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