TEST BANK FOR PUBLIC HEALTH NURSING
POPULATION CENTERED HEALTH CARE IN
THE COMMUNITY 10TH EDITION STANHOPE--
2025-2026
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the
Community, 10th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the
American people in the twenty-first century?
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 infections,
such as the avian flu. These threats will divert health care funds and resources from 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.
DIF: Cognitive level: Understanding TOP: Nursing process: Planning
MSC: NCLEX: Health Promotion and Maintenance
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 causeN eR
thU eaI
hS 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 care
programs. Because funds are diverted it is possible that community-based programs would be
eliminated, the health care system could experience changes, and that there would be an increase in
the need for shelter. However, all the remaining options would happen because of the diversion of
funds.
DIF: Cognitive level: Analyzing TOP: Nursing process: Diagnosis
MSC: NCLEX: Physiological Integrity
3. Which statement describes the consequence of the successful implementation of the
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
c. Public health departments will need to increase the number of nursing positions.
d. The prevalence of obesity will decrease.
ANS: B
, One consequence of successful implementation of the Affordable Care Act might be that the
majority of the population would be covered by insurance and public health agencies will
not need to provide direct clinical services in order to assure that those who need them can
receive them. The Affordable Care Act will not directly cause Americans to pay closer
attention to their health status or decrease the prevalence of obesity.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
4. The public health nurse (PHN) must participate in the essential services of public health.
What is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
b. Diagnosing and investigating health problems in the world
c. Informing, educating, and empowering people about health issues
d. Working in law enforcement to regulate health and ensure safety
ANS: C
The PHN monitors health status in several ways, completing a community assessment is
only one way that health status is monitored. The PHN would not diagnose or solve “world”
problems, or work in law enforcement. Rather, the PHN would participate with local
regulators to protect communities and empower people to address health issues.
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
5. A public health department is using the mission of public health as described by the Institute
of Medicine when planningNits RheaI lth pGrogB
ra.mCminMg. Which of the following activities will
most likely be implemented?
U S N T
a. Tracking avian flu outbreaks and doing surveillance in the United States
b. Providing a flu shot for an elderly person at the health department
c. Keeping track of alternative therapies in use in the United States
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
Atlanta
ANS: A
The Institute of Medicine’s stated mission on public health is “to generate organized
community and technical knowledge to prevent disease and promote health.” Tracking avian
flu outbreaks and doing surveillance applies this concept at a population level. Providing a
flu shot for an elderly person only addresses individual care. Keeping track of the use of
alternative therapies does nothing to prevent disease or promote health of the population.
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
disease prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-oriented health
services are available in the community. Which of the following core public health functions
is being implemented?
a. Policy development
, b. Assessment
c. Assurance
d. Scientific dknowledge-based dcare
ANS: d C
Assurance dfocuses don dthe dresponsibility dof dpublic dhealth dagencies dto densure dcertain
dactivities dhave dbeen dappropriately dcarried dout dto dmeet dpublic dhealth dgoals dand dplans.
dPolicy ddevelopment dseeks dto dbuild dconstituencies dthat dcan dhelp dbring dabout dchange din
dpublic dpolicy. dAssessment dincludes dactivities dthat dinvolve dcollecting, danalyzing, dand
ddisseminating dinformation don dboth dthe dhealth dstatus dand dthe dhealth-related daspects dof
da dcommunity dor da dspecific dpopulation. dPublic dhealth dis dbased don dscientific dknowledge
dbut dis dnot da dcore dfunction.
DIF: Cognitive dlevel: dApplying TOP: Nursing dprocess:
dAssessment dMSC: d NCLEX: dHealth dPromotion dand dMaintenance
7. What dis dthe dpurpose dof dpublic dhealth dcore dfunctions?
a. Clarifying dthe drole dof dthe dgovernment din dfulfilling dthe dmission dof dpublic dhealth
b. Ensuring dthe dsafety dof dpopulations din dreceiving dquality dhealth dcare
c. Providing dcommunity-based dindividualized dcare dto devery dperson din dthe
dUnited dStates
d. Uniting dpublic dand dprivate dproviders dof dcare din da dcomprehensive
dapproach dto dproviding dhealth dcare
ANS: d A
As ddefined dby dthe dInstitute dof dMedicine din dits d1988 dreport dThe dFuture dof dPublic
dHealth, dassessment, dpolicy ddevelopment, dand dassurance dare dcore dfunctions dat dall
dlevels dof dgovernment dfor dthe dpurpose of clar ifyi ng dt he g ove rnment’s drole.
N R I G B .C M
U S N T O
DIF: Cognitive dlevel: dUnderstanding TOP: Nursing dprocess:
dAssessment dMSC: d NCLEX: dHealth dPromotion dand dMaintenance
8. Which dof dthe dfollowing dstatements dabout dpublic dhealth dis daccurate?
a. Prevention dof dearly ddeaths dcan dbe dmore deffectively daccomplished dby
dmedical dtreatment dthan dby dpublic dhealth dapproaches.
b. Expenditures dand dresources dfor dpublic dhealth dhave dincreased din drecent dyears.
c. Historically, dgains din dthe dhealth dof dpopulations dhave dbeen drelated dlargely dto
dchanges din dsafety, dsanitation, dand dfood dsafety.
d. Reform dof dthe dmedical dinsurance dsystem dis dthe dsingle dchange dneeded dto
dimprove dthe dhealth dof dAmericans.
ANS: d C
Fielding dand dTilson dhave dasserted dthat dmost dof dthe dincrease din dlife dspan dhas dbeen
dmade dthrough dimprovements din dsanitation, dclean dwater dsupplies, dmaking dworkplaces
dsafer, dimproving dfood dand ddrug dsafety, dimmunizing dchildren, dand dimproving
dnutrition, dhygiene, dand dhousing. dMedical dtreatment dhas dnot dmade das dsignificant dof
dan dimpact don dthe dlife dspan das dpublic dhealth dmeasures. dFunding dfor dpublic dhealth din
drecent dyears dhas dbeen don da dgradual ddecline. dAlthough dreform dof dthe dmedical
dinsurance dsystem dmay dhelp dimprove dthe dhealth dof dAmericans, dthere dare dmany dother
dfactors dthat dwill dneed dto dbe daddressed.
DIF: Cognitive dlevel: dUnderstanding TOP: Nursing dprocess: dAssessment
POPULATION CENTERED HEALTH CARE IN
THE COMMUNITY 10TH EDITION STANHOPE--
2025-2026
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the
Community, 10th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the
American people in the twenty-first century?
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 infections,
such as the avian flu. These threats will divert health care funds and resources from 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.
DIF: Cognitive level: Understanding TOP: Nursing process: Planning
MSC: NCLEX: Health Promotion and Maintenance
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 causeN eR
thU eaI
hS 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 care
programs. Because funds are diverted it is possible that community-based programs would be
eliminated, the health care system could experience changes, and that there would be an increase in
the need for shelter. However, all the remaining options would happen because of the diversion of
funds.
DIF: Cognitive level: Analyzing TOP: Nursing process: Diagnosis
MSC: NCLEX: Physiological Integrity
3. Which statement describes the consequence of the successful implementation of the
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
c. Public health departments will need to increase the number of nursing positions.
d. The prevalence of obesity will decrease.
ANS: B
, One consequence of successful implementation of the Affordable Care Act might be that the
majority of the population would be covered by insurance and public health agencies will
not need to provide direct clinical services in order to assure that those who need them can
receive them. The Affordable Care Act will not directly cause Americans to pay closer
attention to their health status or decrease the prevalence of obesity.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
4. The public health nurse (PHN) must participate in the essential services of public health.
What is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
b. Diagnosing and investigating health problems in the world
c. Informing, educating, and empowering people about health issues
d. Working in law enforcement to regulate health and ensure safety
ANS: C
The PHN monitors health status in several ways, completing a community assessment is
only one way that health status is monitored. The PHN would not diagnose or solve “world”
problems, or work in law enforcement. Rather, the PHN would participate with local
regulators to protect communities and empower people to address health issues.
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
5. A public health department is using the mission of public health as described by the Institute
of Medicine when planningNits RheaI lth pGrogB
ra.mCminMg. Which of the following activities will
most likely be implemented?
U S N T
a. Tracking avian flu outbreaks and doing surveillance in the United States
b. Providing a flu shot for an elderly person at the health department
c. Keeping track of alternative therapies in use in the United States
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
Atlanta
ANS: A
The Institute of Medicine’s stated mission on public health is “to generate organized
community and technical knowledge to prevent disease and promote health.” Tracking avian
flu outbreaks and doing surveillance applies this concept at a population level. Providing a
flu shot for an elderly person only addresses individual care. Keeping track of the use of
alternative therapies does nothing to prevent disease or promote health of the population.
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
disease prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-oriented health
services are available in the community. Which of the following core public health functions
is being implemented?
a. Policy development
, b. Assessment
c. Assurance
d. Scientific dknowledge-based dcare
ANS: d C
Assurance dfocuses don dthe dresponsibility dof dpublic dhealth dagencies dto densure dcertain
dactivities dhave dbeen dappropriately dcarried dout dto dmeet dpublic dhealth dgoals dand dplans.
dPolicy ddevelopment dseeks dto dbuild dconstituencies dthat dcan dhelp dbring dabout dchange din
dpublic dpolicy. dAssessment dincludes dactivities dthat dinvolve dcollecting, danalyzing, dand
ddisseminating dinformation don dboth dthe dhealth dstatus dand dthe dhealth-related daspects dof
da dcommunity dor da dspecific dpopulation. dPublic dhealth dis dbased don dscientific dknowledge
dbut dis dnot da dcore dfunction.
DIF: Cognitive dlevel: dApplying TOP: Nursing dprocess:
dAssessment dMSC: d NCLEX: dHealth dPromotion dand dMaintenance
7. What dis dthe dpurpose dof dpublic dhealth dcore dfunctions?
a. Clarifying dthe drole dof dthe dgovernment din dfulfilling dthe dmission dof dpublic dhealth
b. Ensuring dthe dsafety dof dpopulations din dreceiving dquality dhealth dcare
c. Providing dcommunity-based dindividualized dcare dto devery dperson din dthe
dUnited dStates
d. Uniting dpublic dand dprivate dproviders dof dcare din da dcomprehensive
dapproach dto dproviding dhealth dcare
ANS: d A
As ddefined dby dthe dInstitute dof dMedicine din dits d1988 dreport dThe dFuture dof dPublic
dHealth, dassessment, dpolicy ddevelopment, dand dassurance dare dcore dfunctions dat dall
dlevels dof dgovernment dfor dthe dpurpose of clar ifyi ng dt he g ove rnment’s drole.
N R I G B .C M
U S N T O
DIF: Cognitive dlevel: dUnderstanding TOP: Nursing dprocess:
dAssessment dMSC: d NCLEX: dHealth dPromotion dand dMaintenance
8. Which dof dthe dfollowing dstatements dabout dpublic dhealth dis daccurate?
a. Prevention dof dearly ddeaths dcan dbe dmore deffectively daccomplished dby
dmedical dtreatment dthan dby dpublic dhealth dapproaches.
b. Expenditures dand dresources dfor dpublic dhealth dhave dincreased din drecent dyears.
c. Historically, dgains din dthe dhealth dof dpopulations dhave dbeen drelated dlargely dto
dchanges din dsafety, dsanitation, dand dfood dsafety.
d. Reform dof dthe dmedical dinsurance dsystem dis dthe dsingle dchange dneeded dto
dimprove dthe dhealth dof dAmericans.
ANS: d C
Fielding dand dTilson dhave dasserted dthat dmost dof dthe dincrease din dlife dspan dhas dbeen
dmade dthrough dimprovements din dsanitation, dclean dwater dsupplies, dmaking dworkplaces
dsafer, dimproving dfood dand ddrug dsafety, dimmunizing dchildren, dand dimproving
dnutrition, dhygiene, dand dhousing. dMedical dtreatment dhas dnot dmade das dsignificant dof
dan dimpact don dthe dlife dspan das dpublic dhealth dmeasures. dFunding dfor dpublic dhealth din
drecent dyears dhas dbeen don da dgradual ddecline. dAlthough dreform dof dthe dmedical
dinsurance dsystem dmay dhelp dimprove dthe dhealth dof dAmericans, dthere dare dmany dother
dfactors dthat dwill dneed dto dbe daddressed.
DIF: Cognitive dlevel: dUnderstanding TOP: Nursing dprocess: dAssessment
