PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
46/COMPLETE GUIDE 2025-2026
TEST BANK
,Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-
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Centered Primary care in the Community, 11th Edition
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1. What is the primary focus to be addressed concerning the improvement of the
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health of the American people in the twenty-first century?
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a. Bioterrorism and global health threats SK SK SK SK
b. Delivery of individual care and hygiene SK SK SK SK SK
c. The need for increased health center and acute care
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d. Chronic disease and disability management SK SK SK SK
ACCURATE ANSWER:-A SK
REASONING:-
>>>There are new concerns, and of the most serious are bioterrorism and globally
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induced infections, such as the avian flu. These threats will divert primary care funds
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and resources from other primary care programs to be spent for public safety. The
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others are not related to public health or are concerns that have been present for m
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any years. SK
DIFFICULT: Cognitive level: Understanding TOPIC: SK SK SK
Nursing process: Planning MSC: NCLEX: Health Promotion and SK SK SK S K SK SK SK SK
Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the followi
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ng best describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs. SK SK SK SK SK SK SK
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
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c. The threat may divert funds from other public safety primary care programs.
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d. Fear of bioterrorism will increase the need for shelters.
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ACCURATE ANSWER:-C SK
REASONING:-
>>>Bioterrorism may have an impact on the availability of resources for public saf SK SK SK SK SK SK SK SK SK SK SK SK
ety primary care programs. Because funds are diverted it is possible those commun
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ity-
based programs would be eliminated, the primary care system could experience cha
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nges, and that there would be an increase in the need for shelter. However, all the
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remaining options would happen because of the diversion of funds.
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DIFFICULT: Cognitive level: Analyzing TOPIC: SK SK SK
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity SK SK SK S K SK SK
3. Which statement describes the consequence of the successful implementati
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on of the Affordable Care Act?
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a. Americans will pay closer attention to their health status. SK SK SK SK SK SK SK SK
b. Most of the population will be covered by health insurance.
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c. Public health departments will need to increase the number of nursing positions.
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d. The prevalence of obesity will decrea
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se. ACCURATE ANSWER:-B
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, REASONING:-
>>>One consequence of successful implementation of the Affordable Care Act mi
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ght be that the majority of the population would be covered by insurance and publ
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ic health agencies will not need to provide direct clinical services in order to assure t
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hat those who need them can receive them. The Affordable Care Act will not directl
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y cause Americans to pay closer attention to their health status or decrease the pre
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valence of obesity. SK SK
DIFFICULT: Cognitive level: Understanding TOPIC:
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Nursing process: Assessment MSC: NCLEX: Health Promotion and SK SK SK S K SK SK SK SK
Maintenance
4. The public health nursing attendant (PHN) must participate in the essenti
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al services of public health. What is one of the essential services of public
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health nursing?
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a. Monitoring health status by completing a community assessment SK SK SK SK SK SK SK
b. Diagnosing and investigating health problems in the world SK SK SK SK SK SK SK
c. Informing, educating, and empowering people about health issues
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d. Working in law enforcement to regulate health and ensure safety
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ACCURATE ANSWER:-C SK
REASONING:-
>>>The PHN monitors health status in several ways, completing a community asse
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ssment is only one way that health status is monitored. The PHN would not diagnos
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e or solve “world” problems, or work in law enforcement. Rather, the PHN would pa
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rticipate with local regulators to protect communities and empower people to addr
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ess health issues.
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DIFFICULT: Cognitive level: Understanding TOPIC:
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Nursing process: Implementation MSC: NCLEX: Health Promotion and SK SK SK S K SK SK SK SK
Maintenance
5. A public health department is using the mission of public health as described by the I
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nstitute of Medicine when planning its health programming. Which of the followin
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g activities will most likely be implemented?
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a. Tracking avian flu outbreaks and doing surveillance in the United States
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b. Providing a flu shot for an elderly person at the health department
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c. Keeping track of alternative therapies in use in the United States
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d. Keeping snake antivenom at the Centers for Disease Control and Preven
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tion in Atlanta SK SK
ACCURATE ANSWER:-A SK
REASONING:-
>>>The Institute of Medicine’s stated mission on public health is “to generate org
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anized community and technical knowledge to prevent disease and promote healt
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h.” Tracking avian flu outbreaks and doing surveillance applies this concept at a po
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pulation level. Providing a flu shot for an elderly person only addresses individual c
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are. Keeping track of the use of alternative therapies does nothing to prevent diseas
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e or promote health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotio
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, n or disease prevention.
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DIFFICULT: Cognitive level: Analyzing TOPIC: SK SK SK
Nursing process: Assessment MSC: NCLEX: Health Promotion and SK SK SK S K SK SK SK SK
Maintenance
6. A public health department makes sure that the essential community-
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oriented health services are available in the community. Which of the following core
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public health functions is being implemented?
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a. Policy development SK
b. Assessment
c. Assurance
d. Scientific knowledge-based care SK SK
ACCURATE ANSWER:-C SK
REASONING:-
>>>Assurance focuses on the responsibility of public health agencies to ensure cert SK SK SK SK SK SK SK SK SK SK SK
ain activities have been appropriately carried out to meet public health goals and pl
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ans. Policy development seeks to build constituencies that can help bring about cha
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nge in public policy. Assessment includes activities that involve collecting, analyzing
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, and disseminating information on both the health status and the health-
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related aspects of a community or a specific population. Public health is based on sci
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entific knowledge but is not a core function.
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DIFFICULT: Cognitive level: Applying TOPIC: SK SK SK
Nursing process: Assessment MSC: NCLEX: Health Promotion and SK SK SK S K SK SK SK SK
Maintenance
7. What is the purpose of public health core functions?
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a. Clarifying the role of the government in fulfilling the mission of public health
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b. Ensuring the safety of populations in receiving quality primary care
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c. Providing community- SK
based individualized care to every person in the United States
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d. Uniting public and private providers of care in a comprehensive app
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roach to providing primary care SK SK SK SK
ACCURATE ANSWER:-A SK
REASONING:-
>>>As defined by the Institute of Medicine in its 1988 report The Future of Public H
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ealth, assessment, policy development, and assurance are core functions
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at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment’s
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role.