygiene
c. Therneedrforrincreasedrhospitalrandracutercare
d. Chronicrdiseaserandrdisabilityrmanagement
ANS:r r A
Thererarernewrconcerns,randrofrthermostrseriousrarerbioterrorismrandrgloballyrinducedrinfectio
ns,rsuchrasrtheravianrflu.rTheserthreatsrwillrdivertrhealthrcarerfundsrandrresourcesrfromrotherrhe
althrcarerprogramsrtorberspentrforrpublicrsafety.rTherothersrarernotrrelatedrtorpublicrhealthrorrarer
concernsrthatrhaverbeenrpresentrforrmanyryears.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rPlanningrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
2. Arcommunityrisrconcernedraboutrtherthreatrofrbioterrorism.rWhichrofrtherfollowingrbestrdes
cribesrtherbasisrforrthisrconcern?
a. Bioterrorismrhasrtherpotentialrtordissolvercommunity-basedrprograms.
b. ThisrthreatrcouldrcauseN thUeReaI
hS lthNcGaT
reBsy.sC mMtorcollapse.
teO
c. Therthreatrmayrdivertrfundsrfromrotherrpublicrsafetyrhealthrcarerprograms.
d. Fearrofrbioterrorismrwillrincreasertherneedrforrshelters.
ANS:r r C
Bioterrorismrmayrhaveranrimpactronrtheravailabilityrofrresourcesrforrpublicrsafetyrhealthrcarerpr
ograms.rBecauserfundsrarerdivertedritrisrpossiblerthatrcommunity-
basedrprogramsrwouldrbereliminated,rtherhealthrcarersystemrcouldrexperiencerchanges,randrthatr
thererwouldrberanrincreaserinrtherneedrforrshelter.rHowever,rallrtherremainingroptionsrwouldrhap
penrbecauserofrtherdiversionrofrfunds.
DIF: Cognitiverlevel:rAnalyzing TOP:
Nursingrprocess:rDiagnosisrMSC:r NCLEX:rPhysiologicalrIntegrity
3. WhichrstatementrdescribesrtherconsequencerofrthersuccessfulrimplementationrofrtherAf
fordablerCarerAct?
a. Americansrwillrpayrcloserrattentionrtortheirrhealthrstatus.
b. Mostrofrtherpopulationrwillrbercoveredrbyrhealthrinsurance.
c. Publicrhealthrdepartmentsrwillrneedrtorincreaserthernumberrofrnursingrpositions.
d. Therprevalencerofrobesityrwillrdecrease.r
ANS:r B
NURSINGTB.COM
, PublicrHealthrNursingr10thrEditionrStanhoperTestrBank
OnerconsequencerofrsuccessfulrimplementationrofrtherAffordablerCarerActrmightrberthatrtherma
jorityrofrtherpopulationrwouldrbercoveredrbyrinsurancerandrpublicrhealthragenciesrwillrnotrneedrt
orproviderdirectrclinicalrservicesrinrorderrtorassurerthatrthoserwhorneedrthemrcanrreceiverthem.rT
herAffordablerCarerActrwillrnotrdirectlyrcauserAmericansrtorpayrcloserrattentionrtortheirrhealthrs
tatusrorrdecreasertherprevalencerofrobesity.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
4. Therpublicrhealthrnurser(PHN)rmustrparticipaterinrtheressentialrservicesrofrpublicrhealth.rWh
atrisronerofrtheressentialrservicesrofrpublicrhealthrnursing?
a. Monitoringrhealthrstatusrbyrcompletingrarcommunityrassessment
b. Diagnosingrandrinvestigatingrhealthrproblemsrinrtherworld
c. Informing,reducating,randrempoweringrpeopleraboutrhealthrissues
d. Workingrinrlawrenforcementrtorregulaterhealthrandrensurersafety
ANS:r r C
TherPHNrmonitorsrhealthrstatusrinrseveralrways,rcompletingrarcommunityrassessmentrisronlyro
nerwayrthatrhealthrstatusrisrmonitored.rTherPHNrwouldrnotrdiagnoserorrsolver“world”rproblems,r
orrworkrinrlawrenforcement.rRather,rtherPHNrwouldrparticipaterwithrlocalrregulatorsrtorprotectrc
ommunitiesrandrempowerrpeoplertoraddressrhealthrissues.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rImplementationrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
5. ArpublicrhealthrdepartmentrisrusingrthermissionrofrpublicrhealthrasrdescribedrbyrtherInstituterofr
MedicinerwhenrplanningNitsU Rhea Ilth rpGrogBra.mCmin
rSrNrT OMg.rWhichrofrtherfollowingractivitiesrwillrmostr
likelyrberimplemented?
a. TrackingravianrfluroutbreaksrandrdoingrsurveillancerinrtherUnitedrStates
b. Providingrarflurshotrforranrelderlyrpersonratrtherhealthrdepartment
c. KeepingrtrackrofralternativertherapiesrinruserinrtherUnitedrStates
d. KeepingrsnakerantivenomratrtherCentersrforrDiseaserControlrandrPreventionrinrAtl
anta
ANS:r r A
TherInstituterofrMedicine’srstatedrmissionronrpublicrhealthrisr“torgeneraterorganized
communityrandrtechnicalrknowledgertorpreventrdiseaserandrpromoterhealth.”rTrackingravianrflur
outbreaksrandrdoingrsurveillancerappliesrthisrconceptratrarpopulationrlevel.rProvidingrarflurshotrf
orranrelderlyrpersonronlyraddressesrindividualrcare.rKeepingrtrackrofrtheruserofralternativerthera
piesrdoesrnothingrtorpreventrdiseaserorrpromoterhealthrofrtherpopulation.
Keepingrsnakerantivenomrisraimedratrdiseasercarerforranrindividual,rnotrhealthrpromotionrorrdisea
serprevention.
DIF: Cognitiverlevel:rAnalyzing TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
6. Arpublicrhealthrdepartmentrmakesrsurerthatrtheressentialrcommunity-
orientedrhealthr servicesrareravailablerinrthercommunity.rWhichrofrtherfollowingrcorerpublicrheal
thrfunctionsrisrbeingrimplemented?
a. Policyrdevelopment
NURSINGTB.COM
, PublicrHealthrNursingr10thrEditionrStanhoperTestrBank
b. Assessment
c. Assurance
d. Scientificrknowledge-basedrcare
ANS:r r C
Assurancerfocusesronrtherresponsibilityrofrpublicrhealthragenciesrtorensurercertainractivitiesrhav
erbeenrappropriatelyrcarriedroutrtormeetrpublicrhealthrgoalsrandrplans.rPolicyrdevelopmentrseek
srtorbuildrconstituenciesrthatrcanrhelprbringraboutrchangerinrpublicrpolicy.rAssessmentrincludesr
activitiesrthatrinvolvercollecting,ranalyzing,randrdisseminatingrinformationronrbothrtherhealthrst
atusrandrtherhealth-
relatedraspectsrofrarcommunityrorrarspecificrpopulation.rPublicrhealthrisrbasedronrscientificrkno
wledgerbutrisrnotrarcorerfunction.
DIF: Cognitiverlevel:rApplying TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
7. Whatrisrtherpurposerofrpublicrhealthrcorerfunctions?
a. Clarifyingrtherrolerofrthergovernmentrinrfulfillingrthermissionrofrpublicrhealth
b. Ensuringrthersafetyrofrpopulationsrinrreceivingrqualityrhealthrcare
c. Providingrcommunity-
basedrindividualizedrcarertoreveryrpersonrinrtherUnitedrStates
d. Unitingrpublicrandrprivaterprovidersrofrcarerinrarcomprehensiverapproachrtorpr
ovidingrhealthrcare
ANS:r r A
AsrdefinedrbyrtherInstituterofrMedicinerinritsr1988rreportrTherFuturerofrPublicrHealth,rassessment
,rpolicyrdevelopment,randrassurancerarercorerfunctionsratrallrlevelsrof
governmentr forr ther purposeNof R
clarI
ifyiG
ngr tB
he.gCoveMrnment’s r role.
USNT
r r r O
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
8. Whichrofrtherfollowingrstatementsraboutrpublicrhealthrisraccurate?
a. Preventionrofrearlyrdeathsrcanrbermorereffectivelyraccomplishedrbyrmedicalrtre
atmentrthanrbyrpublicrhealthrapproaches.
b. Expendituresrandrresourcesrforrpublicrhealthrhaverincreasedrinrrecentryears.
c. Historically,rgainsrinrtherhealthrofrpopulationsrhaverbeenrrelatedrlargelyrtorchangesrinrs
afety,rsanitation,randrfoodrsafety.
d. Reformrofrthermedicalrinsurancersystemrisrthersinglerchangerneededrtorimproverther
healthrofrAmericans.
ANS:r r C
FieldingrandrTilsonrhaverassertedrthatrmostrofrtherincreaserinrliferspanrhasrbeenrmaderthroughri
mprovementsrinrsanitation,rcleanrwaterrsupplies,rmakingrworkplacesrsafer,rimprovingrfoodran
drdrugrsafety,rimmunizingrchildren,randrimprovingrnutrition,rhygiene,randrhousing.rMedicalrtr
eatmentrhasrnotrmaderasrsignificantrofranrimpactronrtherliferspanrasrpublicrhealthrmeasures.rFun
dingrforrpublicrhealthrinrrecentryearsrhasrbeenronrargradualrdecline.rAlthoughrreformrofrtherme
dicalrinsurancersystemrmayrhelprimprovertherhealthrofrAmericans,rthererarermanyrotherrfactor
srthatrwillrneedrtorberaddressed.
DIF: Cognitiverlevel:rUnderstanding TOP: Nursingrprocess:rAssessment
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