Test bank for Public Health Nursing Population-Centered
Health Care in the Community 11th Edition by Stanhope
NURSINGTB.COM
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-
Centered Health Care in the Community, 11th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the 9i
American people in the twenty- first century?
9i
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
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally induced infe 9i
ctions, such as the avian flu. These threats will divert health care funds and resources from
9i 9i 9i 9
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.
9i
DIF: Cognitive level: Understanding TOP:
Nursing process:Planning MSC: NCLEX: Health Promotion and Ma
9i 9
intenance
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 causeNthUeRheSaI
lthNcGaT
reBsy.sC mMto collapse.
teO
c. The threat may divert funds from other public safety health care programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health ca
9 9i
re programs. Because funds are diverted it is possible that community-
9i
based programs would be eliminated, the health care system could experience changes, and t
9i 9i
hat there would be an increase in the need for shelter. However, all the remaining options w
9i 9i 9i
ould happen because of the diversion of funds.
9i 9i
DIF: Cognitive level: Analyzing TOP:
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
9i 9i
3. Which statement describes the consequence of the successful implementation of the
9i 9i 9i 9i
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
9i 9i
c. Public health departments will need to increase the number of nursing positions.
9i
d. Theprevalence of obesity will decrease. 9i
ANS: B
NURSINGTB.COM
, One consequence of successful implementation of the Affordable Care Act might be that the
9i 9i
majority of the population would be covered by insurance and public health agencies will n
ot need to provide direct clinical services in order to assure that those who need them can re
9i 9i 9i
ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti 9i
on to their health status or decrease the prevalence of obesity.
9i 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
4. The public health nurse (PHN) must participate in the essential services of public health.
9i 9i 9i
What is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
9i 9i
b. Diagnosing and investigating health problems in the world 9i
c. Informing, educating, and empowering people about health issues 9i 9i
d. Working in law enforcement to regulate health and ensure safety
9i
ANS: C
The PHN monitors health status in several ways, completing a community assessment is onl 9i 9i
y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ pro
9i 9i
blems, or work in law enforcement. Rather, the PHN would participate with local regulators
9i 9i
to protect communities and empower people to address health issues. 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Implementation MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
5. A public health department is using the mission of public health as described by the Institute 9i 9i
of Medicine when pla nni ngNU Rhea
itsS NTIlt h pGrogBra.mCminMg. Which of the following activities will
9i 9i 9i 9i
most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the United States
9i 9i 9i
b. Providing a flu shot for an elderly person at the health department
9i 9i 9i 9i 9i
c. Keeping track of alternative therapies in use in the United States
9i 9i
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
9i 9i 9i 9
Atlanta
ANS: A
The Institute of Medicine‘s stated mission on public health is ―to generate organized 9i 9i 9i
community and technical knowledge to prevent disease and promote health.‖ Tracking avian
9i 9i
flu outbreaks and doing surveillance applies this concept at a population level. Providing a f
9i 9i 9i 9i 9i
lu shot for an elderly person only addresses individual care. Keeping track of the use of alter 9i 9i
native therapies does nothing to prevent disease or promote health of the population.
9i 9i 9i
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or di
9i 9i
sease prevention.
DIF: Cognitive level: Analyzing TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
6. A public health department makes sure that the essential community-
9i 9i
oriented health services are available in the community. Which of the following core public 9i 9i
health functions is being implemented?
9i 9i
a. Policy development
NURSINGTB.COM
, b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance dfocuses don d dthe dresponsibility dof dpublic dhealth dagencies dto densure dcertain
9 i
dactivities dhave dbeen appropriately dcarried dout dto dmeet dpublic dhealth goals dand dplans.
9i 9i
dPolicy ddevelopm dent seeks dto dbuild dconstituencies dthat dcan d help dbring dabout dchange
9i 9 i
din d public dpolicy. dAssessm dent includes dactivities dthat dinvolve dcollecting, danalyzing,
9 i 9i
dand ddisseminating information on d b doth the dhealth dstatus dand dthe dhealth-
9i 9i 9 i 9i
related daspects dof da dcommunity dor da dspecific dpopulation. dPublic dhealth dis dbased don 9i
dscientific dknowledge dbut dis dnot da dcore dfunction.
DIF: Cognitive dlevel: dApplying
d d TOP:
Nursing process: Assessment dMSC: NCLEX: dHealth dPromotion dand
9i 9i 9i
dMa dintenance
7. What dis dthe dpurpose dof d public dhealth core dfunctions? 9 i 9i
a. Clarifying dthe drole dof dthe d government din dfulfilling the d mission dof dpublic d health 9i
b. Ensuring dthe dsafety dof d populations din receiving quality dhealth dcare
9 9 i 9i 9i
c. Providing community- 9i
based dindividualized dcare dto devery dperson din dthe dUnited dStates
d. Uniting dpublic dand dprivate dproviders dof d care din da dcomprehensive 9 i
dapproach dto dproviding dhealth dcare
ANS: A
As ddefined dby dthe dInstitute dof dMedicine din dits d1988 dreport dThe dFuture dof dPublic
dHealth, dassess dment, dpolicy ddevelopment, dand dassurance dare dcore dfunctions dat dall
dlevels dof
government d d fordthe d purposeNofR
9 i clarIifyiG 9 h e.gCo v eMr dnment‘ds d role.
ng d dtBi 9 i
US dNdT O
DIF: Cognitive d level: dUnderstanding d d d d TOP:
d d
Nursing process: dAssessment dMSC: NCLEX: dHealth dPromotion dand
9i
dMa dintenance
8. Which of the d following dstatements dabout dpublic d health dis daccurate?
9i 9i 9i 9i
a. Prevention dof dearly ddeaths dcan be dmore deffectively daccomplished dby 9i
dmedical dtreatment dthan dby dpublic d health dapproaches.
b. Expenditures dand dresources dfor dpublic dhealth have dincreased din drecent dyears. 9i
c. Historically, dgains din the dhealth dof d populations dhave dbeen drelated dlargely dto
9i 9 i
dchanges din safety, dsanitation, dand d food dsafety.
9i
d. Reform dof dthe dmedical dinsurance dsystem d dis dthe dsingle dchange dneeded dto 9 i
dimprove dthe dhealth of d dAmericans. 9i 9 i
ANS: C
Fielding d and dTilson dhave dasserted dthat most dof dthe d increase din d life dspan has dbeen
9 i 9i 9 i 9i
dmade dthro dugh dimprovements din dsanitation, dclean water dsupplies, dmaking workplaces 9i 9i 9i
dsafer, dimproving dfood dand ddrug dsafety, dimmunizing dchildren, dand dimproving 9i
dnutrition, dhygiene, dand dhousing
. dMedical dtreatment dhas dnot dmade das dsignificant of d an d impact on dthe dlife dspan as 9i 9 i 9 i 9i 9i
dpublic dhealt dh dmeasures. dFunding for dpublic dhealth din drecent dyears dhas dbeen don da 9i
dgradual ddecline. dAltho dugh dreform dof d the dmedical dinsurance dsystem dmay dhelp 9 i
dimprove dthe d health of dAmericans, dth dere dare dmany dother dfactors dthat dwill dneed dto
9i
dbe daddressed.
NURSINGTB.COM
Health Care in the Community 11th Edition by Stanhope
NURSINGTB.COM
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-
Centered Health Care in the Community, 11th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the 9i
American people in the twenty- first century?
9i
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
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally induced infe 9i
ctions, such as the avian flu. These threats will divert health care funds and resources from
9i 9i 9i 9
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.
9i
DIF: Cognitive level: Understanding TOP:
Nursing process:Planning MSC: NCLEX: Health Promotion and Ma
9i 9
intenance
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 causeNthUeRheSaI
lthNcGaT
reBsy.sC mMto collapse.
teO
c. The threat may divert funds from other public safety health care programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health ca
9 9i
re programs. Because funds are diverted it is possible that community-
9i
based programs would be eliminated, the health care system could experience changes, and t
9i 9i
hat there would be an increase in the need for shelter. However, all the remaining options w
9i 9i 9i
ould happen because of the diversion of funds.
9i 9i
DIF: Cognitive level: Analyzing TOP:
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
9i 9i
3. Which statement describes the consequence of the successful implementation of the
9i 9i 9i 9i
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
9i 9i
c. Public health departments will need to increase the number of nursing positions.
9i
d. Theprevalence of obesity will decrease. 9i
ANS: B
NURSINGTB.COM
, One consequence of successful implementation of the Affordable Care Act might be that the
9i 9i
majority of the population would be covered by insurance and public health agencies will n
ot need to provide direct clinical services in order to assure that those who need them can re
9i 9i 9i
ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti 9i
on to their health status or decrease the prevalence of obesity.
9i 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
4. The public health nurse (PHN) must participate in the essential services of public health.
9i 9i 9i
What is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
9i 9i
b. Diagnosing and investigating health problems in the world 9i
c. Informing, educating, and empowering people about health issues 9i 9i
d. Working in law enforcement to regulate health and ensure safety
9i
ANS: C
The PHN monitors health status in several ways, completing a community assessment is onl 9i 9i
y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ pro
9i 9i
blems, or work in law enforcement. Rather, the PHN would participate with local regulators
9i 9i
to protect communities and empower people to address health issues. 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Implementation MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
5. A public health department is using the mission of public health as described by the Institute 9i 9i
of Medicine when pla nni ngNU Rhea
itsS NTIlt h pGrogBra.mCminMg. Which of the following activities will
9i 9i 9i 9i
most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the United States
9i 9i 9i
b. Providing a flu shot for an elderly person at the health department
9i 9i 9i 9i 9i
c. Keeping track of alternative therapies in use in the United States
9i 9i
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
9i 9i 9i 9
Atlanta
ANS: A
The Institute of Medicine‘s stated mission on public health is ―to generate organized 9i 9i 9i
community and technical knowledge to prevent disease and promote health.‖ Tracking avian
9i 9i
flu outbreaks and doing surveillance applies this concept at a population level. Providing a f
9i 9i 9i 9i 9i
lu shot for an elderly person only addresses individual care. Keeping track of the use of alter 9i 9i
native therapies does nothing to prevent disease or promote health of the population.
9i 9i 9i
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or di
9i 9i
sease prevention.
DIF: Cognitive level: Analyzing TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
6. A public health department makes sure that the essential community-
9i 9i
oriented health services are available in the community. Which of the following core public 9i 9i
health functions is being implemented?
9i 9i
a. Policy development
NURSINGTB.COM
, b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance dfocuses don d dthe dresponsibility dof dpublic dhealth dagencies dto densure dcertain
9 i
dactivities dhave dbeen appropriately dcarried dout dto dmeet dpublic dhealth goals dand dplans.
9i 9i
dPolicy ddevelopm dent seeks dto dbuild dconstituencies dthat dcan d help dbring dabout dchange
9i 9 i
din d public dpolicy. dAssessm dent includes dactivities dthat dinvolve dcollecting, danalyzing,
9 i 9i
dand ddisseminating information on d b doth the dhealth dstatus dand dthe dhealth-
9i 9i 9 i 9i
related daspects dof da dcommunity dor da dspecific dpopulation. dPublic dhealth dis dbased don 9i
dscientific dknowledge dbut dis dnot da dcore dfunction.
DIF: Cognitive dlevel: dApplying
d d TOP:
Nursing process: Assessment dMSC: NCLEX: dHealth dPromotion dand
9i 9i 9i
dMa dintenance
7. What dis dthe dpurpose dof d public dhealth core dfunctions? 9 i 9i
a. Clarifying dthe drole dof dthe d government din dfulfilling the d mission dof dpublic d health 9i
b. Ensuring dthe dsafety dof d populations din receiving quality dhealth dcare
9 9 i 9i 9i
c. Providing community- 9i
based dindividualized dcare dto devery dperson din dthe dUnited dStates
d. Uniting dpublic dand dprivate dproviders dof d care din da dcomprehensive 9 i
dapproach dto dproviding dhealth dcare
ANS: A
As ddefined dby dthe dInstitute dof dMedicine din dits d1988 dreport dThe dFuture dof dPublic
dHealth, dassess dment, dpolicy ddevelopment, dand dassurance dare dcore dfunctions dat dall
dlevels dof
government d d fordthe d purposeNofR
9 i clarIifyiG 9 h e.gCo v eMr dnment‘ds d role.
ng d dtBi 9 i
US dNdT O
DIF: Cognitive d level: dUnderstanding d d d d TOP:
d d
Nursing process: dAssessment dMSC: NCLEX: dHealth dPromotion dand
9i
dMa dintenance
8. Which of the d following dstatements dabout dpublic d health dis daccurate?
9i 9i 9i 9i
a. Prevention dof dearly ddeaths dcan be dmore deffectively daccomplished dby 9i
dmedical dtreatment dthan dby dpublic d health dapproaches.
b. Expenditures dand dresources dfor dpublic dhealth have dincreased din drecent dyears. 9i
c. Historically, dgains din the dhealth dof d populations dhave dbeen drelated dlargely dto
9i 9 i
dchanges din safety, dsanitation, dand d food dsafety.
9i
d. Reform dof dthe dmedical dinsurance dsystem d dis dthe dsingle dchange dneeded dto 9 i
dimprove dthe dhealth of d dAmericans. 9i 9 i
ANS: C
Fielding d and dTilson dhave dasserted dthat most dof dthe d increase din d life dspan has dbeen
9 i 9i 9 i 9i
dmade dthro dugh dimprovements din dsanitation, dclean water dsupplies, dmaking workplaces 9i 9i 9i
dsafer, dimproving dfood dand ddrug dsafety, dimmunizing dchildren, dand dimproving 9i
dnutrition, dhygiene, dand dhousing
. dMedical dtreatment dhas dnot dmade das dsignificant of d an d impact on dthe dlife dspan as 9i 9 i 9 i 9i 9i
dpublic dhealt dh dmeasures. dFunding for dpublic dhealth din drecent dyears dhas dbeen don da 9i
dgradual ddecline. dAltho dugh dreform dof d the dmedical dinsurance dsystem dmay dhelp 9 i
dimprove dthe d health of dAmericans, dth dere dare dmany dother dfactors dthat dwill dneed dto
9i
dbe daddressed.
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