TestBank- !m
Public Health Nursing
!m !m
: Population-Centered Health Care in
!m !m !m !m
the Community
!m
by Marcia Stanhope and Jeanette Lancaster
!m !m !m !m !m
11th Edition
!m
,Chapter 01: Public Health Foundations and Population Health
!m !m !m !m !m !m !m
Stanhope: Public Health Nursing: Population-
!m !m !m !m
Centered Health Care in the Community, 11th Edition
!m !m !m !m !m !m !m
MULTIPLE CHOICE !m
1. What is the primary focus to be addressed concerning the improvement of the health of the
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
American people in the twenty-first century?
!m !m !m !m !m !m
a. Bioterrorism and global health threats !m !m !m !m
b. Delivery of individual care and hygiene !m !m !m !m !m
c. The need for increased hospital and acute care
!m !m !m !m !m !m !m
d. Chronic disease and disability management !m !m !m !m
CORRECT ANSWER: A !m !m
There are new concerns, and of the most serious are bioterrorism and globally induced inf
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
ections, such as the avian flu. These threats will divert health care funds and resources fro
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
m other health care programs to be spent for public safety. The others are not related to pu
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
blic health or are concerns that have been present for many years.
!m !m !m !m !m !m !m !m !m !m !m
DIF: Cognitive level: Understanding !m !m
TOP: Nursing process: Planning MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
2. A community is concerned about the threat of bioterrorism. Which of the following best
!m !m !m !m !m !m !m !m !m !m !m !m !m
!mdescribes the basis for this concern? !m !m !m !m !m
a. Bioterrorism has the potential to dissolve community-based programs. !m !m !m !m !m !m !m
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
!m !m !m !m
c. The threat may divert funds from other public safety health care programs.
!m !m !m !m !m !m !m !m !m !m !m
d. Fear of bioterrorism will increase the need for shelters.
!m !m !m !m !m !m !m !m
CORRECT ANSWER: C !m !m
Bioterrorism may have an impact on the availability of resources for public safety health ca
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
re programs. Because funds are diverted it is possible that community-
!m !m !m !m !m !m !m !m !m !m
based programs would be eliminated, the health care system could experience changes, a
!m !m !m !m !m !m !m !m !m !m !m !m
nd that there woul be an increase in the need for shelter. However, all the remaining optio
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
ns would happen because of the diversion of funds.
!m !m !m !m !m !m !m !m
DIF: Cognitive level: Analyzing !m !m
TOP: Nursing process: Diagnosis MSC: NCLEX: Physiological Inte
!m !m !m !m !m !m !m
grity
3. Which statement describes the consequence of the successful implementation of the
!m !m !m !m !m !m !m !m !m !m !
mAffordable Care Act? !m !m
a. Americans will pay closer attention to their health status. !m !m !m !m !m !m !m !m
b. Most of the population will be covered by health insurance.
!m !m !m !m !m !m !m !m !m
c. Public health departments will need to increase the number of nursing positions.
!m !m !m !m !m !m !m !m !m !m !m
d. The prevalence of obesity will decrease.
!m !m !m !m !m
ANS: B
!m !m
, One consequence of successful implementation of the Affordable Care Act might be that the
!m !m !m !m !m !m !m !m !m !m !m !m !m
mmajority of the population would be covered by insurance and public health agencies will
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
not need to provide direct clinical services in order to assure that those who need them ca
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
n receive them. The Affordable Care Act will not directly cause Americans to pay closer at
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
tention to their health status or decrease the prevalence of obesity.
!m !m !m !m !m !m !m !m !m !m
DIF: Cognitive level: Understanding !m !m
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
4. The public health NURSE (PHN) must participate in the essential services of public
!m !m !m !m !m !m !m !m !m !m !m !m !
m health. What is one of the essential services of public health nursing?
!m !m !m !m !m !m !m !m !m !m !m
a. Monitoring health status by completing a community assessment !m !m !m !m !m !m !m
b. Diagnosing and investigating health problems in the world !m !m !m !m !m !m !m
c. Informing, educating, and empowering people about health issues
!m !m !m !m !m !m !m
d. Working in law enforcement to regulate health and ensure safety
!m !m !m !m !m !m !m !m !m !
m CORRECT ANSWER: C !m !m
The PHN monitors health status in several ways, completing a community assessment is o
!m !m !m !m !m !m !m !m !m !m !m !m !m
nly one way that health status is monitored. The PHN would not diagnose or solve “world” p
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
roblems, or work in law enforcement. Rather, the PHN would participate with local regulat
!m !m !m !m !m !m !m !m !m !m !m !m !m
ors to protect communities and empower people to address health issues.
!m !m !m !m !m !m !m !m !m !m
DIF: Cognitive level: Understanding !m !m
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
5. A public health department is using the mission of public health as described by the Institute
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
of Medicine when plU
!m aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which !m !m !m !m !m !m !m !m
most likely be implemented?
!m !m !m
a. Tracking avian flu outbreaks and doing surveillance in the United States
!m !m !m !m !m !m !m !m !m !m
b. Providing a flu shot for an elderly person at the health department
!m !m !m !m !m !m !m !m !m !m !m
c. Keeping track of alternative therapies in use in the United States
!m !m !m !m !m !m !m !m !m !m
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
!m !m !m !m !m !m !m !m !m !m !m !
Atlanta m
CORRECT ANSWER: A !m !m
The Institute of Medicine’s stated mission on public health is “to generate organized com
!m !m !m !m !m !m !m !m !m !m !m !m !m
munity and technical knowledge to prevent disease and promote health.” Tracking avia flu
!m !m !m !m !m !m !m !m !m !m !m !m !m
outbreaks and doing surveillance applies this concept at a population level. Providing a flu
!m !m !m !m !m !m !m !m !m !m !m !m !m !
shot for an elderly person only addresses individual care. Keeping track of the use of alter
m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
native therapies does nothing to prevent disease or promote health of the population. Kee
!m !m !m !m !m !m !m !m !m !m !m !m !m
ping snake antivenom is aimed at disease care for an individual, not health promotion or dis
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
ease prevention. !m
DIF: Cognitive level: Analyzing !m !m
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
6. A public health department makes sure that the essential community-
!m !m !m !m !m !m !m !m !m
oriented health services are available in the community. Which of the following core public
!m !m !m !m !m !m !m !m !m !m !m !m !m !
m health functions is being implemented?
!m !m !m !m
a. Policy development !m
, b. Assessment
c. Assurance
d. Scientific knowledge- !m
based care CORRECT ANSWER: !m !m !m !m
C
Assurance focuses on the responsibility of public health agencies to ensure certain activities
!m !m !m !m !m !m !m !m !m !m !m !m
have been appropriately carried out to meet public health goals and plans. Policy develop
!m !m !m !m !m !m !m !m !m !m !m !m !m
ment seeks to build constituencies that can help bring about change in public policy Assess
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
ment includes activities that involve collecting, analyzing, and disseminating information o
!m !m !m !m !m !m !m !m !m !m
n both the health status and the health-
!m !m !m !m !m !m !m
related aspects of a community or a specific population. Public health is based on scientific
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !
mknowledge but is not a core function !m !m !m !m !m !m
DIF: Cognitive level: Applying !m !m
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
7. What is the purpose of public health core functions?
!m !m !m !m !m !m !m !m
a. Clarifying the role of the government in fulfilling the mission of public health
!m !m !m !m !m !m !m !m !m !m !m !m
b. Ensuring the safety of populations in receiving quality health care
!m !m !m !m !m !m !m !m !m
c. Providing community- !m
based individualized care to every person in the United States
!m !m !m !m !m !m !m !m !m
d. Uniting public and private providers of care in a comprehensive approach to
!m !m !m !m !m !m !m !m !m !m !m
providing health care
!m !m !m
CORRECT ANSWER: A !m !m
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, asses
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
sment, policy development, and assurance are core functions at all levels of government fo
!m !m !m !m !m !m !m !m !m !m !m !m
!m
r the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
!m !m
USNT !m !m
!m
!m ! m O !m
DIF: Cognitive level: Understanding !m !m
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
8. Which of the following statements about public health is accurate?
!m !m !m !m !m !m !m !m !m
a. Prevention of early deaths can be more effectively accomplished by medica
!m !m !m !m !m !m !m !m !m !m
l treatment than by public health approaches.
!m !m !m !m !m !m
b. Expenditures and resources for public health have increased in recent years.
!m !m !m !m !m !m !m !m !m !m
c. Historically, gains in the health of populations have been related largely to changes
!m !m !m !m !m !m !m !m !m !m !m !m !
in safety, sanitation, and food safety.
m !m !m !m !m !m
d. Reform of the medical insurance system is the single change needed to improve
!m !m !m !m !m !m !m !m !m !m !m !m
the health of Americans.
!m !m !m !m
CORRECT ANSWER: C !m !m
Fielding and Tilson have asserted that most of the increase in life span has been made throu
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
gh improvements in sanitation, clean water supplies, making workplaces safer, improving f
!m !m !m !m !m !m !m !m !m !m !m
ood and drug safety, immunizing children, and improving nutrition, hygiene,
!m !m !m !m !m !m !m !m !m
and housing. Medical treatment has not made as significant of an impact on the life span as
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !
mpublic health measures. Funding for public health in recent years has been on a gradual d
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
ecline. Although reform of the medical insurance system may help improve the health of A
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
mericans, there are many other factors that will need to be addressed.
!m !m !m !m !m !m !m !m !m !m !m
DIF: Cognitive level: Understanding !m !m TOP: Nursing process: Assessment
!m !m !m
Public Health Nursing
!m !m
: Population-Centered Health Care in
!m !m !m !m
the Community
!m
by Marcia Stanhope and Jeanette Lancaster
!m !m !m !m !m
11th Edition
!m
,Chapter 01: Public Health Foundations and Population Health
!m !m !m !m !m !m !m
Stanhope: Public Health Nursing: Population-
!m !m !m !m
Centered Health Care in the Community, 11th Edition
!m !m !m !m !m !m !m
MULTIPLE CHOICE !m
1. What is the primary focus to be addressed concerning the improvement of the health of the
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
American people in the twenty-first century?
!m !m !m !m !m !m
a. Bioterrorism and global health threats !m !m !m !m
b. Delivery of individual care and hygiene !m !m !m !m !m
c. The need for increased hospital and acute care
!m !m !m !m !m !m !m
d. Chronic disease and disability management !m !m !m !m
CORRECT ANSWER: A !m !m
There are new concerns, and of the most serious are bioterrorism and globally induced inf
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
ections, such as the avian flu. These threats will divert health care funds and resources fro
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
m other health care programs to be spent for public safety. The others are not related to pu
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
blic health or are concerns that have been present for many years.
!m !m !m !m !m !m !m !m !m !m !m
DIF: Cognitive level: Understanding !m !m
TOP: Nursing process: Planning MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
2. A community is concerned about the threat of bioterrorism. Which of the following best
!m !m !m !m !m !m !m !m !m !m !m !m !m
!mdescribes the basis for this concern? !m !m !m !m !m
a. Bioterrorism has the potential to dissolve community-based programs. !m !m !m !m !m !m !m
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
!m !m !m !m
c. The threat may divert funds from other public safety health care programs.
!m !m !m !m !m !m !m !m !m !m !m
d. Fear of bioterrorism will increase the need for shelters.
!m !m !m !m !m !m !m !m
CORRECT ANSWER: C !m !m
Bioterrorism may have an impact on the availability of resources for public safety health ca
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
re programs. Because funds are diverted it is possible that community-
!m !m !m !m !m !m !m !m !m !m
based programs would be eliminated, the health care system could experience changes, a
!m !m !m !m !m !m !m !m !m !m !m !m
nd that there woul be an increase in the need for shelter. However, all the remaining optio
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
ns would happen because of the diversion of funds.
!m !m !m !m !m !m !m !m
DIF: Cognitive level: Analyzing !m !m
TOP: Nursing process: Diagnosis MSC: NCLEX: Physiological Inte
!m !m !m !m !m !m !m
grity
3. Which statement describes the consequence of the successful implementation of the
!m !m !m !m !m !m !m !m !m !m !
mAffordable Care Act? !m !m
a. Americans will pay closer attention to their health status. !m !m !m !m !m !m !m !m
b. Most of the population will be covered by health insurance.
!m !m !m !m !m !m !m !m !m
c. Public health departments will need to increase the number of nursing positions.
!m !m !m !m !m !m !m !m !m !m !m
d. The prevalence of obesity will decrease.
!m !m !m !m !m
ANS: B
!m !m
, One consequence of successful implementation of the Affordable Care Act might be that the
!m !m !m !m !m !m !m !m !m !m !m !m !m
mmajority of the population would be covered by insurance and public health agencies will
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
not need to provide direct clinical services in order to assure that those who need them ca
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
n receive them. The Affordable Care Act will not directly cause Americans to pay closer at
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
tention to their health status or decrease the prevalence of obesity.
!m !m !m !m !m !m !m !m !m !m
DIF: Cognitive level: Understanding !m !m
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
4. The public health NURSE (PHN) must participate in the essential services of public
!m !m !m !m !m !m !m !m !m !m !m !m !
m health. What is one of the essential services of public health nursing?
!m !m !m !m !m !m !m !m !m !m !m
a. Monitoring health status by completing a community assessment !m !m !m !m !m !m !m
b. Diagnosing and investigating health problems in the world !m !m !m !m !m !m !m
c. Informing, educating, and empowering people about health issues
!m !m !m !m !m !m !m
d. Working in law enforcement to regulate health and ensure safety
!m !m !m !m !m !m !m !m !m !
m CORRECT ANSWER: C !m !m
The PHN monitors health status in several ways, completing a community assessment is o
!m !m !m !m !m !m !m !m !m !m !m !m !m
nly one way that health status is monitored. The PHN would not diagnose or solve “world” p
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
roblems, or work in law enforcement. Rather, the PHN would participate with local regulat
!m !m !m !m !m !m !m !m !m !m !m !m !m
ors to protect communities and empower people to address health issues.
!m !m !m !m !m !m !m !m !m !m
DIF: Cognitive level: Understanding !m !m
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
5. A public health department is using the mission of public health as described by the Institute
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
of Medicine when plU
!m aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which !m !m !m !m !m !m !m !m
most likely be implemented?
!m !m !m
a. Tracking avian flu outbreaks and doing surveillance in the United States
!m !m !m !m !m !m !m !m !m !m
b. Providing a flu shot for an elderly person at the health department
!m !m !m !m !m !m !m !m !m !m !m
c. Keeping track of alternative therapies in use in the United States
!m !m !m !m !m !m !m !m !m !m
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
!m !m !m !m !m !m !m !m !m !m !m !
Atlanta m
CORRECT ANSWER: A !m !m
The Institute of Medicine’s stated mission on public health is “to generate organized com
!m !m !m !m !m !m !m !m !m !m !m !m !m
munity and technical knowledge to prevent disease and promote health.” Tracking avia flu
!m !m !m !m !m !m !m !m !m !m !m !m !m
outbreaks and doing surveillance applies this concept at a population level. Providing a flu
!m !m !m !m !m !m !m !m !m !m !m !m !m !
shot for an elderly person only addresses individual care. Keeping track of the use of alter
m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
native therapies does nothing to prevent disease or promote health of the population. Kee
!m !m !m !m !m !m !m !m !m !m !m !m !m
ping snake antivenom is aimed at disease care for an individual, not health promotion or dis
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
ease prevention. !m
DIF: Cognitive level: Analyzing !m !m
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
6. A public health department makes sure that the essential community-
!m !m !m !m !m !m !m !m !m
oriented health services are available in the community. Which of the following core public
!m !m !m !m !m !m !m !m !m !m !m !m !m !
m health functions is being implemented?
!m !m !m !m
a. Policy development !m
, b. Assessment
c. Assurance
d. Scientific knowledge- !m
based care CORRECT ANSWER: !m !m !m !m
C
Assurance focuses on the responsibility of public health agencies to ensure certain activities
!m !m !m !m !m !m !m !m !m !m !m !m
have been appropriately carried out to meet public health goals and plans. Policy develop
!m !m !m !m !m !m !m !m !m !m !m !m !m
ment seeks to build constituencies that can help bring about change in public policy Assess
!m !m !m !m !m !m !m !m !m !m !m !m !m !m
ment includes activities that involve collecting, analyzing, and disseminating information o
!m !m !m !m !m !m !m !m !m !m
n both the health status and the health-
!m !m !m !m !m !m !m
related aspects of a community or a specific population. Public health is based on scientific
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !
mknowledge but is not a core function !m !m !m !m !m !m
DIF: Cognitive level: Applying !m !m
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
7. What is the purpose of public health core functions?
!m !m !m !m !m !m !m !m
a. Clarifying the role of the government in fulfilling the mission of public health
!m !m !m !m !m !m !m !m !m !m !m !m
b. Ensuring the safety of populations in receiving quality health care
!m !m !m !m !m !m !m !m !m
c. Providing community- !m
based individualized care to every person in the United States
!m !m !m !m !m !m !m !m !m
d. Uniting public and private providers of care in a comprehensive approach to
!m !m !m !m !m !m !m !m !m !m !m
providing health care
!m !m !m
CORRECT ANSWER: A !m !m
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, asses
!m !m !m !m !m !m !m !m !m !m !m !m !m !m !m !m
sment, policy development, and assurance are core functions at all levels of government fo
!m !m !m !m !m !m !m !m !m !m !m !m
!m
r the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
!m !m
USNT !m !m
!m
!m ! m O !m
DIF: Cognitive level: Understanding !m !m
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
!m !m !m !m !m !m !m !
and Maintenance
m !m
8. Which of the following statements about public health is accurate?
!m !m !m !m !m !m !m !m !m
a. Prevention of early deaths can be more effectively accomplished by medica
!m !m !m !m !m !m !m !m !m !m
l treatment than by public health approaches.
!m !m !m !m !m !m
b. Expenditures and resources for public health have increased in recent years.
!m !m !m !m !m !m !m !m !m !m
c. Historically, gains in the health of populations have been related largely to changes
!m !m !m !m !m !m !m !m !m !m !m !m !
in safety, sanitation, and food safety.
m !m !m !m !m !m
d. Reform of the medical insurance system is the single change needed to improve
!m !m !m !m !m !m !m !m !m !m !m !m
the health of Americans.
!m !m !m !m
CORRECT ANSWER: C !m !m
Fielding and Tilson have asserted that most of the increase in life span has been made throu
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gh improvements in sanitation, clean water supplies, making workplaces safer, improving f
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ood and drug safety, immunizing children, and improving nutrition, hygiene,
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and housing. Medical treatment has not made as significant of an impact on the life span as
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mpublic health measures. Funding for public health in recent years has been on a gradual d
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ecline. Although reform of the medical insurance system may help improve the health of A
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mericans, there are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding !m !m TOP: Nursing process: Assessment
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