Test Bank For Public Health Nursing 11th Edition by Marcia Stanhope, Jeanette Lancaster||ISBN NO:10,0323884172||ISBN NO:13,978-0323884174||All Chapters Covered||Complete Guide A+

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Public Health Nursing
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: Population-Centered Health Care in
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the Community
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byMarciaStanhopeandJeanetteLancaster
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11thEdition
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,Chapter01: Public Health Foundations andPopulation Health
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Stanhope: Public Health Nursing: Population-Centered Health Care inthe Community,
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11thEdition
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MULTIPLE CHOICE de




1. What is the primary focus to be addressed concerning the improvement of the health of the
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American people in the twenty-first century?
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a. Bioterrorism and global health threats de de de de



b. Delivery of individual care and hygiene de de de de de



c. The need for increased hospital and acute care
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d. Chronic disease and disability management de de de de




CORRECT ANSWER: A de de




There are new concerns, and of the most serious are bioterrorism and globally induced
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infections, such as the avian flu. These threats will divert health care funds and resources
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from other health care programs to be spent for public safety. The others are not related to
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public health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP: Nursing process: Planning de de de de de



MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best
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describesthebasisforthisconcern?
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a. Bioterrorism has the potential to dissolve community-based programs. de de de de de de de




b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
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c. The threat may divert funds from other public safety health care programs.
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d. Fear of bioterrorism will increase the need for shelters.
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CORRECT ANSWER: C de de




Bioterrorism may have an impact on the availability of resources for public safety health care
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programs. Because funds are diverted it is possible that community-based programs would
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be eliminated, the health care system could experience changes, and that there woul be an
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increase in the need for shelter. However, all the remaining options would happen becauseof
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thediversionoffunds.
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DIF: Cognitive level: Analyzing de de TOP: Nursing process: Diagnosis de de de



MSC: NCLEX: Physiological Integrity
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3. Which statement describes the consequence of the successful implementation of the
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AffordableCareAct?
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a. Americans will pay closer attention to their health status. de de de de de de de de



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 decrease.
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ANS: B
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, One consequence of successful implementation of the Affordable Care Act might be that the
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majority of the population would be covered by insurance and public health agencies will not
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need to provide direct clinical services in order to assure that those who need them can receive
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them. The Affordable Care Act will not directly cause Americans to pay closer attention to
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their health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP: Nursing process: Assessment de de de de de



MSC: NCLEX: Health Promotion and Maintenance
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4. The public health NURSE (PHN) must participate in the essential services of public
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dehealth. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment de de de de de de de



b. Diagnosing and investigating health problems in the world de de de de de de de



c. Informing, educating, and empowering people about health issues de de de de de de de



d. Working in law enforcement to regulate health and ensure safety de de de de de de de de de




deCORRECTANSWER:C d
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The PHN monitors health status in several ways, completing a community assessment is only
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one way that health status is monitored. The PHN would not diagnose or solve ―world‖
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deproblems, or work in law enforcement. Rather, the PHN would participate with local
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deregulators to protect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP: Nursing process: Implementation de de de de de



MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is using the mission of public health as described by the Institute
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ofMedicine when plU
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nSgN
h eaNIlt hT pG rogBra.mO CminMg.Which de de de de de de de de



most likely be implemented? de de de



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 de de de de de de de de de de de



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 Prevention in
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Atlanta de




CORRECT ANSWER: A de de




The Institute of Medicine‘s stated mission on public health is ―to generate organized
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community and technical knowledge to prevent disease and promote health.‖ Tracking avia
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flu outbreaks and doing surveillance applies this concept at a population level. Providing a flu
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shot for an elderly person only addresses individual care. Keeping track of the use of
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alternative therapies does nothing to prevent disease or promote health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
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diseaseprevention.
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DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment de de de de de



MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health
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deservices are available in the community. Which of the following core public health functions is
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d
ebeingimplemented? d
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a. Policy development de

, b. Assessment
c. Assurance
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CORRECTANSWER:C
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Assurance focuses on the responsibility of public health agencies to ensure certain activities
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have been appropriately carried out to meet public health goals and plans. Policy
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development seeks to build constituencies that can help bring about change in public policy
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Assessment includes activities that involve collecting, analyzing, and disseminating
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information on both the health status and the health-related aspects of a community or a
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specific population. Public health is based on scientific knowledge but is not a core function
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DIF: Cognitive level: Applying TOP: Nursing process: Assessment de de de de de



MSC: NCLEX: Health Promotion and Maintenance
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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 health care
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c. Providing community-based individualized care to every person in the United
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Statesde



d. Uniting public and private providers of care in a comprehensive approach to
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providinghealthcare
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CORRECT ANSWER: A de de



As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
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assessment, policy development, and assurance are core functions at all levels of government
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for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment‘s role.
USNT
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DIF: O
Cognitive level: Understanding TOP: Nursing process: Assessment de de de de de



MSC: NCLEX: Health Promotion and Maintenance
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8. Which of the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medical de de de de de de de de de de



treatment than by public health approaches.
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b. Expenditures and resources for public health have increased in recent years. de de de de de de de de de de



c. Historically, gains in the health of populations have been related largely to changes in de de de de de de de de de de de de de



safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve
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thehealthofAmericans.
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CORRECT ANSWER: C de de




Fielding and Tilson have asserted that most of the increase in life span has been made through
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improvements in sanitation, clean water supplies, making workplaces safer, improving food
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and drug safety, immunizing children, and improving nutrition, hygiene,
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and housing. Medical treatment has not made as significant of an impact on the life span as
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public health measures. Funding for public health in recent years has been on a gradual
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decline. Although reform of the medical insurance system may help improve the health of
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Americans, there are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding de de TOP: Nursing process: Assessment de de de