CenteredHealthCareintheCommunity1thEditionby
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Lancaster&Stanhope,FullChapter1-46,Version
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2024/2025(A+).
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ISBN:9780323611114.
ORIGINALFILE
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VERSION2024
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TESTBANK
, Public Health Nursing 10th Edition Stanhope Test Bank b b b b b b b
Chapter 01: Public Health Foundationsand Population Health
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Stanhope: Public Health Nursing: Population-Centered Health Care inthe Community,11th
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bEdition
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MULTIPLECHOICE
1. What is the primary focus tob eaddressedconcerningtheimprovementofthehealth ofthe b b b
Americanpeopleinthetwenty-firstcentury?
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a. Bioterrorismandglobalhealththreats
b. Deliveryofindividualcareandhygiene b b b b
c. Theneedforincreasedhospitalandacutecare b b b b
d. Chronicdiseaseand disabilitymanagement b
ANS: A b
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Therearenewconcerns,andofthemostseriousarebioterrorismandgloballyinduced infections,
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such astheavian flu. Thesethreats will diverthealth carefunds and resources fromotherhealth
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carep rogramstobespentforpublic safety.Theothersare notrelatedto publichealthorare
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concernsthathavebeenpresentformanyyears.
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DIF: Cognitivelevel:Understanding TOP: Nursingprocess:Planning b b b b
MSC: NCLEX:HealthPromotionandMaintenance
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2. Acommunityisconcerned aboutthethreat ofbioterrorism. Whichofthefollowingbest b b b
describesthebasis forthisconcern?
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a. Bioterrorismhasthepotential to dissolvecommunity-basedprograms. b b
b. This threatcouldcauseN thUeR
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reBsy.sC mMtocollapse.
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c. Thethreatmay divertfundsfrom otherpublicsafety healthcareprograms. b b b b b
d. Fearofbioterrorismwillincreasetheneedforshelters. b b b b b b
ANS: C b
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Bioterrorismmayhavean impactontheavailabilityofresources forpublicsafetyhealthcare b b b b b b b b b b b b b b
programs.Becausefundsarediverteditispossiblethatcommunity-basedprogramswouldbe
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eliminated,thehealthcaresystemcouldexperiencechanges,andthattherewouldbean increase
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intheneedforshelter.However,alltheremainingoptionswouldhappenbecauseof thediversionof
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funds.
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DIF: Cognitivelevel:Analyzing b b TOP: Nursingprocess:Diagnosis b b
MSC: NCLEX:PhysiologicalIntegrity
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3. Which statement describes the consequence of the successfuli mplementation of the
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AffordableCareAct?
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a. Americanswillpaycloserattentiontotheirhealthstatus. b b b b b b
b. Mostofthepopulationwillbecoveredbyhealthinsurance. b b b b b b b
c. Publichealthdepartments willneedtoincreasethenumberofnursingpositions. b b b b b b b b
d. Theprevalenceofobesitywilldecrease.
b ANS: B b b b
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, Public Health Nursing 10th Edition Stanhope Test Bank
b b b b b b b
Oneconsequenceofsuccessfulimplementation ofthe Affordable Care Act mightbethatthe b b b b b
b majorityofthepopulationwouldbecoveredbyinsuranceandpublichealthagencieswillnot need
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toprovidedirectclinicalservices inordertoassurethatthosewhoneed themcanreceivethem. The
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Affordable Care Act will not directly cause Americans to pay closer attention totheirhealth
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bstatusordecreasetheprevalenceofobesity.
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DIF: Cognitivelevel:Understanding TOP: Nursingprocess:Assessment b b b b
MSC: NCLEX:HealthPromotionandMaintenance
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4. Thepublichealthnurse(PHN) must participateintheessentialservicesofpublichealth. b b
Whatisoneoftheessentialservicesofpublichealthnursing?
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a. Monitoringhealthstatusbycompletingacommunityassessment b b b b b
b. Diagnosingandinvestigatinghealthproblemsintheworld b b b b b
c. Informing,educating,andempoweringpeopleabouthealthissues b b b b b
d. Workingin lawenforcement toregulatehealthand ensuresafety b b b b
ANS: C b
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ThePHNmonitors healthstatusinseveralways,completingacommunityassessmentisonlyone
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way that health status is monitored. The PHNwouldnot diagnose orsolve “world” problems,
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bor work in law enforcement. Rather, the PHN would participate with local regulatorstoprotect
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bcommunitiesandempowerpeopletoaddresshealthissues.
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DIF: Cognitivelevel:Understanding TOP: Nursingprocess:Implementation b b b b
MSC: NCLEX:HealthPromotionandMaintenance
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5. Apublichealthdepartment is usingthemissionof publichealth as described bythe Institute of b b b b b b b b
Medicine when pl an n i n gNi t s Rh e aI
l t h pGrogBra.mCminMg. Which of the following activitieswillmost
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likelybeimplemented?
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a. TrackingavianfluoutbreaksanddoingsurveillanceintheUnitedStates b b b b b b b
b. Providingaflushotforanelderlypersonatthehealthdepartment b b b b b b b b b
c. Keepingtrackofalternativetherapies inuseintheUnited States b b b b b b
d. KeepingsnakeantivenomattheCenters forDiseaseControlandPreventionin b b b b b b b
Atlanta b
ANS: A b
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The Institute of Medicine’s stated mission on public health is “to generate organized
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bcommunityandtechnical knowledgetopreventdiseaseandpromotehealth.” Trackingavian flu
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boutbreaksanddoingsurveillanceappliesthisconceptatapopulationlevel.Providingaflushotfor a
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n elderly person only addresses individual care. Keeping track of the use of alternative therapies
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bdoesnothingto preventdiseaseorpromotehealthofthepopulation.
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Keepingsnakeantivenom isaimed at diseasecareforan individual, nothealth promotionor b b b b b b b
bdiseaseprevention.
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DIF: Cognitivelevel:Analyzing TOP: Nursingprocess:Assessment b b b b
MSC: NCLEX:HealthPromotionandMaintenance
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6. Apublichealthdepartmentmakessurethattheessentialcommunity-orientedhealth services
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areavailableinthe community. Whichofthefollowingcorepublichealthfunctions is being
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bimplemented?
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a. Policydevelopment b
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, Public Health Nursing 10th Edition Stanhope Test Bank b b b b b b b
b. Assessment
c. Assurance
d. Scientificknowledge-based care H
ANS: C b
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Assurancefocusesontheresponsibilityofpublichealthagenciestoensurecertainactivities have b b b b b b b b b b b b b
beenappropriately carriedouttomeetpublichealthgoalsandplans.Policydevelopmentseeks to
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build constituencies that can help bring about change in public policy. Assessment includes
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activitiesthatinvolvecollecting,analyzing,anddisseminatinginformationonboth thehealth
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statusandthehealth-relatedaspectsofacommunityoraspecificpopulation.Publichealthisbased
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onscientificknowledgebutisnotacorefunction.
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DIF: Cognitivelevel:Applying TOP: Nursingprocess:Assessment b b b b
MSC: NCLEX:HealthPromotionandMaintenance
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7. Whatisthepurposeofpublichealthcorefunctions?b b b b b b
a. Clarifyingtheroleofthegovernmentinfulfillingthemissionofpublichealth b b b b b b b b b b
b. Ensuringthesafety ofpopulations inreceivingqualityhealth care b b b b b
c. Providingcommunity-basedindividualized care to everypersonintheUnited b b b b b
States b
d. Unitingpublicandprivateprovidersofcarein acomprehensiveapproachto b b
providinghealthcare b b b
ANS: A b
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As defined bythe Institute of Medicine in its 1988 report The Futureof Public Health,
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assessment,policydevelopment,andassurancearecorefunctions atalllevels ofgovernment
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forthepurposeNof Rcl arI
ifyiG
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h e.gCo v eMr n m ent’srole.
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US N T b b b b b O
DIF: Cognitivelevel:Understanding TOP: Nursingprocess:Assessment b b b b
MSC: NCLEX:HealthPromotionandMaintenance bb b b b b
8. Whichofthefollowingstatementsaboutpublichealthisaccurate? b b b b b b b
a. Preventionofearly deaths can bemoreeffectively accomplishedbymedical b b b b b
treatmentthanbypublichealthapproaches.
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b. Expenditures andresourcesforpublichealthhaveincreasedinrecent years. b
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c. Historically, gains inthehealthofpopulations havebeenrelatedlargelytochanges in b b
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safety,sanitation,and foodsafety.
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d. Reformofthemedicalinsurancesystemisthesinglechangeneededtoimprove the b
healthofAmericans. b b b b
ANS: C b
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Fielding and Tilson have asserted that most of the increase in life span has been made through
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improvements insanitation, clean watersupplies, making workplaces safer, improving food and
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drugsafety,immunizingchildren,andimprovingnutrition,hygiene,andhousing.
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Medicaltreatment hasnot made as significant of an impactonthe lifespan as public health b b b b b b b b b b b b
measures.Fundingforpublichealthinrecentyearshasbeenonagradualdecline.Although refor
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m ofthemedicalinsurancesystemmayhelpimprovethehealthofAmericans,there aremanyother
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factorsthatwillneedtobeaddressed.
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DIF: b b b b b b Cognitivelevel:Understanding b b b b b b b b b b b b b TOP: b b b b Nursingprocess:Assessment b
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