1
Chapter 01: Community and Prevention-Oriented,
Population-Focused Practice: The Foundation of
Specialization in Public Health Nursing
Stanhope: Public Health Nursing: Population-Centered Health Care
in the Community, 9th Edition
MULTIPLE CHOICE
One of the primary focuses of improving the health of the American people in the twenty-first century is to
address:
delivery of individual care and hygiene.
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally induced infections,
such as the avian flu. These threats will divert health care funds and resources from other health care
programs to be spent for public safety. The others are not related to public health or are concerns that
have been present for many years.
DIF: Cognitive level: Understanding REF: p. 5 TOP: Nursing process: Planning MSC: NCLEX:
Health Promotion and Maintenance
A community is concerned about the threat of bioterrorism. Which of the following best describes the
basis for this concern?
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health care programs.
Because funds are diverted it is possible that community-based programs would be eliminated, the
health care system could experience changes, and that there would be an increase in the need for
shelter. However, all of these things would happen because of the diversion of funds.
,DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis MSC: NCLEX:
Psychosocial Integrity
Page 1 of 276
,2
Which of the following describes the consequence of the successful implementation of the
Affordable Care Act?
ANS: B
One consequence of successful implementation of the Affordable Care Act might actually be that the
majority of the population would be covered by insurance and public health agencies will not need to
provide direct clinical services in order to assure that those who need them can receive them. The
Affordable Care Act will not directly cause Americans to pay closer attention to their health status or
decrease the prevalence of obesity.
DIF: Cognitive level: Remembering REF: p. 5
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
The public health nurse (PHN) must participate in the essential services of public health. Which of the
following most accurately describes one of the essential services of public health?
ANS: C
The PHN monitors health status in several ways, completing a community assessment is only one way
that health status is monitored. The PHN would not diagnose or solve “world” problems, or work in
law enforcement. Rather, the PHN would participate with local regulators to protect communities and
empower people to address health issues.
DIF: Cognitive level: Understanding REF: p. 8 (How to Box)
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance
A public health department is using the mission of public health as described by the Institute of
Medicine when planning its health programming. Which of the following activities will most likely be
implemented?
Page 2 of 276
, 3
Tracking avian flu outbreaks and doing
Disease Control and Prevention in Atlanta
ANS: A
The Institute of Medicine’s stated mission on public health is “to generate organized community and
technical knowledge to prevent disease and promote health.” Tracking avian flu outbreaks and doing
surveillance applies this concept at a population level. Providing a flu shot for an elderly person only
addresses individual care. Keeping track of the use of alternative therapies does nothing to prevent
disease or promote health of the population. Keeping snake antivenom is aimed at disease care for
an individual, not health promotion or disease prevention.
DIF: Cognitive level: Analyzing REF: p. 6
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
A public health department makes sure that the essential community-oriented health services are
available in the community. Which of the following core public health functions is being implemented?
Policy development
Scientific knowledge-based care
ANS: C
Assurance focuses on the responsibility of public health agencies to ensure certain activities have
been appropriately carried out to meet public health goals and plans. Policy development seeks to
build constituencies that can help bring about change in public policy. Assessment includes activities
that involve collecting, analyzing, and disseminating information on both the health status and the
healthrelated aspects of a community or a specific population. Public health is based on scientific
knowledge, but is not a core function.
DIF: Cognitive level: Applying REF: p. 14
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
7. The purpose of public health core functions is to:
a. clarify the role of the government in
fulfilling the mission of public health.
b. ensure the safety of populations in receiving
Page 3 of 276
Chapter 01: Community and Prevention-Oriented,
Population-Focused Practice: The Foundation of
Specialization in Public Health Nursing
Stanhope: Public Health Nursing: Population-Centered Health Care
in the Community, 9th Edition
MULTIPLE CHOICE
One of the primary focuses of improving the health of the American people in the twenty-first century is to
address:
delivery of individual care and hygiene.
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally induced infections,
such as the avian flu. These threats will divert health care funds and resources from other health care
programs to be spent for public safety. The others are not related to public health or are concerns that
have been present for many years.
DIF: Cognitive level: Understanding REF: p. 5 TOP: Nursing process: Planning MSC: NCLEX:
Health Promotion and Maintenance
A community is concerned about the threat of bioterrorism. Which of the following best describes the
basis for this concern?
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health care programs.
Because funds are diverted it is possible that community-based programs would be eliminated, the
health care system could experience changes, and that there would be an increase in the need for
shelter. However, all of these things would happen because of the diversion of funds.
,DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis MSC: NCLEX:
Psychosocial Integrity
Page 1 of 276
,2
Which of the following describes the consequence of the successful implementation of the
Affordable Care Act?
ANS: B
One consequence of successful implementation of the Affordable Care Act might actually be that the
majority of the population would be covered by insurance and public health agencies will not need to
provide direct clinical services in order to assure that those who need them can receive them. The
Affordable Care Act will not directly cause Americans to pay closer attention to their health status or
decrease the prevalence of obesity.
DIF: Cognitive level: Remembering REF: p. 5
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
The public health nurse (PHN) must participate in the essential services of public health. Which of the
following most accurately describes one of the essential services of public health?
ANS: C
The PHN monitors health status in several ways, completing a community assessment is only one way
that health status is monitored. The PHN would not diagnose or solve “world” problems, or work in
law enforcement. Rather, the PHN would participate with local regulators to protect communities and
empower people to address health issues.
DIF: Cognitive level: Understanding REF: p. 8 (How to Box)
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance
A public health department is using the mission of public health as described by the Institute of
Medicine when planning its health programming. Which of the following activities will most likely be
implemented?
Page 2 of 276
, 3
Tracking avian flu outbreaks and doing
Disease Control and Prevention in Atlanta
ANS: A
The Institute of Medicine’s stated mission on public health is “to generate organized community and
technical knowledge to prevent disease and promote health.” Tracking avian flu outbreaks and doing
surveillance applies this concept at a population level. Providing a flu shot for an elderly person only
addresses individual care. Keeping track of the use of alternative therapies does nothing to prevent
disease or promote health of the population. Keeping snake antivenom is aimed at disease care for
an individual, not health promotion or disease prevention.
DIF: Cognitive level: Analyzing REF: p. 6
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
A public health department makes sure that the essential community-oriented health services are
available in the community. Which of the following core public health functions is being implemented?
Policy development
Scientific knowledge-based care
ANS: C
Assurance focuses on the responsibility of public health agencies to ensure certain activities have
been appropriately carried out to meet public health goals and plans. Policy development seeks to
build constituencies that can help bring about change in public policy. Assessment includes activities
that involve collecting, analyzing, and disseminating information on both the health status and the
healthrelated aspects of a community or a specific population. Public health is based on scientific
knowledge, but is not a core function.
DIF: Cognitive level: Applying REF: p. 14
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
7. The purpose of public health core functions is to:
a. clarify the role of the government in
fulfilling the mission of public health.
b. ensure the safety of populations in receiving
Page 3 of 276
