FOR
PUBLICHEALTHNURSING
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:POPULATIONCENTERED z
z HEALTH CARE IN THE
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z COMMUNITY 9TH EDITION z
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Chapter 01: Community and Prevention-Oriented, Population-Focused Practice: The Foundation of
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Specialization in Public Health Nursing
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Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 9th Edition
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MULTIPLE CHOICE
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1. One of the primary focuses of improving the health of the American people in the twenty-first century is to
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address:
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a. bioterrorism and global health threats. z z z z
b. delivery of individual care and hygiene. z z z z z
c. the need for increased hospital and acute care.
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d. chronic disease and disability management. z z z z
ANS: A z
There are new concerns, and of the most serious are bioterrorism and globally induced infections, such as the
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avian flu. These threats will divert health care funds and resources from other health care programs to be
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spent for public safety. The others are not related to public health or are concerns that have been present for
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many years.
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DIF: Cognitive level: Understanding REF: p. 5 z z z z TOP: Nursing process: Planning z z z
MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best describes the
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basis for this concern?
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a. Bioterrorism has the potential to dissolve z z z z z
community-based programs.
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b. This threat could cause the health care system
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to collapse.
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c. The threat of bioterrorism may divert funds
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from other public safety health care programs.
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d. Fear of bioterrorism will increase the need for
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shelters.
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ANS: C z
Bioterrorism may have an impact on the availability of resources for public safety health care programs.
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Because funds are diverted it is possible that community-based programs would be eliminated, the health care
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system could experience changes, and that there would be an increase in the need for shelter.
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However, all of these things would happen because of the diversion of funds.
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DIF: Cognitive level: Analyzing z z REF: p. 5 z z TOP: Nursing process: Diagnosis z z z
MSC: NCLEX: Psychosocial Integrity
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3. Which of the following describes the consequence of the successful implementation of the Affordable
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Care Act?
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a. Americans will pay closer attention to their z z z z z z
health status.
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b. The majority of the population will be
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covered by insurance.
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c. Public health departments will need to z z z z z
increase the number of nursing positions.
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d. The prevalence of obesity will decrease.
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ANS: B z
One consequence of successful implementation of the Affordable Care Act might actually be that the majority
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of the population would be covered by insurance and public health agencies will not need to provide direct
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clinical services in order to assure that those who need them can receive them. The Affordable Care Act will
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not directly cause Americans to pay closer attention to their health status or decrease the prevalence of
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obesity.
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DIF: Cognitive level: Remembering z z REF: p. 5 z z z
TOP: Nursing process: Assessment
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4. The public health nurse (PHN) must participate in the essential services of public health. Which of the
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following most accurately describes one of the essential services of public health?
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a. Monitoring health status by completing a z z z z z
community assessment
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b. Diagnosing and investigating health problems z z z z
in the world
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c. Informing, educating, and empowering people z z z z
about health issues
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d. Working in law enforcement to regulate health z z z z z z
and ensure safety
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ANS: C z
The PHN monitors health status in several ways, completing a community assessment is only one way that
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health status is monitored. The PHN would not diagnose or solve “world” problems, or work in law
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enforcement. Rather, the PHN would participate with local regulators to protect communities and
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empower people to address health issues.
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DIF: Cognitive level: Understanding z z REF: p. 8 (How to Box) z z z z z z
TOP: Nursing process: Implementation
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5. A public health department is using the mission of public health as described by the Institute of Medicine
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when planning its health programming. Which of the following activities will most likely be implemented?
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a. Tracking avian flu outbreaks and doing z z z z z
surveillance in the United States
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b. Providing a flu shot for an elderly person at z z z z z z z z
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the health department
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c. Keeping track of alternative therapies in use in z z z z z z z
the United States
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d. Keeping snake antivenom at the Centers for z z z z z z
Disease Control and Prevention in Atlanta
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ANS: A z
The Institute of Medicine’s stated mission on public health is “to generate organized community and
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technical knowledge to prevent disease and promote health.” Tracking avian flu outbreaks and doing
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surveillance applies this concept at a population level. Providing a flu shot for an elderly person only
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addresses individual care. Keeping track of the use of alternative therapies does nothing to prevent disease
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or promote health of the population. Keeping snake antivenom is aimed at disease care for an individual, not
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health promotion or disease prevention.
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DIF: Cognitive level: Analyzing z z REF: p. 6 z z z
TOP: Nursing process: Assessment
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6. A public health department makes sure that the essential community-oriented health services are available in
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the community. Which of the following core public health functions is being implemented?
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a. Policy development z
b. Assessment
c. Assurance
d. Scientific knowledge-based care z z
ANS: C z
Assurance focuses on the responsibility of public health agencies to ensure certain activities have been
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appropriately carried out to meet public health goals and plans. Policy development seeks to build
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constituencies that can help bring about change in public policy. Assessment includes activities that
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involve collecting, analyzing, and disseminating information on both the health status and the health-
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related aspects of a community or a specific population. Public health is based on scientific knowledge, but
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is not a core function.
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DIF: Cognitive level: Applying z z REF: p. 14 z z z
TOP: Nursing process: Assessment
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7. The purpose of public health core functions is to:
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a. clarify the role of the government in z z z z z z
fulfilling the mission of public health.
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b. ensure the safety of populations in receiving
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quality health care.
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c. provide community-based individualized care z z z z
to every person in the United States.
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d. unite public and private providers of care in a
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