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 ffocuses fon f fthe fresponsibility fof fpublic fhealth fagencies fto fensure fcertain
9 i
factivities fhave fbeen appropriately fcarried fout fto fmeet fpublic fhealth goals fand fplans.
9i 9i
fPolicy fdevelopm fent seeks fto fbuild fconstituencies fthat fcan f help fbring fabout fchange fin
9i 9 i 9
f public fpolicy. fAssessm fent includes factivities fthat finvolve fcollecting, fanalyzing, fand
i 9i
fdisseminating information on f b foth the fhealth fstatus fand fthe fhealth-
9i 9i 9 i 9i
related faspects fof fa fcommunity for fa fspecific fpopulation. fPublic fhealth fis fbased fon 9i
fscientific fknowledge fbut fis fnot fa fcore ffunction.
DIF: Cognitive flevel: fApplying
f f TOP:
Nursing process: Assessment fMSC: NCLEX: fHealth fPromotion fand
9i 9i 9i
fMa fintenance
7. What fis fthe fpurpose fof f public fhealth core ffunctions? 9 i 9i
a. Clarifying fthe frole fof fthe fgovernment fin ffulfilling the fmission fof fpublic fhealth 9i
b. Ensuring fthe fsafety fof f populations fin receiving quality fhealth fcare
9 9 i 9i 9i
c. Providing community- 9i
based findividualized fcare fto fevery fperson fin fthe fUnited fStates
d. Uniting fpublic fand fprivate fproviders fof f care fin fa fcomprehensive fapproach 9 i
fto fproviding fhealth fcare
ANS: A
As fdefined fby fthe fInstitute fof fMedicine fin fits f1988 freport fThe fFuture fof fPublic fHealth,
fassess fment, fpolicy fdevelopment, fand fassurance fare fcore ffunctions fat fall flevels fof
government f f forfthe f purposeNofR
9 i clarIifyiG h e.gCo v eMr fnment‘fs f role.
ng f ftB 9 i 9 i
US fNfT O
DIF: f f Cognitive f level: fUnderstanding f f f f TOP:
Nursing process: fAssessment fMSC: NCLEX: fHealth fPromotion fand
9i
fMa fintenance
8. Which of the f following fstatements fabout fpublic f health fis faccurate?
9i 9i 9i 9i
a. Prevention fof fearly fdeaths fcan be fmore feffectively faccomplished fby 9i
fmedical ftreatment fthan fby fpublic f health fapproaches.
b. Expenditures fand fresources ffor fpublic fhealth have fincreased fin frecent fyears. 9i
c. Historically, fgains fin the fhealth fof fpopulations fhave fbeen frelated flargely fto
9i 9 i
fchanges fin safety, fsanitation, fand f food fsafety.
9i
d. Reform fof fthe fmedical finsurance fsystem f fis fthe fsingle fchange fneeded fto 9 i
fimprove fthe fhealth of f fAmericans. 9i 9 i
ANS: C
Fielding f and fTilson fhave fasserted fthat most fof fthe f increase fin f life fspan has fbeen fmade
9 i 9i 9 i 9i
fthro fugh fimprovements fin fsanitation, fclean water fsupplies, fmaking workplaces fsafer, 9i 9i 9i
fimproving ffood fand fdrug fsafety, fimmunizing fchildren, fand fimproving fnutrition, 9i
fhygiene, fand fhousing
. fMedical ftreatment fhas fnot fmade fas fsignificant of f an f impact on fthe flife fspan as fpublic 9i 9 i 9 i 9i 9i
fhealt fh fmeasures. fFunding for fpublic fhealth fin frecent fyears fhas fbeen fon fa fgradual9i
fdecline. fAltho fugh freform fof f the fmedical finsurance fsystem fmay fhelp fimprove fthe 9 i
f health of fAmericans, fth fere fare fmany fother ffactors fthat fwill fneed fto fbe faddressed.
9i
DIF: f f Cognitive flevel: fUnderstanding TOP: f Nursing fprocess: fAssessment
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 ffocuses fon f fthe fresponsibility fof fpublic fhealth fagencies fto fensure fcertain
9 i
factivities fhave fbeen appropriately fcarried fout fto fmeet fpublic fhealth goals fand fplans.
9i 9i
fPolicy fdevelopm fent seeks fto fbuild fconstituencies fthat fcan f help fbring fabout fchange fin
9i 9 i 9
f public fpolicy. fAssessm fent includes factivities fthat finvolve fcollecting, fanalyzing, fand
i 9i
fdisseminating information on f b foth the fhealth fstatus fand fthe fhealth-
9i 9i 9 i 9i
related faspects fof fa fcommunity for fa fspecific fpopulation. fPublic fhealth fis fbased fon 9i
fscientific fknowledge fbut fis fnot fa fcore ffunction.
DIF: Cognitive flevel: fApplying
f f TOP:
Nursing process: Assessment fMSC: NCLEX: fHealth fPromotion fand
9i 9i 9i
fMa fintenance
7. What fis fthe fpurpose fof f public fhealth core ffunctions? 9 i 9i
a. Clarifying fthe frole fof fthe fgovernment fin ffulfilling the fmission fof fpublic fhealth 9i
b. Ensuring fthe fsafety fof f populations fin receiving quality fhealth fcare
9 9 i 9i 9i
c. Providing community- 9i
based findividualized fcare fto fevery fperson fin fthe fUnited fStates
d. Uniting fpublic fand fprivate fproviders fof f care fin fa fcomprehensive fapproach 9 i
fto fproviding fhealth fcare
ANS: A
As fdefined fby fthe fInstitute fof fMedicine fin fits f1988 freport fThe fFuture fof fPublic fHealth,
fassess fment, fpolicy fdevelopment, fand fassurance fare fcore ffunctions fat fall flevels fof
government f f forfthe f purposeNofR
9 i clarIifyiG h e.gCo v eMr fnment‘fs f role.
ng f ftB 9 i 9 i
US fNfT O
DIF: f f Cognitive f level: fUnderstanding f f f f TOP:
Nursing process: fAssessment fMSC: NCLEX: fHealth fPromotion fand
9i
fMa fintenance
8. Which of the f following fstatements fabout fpublic f health fis faccurate?
9i 9i 9i 9i
a. Prevention fof fearly fdeaths fcan be fmore feffectively faccomplished fby 9i
fmedical ftreatment fthan fby fpublic f health fapproaches.
b. Expenditures fand fresources ffor fpublic fhealth have fincreased fin frecent fyears. 9i
c. Historically, fgains fin the fhealth fof fpopulations fhave fbeen frelated flargely fto
9i 9 i
fchanges fin safety, fsanitation, fand f food fsafety.
9i
d. Reform fof fthe fmedical finsurance fsystem f fis fthe fsingle fchange fneeded fto 9 i
fimprove fthe fhealth of f fAmericans. 9i 9 i
ANS: C
Fielding f and fTilson fhave fasserted fthat most fof fthe f increase fin f life fspan has fbeen fmade
9 i 9i 9 i 9i
fthro fugh fimprovements fin fsanitation, fclean water fsupplies, fmaking workplaces fsafer, 9i 9i 9i
fimproving ffood fand fdrug fsafety, fimmunizing fchildren, fand fimproving fnutrition, 9i
fhygiene, fand fhousing
. fMedical ftreatment fhas fnot fmade fas fsignificant of f an f impact on fthe flife fspan as fpublic 9i 9 i 9 i 9i 9i
fhealt fh fmeasures. fFunding for fpublic fhealth fin frecent fyears fhas fbeen fon fa fgradual9i
fdecline. fAltho fugh freform fof f the fmedical finsurance fsystem fmay fhelp fimprove fthe 9 i
f health of fAmericans, fth fere fare fmany fother ffactors fthat fwill fneed fto fbe faddressed.
9i
DIF: f f Cognitive flevel: fUnderstanding TOP: f Nursing fprocess: fAssessment
NURSINGTB.COM
