public-health-nursing-population-centered-health-care-in-the-community-11th-edition-marcia-stanhope-testbank-all-chapter-1-46complete-guide (1)

PUBLIC HEALTH NURSING: POPULATION-CENTERED
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PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
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MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
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46/COMPLETE GUIDE 2026-2027 p1 p1 p1




Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-Centered Primary care in the
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Community, 11th Edition
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,1. What is the primary focus to be addressed concerning the improvement of the health
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of the American people in the twenty-first century?
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a. Bioterrorism and global health threats p1 p1 p1 p1



b. Delivery of individual care and hygiene p1 p1 p1 p1 p1



c. The need for increased health center and acute care
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d. Chronic disease and disability management p1 p1 p1 p1




ACCURATE ANSWER:-A p1



REASONING:->>>There are new concerns, and of the most serious are bioterrorism p1 p1 p1 p1 p1 p1 p1 p1 p1 p1



and globally induced infections, such as the avian flu. These threats will divert primary
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care funds and resources from other primary care programs to be spent for public safety.
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The others are not related to public health or are concerns that have been present for
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many years.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursing p1 p1 p1



process: Planning MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following
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best describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs. p1 p1 p1 p1 p1 p1 p1




b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
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c. The threat may divert funds from other public safety primary care programs.
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d. Fear of bioterrorism will increase the need for shelters.
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ACCURATE ANSWER:-C p1



REASONING:->>>Bioterrorism may have an impact on the availability of resources for p1 p1 p1 p1 p1 p1 p1 p1 p1 p1



public safety primary care programs. Because funds are diverted it is possible those
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community-based programs would be eliminated, the primary care system could
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experience changes, and that there would be an increase in the need for shelter.
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However, all the remaining options would happen because of the diversion of funds.
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DIFFICULT: Cognitive level: Analyzing TOPIC: p1 p1 p1 Nursing process: p1



Diagnosis MSC: NCLEX: Physiological Integrity
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3. Which statement describes the consequence of the successful implementation of the
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Affordable Care Act?
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a. Americans will pay closer attention to their health status. p1 p1 p1 p1 p1 p1 p1 p1



b. Most of the population will be covered by health insurance.
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c. Public health departments will need to increase the number of nursing positions.
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d. The prevalence of obesity will decrease.
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p1 ACCURATE ANSWER:-B p1




REASONING:->>>One consequence of successful implementation of the Affordable p1 p1 p1 p1 p1 p1 p1



Care Act might be that the majority of the population would be covered by insurance
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and public health agencies will not need to provide direct clinical services in order to
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assure that those who need them can receive them. The Affordable Care Act will not
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directly cause Americans to pay closer attention to their health status or decrease the
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prevalence of obesity.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: p1 p1 p1 p1



Assessment MSC: NCLEX: Health Promotion and Maintenance
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4. The public health nursing attendant (PHN) must participate in the essential
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services of public health. What is one of the essential services of public
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health nursing?
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, a. Monitoring health status by completing a community assessment p1 p1 p1 p1 p1 p1 p1



b. Diagnosing and investigating health problems in the world p1 p1 p1 p1 p1 p1 p1



c. Informing, educating, and empowering people about health issues
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d. Working in law enforcement to regulate health and ensure safety
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ACCURATE ANSWER:-C p1



REASONING:->>>The PHN monitors health status in several ways, completing a p1 p1 p1 p1 p1 p1 p1 p1 p1



community assessment is only one way that health status is monitored. The PHN would
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not diagnose or solve “world” problems, or work in law enforcement. Rather, the PHN
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would participate with local regulators to protect communities and empower people to
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address health issues.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process:
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Implementation MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is using the mission of public health as described by the
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Institute of Medicine when planning its health programming. Which of the following
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activities will most likely be implemented?
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a. Tracking avian flu outbreaks and doing surveillance in the United States
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b. Providing a flu shot for an elderly person at the health department
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c. Keeping track of alternative therapies in use in the United States
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d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
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Atlanta
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ACCURATE ANSWER:-A p1



REASONING:->>>The Institute of Medicine’s stated mission on public health is “to p1 p1 p1 p1 p1 p1 p1 p1 p1 p1



generate organized community and technical knowledge to prevent disease and promote
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health.” Tracking avian flu outbreaks and doing surveillance applies this concept at a
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population level. Providing a flu shot for an elderly person only addresses individual
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care. Keeping track of the use of alternative therapies does nothing to prevent disease or
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promote health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
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disease prevention.
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DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:p1 p1 p1 p1



Assessment MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health
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services are available in the community. Which of the following core public health
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functions is being implemented?
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a. Policy development p1




b. Assessment
c. Assurance
d. Scientific knowledge-based care p1 p1




ACCURATE ANSWER:-C p1



REASONING:->>>Assurance focuses on the responsibility of public health agencies to p1 p1 p1 p1 p1 p1 p1 p1 p1



ensure certain activities have been appropriately carried out to meet public health goals
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and plans. Policy development seeks to build constituencies that can help bring about
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change in public policy. Assessment includes activities that involve collecting, analyzing,
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and disseminating information on both the health status and the health-related aspects of
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a community or a specific population. Public health is based on scientific knowledge but is
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not a core function.
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DIFFICULT: Cognitive level: Applying TOPIC: Nursing process: p1 p1 p1 p1



Assessment 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
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b. Ensuring the safety of populations in receiving quality primary care p1 p1 p1 p1 p1 p1 p1 p1 p1



c. Providing community-based individualized care to every person in the United p1 p1 p1 p1 p1 p1 p1 p1 p1



States p1



d. Uniting public and private providers of care in a comprehensive approach
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to providing primary care
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ACCURATE ANSWER:-A p1



REASONING:->>>As defined by the Institute of Medicine in its 1988 report The Future p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1



of Public Health, assessment, policy development, and assurance are core functions
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at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment’s
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role.

DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: p1 p1 p1 p1



Assessment MSC: NCLEX: Health Promotion and Maintenance
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8. Which of the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medical p1 p1 p1 p1 p1 p1 p1 p1 p1 p1



treatment than by public health approaches.
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b. Expenditures and resources for public health have increased in recent years. p1 p1 p1 p1 p1 p1 p1 p1 p1 p1



c. Historically, gains in the health of populations have been related largely to changes p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1



in safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve
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the health of Americans.
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ACCURATE ANSWER:-C p1



REASONING:->>>Fielding and Tilson have asserted that most of the increase in life p1 p1 p1 p1 p1 p1 p1 p1 p1 p1 p1



span has been made through improvements in sanitation, clean water supplies, making
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workplaces safer, improving food and drug safety, immunizing children, and improving
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nutrition, hygiene, and housing. Medical treatment has not made as significant of an
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impact on the life span as public health measures. Funding for public health in recent
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years has been on a gradual decline. Although reform of the medical insurance system
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may help improve the health of Americans, there are many other factors that will need
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to be addressed.
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DIFFICULT: Cognitive level: Understanding p1 p1 p1 TOPIC: Nursing process: Assessment p1 p1




MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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9. A public health nursing attendant(PHN) collects data and monitors the health status of
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the population. Which of the following core public health functions is the medical
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caretaker addressing?
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a. Assessment
b. Prevention
c. Assurance
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ACCURATE ANSWER:-A p1



REASONING:->>>Assessment consists of systematic data collection and monitoring p1 p1 p1 p1 p1 p1 p1



health status.
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Prevention is not a core function, assurance is making sure essential services are available,
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and policy development is needed to provide leadership in developing policies.
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DIFFICULT: Cognitive level: Applying TOPIC: Nursing process: p1 p1 p1 p1



Assessment MSC: NCLEX: Health Promotion and Maintenance
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