PUBLIC HEALTH NURSING: POPULATION-CENTERED HEALTH CARE IN THE COMMUNITY 11TH
EDITION
BY MARCIA STANHOPE, JEANETTE LANCASTER||ALL CHAPTERS||LATEST EDITION 2025
,TABLE OF CONTENTS
CHAPTER 1: PUBLIC HEALTH FOUNDATIONS, POPULATION HEALTH AND PUBLIC HEALTH
NURSING 5
CHAPTER 02: HISTORY OF PUBLIC HEALTH AND PUBLIC AND COMMUNITY HEALTH NURSING
26
CHAPTER 03: PUBLIC HEALTH, PRIMARY CARE, AND PRIMARY HEALTH 43
CHAPTER 04: PERSPECTIVES IN GLOBAL HEALTH CARE 57
CHAPTER 05: ECONOMICS OF HEALTH CARE DELIVERY 82
CHAPTER 06: ENVIRONMENTAL HEALTH 102
CHAPTER 07: APPLICATION OF ETHICS IN THE COMMUNITY 117
CHAPTER 08: ACHIEVING CULTURAL COMPETENCE IN COMMUNITY HEALTH NURSING 133
CHAPTER 09: PUBLIC HEALTH POLICY 155
CHAPTER 10: EVIDENCE-BASED PRACTICE 178
CHAPTER 11: POPULATION-BASED PUBLIC HEALTH NURSING PRACTICE: THE INTERVENTION
WHEEL 188
CHAPTER 12: GENOMICS IN PUBLIC HEALTH NURSING 203
CHAPTER 13: EPIDEMIOLOGY 219
CHAPTER 14: INFECTIOUS DISEASE PREVENTION AND CONTROL 239
CHAPTER 15: COMMUNICABLE AND INFECTIOUS DISEASE RISKS 256
CHAPTER 16: PROMOTING HEALTHY COMMUNITIES 271
CHAPTER 17: COMMUNITY AS CLIENT: ASSESSMENT AND ANALYSIS 283
CHAPTER 18: BUILDING A CULTURE OF HEALTH TO INFLUENCE HEALTH EQUITY WITHIN
COMMUNITIES 303
CHAPTER 19: HEALTH EDUCATION PRINCIPLES APPLIED IN COMMUNITIES, GROUPS, FAMILIES,
AND INDIVIDUALS FOR HEALTHY CHANGE 318
CHAPTER 20: THE NURSE MANAGED HEALTH CENTER: A MODEL FOR PUBLIC HEALTH NURSING
PRACTICE 337
,CHAPTER 21: PUBLIC HEALTH NURSING PRACTICE AND THE DISASTER MANAGEMENT CYCLE
354
CHAPTER 22: PUBLIC HEALTH SURVEILLANCE AND OUTBREAK INVESTIGATION 368
CHAPTER 23: PROGRAM MANAGEMENT 383
CHAPTER 24: QUALITY MANAGEMENT 403
CHAPTER 25: CASE MANAGEMENT 422
CHAPTER 26: WORKING WITH FAMILIES IN THE COMMUNITY FOR HEALTHY OUTCOMES
445
CHAPTER 27: FAMILY HEALTH RISKS 460
CHAPTER 28: CHILD AND ADOLESCENT HEALTH 477
CHAPTER 29: MAJOR HEALTH ISSUES AND CHRONIC DISEASE MANAGEMENT OF ADULTS
ACROSS THE LIFE SPAN 490
CHAPTER 30: DISABILITY HEALTH CARE ACROSS THE LIFESPAN 507
CHAPTER 31: VULNERABILITY AND VULNERABLE POPULATIONS 522
CHAPTER 32: RURAL HEALTH ISSUES 537
CHAPTER 33: POVERTY AND HOMELESSNESS 549
CHAPTER 34: MIGRANT HEALTH ISSUES 561
CHAPTER 35: TEEN PREGNANCY 575
CHAPTER 36: MENTAL HEALTH ISSUES 587
CHAPTER 37: ALCOHOL, TOBACCO AND OTHER DRUG PROBLEMS 606
CHAPTER 38: VIOLENCE AND HUMAN ABUSE 625
CHAPTER 39: THE ADVANCED PRACTICE NURSE IN THE COMMUNITY 639
CHAPTER 40: THE NURSE LEADER IN THE COMMUNITY 654
CHAPTER 41: THE NURSE IN PUBLIC HEALTH, HOME HEALTH, HOSPICE, AND PALLIATIVE CARE
670
CHAPTER 42: THE NURSE IN THE SCHOOLS 683
CHAPTER 43: THE NURSE IN OCCUPATIONAL HEALTH 694
,CHAPTER 44: FORENSIC NURSING IN THE COMMUNITY 711
CHAPTER 45: THE NURSE IN THE FAITH COMMUNITY 725
CHAPTER 46: PUBLIC HEALTH NURSING AT LOCAL, STATE, AND NATIONAL LEVELS 741
,CHAPTER 1: PUBLIC HEALTH FOUNDATIONS, POPULATION HEALTH AND PUBLIC HEALTH
NURSING
1.WHAT IS THE PRIMARY FOCUS TO BE ADDRESSED CONCERNING THE IMPROVEMENT OF THE
HEALTH OF THE AMERICAN PEOPLE IN THE TWENTY-FIRST CENTURY?
A.BIOTERRORISM AND GLOBAL HEALTH THREATS
B.DELIVERY OF INDIVIDUAL CARE AND HYGIENE
C.THE NEED FOR INCREASED HOSPITAL AND ACUTE CARE
D.CHRONIC DISEASE AND DISABILITY MANAGEMENT
ANSWER: 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 TOP: NURSING PROCESS: PLANNING MSC: NCLEX:
HEALTH PROMOTION AND MAINTENANCE
2.A COMMUNITY IS CONCERNED ABOUT THE THREAT OF BIOTERRORISM. WHICH OF THE
FOLLOWING BEST DESCRIBES THE BASIS FOR THIS CONCERN?
A.BIOTERRORISM HAS THE POTENTIAL TO DISSOLVE COMMUNITY-BASED PROGRAMS.
B.THIS THREAT COULD CAUSE THE HEALTHCARE SYSTEM TO COLLAPSE.
C.THE THREAT MAY DIVERT FUNDS FROM OTHER PUBLIC SAFETY HEALTH CARE PROGRAMS.
D.FEAR OF BIOTERRORISM WILL INCREASE THE NEED FOR SHELTERS.
ANSWER: 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 THE REMAINING OPTIONS WOULD HAPPEN BECAUSE OF THE DIVERSION OF
FUNDS.
DIF: COGNITIVE LEVEL: ANALYZING TOP: NURSING PROCESS: DIAGNOSIS MSC:
NCLEX: PHYSIOLOGICAL INTEGRITY
3.WHICH STATEMENT DESCRIBES THE CONSEQUENCE OF THE SUCCESSFUL IMPLEMENTATION
OF THE AFFORDABLE CARE ACT?
A.AMERICANSWER WILL PAY CLOSER ATTENTION TO THEIR HEALTH STATUS.
B.MOST OF THE POPULATION WILL BE COVERED BY HEALTH INSURANCE.
C.PUBLIC HEALTH DEPARTMENTS WILL NEED TO INCREASE THE NUMBER OF NURSING
POSITIONS.
D.THE PREVALENCE OF OBESITY WILL DECREASE. ANSWER: B
ONE CONSEQUENCE OF SUCCESSFUL IMPLEMENTATION OF THE AFFORDABLE CARE ACT MIGHT
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 AMERICANSWER TO PAY CLOSER ATTENTION TO THEIR HEALTH STATUS OR
DECREASE THE PREVALENCE OF OBESITY.
DIF: COGNITIVE LEVEL: UNDERSTANDING TOP: NURSING PROCESS: ASSESSMENT MSC:
NCLEX: HEALTH PROMOTION AND MAINTENANCE
4.THE PUBLIC HEALTH NURSE (PHN) MUST PARTICIPATE IN THE ESSENTIAL SERVICES OF PUBLIC
HEALTH. WHAT IS ONE OF THE ESSENTIAL SERVICES OF PUBLIC HEALTH NURSING?
A.MONITORING HEALTH STATUS BY COMPLETING A COMMUNITY ASSESSMENT
B.DIAGNOSING AND INVESTIGATING HEALTH PROBLEMS IN THE WORLD
C.INFORMING, EDUCATING, AND EMPOWERING PEOPLE ABOUT HEALTH ISSUES
, D.WORKING IN LAW ENFORCEMENT TO REGULATE HEALTH AND ENSURE SAFETY
ANSWER: 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 TOP: NURSING PROCESS: IMPLEMENTATION MSC:
NCLEX: HEALTH PROMOTION AND MAINTENANCE
5.A PUBLIC HEALTH DEPARTMENT IS USING THE MISSION OF PUBLIC HEALTH AS DESCRIBED BY
THE INSTITUTE OF MEDICINE WHEN PLANNINGNITSRHEAILTH PGROGBRA.MCMINMG. WHICH
OF THE FOLLOWING ACTIVITIES WILL MOST LIKELY BE IMPLEMENTED?
A.TRACKING AVIAN FLU OUTBREAKS AND DOING SURVEILLANCE IN THE UNITED STATES
B.PROVIDING A FLU SHOT FOR AN ELDERLY PERSON AT THE HEALTH DEPARTMENT
C.KEEPING TRACK OF ALTERNATIVE THERAPIES IN USE IN THE UNITED STATES
D.KEEPING SNAKE ANTIVENOM AT THE CENTERS FOR DISEASE CONTROL AND PREVENTION IN
ATLANTA
ANSWER: 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 TOP: NURSING PROCESS: ASSESSMENT MSC: NCLEX:
HEALTH PROMOTION AND MAINTENANCE