Test Bank For Public Health Nursing 11th Edition (Stanhope, 2025), All Chapters.

TestBank- f




PublicHealth 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:PublicHealthFoundationsandPopulationHealth
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Stanhope:PublicHealthNursing:Population-CenteredHealthCareinthe
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Community,11thEdition
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MULTIPLECHOICE f




1. What is the primary focus to be addressed concerning the improvement of the health of the
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fAmerican people in the twenty-first century? f f f f f


a. Bioterrorism and global health threats f f f f


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


c. The need for increased hospital and acute care
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d. Chronicdiseaseanddisability management f f f f




CORRECT ANSWER: A f f



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 from
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other health care programs to be spent for public safety. The others are not related to public health
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or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning f f f f f


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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fdescribesthebasisforthisconcern? f f f f f


a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms. f f f f f f f



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 ofbioterrorism will increase the need for shelters.
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CORRECT ANSWER: C f f



Bioterrorism mayhave animpact onthe availability ofresourcesfor public safety health care f f f f f f f f f f f f f f


programs. Because funds are diverted it is possible that community-based programs would be
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eliminated, the health care system could experience changes, and that there woul be an increase
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in the need for shelter. However, all the remaining options would happen
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becauseofthediversionoffunds.
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DIF: Cognitive level: Analyzing f f TOP:Nursing process: Diagnosis
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MSC: NCLEX: Physiological Integrity
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3. Whichstatementdescribestheconsequence ofthesuccessfulimplementationofthe
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fAffordableCareAct? f f


a. Americanswillpaycloserattentiontotheirhealth status. f f f f f f f f


b. Most of the population will be covered by health insurance.
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c. Public health departments will needto increase the number ofnursing positions.
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d. The prevalence of obesity will decrease.
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fANS: B f

, Oneconsequenceofsuccessfulimplementation oftheAffordableCareActmightbethatthe
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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 their
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health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment f f f f f


MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublic
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fhealth. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment f f f f f f f


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


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


d. Workinginlawenforcementtoregulatehealthandensuresafety f f f f f f f f f



fCORRECTANSWER:C f f



The PHN monitors health status in several ways, completing a community assessment is only
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fonewaythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve―world‖ problems,
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for work in law enforcement. Rather, the PHN would participate with local regulators to protect
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fcommunities and empower people to address health issues. f f f f f f f




DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation f f f f f


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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ofMedicinewhenplU
aintnsiR
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heaNIlthTpGrogBra.mOCminMg.Which f f f f f f f f


most likely be implemented? f f f


a. Tracking avian flu outbreaks and doing surveillance in the United States f f f f f f f f f f


b. Providingaflushotforanelderlypersonatthehealthdepartment f f f f f f f f f f f


c. Keeping track of alternative therapies in use in the United States f f f f f f f f f f


d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin f f f f f f f f f f f


Atlanta f




CORRECT ANSWER: A f f



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 flu
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outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
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for an elderly person only addresses individual care. Keeping track of the use of alternative
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therapies does nothing topreventdiseaseor promote health ofthe population. Keeping snake
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antivenom is aimed at diseasecareforan individual, not health promotion or diseaseprevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment f f f f f


MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health services
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fare available in the community. Which of the following core public health functions
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fisbeingimplemented?
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a. Policy development f

, b. Assessment
c. Assurance
d. Scientific knowledge-based care f f




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 development
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seekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicy Assessment
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includes activitiesthatinvolvecollecting,analyzing,anddisseminating information on both the
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health status and the health-related aspects of a community or a specific population. Public
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health is based on scientific knowledge but is not a core function
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment f f f f f


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 f f f f f f f f f


c. Providing community-based individualized care to every personin theUnited f f f f f f f f f


States
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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 f f


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


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 f f f f f f f f f f


treatment than by public health approaches.
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b. Expendituresandresourcesforpublichealthhaveincreasedinrecent years. f f f f f f f f f f


c. Historically, gains in the health ofpopulations have been related largelyto changes in f f f f f f f f f f f f f


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 f f



FieldingandTilsonhaveassertedthatmostoftheincrease inlifespanhasbeenmade through
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improvementsinsanitation,clean watersupplies,makingworkplacessafer, improving food and
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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 public
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health measures. Funding for public health in recent years has been on a gradual decline.
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Although reform of the medical insurance system may help improve the health of Americans,
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there are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding f f TOP: Nursing process: Assessment f f f