Chapter 46: Public Health Nursing at
Local, State, and National Levels;
Stanhope TestBank Final Exam And
Correct Answers.
Public health nurses (PHNs) are challenged to respond to public health-related trends of the
twenty-first century, which include:
a. racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal
access to health care; and violence.
b. violence, availability of health care for all, and increasing life expectancy.
c. health disparities, access issues, and adequate mental health program funding.
d. rise of drug-resistant organisms, increased life expectancy, societal violence, and more
effective disease surveillance. - Answer ANS: A
Twenty-first-century challenges include increasing rates of drug resistance in community-
acquired pathogens and societal issues such as welfare reform, economic disparities,
racial/ethnic disparities, behavioral influences on health, and unequal access to health care.
Cognitive Level: Analysis
Associated Chapter Objective: 2
REF: p. 1000
Rapid changes in public health are providing a challenge to PHNs because there is neither time
nor staff to provide nurses with the on-the-job training needed to acquire the core public health
competencies required of the PHN. This resulted in revisions to the American Nurses
Association (ANA)'s Scope and Standards of Public Health Nursing Practice in 2005 that
established:
a. core public health functions as the competency framework.
b. Minnesota Department of Health's Intervention Wheel as the practice competencies.
c. standards for baccalaureate- and master's-prepared PHNs.
d. Quad Council principles as the primary framework for practice. - Answer ANS: C
, Scope and Standards of Public Health Practice to reflect the increasing complexity and rapid
changes faced by PHNs. The revised standards include standards that must be met by all nurses
with baccalaureate degrees, the entry level into public health nursing, as well as standards that
must be fulfilled by advanced practice PHNs prepared at the master's level.
Cognitive Level: Analysis
Associated Chapter Objective: 7
REF: pp. 1002-1003
A PHN in the local health department assists the community in identifying the health need
priorities and the services that can best meet these needs in a cost-effective manner. This is an
example of the tertiary prevention public health nursing function of:
a. case finding.
b. case management.
c. collaboration.
d. provision of direct services. - Answer ANS: B
Case management is a major tertiary prevention function for PHNs at the community level of
practice. Case managers assist clients in identifying the services they need the most at the least
cost. They also assist communities and populations in identifying services that will improve the
overall community health status.
Cognitive Level: Application
Associated Chapter Objective: 3
REF: pp. 1006-1007
State public health agency responsibilities include:
a. conducting community health assessments.
b. enforcing public health codes.
c. monitoring health status.
d. providing expertise that facilitates evidence-based practice. - Answer ANS: C
Local, State, and National Levels;
Stanhope TestBank Final Exam And
Correct Answers.
Public health nurses (PHNs) are challenged to respond to public health-related trends of the
twenty-first century, which include:
a. racial, ethnic, and economic health disparities; rise of drug-resistant pathogens; unequal
access to health care; and violence.
b. violence, availability of health care for all, and increasing life expectancy.
c. health disparities, access issues, and adequate mental health program funding.
d. rise of drug-resistant organisms, increased life expectancy, societal violence, and more
effective disease surveillance. - Answer ANS: A
Twenty-first-century challenges include increasing rates of drug resistance in community-
acquired pathogens and societal issues such as welfare reform, economic disparities,
racial/ethnic disparities, behavioral influences on health, and unequal access to health care.
Cognitive Level: Analysis
Associated Chapter Objective: 2
REF: p. 1000
Rapid changes in public health are providing a challenge to PHNs because there is neither time
nor staff to provide nurses with the on-the-job training needed to acquire the core public health
competencies required of the PHN. This resulted in revisions to the American Nurses
Association (ANA)'s Scope and Standards of Public Health Nursing Practice in 2005 that
established:
a. core public health functions as the competency framework.
b. Minnesota Department of Health's Intervention Wheel as the practice competencies.
c. standards for baccalaureate- and master's-prepared PHNs.
d. Quad Council principles as the primary framework for practice. - Answer ANS: C
, Scope and Standards of Public Health Practice to reflect the increasing complexity and rapid
changes faced by PHNs. The revised standards include standards that must be met by all nurses
with baccalaureate degrees, the entry level into public health nursing, as well as standards that
must be fulfilled by advanced practice PHNs prepared at the master's level.
Cognitive Level: Analysis
Associated Chapter Objective: 7
REF: pp. 1002-1003
A PHN in the local health department assists the community in identifying the health need
priorities and the services that can best meet these needs in a cost-effective manner. This is an
example of the tertiary prevention public health nursing function of:
a. case finding.
b. case management.
c. collaboration.
d. provision of direct services. - Answer ANS: B
Case management is a major tertiary prevention function for PHNs at the community level of
practice. Case managers assist clients in identifying the services they need the most at the least
cost. They also assist communities and populations in identifying services that will improve the
overall community health status.
Cognitive Level: Application
Associated Chapter Objective: 3
REF: pp. 1006-1007
State public health agency responsibilities include:
a. conducting community health assessments.
b. enforcing public health codes.
c. monitoring health status.
d. providing expertise that facilitates evidence-based practice. - Answer ANS: C
