TEST BANK for Public Health Nursing: Population-Centered Health Care in the Community 10th Edition by Stanhope & Jeanette Lancaster | All 46 Chapters

,Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-
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Centered Health Care in the Community, 10th Edition
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MULTIPLE CHOICE 1i




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


b. Delivery of individual care and hygiene 1i 1i 1i 1i 1i


c. The need for increased hospital and acute care
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d. Chronic disease and disability management 1i 1i 1i 1i




CORRECT ANSWER: A 1i 1i



There are new concerns, and of the most serious are bioterrorism and globally induced infecti
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ons, such as the avian flu. These threats will divert health care funds and resources from other
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health care programs to be spent for public safety. The others are not related to public health or
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are concerns that have been present for many years.
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DIF: Cognitive level: Understanding 1i 1i


TOP: Nursing process: Planning MSC: NCLEX: Health Promotion a 1i 1i 1i 1i 1i 1i 1i 1i


nd Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best de
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scribesthe basis for this concern? 1i 1i 1i 1i 1i


a. Bioterrorism has the potential to dissolve community-based programs. 1i 1i 1i 1i 1i 1i 1i



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 1i 1i



Bioterrorism may have an impact on the availability of resources for public safety health care p
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rograms. Because funds are diverted it is possible that community-
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based programs would be eliminated, the health care system could experience changes, and t
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hat there woul be an increase in the need for shelter. However, all the remaining options would
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happen because ofthe diversionof funds. 1i 1i 1i 1i 1i 1i




DIF: Cognitive level: Analyzing 1i 1i


TOP: Nursing process: Diagnosis MSC: NCLEX: Physiological Integr 1i 1i 1i 1i 1i 1i 1i


ity

3. Which statement describes the consequence of the successful implementation of the Af
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fordable Care Act? 1i 1i


a. Americans will pay closer attention to their health status. 1i 1i 1i 1i 1i 1i 1i 1i


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 1i

, One consequence of successful implementation of the Affordable Care Act might be that the ma
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jority of the population would be covered by insurance and public health agencies will not need
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to provide direct clinical services in order to assure that those who need them can receive them
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. The Affordable Care Act will not directly cause Americans to pay closer attention to their healt
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h status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding 1i 1i


TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion a 1i 1i 1i 1i 1i 1i 1i 1i


nd Maintenance 1i




4. The public health NURSE (PHN) must participate in the essential services of public he
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alth. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment 1i 1i 1i 1i 1i 1i 1i


b. Diagnosing and investigating health problems in the world 1i 1i 1i 1i 1i 1i 1i


c. Informing, educating, and empowering people about health issues 1i 1i 1i 1i 1i 1i 1i


d. Working in law enforcement to regulate health and ensure safety C 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i



ORRECT ANSWER: C 1i 1i



The PHN monitors health status in several ways, completing a community assessment is only o
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ne way that health status is monitored. The PHN would not diagnose or solve ―world‖ problems,
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or work in law enforcement. Rather, the PHN would participate with local regulators to protect
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communities and empower people to address health issues. 1i 1i 1i 1i 1i 1i 1i




DIF: Cognitive level: Understanding 1i 1i


TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion a 1i 1i 1i 1i 1i 1i 1i 1i


nd Maintenance 1i




5. A public health department is using the mission of public health as described by the Institute
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of Medicine when plU
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nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which 1i 1i 1i 1i 1i 1i 1i 1i


most likely be implemented? 1i 1i 1i


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 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


c. Keeping track of alternative therapies in use in the United States 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


d. Keeping snake antivenom at the Centers for Disease Control and Prevention in Atl
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anta
CORRECT ANSWER: A 1i 1i



The Institute of Medicine‘s stated mission on public health is ―to generate organized commun
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ity and technical knowledge to prevent disease and promote health.‖ Tracking avia flu outbrea
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ks and doing surveillance applies this concept at a population level. Providing a flu shot for an e
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lderly person only addresses individual care. Keeping track of the use of alternative therapies
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does nothing to prevent disease or promote health of the population. Keeping snake antiveno
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m is aimed at disease care for an individual, not health promotion or disease prevention.
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DIF: Cognitive level: Analyzing 1i 1i


TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion a 1i 1i 1i 1i 1i 1i 1i 1i


nd Maintenance 1i




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 public hea
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lth functions is being implemented?
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a. Policy development 1i

, b. Assessment
c. Assurance
d. Scientific knowledge- 1i




based care CORRECT ANSWER: C 1i 1i 1i 1i



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 developmen
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t seeks to build constituencies that can help bring about change in public policy Assessment incl
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udes activities that involve collecting, analyzing, and disseminating information on both the h
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ealth status and the health- 1i 1i 1i 1i


related aspects of a community or a specific population. Public health is based on scientific kno
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wledge but is not a core function 1i 1i 1i 1i 1i 1i




DIF: Cognitive level: Applying 1i 1i


TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion a 1i 1i 1i 1i 1i 1i 1i 1i


nd 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 1i 1i 1i 1i 1i 1i 1i 1i 1i


c. Providing community- 1i


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 approach to pr
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oviding health care 1i 1i




CORRECT ANSWER: A 1i 1i


As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assessme
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nt, policy development, and assurance are core functions at all levels of government for the puNr
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poofsRe clarIifyiGng tBhe.gCoveMrnment‘s role. 1i
USNT 1i 1i 1i 1 i O 1i




DIF: Cognitive level: Understanding 1i 1i


TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion a 1i 1i 1i 1i 1i 1i 1i 1i


nd 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 tr 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


eatment than by public health approaches. 1i 1i 1i 1i 1i


b. Expenditures and resources for public health have increased in recent years. 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


c. Historically, gains in the health of populations have been related largely to changes in s 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


afety, sanitation, and food safety. 1i 1i 1i 1i


d. Reform of the medical insurance system is the single change needed to improve th
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e health of Americans. 1i 1i 1i




CORRECT ANSWER: C 1i 1i



Fielding and Tilson have asserted that most of the increase in life span has been made through i
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mprovements in sanitation, clean water supplies, making workplaces safer, improving food an 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i 1i


d 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 publi
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c health measures. Funding for public health in recent years has been on a gradual decline. Alt
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hough reform of the medical insurance system may help improve the health of Americans, the
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re are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding 1i 1i TOP: Nursing process: Assessment
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