Test Bank for Public Health Nursing: Population-Centered Health Care in the Community, 11th Edition by Marcia Stanhope & Jeanette Lancaster | Latest 2025/2026 Update

TestBank- 3
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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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MULTIPLE CHOICE 3
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1. What is the primary focus tobe addressed concerningthe improvement of the healthof the
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American people in the twenty-first century?
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a. Bioterrorism and global health threats 3w 3w 3w 3w




b. Delivery of individual care and hygiene 3w 3w 3w 3w 3w




c. Theneedfor increased hospital and acutecare
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d. Chronicdisease anddisabilitymanagement 3w 3w 3w 3w




CORRECT ANSWER: A 3w 3w




There are new concerns, and of the most serious are bioterrorism and globally induced
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infections, such asthe avian flu. Thesethreatswilldivert health carefunds and resources from
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other health care programsto be spent for public safety. The others are not related to public
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health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning 3w 3w 3w 3w 3w




MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about thethreat of bioterrorism. Which of the following best
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describesthebasisforthisconcern?
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a. Bioterrorismhasthepotentialtodissolve community-basedprograms. 3w 3w 3w 3w 3w 3w 3w




b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
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c. The threat may divert funds from other public safety health care programs.
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d. Fearof bioterrorismwill increase theneedfor shelters.
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CORRECT ANSWER: C 3w 3w




Bioterrorismmayhave an impact onthe availabilityof resources for public safetyhealth care 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3
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programs. Becausefunds are divertedit is possiblethat community-based programs would be
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eliminated, the health care system could experience changes, and that there woul be an
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increase in the needfor shelter.However, all the remaining options would happen becauseof
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thediversionoffunds.
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DIF: Cognitive level: Analyzing 3w 3w TOP:Nursing process:Diagnosis 3w 3w 3w




MSC: NCLEX: Physiological Integrity
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3. Whichstatement describesthe consequence ofthesuccessfulimplementation of the
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AffordableCareAct?
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a. Americanswillpaycloserattentiontotheirhealthstatus. 3w 3w 3w 3w 3w 3w 3w 3w




b. Most of the population will be covered by health insurance.
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c. Publichealth departments will needtoincrease thenumber ofnursingpositions.
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d. The prevalence of obesity will decrease.
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ANS: B
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, Oneconsequence of successfulimplementation oftheAffordableCareActmight bethatthe
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majority of the population would be covered by insurance and public health agencies will not
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need to provide direct clinical services in order to assure that those who need them can receive
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them. The Affordable Care Act will not directly cause Americans to pay closer attention to their
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health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment 3w 3w 3w 3w 3w




MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipate intheessentialservices of public
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3whealth. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment 3w 3w 3w 3w 3w 3w 3w




b. Diagnosing and investigating health problems in the world 3w 3w 3w 3w 3w 3w 3w




c. Informing, educating, and empowering people about health issues 3w 3w 3w 3w 3w 3w 3w




d. Workingin lawenforcementtoregulatehealthandensuresafety 3w 3w 3w 3w 3w 3w 3w 3w 3w




3wCORRECTANSWER:C 3
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The PHN monitors health status in several ways, completing a community assessment is only
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or work in law enforcement. Rather, the PHN would 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 3w 3w 3w 3w 3w




MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is usingthe mission of public health as described bythe Institute
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ofMedicinewhenplU
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h eaNIlthTpGrogBra.mOCminMg.Which 3w 3w 3w 3w 3w 3w 3w 3w




most likely be implemented? 3w 3w 3w




a. Tracking avian flu outbreaks and doing surveillance in the United States 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w




b. Providingaflushotforanelderlypersonat thehealthdepartment 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w




c. Keeping track of alternative therapies in use in the United States 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w




d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w




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CORRECT ANSWER: A 3w 3w




The Institute of Medicine’s stated mission on public health is “to generate organized
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community and technical knowledge to prevent disease and promote health.” Tracking avia flu
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outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
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for an elderly person only addresses individualcare. Keepingtrack of the use of alternative
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therapies does nothingtoprevent disease or promotehealth ofthe population. Keepingsnake
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antivenomis aimedat diseasecareforan individual,nothealthpromotion or disease
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prevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment 3w 3w 3w 3w 3w




MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health services
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are available in the community. Which of the following core public health functions isbeing
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, b. Assessment
c. Assurance
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CORRECTANSWER:C
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Assurance focuses on the responsibility of public health agenciestoensure certain activities
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have been appropriately carried out to meet public health goals and plans. Policy development
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seekstobuildconstituenciesthatcan helpbringaboutchange in public policy Assessment
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includes activitiesthatinvolvecollecting,analyzing,anddisseminating information on both the
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health status andthe health-related aspects of a community or a specific population. Public
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health is based onscientific knowledge but is not acore function
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment 3w 3w 3w 3w 3w




MSC: NCLEX: Health Promotion and Maintenance
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7. What is the purpose of public health core functions?
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a. Clarifying the role of the government in fulfilling the mission of public health 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w




b. Ensuring the safety of populations in receiving quality health care 3w 3w 3w 3w 3w 3w 3w 3w 3w




c. Providingcommunity-basedindividualizedcaretoeverypersonin theUnited 3w 3w 3w 3w 3w 3w 3w 3w 3w




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d. Unitingpublic and private providers of care in a comprehensive approach to
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providinghealthcare
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CORRECT ANSWER: A 3w 3w




As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
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assessment, policy development, and assurance are core functions at all levels of government
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for the puNr poofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
USNT
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DIF: O
Cognitive level: Understanding
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MSC: NCLEX: Health Promotion and Maintenance
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8. Whichof the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medical 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w




treatment than by public health approaches.
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b. Expendituresandresourcesforpublichealthhaveincreasedin recent years. 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w




c. Historically, gains inthe health of populations havebeen relatedlargelyto changes in 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w 3w




safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change neededto improve the
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healthofAmericans.
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CORRECT ANSWER: C 3w 3w




FieldingandTilsonhave assertedthatmostofthe increasein lifespan has beenmade through
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improvementsinsanitation,cleanwatersupplies, makingworkplacessafer, improving food
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and drug safety, immunizing children, and improving nutrition, hygiene,
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andhousing. Medicaltreatment has not made as significant of an impact on the life span as public
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health measures. Funding for public health in recent years has been on a gradual decline.
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Although reform of the medical insurance system may help improve the health of Americans,
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there are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding 3w 3w TOP: Nursing process: Assessment 3w 3w 3w