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CENTERED PRIMARY CARE IN THE COMMUNITY, 11TH EDIT
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ION MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
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46/COMPLETE GUIDE 2024-2025
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,Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-
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Centered Primary care in the Community, 11th Edition
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1. What=is=the=primary=focus=to=be=addressed=concerning=the=improvement=of=the=health=of=
the=American=people=in=the=twenty-first=century?
a. Bioterrorism=and=global=health=threats
b. Delivery=of=individual=care=and=hygiene
c. The=need=for=increased=health=center=and=acute=care
d. Chronic=disease=and=disability=management
ACCURATE=ANSWER:-A
REASONING:-
>>>There=are=new=concerns,=and=of=the=most=serious=are=bioterrorism=and=globally=induced=i
nfections,=such=as=the=avian=flu.=These=threats=will=divert=primary=care=funds=and=resources=fr
om=other=primary=care=programs=to=be=spent=for=public=safety.=The=others=are=not=related=to=p
ublic=health=or=are=concerns=that=have=been=present=for=many=years.
DIFFICULT:=Cognitive=level:=Understanding TOPIC:
Nursing=process:=Planning=MSC:= NCLEX:=Health=Promotion=and=Main
tenance
2. A=community=is=concerned=about=the=threat=of=bioterrorism.=Which=of=the=following=best=
describes=the=basis=for=this=concern?
a. Bioterrorism=has=the=potential=to=dissolve=community-based=programs.
b. This=threat=could=causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto=collapse.
c. The=threat=may=divert=funds=from=other=public=safety=primary=care=programs.
d. Fear=of=bioterrorism=will=increase=the=need=for=shelters.
ACCURATE=ANSWER:-C
REASONING:-
>>>Bioterrorism=may=have=an=impact=on=the=availability=of=resources=for=public=safety=prim
ary=care=programs.=Because=funds=are=diverted=it=is=possible=those=community-
based=programs=would=be=eliminated,=the=primary=care=system=could=experience=changes,=an
d=that=there=would=be=an=increase=in=the=need=for=shelter.=However,=all=the=remaining=options
=would=happen=because=of=the=diversion=of=funds.
DIFFICULT:=Cognitive=level:=Analyzing TOPIC:
Nursing=process:=Diagnosis=MSC:= NCLEX:=Physiological=Integrity
3. Which=statement=describes=the=consequence=of=the=successful=implementation=of=the=
Affordable=Care=Act?
a. Americans=will=pay=closer=attention=to=their=health=status.
b. Most=of=the=population=will=be=covered=by=health=insurance.
c. Public=health=departments=will=need=to=increase=the=number=of=nursing=positions.
d. The=prevalence=of=obesity=will=decrease.
= ACCURATE=ANSWER:-B
REASONING:-
>>>One=consequence=of=successful=implementation=of=the=Affordable=Care=Act=might=be=th
at=the=majority=of=the=population=would=be=covered=by=insurance=and=public=health=agencies=
will=not=need=to=provide=direct=clinical=services=in=order=to=assure=that=those=who=need=them=c
an=receive=them.=The=Affordable=Care=Act=will=not=directly=cause=Americans=to=pay=closer=at
tention=to=their=health=status=or=decrease=the=prevalence=of=obesity.
, DIFFICULT:=Cognitive=level:=Understanding TOPIC:
Nursing=process:=Assessment=MSC:= NCLEX:=Health=Promotion=and=Main
tenance
4. The=public=health=nursing=attendant=(PHN)=must=participate=in=the=essential=servi
ces=of=public=health.=What=is=one=of=the=essential=services=of=public=health=nursin
g?
a. Monitoring=health=status=by=completing=a=community=assessment
b. Diagnosing=and=investigating=health=problems=in=the=world
c. Informing,=educating,=and=empowering=people=about=health=issues
d. Working=in=law=enforcement=to=regulate=health=and=ensure=safety
ACCURATE=ANSWER:-C
REASONING:-
>>>The=PHN=monitors=health=status=in=several=ways,=completing=a=community=assessment=i
s=only=one=way=that=health=status=is=monitored.=The=PHN=would=not=diagnose=or=solve=“world
”=problems,=or=work=in=law=enforcement.=Rather,=the=PHN=would=participate=with=local=regul
ators=to=protect=communities=and=empower=people=to=address=health=issues.
DIFFICULT:=Cognitive=level:=Understanding TOPIC:
Nursing=process:=Implementation=MSC:= NCLEX:=Health=Promotion=and=Main
tenance
5. A=public=health=department=is=using=the=mission=of=public=health=as=described=by=the=Institute=
of=Medicine=when=planning=its=health=programming.=Which=of=the=following=activities=will=
most=likely=be=implemented?
a. Tracking=avian=flu=outbreaks=and=doing=surveillance=in=the=United=States
b. Providing=a=flu=shot=for=an=elderly=person=at=the=health=department
c. Keeping=track=of=alternative=therapies=in=use=in=the=United=States
d. Keeping=snake=antivenom=at=the=Centers=for=Disease=Control=and=Prevention=in=
Atlanta
ACCURATE=ANSWER:-A
REASONING:-
>>>The=Institute=of=Medicine’s=stated=mission=on=public=health=is=“to=generate=organized=co
mmunity=and=technical=knowledge=to=prevent=disease=and=promote=health.”=Tracking=avian=f
lu=outbreaks=and=doing=surveillance=applies=this=concept=at=a=population=level.=Providing=a=fl
u=shot=for=an=elderly=person=only=addresses=individual=care.=Keeping=track=of=the=use=of=alter
native=therapies=does=nothing=to=prevent=disease=or=promote=health=of=the=population.
Keeping=snake=antivenom=is=aimed=at=disease=care=for=an=individual,=not=health=promotion=or=dise
ase=prevention.
DIFFICULT:=Cognitive=level:=Analyzing TOPIC:
Nursing=process:=Assessment=MSC:= NCLEX:=Health=Promotion=and=Main
tenance
6. A=public=health=department=makes=sure=that=the=essential=community-
oriented=health=services=are=available=in=the=community.=Which=of=the=following=core=public=h
ealth=functions=is=being=implemented?
a. Policy=development
b. Assessment
c. Assurance
d. Scientific=knowledge-based=care
ACCURATE=ANSWER:-C
REASONING:-
, >>>Assurance=focuses=on=the=responsibility=of=public=health=agencies=to=ensure=certain=activi
ties=have=been=appropriately=carried=out=to=meet=public=health=goals=and=plans.=Policy=develo
pment=seeks=to=build=constituencies=that=can=help=bring=about=change=in=public=policy.=Assess
ment=includes=activities=that=involve=collecting,=analyzing,=and=disseminating=information=on
=both=the=health=status=and=the=health-
related=aspects=of=a=community=or=a=specific=population.=Public=health=is=based=on=scientific=k
nowledge=but=is=not=a=core=function.
DIFFICULT:=Cognitive=level:=Applying TOPIC:
Nursing=process:=Assessment=MSC:= NCLEX:=Health=Promotion=and=Main
tenance
7. What= is=the=purpose=of=public=health=core=functions?
a. Clarifying=the=role=of=the=government=in=fulfilling=the=mission=of=public=health
b. Ensuring=the=safety=of=populations=in=receiving=quality=primary=care
c. Providing=community-
based=individualized=care=to=every=person=in=the=United=States
d. Uniting=public=and=private=providers=of=care=in=a=comprehensive=approach=
to=providing=primary=care
ACCURATE=ANSWER:-A
REASONING:-
>>>As=defined=by=the=Institute=of=Medicine=in=its=1988=report=The=Future=of=Public=Health,=
assessment,=policy=development,=and=assurance=are=core=functions
at=all=levels=of=government=for=the=purposeNofRclarIifyiGng=tBhe.gCoveMrnment’s
role.