Public Health Nursing 11th Edition Study Guide | Stanhope & Lancaster | Questions & Answers | 2026

PUBLICHEALTHNURSING:POPULATION-CENTERED
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j PRIMARYCARE IN THE COMMUNITY, 11TH EDITION MARCIA
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STANHOPE TESTBANK /ALLCHAPTER 1- 46/COMPLETE
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GUIDE 2024-2025
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,Chapter 01: PublicHealthFoundationsandPopulationHealth
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Stanhope: Public HealthNursing: Population-Centered Primary care inthe Community,
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11th Edition
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1. What isthe primary focus to be addressed concerning the improvement ofthe health of the
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American people in the twenty-first century?
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a. Bioterrorismand global health threats j j j j




b. Delivery of individualcare and hygiene j j j j j




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




ACCURATE ANSWER:-A j




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




globally induced infections, such as the avian flu. These threats willdivert primarycare funds and
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resources from other primary care programs to be spent for public safety. The othersare not
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relatedto public health or are concerns that have been present for many years.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursingprocess: j j j j




Planning MSC: NCLEX: Health Promotion and Maintenance
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2. Acommunity isconcerned aboutthe threat ofbioterrorism. Whichofthe following best
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describes the basis for this concern?
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a. Bioterrorismhasthe potentialto dissolve community-based programs. j j j j j j j




b. ThisthreatcouldcauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMtocollapse.
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c. Thethreat may divert funds from other public safety primarycare programs.
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d. Fear ofbioterrorism will increase the need for shelters.
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ACCURATE ANSWER:-C j




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




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




Diagnosis MSC: NCLEX: Physiological Integrity
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3. Whichstatement describes theconsequence ofthe successfulimplementationofthe
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Affordable Care Act?
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a. Americans willpaycloser attention to their health status. j j j j j j j j




b. Mostofthe population will be covered by health insurance. j j j j j j j j j




c. Publichealthdepartments willneed to increase the number ofnursing positions. j j j j j j j j j j j




d. Theprevalenceofobesitywilldecrease. j j j j j




j ACCURATE ANSWER:-B j




REASONING:->>>One consequence of successful implementation of the Affordable Care j j j j j j j j




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




Assessment MSC: NCLEX: Health Promotion and Maintenance
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,4. Thepublic health nursing attendant (PHN) must participate in the essential services
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ofpublic health. What is one of the essential services of public health nursing?
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a. Monitoring healthstatus bycompleting a community assessment j j j j j j j




b. Diagnosing and investigating healthproblems intheworld j j j j j j j




c. Informing, educating, andempowering people about health issues j j j j j j j




d. Working in lawenforcement to regulatehealthand ensuresafety j j j j j j j j j




ACCURATE ANSWER:-C j




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




assessment is onlyone way that health status is monitored. The PHN would not diagnose or solve
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“world” problems, or work in law enforcement. Rather, the PHN would participate with local
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regulators to protect communities and empower people to address health issues.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: j j j j




Implementation MSC: NCLEX: Health Promotion and Maintenance
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5. Apublic healthdepartment is using the missionofpublic healthas described bythe Institute of
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Medicine when planning its health programming. Which of the following activities will most
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likely be implemented?
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a. Tracking avian flu outbreaks and doing surveillance intheUnited States j j j j j j j j j j




b. Providing a flu shot for an elderly person at the health department j j j j j j j j j j j




c. Keeping track ofalternative therapies inuse in the United States j j j j j j j j j j




d. Keeping snake antivenomat theCenters for Disease Controland Prevention in j j j j j j j j j j j




Atlanta j




ACCURATE ANSWER:-A j




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




organized community and technical knowledge to prevent disease and promote health.”
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Tracking avian flu outbreaks and doing surveillance applies this concept at a population level.
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Providing a flu shot for an elderly person only addresses individual care. Keeping track ofthe use
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ofalternative therapies does nothing to prevent disease or promote health of the population.
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Keeping snake antivenomis aimed at disease care for an individual, not health promotionor disease
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prevention.
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DIFFICULT: Cognitive level: Analyzing TOPIC: Nursingprocess: j j j j




Assessment MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health services are
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available inthecommunity. Whichofthe following core publichealth functions is being
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implemented?
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a. Policydevelopment j




b. Assessment
c. Assurance
d. Scientificknowledge-basedcare j j




ACCURATE ANSWER:-C j




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




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




Assessment MSC: NCLEX: Health Promotion and Maintenance
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7. What is the purpose ofpublic health core functions?
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, a. Clarifying the role ofthe government in fulfilling the mission ofpublic health
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b. Ensuring the safetyofpopulations in receiving quality primary care
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c. Providing community-based individualized caretoeveryperson intheUnited
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States
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d. Uniting public and private providers ofcare ina comprehensive approach to
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providing primary care
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ACCURATE ANSWER:-A j




REASONING:->>>As defined by the Institute of Medicine in its 1988 report The Futureof
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PublicHealth, assessment, policy development, and assurance are corefunctions
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at all levels ofgovernment for the purposeNofRclarIifyiGng tBhe.gCoveMrnment’s
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role.