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Chapter 01: Public Health Foundations and Population Health Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition

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Chapter 01: Public Health Foundations and Population Health Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition

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PubliczHealthzNursingz10thzEditionzbyzMarciazStanhopezTestzBank




Chapter 01: Public Health Foundations and Population Health
z z z z z z z

Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition
z z z z z z z z z z z




MULTIPLEz CHOICE

1. Whatziszthezprimaryzfocusztozbezaddressedzconcerningzthezimprovementzofzt
hezhealthzofzthezAmericanzpeoplezinztheztwenty-firstzcentury?

a. Bioterrorismzandzglobalzhealth
threats
b. Deliveryz ofz individualz carez and
hygiene
c. Thezneedzforzincreasedzhospitalz
andzacutezcare
d. Chroniczdiseasezandzdisability
management
ANS:z z A
Therezareznewzconcerns,zandzofzthezmostzseriouszarezbioterrorismzandzgloballyzinducedzinfections,zsuchzasz
thezavianzflu.zThesezthreatszwillzdivertzhealthzcarezfundszandzresourceszfromzotherzhealthzcarezprogramszt
ozbezspentzforzpubliczsafety.zThezotherszareznotzrelatedztozpubliczhealthzorzarezconcernszthatzhavezbeenzpre
sentzforzmanyzyears.

DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zPlanningzMSC:z NCLEX:zHealthzPromotionzandzMai
ntenance

2. Azcommunityziszconcernedzaboutzthezthreatzofzbioterrorism.zWhichzofzthezfollowingzbestzdescribeszthezb
asiszforzthiszconcern?
a. Bioterrorismz hasz thez potentialz toz dissolvez community-basedz programs.
b. Thiszthreatzcouldzcausezthezhealthzcarezsystemztozcollapse.
c. Thezthreatzmayzdivertzfundszfromzotherzpubliczsafetyzhealthzcarezprograms.
d. Fearzofzbioterrorismzwillzincreasezthezneedzforzshelters.
ANS:z z C
Bioterrorismzmayzhavezanzimpactzonzthezavailabilityzofzresourceszforzpubliczsafetyzhealthzcarezprograms.z
Becausezfundszarezdivertedzitziszpossiblezthatzcommunity-
basedzprogramszwouldzbezeliminated,zthezhealthzcarezsystemzcouldzexperiencezchanges,zandzthatztherezwo
uldzbezanzincreasezinzthezneedzforzshelter.zHowever,zallzthezremainingzoptionszwouldzhappenzbecausezofzth
ezdiversionzofzfunds.

DIF: Cognitivezlevel:zAnalyzing TOP:
Nursingzprocess:zDiagnosiszMSC:z NCLEX:zPhysiologicalzIntegrity

3. Whichzstatementzdescribeszthezconsequencezofzthezsuccessfulzimplementation zofzthezAffordablezCarez
Act?

, PubliczHealthzNursingz10thzEditionzbyzMarciazStanhopezTestzBank




a. Americanszwillzpayzcloserzattentionztoztheirzhealthzstatus.
b. Mostzofzthezpopulationzwillzbezcoveredzbyzhealthzinsurance.
c. Publiczhealthzdepartmentszwillzneedztozincreaseztheznumberzofznursingzpositions.
d. Thezprevalencezofzobesityzwillzdecrease.
ANS:z z B
OnezconsequencezofzsuccessfulzimplementationzofzthezAffordablezCarezActzmightzbezthatzthezmajorityzofz
thezpopulationzwouldzbezcoveredzbyzinsurancezandzpubliczhealthzagencieszwillznotzneedztozprovidezdirectz
clinicalzserviceszinzorderztozassurezthatzthosezwhozneedzthemzcanzreceivezthem.zThezAffordablezCarezActz
willznotzdirectlyzcausezAmericansztozpayzcloserzattentionztoztheirzhealthzstatuszorzdecreasezthezprevalencez
ofzobesity.

DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMain
tenance

4. Thezpubliczhealthznursez(PHN)zmustzparticipatezinzthezessentialzserviceszofzpubliczhealth.zWhatziszonezof
thezessentialzserviceszofzpubliczhealthznursing?
z

a. Monitoringzhealthzstatuszbyzcompletingzazcommunityzassessment
b. Diagnosingzandzinvestigatingzhealthzproblemszinzthezworld
c. Informing,zeducating,zandzempoweringzpeoplezaboutzhealthzissues
d. Workingzinzlawzenforcementztozregulatezhealthzandzensurezsafety
ANS:z z C
ThezPHNzmonitorszhealthzstatuszinzseveralzways,zcompletingzazcommunityzassessmentziszonlyzonezwayzth
atzhealthzstatusziszmonitored.zThezPHNzwouldznotzdiagnosezorzsolvez“world”zproblems,zorzworkzinzlawzen
forcement.zRather,zthezPHNzwouldzparticipatezwithzlocalzregulatorsztozprotectzcommunitieszandzempowe
rzpeopleztozaddresszhealthzissues.

DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zImplementationzMSC:z NCLEX:zHealthzPromotionzandzMain
tenance

5. AzpubliczhealthzdepartmentziszusingzthezmissionzofzpubliczhealthzaszdescribedzbyzthezInstitutezofzMedicin
ezwhenzplanningzitszhealthzprogramming.zWhichzofzthezfollowingzactivitieszwillzmostzlikelyzbezimplemen
ted?
a. TrackingzavianzfluzoutbreakszandzdoingzsurveillancezinzthezUnitedzStates
b. Providingzazfluzshotzforzanzelderlyzpersonzatzthezhealthzdepartment
c. KeepingztrackzofzalternativeztherapieszinzusezinzthezUnitedzStates
d. KeepingzsnakezantivenomzatzthezCenterszforzDiseasezControlzandzPreventionzinzA
tlanta
ANS:z z A
ThezInstitutezofzMedicine’szstatedzmissionzonzpubliczhealthzisz“tozgeneratezorganizedzcommunityzandztechni
calzknowledgeztozpreventzdiseasezandzpromotezhealth.”zTrackingzavianzfluzoutbreakszandzdoingzsurveillance
zapplies zthiszconcept zatzaz population zlevel.zProviding zaz fluz shotz forzanzelderlyzpersonzonlyz addresses zindividu

alzcare.zKeepingztrackzofzthezusezofzalternativeztherapieszdoesznothingztozpreventzdiseasezorzpromotezhealthz
ofzthezpopulation.zKeepingzsnakezantivenomziszaimedzatzdiseasezcarezforzanzindividual,znotzhealthzpromotio
nzorzdiseasezprevention.

DIF: Cognitivezlevel:zAnalyzing TOP: Nursingzprocess:zAssessment

, PubliczHealthzNursingz10thzEditionzbyzMarciazStanhopezTestzBank




MSC:z NCLEX:zHealthzPromotionzandzMaintenance

6. Azpubliczhealthzdepartmentzmakeszsurezthatzthezessentialzcommunity-
orientedzhealthzserviceszarezavailablezinzthezcommunity.zWhichzofzthezfollowingzcorezpubliczhealt
hzfunctionsziszbeingzimplemented?
a. Policyzdevelopment
b. Assessment
c. Assurance
d. Scientificz knowledge-basedz care
ANS:z z C
Assurancezfocuseszonzthezresponsibilityzofzpubliczhealthzagenciesztozensurezcertainzactivitieszhavezbeenzap
propriatelyzcarriedzoutztozmeetzpubliczhealthzgoalszandzplans.zPolicyzdevelopmentzseeksztozbuildzconstitu
encieszthatzcanzhelpzbringzaboutzchangezinzpubliczpolicy.zAssessmentzincludeszactivitieszthatzinvolvezcoll
ecting,zanalyzing,zandzdisseminatingzinformationzonzbothzthezhealthzstatuszandzthezhealth-
z relatedzaspectszofzazcommunity zorzazspecificzpopulation. zPubliczhealth ziszbasedzonzscientificzknowledgez b

utzisznotzazcorezfunction.

DIF: Cognitivezlevel:zApplying TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMain
tenance

7. Whatziszthezpurposezofzpubliczhealthzcorezfunctions?
a. Clarifyingzthezrolezofzthezgovernmentzinzfulfillingzthezmissionzofzpubliczhealth
b. Ensuringzthezsafetyzofzpopulationszinzreceivingzqualityzhealthzcare
c. Providingzcommunity-basedzindividualizedzcareztozeveryzpersonzinzthezUnited
States
d. Unitingzpubliczandzprivatezproviderszofzcarezinzazcomprehensivezapproachzto
providingzhealthzcare
ANS:z z A
AszdefinedzbyzthezInstitutezofzMedicinezinzitsz1988zreportzThezFuturezofzPubliczHealth,zassessment,zpo
licyzdevelopment,zandzassurancezarezcorezfunctionszatzallzlevelszofzgovernmentzforzthezpurposezofzclari
fyingzthezgovernment’szrole.

DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMain
tenance

8. Whichzofzthezfollowingzstatementszaboutzpubliczhealthziszaccurate?
a. Preventionzofzearlyzdeathszcanzbezmorezeffectivelyzaccomplishedzbyzmedical
treatmentzthanzbyzpubliczhealthzapproaches.
b. Expenditureszandzresourceszforzpubliczhealthzhavezincreasedzinzrecentz years.
c. Historically,zgainszinzthezhealthzofzpopulationszhavezbeenzrelatedzlargelyztozchanges
inzsafety,zsanitation,zandzfoodzsafety.
d. Reformzofzthezmedicalzinsurancezsystemziszthezsinglezchangezneededztozimprovezthez
healthzofzAmericans.
ANS:z z C

, PubliczHealthzNursingz10thzEditionzbyzMarciazStanhopezTestzBank




FieldingzandzTilsonzhavezassertedzthatzmostzofzthezincreasezinzlifezspanzhaszbeenzmadezthroughzimprove
mentszinzsanitation,zcleanzwaterzsupplies,zmakingzworkplaceszsafer,zimprovingzfoodzandzdrugzsafety,zim
munizingzchildren,zandzimprovingznutrition,zhygiene,zandzhousing.zMedicalztreatmentzhasznotzmadezaszsig
nificantzofzanzimpactzonzthezlifezspanzaszpubliczhealthzmeasures.zFundingzforzpubliczhealthzinzrecentzyears
z hasz beenz onzaz gradual zdecline.z Although z reformz ofzthez medicalzinsurance z systemz mayz helpz improvezthez

healthzofzAmericans,ztherezarezmanyzotherzfactorszthatzwillzneedztozbezaddressed.

DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zSafezandzEffectivezCarezEn
vironment:zManagementzofzCare

9. Azpubliczhealthznursez(PHN)zcollectszdatazandzmonitorszthezhealthzstatuszofzthezpopulation.zWhichzofzth
ezfollowingzcorezpubliczhealthzfunctionszisztheznursezaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policyzdevelopment
ANS:z z A
Assessmentzconsistszofzsystematiczdatazcollectionzandzmonitoringzhealthzstatus.
Preventionzisznotzazcorezfunction,zassuranceziszmakingzsurezessentialzserviceszarezavailable,zandzpolicyzdevel
opmentziszneededztozprovidezleadershipzinzdevelopingzpolicies.

DIF: Cognitivezlevel:zApplying TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMain
tenance

10. Thezpubliczhealthznursez(PHN)zcompareszthezratezofzteenagezpregnancyzinzvariouszareaszofzthezcity.z
Whichzofzthezcorezfunctionszofzpubliczhealthzisztheznursezaddressing?
a. Assurance
b. Assessment
c. Prevention
d. Policyzdevelopment
ANS:z z B
Assessmentzrefersztozsystematiczdatazcollection,zwhichzthisznurseziszdoingzforzteenagezpregnancy.zPreventi
onzisznotzazcorezfunction,zassuranceziszmakingzsurezessentialzserviceszarezavailable,zandzpolicyzdevelopmentz
iszneededztozprovidezleadershipzinzdevelopingzpolicies.

DIF: Cognitivezlevel:zApplying TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMain
tenance

11. Azpubliczhealthznursez(PHN)zdevelopszandzimplementszlocalzpubliczhealthzpolicieszthroughzpart
nershipszwithzagencies,zorganizations,zandzconsumerszwithinzthezcommunity.zWhichzofzthezfollo
wingzcorezpubliczhealthzfunctionszisztheznursezaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policyzdevelopment
ANS:z z D

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