Public3Health3Nursing310th3Edition3Stanhope3Test3Ban
k
Chapter301:3Public3Health3Foundations 3and3Population3Health
Stanhope:3Public3Health3Nursing:3Population-
Centered3Health3Care3in3the3Community,310th3Edition
MULTIPLE3CHOICE
1. What3is3the3primary3focus3to3be3addressed3concerning3the3improvement3of3the3health3of3th
e3American3people3in3the3twenty-first3century?
a. Bioterrorism3and3global3health3threats
b. Delivery3of3individual3care3and3hygiene
c. The3need3for3increased3hospital3and3acute3care
d. Chronic3disease3and3disability3management
ANS:3 3 A
There3are3new3concerns,3and3of3the3most3serious3are3bioterrorism3and3globally3induced3in
fections,3such3as3the3avian3flu.3These3threats3will3divert3health3care3funds3and3resources3fr
om3other3health3care3programs3to3be3spent3for3public3safety.3The3others3are3not3related3to3
public3health3or3are3concerns3that3have3been3present3for3many3years.
DIF: Cognitive3level:3Understanding TOP:
Nursing3process:3Planning3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
2. A3community3is3concerned3about3the3threat3of3bioterrorism.3Which3of3the3following3be
st3describes3the3basis3for3this3concern?
a. Bioterrorism3has3the3potential3to3dissolve3community-based3programs.
b. This3threat3could3causeN thUeR
heSaI
lthNcGaT
reBsy.sC mMto3collapse.
teO
c. The3threat3may3divert3funds3from3other3public3safety3health3care3programs.
d. Fear3of3bioterrorism3will3increase3the3need3for3shelters.
ANS:3 3 C
Bioterrorism3may3have3an3impact3on3the3availability3of3resources3for3public3safety3health3c
are3programs.3Because3funds3are3diverted3it3is3possible3that3community-
based3programs3would3be3eliminated,3the3health3care3system3could3experience3changes,3and
3that3there 3would3be3an3increase 3in3the3need3for3shelter.3However,3all3the 3remaining3options
3would3happen3because 3of3the3diversion3of3funds.
DIF: Cognitive3level:3Analyzing TOP:
Nursing3process:3Diagnosis3MSC:3 NCLEX:3Physiological3Integrity
3. Which3statement3describes3the3consequence3of3the3successful3implementation3of3th
e3Affordable3Care3Act?
a. Americans3will3pay3closer3attention3to3their3health3status.
b. Most3of3the3population3will3be3covered3by3health3insurance.
c. Public3health3departments3will3need3to3increase3the3number3of3nursing3positions.
d. The3prevalence3of3obesity3will3decrease
.3ANS:3 B
NURSINGTB.COM
, Public3Health3Nursing310th3Edition3Stanhope3Test3Ban
k
One3consequence3of3successful3implementation3of3the3Affordable3Care3Act3might3be3that3th
e3majority3of3the3population3would3be3covered3by3insurance3and3public3health3agencies3wil
l3not3need3to3provide3direct3clinical3services3in3order3to3assure3that3those3who3need3them3ca
n3receive3them.3The3Affordable3Care3Act3will3not3directly3cause3Americans3to3pay3closer3a
ttention3to3their3health3status3or3decrease3the3prevalence3of3obesity.
DIF: Cognitive3level:3Understanding TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
4. The3public3health3nurse3(PHN)3must3participate3in3the3essential3services3of3public3healt
h.3What3is3one3of3the3essential3services3of3public3health3nursing?
a. Monitoring3health3status3by3completing3a3community3assessment
b. Diagnosing3and3investigating3health3problems3in3the3world
c. Informing,3educating,3and3empowering3people3about3health3issues
d. Working3in3law3enforcement3to3regulate3health3and3ensure3safety
ANS:3 3 C
The3PHN3monitors3health3status3in3several3ways,3completing3a3community3assessment3is3o
nly3one3way3that3health3status3is3monitored.3The3PHN3would3not3diagnose3or3solve3“world”
3problems,3or3work3in3law3enforcement.3Rather,3the3PHN3would3participate 3with3local 3regu
lators3to3protect3communities3and3empower3people3to3address3health3issues.
DIF: Cognitive3level:3Understanding TOP:
Nursing3process:3Implementation3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
5. A3public3health3department3is3using3the3mission3of3public3health3as3described3by3the3Institut
e3of3Medicine3when3planning UN3S Rhea
its3N 3T
Ilth 3pGrogBO
ra.
mCminMg.3Which3of3the3following3activities3w
ill3most3likely3be3implemented?
a. Tracking3avian3flu3outbreaks3and3doing3surveillance3in3the3United3States
b. Providing3a3flu3shot3for3an3elderly3person3at3the3health3department
c. Keeping3track3of3alternative3therapies3in3use3in3the3United3States
d. Keeping3snake3antivenom3at3the3Centers3for3Disease3Control3and3Prevention3i
n3Atlanta
ANS:3 3 A
The3Institute3of3Medicine’s3stated3mission3on3public3health3is3“to3generate3organized
community3and3technical3knowledge3to3prevent3disease3and3promote3health.”3Tracking3avia
n3flu3outbreaks3and3doing3surveillance3applies3this3concept3at3a3population3level.3Providing3
a3flu3shot3for3an3elderly3person3only3addresses3individual3care.3Keeping3track3of3the3use3of3
alternative3therapies3does3nothing3to3prevent3disease3or3promote3health3of3the3population.
Keeping3snake3antivenom3is3aimed3at3disease3care3for3an3individual,3not3health3promotion3or3di
sease3prevention.
DIF: Cognitive3level:3Analyzing TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
6. A3public3health3department3makes3sure3that3the3essential3community-
oriented3health3 services3are3available3in3the3community.3Which3of3the3following3core3publi
c3health3functions3is3being3implemented?
a. Policy3development
NURSINGTB.COM
, Public3Health3Nursing310th3Edition3Stanhope3Test3Ban
k
b. Assessment
c. Assurance
d. Scientific3knowledge-based3care
ANS:3 3 C
Assurance3focuses3on3the3responsibility3of3public3health3agencies3to3ensure3certain3activitie
s3have3been3appropriately3carried3out3to3meet3public3health3goals3and3plans.3Policy3develop
ment3seeks3to3build3constituencies3that3can3help3bring3about3change3in3public3policy.3Asses
sment3includes3activities3that3involve3collecting,3analyzing,3and3disseminating3information3
on3both3the3health3status3and3the3health-
related3aspects3of3a3community3or3a3specific3population.3Public3health3is3based3on3scientific
3knowledge 3but3is3not3a3core 3function.
DIF: Cognitive3level:3Applying TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
7. What3is3the3purpose3of3public3health3core3functions?
a. Clarifying3the3role3of3the3government3in3fulfilling3the3mission3of3public3health
b. Ensuring3the3safety3of3populations3in3receiving3quality3health3care
c. Providing3community-
based3individualized3care3to3every3person3in3the3United3States
d. Uniting3public3and3private3providers3of3care3in3a3comprehensive3approach3t
o3providing3health3care
ANS:3 3 A
As3defined3by3the3Institute3of3Medicine3in3its319883report3The3Future3of3Public3Health,3assessm
ent,3policy3development,3and3assurance3are3core3functions3at3all3levels3of
government3 for3the3 purpose of clarifyi ng3 t he g ove rnment’s3 role.
N R I G B .C M
U3S3N3T O
DIF: Cognitive3level:3Understanding TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
8. Which3of3the3following3statements3about3public3health3is3accurate?
a. Prevention3of3early3deaths3can3be3more3effectively3accomplished3by3medica
l3treatment3than3by3public3health3approaches.
b. Expenditures3and3resources3for3public3health3have3increased3in3recent3years.
c. Historically,3gains3in3the3health3of3populations3have3been3related3largely3to3change
s3in3safety,3sanitation,3and3food3safety.
d. Reform3of3the3medical3insurance3system3is3the3single3change3needed3to3improv
e3the3health3of3Americans.
ANS:3 3 C
Fielding3and3Tilson3have3asserted3that3most3of3the3increase3in3life3span3has3been3made3thr
ough3improvements3in3sanitation,3clean3water3supplies,3making3workplaces3safer,3improvi
ng3food3and3drug3safety,3immunizing3children,3and3improving3nutrition,3hygiene,3and3hou
sing.3Medical3treatment3has3not3made3as3significant3of3an3impact3on3the3life3span3as3public
3health3measures.3Funding3for3public3health3in3recent 3years3has3been3on3a3gradual3decline.
3Although3reform3of3the3medical 3insurance3system3may3help3improve3the3health3of3Ameri
cans,3there3are3many3other3factors3that3will3need3to3be3addressed.
DIF: Cognitive3level:3Understanding TOP: Nursing3process:3Assessment
NURSINGTB.COM
, Public3Health3Nursing310th3Edition3Stanhope3Test3Ban
k
MSC:3 NCLEX:3Safe3and3Effective3Care3Environment:3Management3of3Care
9. A3public3health3nurse3(PHN)3collects3data3and3monitors3the3health3status3of3the3populatio
n.3Which3of3the3following3core3public3health3functions3is3the3nurse3addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy3development
ANS:3 3 A
Assessment3consists3of3systematic3data3collection3and3monitoring3health3status.
Prevention3is3not3a3core3function,3assurance3is3making3sure3essential3services3are3available
,3and3policy3development3is3needed3to3provide3leadership3in3developing3policies.
DIF: Cognitive3level:3Applying TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
10. The3public3health3nurse3(PHN)3compares3the3rate3of3teenage3pregnancy3in3various3areas3
of3the3city.3Which3of3the3core3functions3of3public3health3is3the3nurse3addressing?
a. Assurance
b. Assessment
c. Prevention
d. Policy3development
ANS:3 3 B
Assessment3refers3to3systematic3data3collection,3which3this3nurse3is3doing3for3teenage3preg
nancy.3Prevention3is3not3a3core3function,3assurance3is3making3sure3essential3services3are
Nme
3R3I 3G3B.C3M
available,3and3policy3developU nSt 3isNneeTde d 3to3O
p rovide 3leadership3in3developing3policies.
DIF: Cognitive3level:3Applying TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
11. A3public3health3nurse3(PHN)3develops3and3implements3local3public3health3policies3throug
h3partnerships3with3agencies,3organizations,3and3consumers3within3the3community.3Which
3of3the3following3core 3public3health3functions3is3the3nurse3addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy3development
ANS:3 3 D
Policy3development3deals3with3developing3and3implementing3health3policies.3Prevention3is
3not3a3core3function,3assurance 3is3making3sure3essential 3services3are3available,3and3assess
ment3refers3to3systematic3data3collection.
DIF: Cognitive3level:3Applying TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
NURSINGTB.COM
k
Chapter301:3Public3Health3Foundations 3and3Population3Health
Stanhope:3Public3Health3Nursing:3Population-
Centered3Health3Care3in3the3Community,310th3Edition
MULTIPLE3CHOICE
1. What3is3the3primary3focus3to3be3addressed3concerning3the3improvement3of3the3health3of3th
e3American3people3in3the3twenty-first3century?
a. Bioterrorism3and3global3health3threats
b. Delivery3of3individual3care3and3hygiene
c. The3need3for3increased3hospital3and3acute3care
d. Chronic3disease3and3disability3management
ANS:3 3 A
There3are3new3concerns,3and3of3the3most3serious3are3bioterrorism3and3globally3induced3in
fections,3such3as3the3avian3flu.3These3threats3will3divert3health3care3funds3and3resources3fr
om3other3health3care3programs3to3be3spent3for3public3safety.3The3others3are3not3related3to3
public3health3or3are3concerns3that3have3been3present3for3many3years.
DIF: Cognitive3level:3Understanding TOP:
Nursing3process:3Planning3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
2. A3community3is3concerned3about3the3threat3of3bioterrorism.3Which3of3the3following3be
st3describes3the3basis3for3this3concern?
a. Bioterrorism3has3the3potential3to3dissolve3community-based3programs.
b. This3threat3could3causeN thUeR
heSaI
lthNcGaT
reBsy.sC mMto3collapse.
teO
c. The3threat3may3divert3funds3from3other3public3safety3health3care3programs.
d. Fear3of3bioterrorism3will3increase3the3need3for3shelters.
ANS:3 3 C
Bioterrorism3may3have3an3impact3on3the3availability3of3resources3for3public3safety3health3c
are3programs.3Because3funds3are3diverted3it3is3possible3that3community-
based3programs3would3be3eliminated,3the3health3care3system3could3experience3changes,3and
3that3there 3would3be3an3increase 3in3the3need3for3shelter.3However,3all3the 3remaining3options
3would3happen3because 3of3the3diversion3of3funds.
DIF: Cognitive3level:3Analyzing TOP:
Nursing3process:3Diagnosis3MSC:3 NCLEX:3Physiological3Integrity
3. Which3statement3describes3the3consequence3of3the3successful3implementation3of3th
e3Affordable3Care3Act?
a. Americans3will3pay3closer3attention3to3their3health3status.
b. Most3of3the3population3will3be3covered3by3health3insurance.
c. Public3health3departments3will3need3to3increase3the3number3of3nursing3positions.
d. The3prevalence3of3obesity3will3decrease
.3ANS:3 B
NURSINGTB.COM
, Public3Health3Nursing310th3Edition3Stanhope3Test3Ban
k
One3consequence3of3successful3implementation3of3the3Affordable3Care3Act3might3be3that3th
e3majority3of3the3population3would3be3covered3by3insurance3and3public3health3agencies3wil
l3not3need3to3provide3direct3clinical3services3in3order3to3assure3that3those3who3need3them3ca
n3receive3them.3The3Affordable3Care3Act3will3not3directly3cause3Americans3to3pay3closer3a
ttention3to3their3health3status3or3decrease3the3prevalence3of3obesity.
DIF: Cognitive3level:3Understanding TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
4. The3public3health3nurse3(PHN)3must3participate3in3the3essential3services3of3public3healt
h.3What3is3one3of3the3essential3services3of3public3health3nursing?
a. Monitoring3health3status3by3completing3a3community3assessment
b. Diagnosing3and3investigating3health3problems3in3the3world
c. Informing,3educating,3and3empowering3people3about3health3issues
d. Working3in3law3enforcement3to3regulate3health3and3ensure3safety
ANS:3 3 C
The3PHN3monitors3health3status3in3several3ways,3completing3a3community3assessment3is3o
nly3one3way3that3health3status3is3monitored.3The3PHN3would3not3diagnose3or3solve3“world”
3problems,3or3work3in3law3enforcement.3Rather,3the3PHN3would3participate 3with3local 3regu
lators3to3protect3communities3and3empower3people3to3address3health3issues.
DIF: Cognitive3level:3Understanding TOP:
Nursing3process:3Implementation3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
5. A3public3health3department3is3using3the3mission3of3public3health3as3described3by3the3Institut
e3of3Medicine3when3planning UN3S Rhea
its3N 3T
Ilth 3pGrogBO
ra.
mCminMg.3Which3of3the3following3activities3w
ill3most3likely3be3implemented?
a. Tracking3avian3flu3outbreaks3and3doing3surveillance3in3the3United3States
b. Providing3a3flu3shot3for3an3elderly3person3at3the3health3department
c. Keeping3track3of3alternative3therapies3in3use3in3the3United3States
d. Keeping3snake3antivenom3at3the3Centers3for3Disease3Control3and3Prevention3i
n3Atlanta
ANS:3 3 A
The3Institute3of3Medicine’s3stated3mission3on3public3health3is3“to3generate3organized
community3and3technical3knowledge3to3prevent3disease3and3promote3health.”3Tracking3avia
n3flu3outbreaks3and3doing3surveillance3applies3this3concept3at3a3population3level.3Providing3
a3flu3shot3for3an3elderly3person3only3addresses3individual3care.3Keeping3track3of3the3use3of3
alternative3therapies3does3nothing3to3prevent3disease3or3promote3health3of3the3population.
Keeping3snake3antivenom3is3aimed3at3disease3care3for3an3individual,3not3health3promotion3or3di
sease3prevention.
DIF: Cognitive3level:3Analyzing TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
6. A3public3health3department3makes3sure3that3the3essential3community-
oriented3health3 services3are3available3in3the3community.3Which3of3the3following3core3publi
c3health3functions3is3being3implemented?
a. Policy3development
NURSINGTB.COM
, Public3Health3Nursing310th3Edition3Stanhope3Test3Ban
k
b. Assessment
c. Assurance
d. Scientific3knowledge-based3care
ANS:3 3 C
Assurance3focuses3on3the3responsibility3of3public3health3agencies3to3ensure3certain3activitie
s3have3been3appropriately3carried3out3to3meet3public3health3goals3and3plans.3Policy3develop
ment3seeks3to3build3constituencies3that3can3help3bring3about3change3in3public3policy.3Asses
sment3includes3activities3that3involve3collecting,3analyzing,3and3disseminating3information3
on3both3the3health3status3and3the3health-
related3aspects3of3a3community3or3a3specific3population.3Public3health3is3based3on3scientific
3knowledge 3but3is3not3a3core 3function.
DIF: Cognitive3level:3Applying TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
7. What3is3the3purpose3of3public3health3core3functions?
a. Clarifying3the3role3of3the3government3in3fulfilling3the3mission3of3public3health
b. Ensuring3the3safety3of3populations3in3receiving3quality3health3care
c. Providing3community-
based3individualized3care3to3every3person3in3the3United3States
d. Uniting3public3and3private3providers3of3care3in3a3comprehensive3approach3t
o3providing3health3care
ANS:3 3 A
As3defined3by3the3Institute3of3Medicine3in3its319883report3The3Future3of3Public3Health,3assessm
ent,3policy3development,3and3assurance3are3core3functions3at3all3levels3of
government3 for3the3 purpose of clarifyi ng3 t he g ove rnment’s3 role.
N R I G B .C M
U3S3N3T O
DIF: Cognitive3level:3Understanding TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
8. Which3of3the3following3statements3about3public3health3is3accurate?
a. Prevention3of3early3deaths3can3be3more3effectively3accomplished3by3medica
l3treatment3than3by3public3health3approaches.
b. Expenditures3and3resources3for3public3health3have3increased3in3recent3years.
c. Historically,3gains3in3the3health3of3populations3have3been3related3largely3to3change
s3in3safety,3sanitation,3and3food3safety.
d. Reform3of3the3medical3insurance3system3is3the3single3change3needed3to3improv
e3the3health3of3Americans.
ANS:3 3 C
Fielding3and3Tilson3have3asserted3that3most3of3the3increase3in3life3span3has3been3made3thr
ough3improvements3in3sanitation,3clean3water3supplies,3making3workplaces3safer,3improvi
ng3food3and3drug3safety,3immunizing3children,3and3improving3nutrition,3hygiene,3and3hou
sing.3Medical3treatment3has3not3made3as3significant3of3an3impact3on3the3life3span3as3public
3health3measures.3Funding3for3public3health3in3recent 3years3has3been3on3a3gradual3decline.
3Although3reform3of3the3medical 3insurance3system3may3help3improve3the3health3of3Ameri
cans,3there3are3many3other3factors3that3will3need3to3be3addressed.
DIF: Cognitive3level:3Understanding TOP: Nursing3process:3Assessment
NURSINGTB.COM
, Public3Health3Nursing310th3Edition3Stanhope3Test3Ban
k
MSC:3 NCLEX:3Safe3and3Effective3Care3Environment:3Management3of3Care
9. A3public3health3nurse3(PHN)3collects3data3and3monitors3the3health3status3of3the3populatio
n.3Which3of3the3following3core3public3health3functions3is3the3nurse3addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy3development
ANS:3 3 A
Assessment3consists3of3systematic3data3collection3and3monitoring3health3status.
Prevention3is3not3a3core3function,3assurance3is3making3sure3essential3services3are3available
,3and3policy3development3is3needed3to3provide3leadership3in3developing3policies.
DIF: Cognitive3level:3Applying TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
10. The3public3health3nurse3(PHN)3compares3the3rate3of3teenage3pregnancy3in3various3areas3
of3the3city.3Which3of3the3core3functions3of3public3health3is3the3nurse3addressing?
a. Assurance
b. Assessment
c. Prevention
d. Policy3development
ANS:3 3 B
Assessment3refers3to3systematic3data3collection,3which3this3nurse3is3doing3for3teenage3preg
nancy.3Prevention3is3not3a3core3function,3assurance3is3making3sure3essential3services3are
Nme
3R3I 3G3B.C3M
available,3and3policy3developU nSt 3isNneeTde d 3to3O
p rovide 3leadership3in3developing3policies.
DIF: Cognitive3level:3Applying TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
11. A3public3health3nurse3(PHN)3develops3and3implements3local3public3health3policies3throug
h3partnerships3with3agencies,3organizations,3and3consumers3within3the3community.3Which
3of3the3following3core 3public3health3functions3is3the3nurse3addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy3development
ANS:3 3 D
Policy3development3deals3with3developing3and3implementing3health3policies.3Prevention3is
3not3a3core3function,3assurance 3is3making3sure3essential 3services3are3available,3and3assess
ment3refers3to3systematic3data3collection.
DIF: Cognitive3level:3Applying TOP:
Nursing3process:3Assessment3MSC:3 NCLEX:3Health3Promotion3and3Ma
intenance
NURSINGTB.COM
