Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-
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Centered Health Care in theCommunity, 10th Edition
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MULTIPLEgCHOICE
1. Whatgisgthegprimarygfocusgtogbegaddressedgconcerninggthegimprovementgofgtheghealthgofgtheg
Americangpeoplegingthegtwenty-firstgcentury?
a. Bioterrorismgandgglobalghealthgthreats
b. Deliverygofgindividualgcaregandghygiene
c. Thegneedgforgincreasedghospitalgandgacutegcare
d. Chronicgdiseasegandgdisabilitygmanagement
ANS:g A
Theregaregnewgconcerns,gandgofgthegmostgseriousgaregbioterrorismgandggloballyginducedginfe
ctions,gsuchgasgthegaviangflu.gThesegthreatsgwillgdivertghealthgcaregfundsgandgresourcesgfromg
otherghealthgcaregprogramsgtogbegspentgforgpublicgsafety.gThegothersgaregnotgrelatedgtogpublicg
healthgorgaregconcernsgthatghavegbeengpresentgforgmanygyears.
DIF: Cognitiveglevel:gUnderstanding TOP:
Nursinggprocess:gPlanninggMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
2. Agcommunitygisgconcernedgaboutgthegthreatgofgbioterrorism.gWhichgofgthegfollowinggbestgd
escribesgthegbasisgforgthisgconcern?
a. Bioterrorismghasgthegpotentialgtogdissolvegcommunity-basedgprograms.
b. ThisgthreatgcouldgcauseN thUeReaI
hS lthNcGaT
reBs.
ysC mMtogcollapse.
teO
c. Thegthreatgmaygdivertgfundsgfromgothergpublicgsafetyghealthgcaregprograms.
d. Feargofgbioterrorismgwillgincreasegthegneedgforgshelters.
ANS:g C
Bioterrorismgmayghavegangimpactgongthegavailabilitygofgresourcesgforgpublicgsafetyghealthgcar
egprograms.gBecausegfundsgaregdivertedgitgisgpossiblegthatgcommunity-
basedgprogramsgwouldgbegeliminated,gtheghealthgcaregsystemgcouldgexperiencegchanges,gandgt
hatgtheregwouldgbegangincreasegingthegneedgforgshelter.gHowever,gallgthegremaininggoptionsgwo
uldghappengbecausegofgthegdiversiongofgfunds.
DIF: Cognitiveglevel:gAnalyzing TOP:
Nursinggprocess:gDiagnosisgMSC:g NCLEX:gPhysiologicalgIntegrity
3. Whichgstatementgdescribesgthegconsequencegofgthegsuccessfulgimplementationgofgtheg
AffordablegCaregAct?
a. Americansgwillgpaygclosergattentiongtogtheirghealthgstatus.
b. Mostgofgthegpopulationgwillgbegcoveredgbyghealthginsurance.
c. Publicghealthgdepartmentsgwillgneedgtogincreasegthegnumbergofgnursinggpositions.
d. Thegprevalencegofgobesitygwillgdecrease.g
ANS:g B
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, PublicgHealthgNursingg10thgEditiongStanhopegTestgBank
OnegconsequencegofgsuccessfulgimplementationgofgthegAffordablegCaregActgmightgbegthatgtheg
majoritygofgthegpopulationgwouldgbegcoveredgbyginsurancegandgpublicghealthgagenciesgwillgnotg
needgtogprovidegdirectgclinicalgservicesgingordergtogassuregthatgthosegwhogneedgthemgcangreceiv
egthem.gThegAffordablegCaregActgwillgnotgdirectlygcausegAmericansgtogpaygclosergattentiongtogt
heirghealthgstatusgorgdecreasegthegprevalencegofgobesity.
DIF: Cognitiveglevel:gUnderstanding TOP:
Nursinggprocess:gAssessmentgMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
4. Thegpublicghealthgnurseg(PHN)gmustgparticipategingthegessentialgservicesgofgpublicghealth.g
Whatgisgonegofgthegessentialgservicesgofgpublicghealthgnursing?
a. Monitoringghealthgstatusgbygcompletinggagcommunitygassessment
b. Diagnosinggandginvestigatingghealthgproblemsgingthegworld
c. Informing,geducating,gandgempoweringgpeoplegaboutghealthgissues
d. Workingginglawgenforcementgtogregulateghealthgandgensuregsafety
ANS:g C
ThegPHNgmonitorsghealthgstatusgingseveralgways,gcompletinggagcommunitygassessmentgisgonlyg
onegwaygthatghealthgstatusgisgmonitored.gThegPHNgwouldgnotgdiagnosegorgsolveg“world”gproble
ms,gorgworkginglawgenforcement.gRather,gthegPHNgwouldgparticipategwithglocalgregulatorsgtogp
rotectgcommunitiesgandgempowergpeoplegtogaddressghealthgissues.
DIF: Cognitiveglevel:gUnderstanding TOP:
Nursinggprocess:gImplementationgMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
5. AgpublicghealthgdepartmentgisgusinggthegmissiongofgpublicghealthgasgdescribedgbygthegInstitutego
fgMedicinegwhengplanningNitsURhea IlthgpGrogBra.mCminM
gSgNgT Og.gWhichgofgthegfollowinggactivitiesgwillgmos
tglikelygbegimplemented?
a. TrackinggaviangflugoutbreaksgandgdoinggsurveillancegingthegUnitedgStates
b. Providinggagflugshotgforgangelderlygpersongatgtheghealthgdepartment
c. KeepinggtrackgofgalternativegtherapiesgingusegingthegUnitedgStates
d. KeepinggsnakegantivenomgatgthegCentersgforgDiseasegControlgandgPreventionging
Atlanta
ANS:g A
ThegInstitutegofgMedicine’sgstatedgmissiongongpublicghealthgisg“toggenerategorganizedgcommun
itygandgtechnicalgknowledgegtogpreventgdiseasegandgpromoteghealth.”gTrackinggaviangflugoutbre
aksgandgdoinggsurveillancegappliesgthisgconceptgatgagpopulationglevel.gProvidinggagflugshotgforga
ngelderlygpersongonlygaddressesgindividualgcare.gKeepinggtrackgofgthegusegofgalternativegtherapi
esgdoesgnothinggtogpreventgdiseasegorgpromoteghealthgofgthegpopulation.
Keepinggsnakegantivenomgisgaimedgatgdiseasegcaregforgangindividual,gnotghealthgpromotiongorgd
iseasegprevention.
DIF: Cognitiveglevel:gAnalyzing TOP:
Nursinggprocess:gAssessmentgMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
6. Agpublicghealthgdepartmentgmakesg suregthatg thegessentialg community-
orientedghealthgservicesgaregavailablegingthegcommunity.gWhichgofgthegfollowinggcoregpublicgh
ealthgfunctionsgisgbeinggimplemented?
a. Policygdevelopment
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, PublicgHealthgNursingg10thgEditiongStanhopegTestgBank
b. Assessment
c. Assurance
d. Scientificgknowledge-basedgcare
ANS:g C
Assurancegfocusesgongthegresponsibilitygofgpublicghealthgagenciesgtogensuregcertaingactivitiesgh
avegbeengappropriatelygcarriedgoutgtogmeetgpublicghealthggoalsgandgplans.gPolicygdevelopmentg
seeksgtogbuildgconstituenciesgthatgcanghelpgbringgaboutgchangegingpublicgpolicy.gAssessmentginc
ludesgactivitiesgthatginvolvegcollecting,ganalyzing,gandgdisseminatingginformationgongbothgtheg
healthgstatusgandgtheghealth-
relatedgaspectsgofgagcommunitygorgagspecificgpopulation.gPublicghealthgisgbasedgongscientificgkn
owledgegbutgisgnotgagcoregfunction.
DIF: Cognitiveglevel:gApplying TOP:
Nursinggprocess:gAssessmentgMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
7. Whatgisgthegpurposegofgpublicghealthgcoregfunctions?
a. Clarifyinggthegrolegofgtheggovernmentgingfulfillinggthegmissiongofgpublicghealth
b. Ensuringgthegsafetygofgpopulationsgingreceivinggqualityghealthgcare
c. Providinggcommunity-
basedgindividualizedgcaregtogeverygpersongingthegUnitedgStates
d. Unitinggpublicgandgprivategprovidersgofgcaregingagcomprehensivegapproachgtogp
rovidingghealthgcare
ANS:g A
AsgdefinedgbygthegInstitutegofgMedicinegingitsg1988greportgThegFuturegofgPublicgHealth,ga
ssessment,gpolicygdevelopment,gandgassurancegaregcoregfunctionsgatgallglevelsgofggovern
mentgforgthegpurpose of clarifyinggthe government’sgrole.
N R I G B.C M
USNT g g g O
DIF: Cognitiveglevel:gUnderstanding TOP:
Nursinggprocess:gAssessmentgMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
8. Whichgofgthegfollowinggstatementsgaboutgpublicghealthgisgaccurate?
a. Preventiongofgearlygdeathsgcangbegmoregeffectivelygaccomplishedgbygmedicalgt
reatmentgthangbygpublicghealthgapproaches.
b. Expendituresgandgresourcesgforgpublicghealthghavegincreasedgingrecentgyears.
c. Historically,ggainsgingtheghealthgofgpopulationsghavegbeengrelatedglargelygtogchangesgi
ngsafety,gsanitation,gandgfoodgsafety.
d. Reformgofgthegmedicalginsurancegsystemgisgthegsinglegchangegneededgtogimprovegt
heghealthgofgAmericans.
ANS:g C
FieldinggandgTilsonghavegassertedgthatgmostgofgthegincreaseginglifegspanghasgbeengmadegthrou
ghgimprovementsgingsanitation,gcleangwatergsupplies,gmakinggworkplacesgsafer,gimprovinggf
oodgandgdruggsafety,gimmunizinggchildren,gandgimprovinggnutrition,ghygiene,gandghousing.g
Medicalgtreatmentghasgnotgmadegasgsignificantgofgangimpactgongtheglifegspangasgpublicghealthg
measures.gFundinggforgpublicghealthgingrecentgyearsghasgbeengongaggradualgdecline.gAlthoughg
reformgofgthegmedicalginsurancegsystemgmayghelpgimprovegtheghealthgofgAmericans,gtheregar
egmanygothergfactorsgthatgwillgneedgtogbegaddressed.
DIF: Cognitiveglevel:gUnderstanding TOP: Nursinggprocess:gAssessment
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, PublicgHealthgNursingg10thgEditiongStanhopegTestgBank
MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
9. Agpublicghealthgnurseg(PHN)gcollectsgdatagandgmonitorsgtheghealthgstatusgofgthegpopulation.g
Whichgofgthegfollowinggcoregpublicghealthgfunctionsgisgthegnursegaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policygdevelopment
ANS:g A
Assessmentgconsistsgofgsystematicgdatagcollectiongandgmonitoringghealthgstatus.
Preventiongisgnotgagcoregfunction,gassurancegisgmakinggsuregessentialgservicesgaregavailable,ga
ndgpolicygdevelopmentgisgneededgtogprovidegleadershipgingdevelopinggpolicies.
DIF: Cognitiveglevel:gApplying TOP:
Nursinggprocess:gAssessmentgMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
10. Thegpublicghealthgnurseg(PHN)gcomparesgthegrategofgteenagegpregnancygingvariousgareasgofgt
hegcity.gWhichgofgthegcoregfunctionsgofgpublicghealthgisgthegnursegaddressing?
a. Assurance
b. Assessment
c. Prevention
d. Policygdevelopment
ANS:g B
Assessmentgrefersgtogsystematicgdatagcollection,gwhichgthisgnursegisgdoinggforgteenagegpregna
ncy.gPreventiongisgnotgagcoregfunction,gassurancegisgmakinggsuregessentialgservicesgare
Ngmen
available,gandgpolicygdevelopU
RgIStgG gB.CgM
gisNneeTdedgtogO
providegleadershipgingdevelopinggpolicies.
DIF: Cognitiveglevel:gApplying TOP:
Nursinggprocess:gAssessmentgMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
11. Agpublicghealthgnurseg(PHN)gdevelopsgandgimplementsglocalgpublicghealthgpoliciesgthroughgp
artnershipsgwithgagencies,gorganizations,gandgconsumersgwithingthegcommunity.gWhichgofgth
egfollowinggcoregpublicghealthgfunctionsgisgthegnursegaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policygdevelopment
ANS:g D
Policygdevelopmentgdealsgwithgdevelopinggandgimplementingghealthgpolicies.gPreventiongisgn
otgagcoregfunction,gassurancegisgmakinggsuregessentialgservicesgaregavailable,gandgassessmentg
refersgtogsystematicgdatagcollection.
DIF: Cognitiveglevel:gApplying TOP:
Nursinggprocess:gAssessmentgMSC:g NCLEX:gHealthgPromotiongandgMaint
enance
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