Public Health Nursing: Population-Centered Primary Care In The Community, 11Th Edition Marcia Stanhope Testbank / All Chapter 1- 46/Complete Guide

PUBLICHEALTHNURSING:POPULATION-CENTERED
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PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
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MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
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46/COMPLETE GUIDE
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,Chapter 01: Public HealthFoundations and PopulationHealth
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Stanhope: Public Health Nursing: Population-Centered Primary care in the Community,
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11th Edition
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1. What is the primary focus to be addressed concerning the improvement ofthe health of the
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American people in the twenty-first century?
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a. Bioterrorismand global health threats rt rt rt rt




b. Delivery of individual care and hygiene rt rt rt rt rt




c. The need for increased health center and acute care
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d. Chronic disease and disability management rt rt rt rt




ACCURATE ANSWER:-A rt




REASONING:->>>There are new concerns, and of the most serious are bioterrorism and rt rt rt rt rt rt rt rt rt rt rt




globally induced infections, such as the avian flu. These threats willdivert primarycare funds
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and resources from other primary care programs to be spent for public safety. The others are not
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relatedto public health or are concerns that have been present for many years.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursingprocess: rt rt rt rt




Planning MSC: NCLEX: Health Promotion and Maintenance
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2. Acommunity is concerned aboutthe threat ofbioterrorism. Whichofthe following best
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describes the basis for this concern?
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a. Bioterrorismhas the potentialto dissolve community-based programs. rt rt rt rt rt rt rt




b. ThisthreatcouldcauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMtocollapse.
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c. Thethreat maydivert funds from other public safety primarycare programs.
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d. Fear of bioterrorism will increase the need for shelters. rt rt rt rt rt rt rt rt




ACCURATE ANSWER:-C rt




REASONING:->>>Bioterrorism may have an impact on the availability of resources for rt rt rt rt rt rt rt rt rt rt




public safety primary care programs. Because funds are diverted it is possible those
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community-based programs would be eliminated, the primary care systemcould experience
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changes, and that there would be an increase in the need for shelter. However, all the remaining
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options would happen because of the diversion of funds.
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DIFFICULT: Cognitive level: Analyzing TOPIC: rt rt rt Nursing process: rt




Diagnosis MSC: NCLEX: Physiological Integrity
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3. Whichstatement describes the consequence ofthe successful implementation ofthe
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Affordable Care Act?
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a. Americans will pay closer attention to their health status. rt rt rt rt rt rt rt rt




b. Mostof the population will be covered by health insurance. rt rt rt rt rt rt rt rt rt




c. Publichealth departments will need to increase the number ofnursing positions. rt rt rt rt rt rt rt rt rt rt rt




d. Theprevalenceofobesitywilldecrease. rt rt rt rt rt




rt ACCURATE ANSWER:-B rt




REASONING:->>>One consequence of successful implementation of the Affordable Care rt rt rt rt rt rt rt rt




Act might be that the majority of the population would be covered by insurance and public
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health agencies will not need to provide direct clinical services in order to assure that those who
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need them can receive them. The Affordable Care Act will not directly cause Americans to pay
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closer attention to their health status or decrease the prevalence of obesity.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursingprocess: rt rt rt rt




Assessment MSC: NCLEX: Health Promotion and Maintenance
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,4. Thepublic health nursing attendant (PHN) must participate in the essential services
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ofpublic health. What is one of the essential services of public health nursing?
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a. Monitoring health status bycompleting a community assessment rt rt rt rt rt rt rt




b. Diagnosing and investigating healthproblems inthe world rt rt rt rt rt rt rt




c. Informing, educating, andempowering people about health issues rt rt rt rt rt rt rt




d. Working in lawenforcement to regulate healthand ensuresafety rt rt rt rt rt rt rt rt rt




ACCURATE ANSWER:-C rt




REASONING:->>>The PHN monitors health status in several ways, completing a rt rt rt rt rt rt rt rt rt




communityassessment is onlyone way that health status is monitored. The PHN would not
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diagnose or solve “world” problems, or work in law enforcement. Rather, the PHN would
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participate with local regulators to protect communities and empower people to address health
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issues.
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DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process: rt rt rt rt




Implementation MSC: NCLEX: Health Promotion and Maintenance
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5. Apublic health department is using the missionofpublic health as described bythe Institute of
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Medicine when planning its health programming. Which of the following activities will most
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likely be implemented?
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a. Tracking avian flu outbreaks and doing surveillance intheUnited States rt rt rt rt rt rt rt rt rt rt




b. Providing a flu shot for an elderly person at the health department rt rt rt rt rt rt rt rt rt rt rt




c. Keeping track ofalternative therapies inuse in the United States rt rt rt rt rt rt rt rt rt rt




d. Keeping snake antivenomat theCenters for Disease Controland Prevention in rt rt rt rt rt rt rt rt rt rt rt




Atlanta rt




ACCURATE ANSWER:-A rt




REASONING:->>>The Institute of Medicine’s stated mission on public health is “to generate rt rt rt rt rt rt rt rt rt rt rt




organized community and technical knowledge to prevent disease and promote health.”
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Tracking avian flu outbreaks and doing surveillance applies this concept at a population level.
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Providing a flu shot for an elderly person only addresses individual care. Keeping track ofthe
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use ofalternative therapies does nothing to prevent disease or promote health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotionor disease
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prevention.
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DIFFICULT: Cognitive level: Analyzing TOPIC: Nursingprocess: rt rt rt rt




Assessment MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health services
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are available inthecommunity. Whichofthe following core publichealth functions is being
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implemented?
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a. Policydevelopment rt




b. Assessment
c. Assurance
d. Scientificknowledge-basedcare rt rt




ACCURATE ANSWER:-C rt




REASONING:->>>Assurance focuses on the responsibility of public health agencies to ensure rt rt rt rt rt rt rt rt rt rt




certain activities have been appropriately carried out to meet public health goals and plans.
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Policy development seeks to build constituencies that can help bring about change in public
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policy. Assessment includes activities that involve collecting, analyzing, and disseminating
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information on both the health status and the health-related aspects of a communityor a specific
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population. Public health is based onscientific knowledge but is not a core function.
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DIFFICULT: Cognitive level: Applying TOPIC: Nursingprocess: rt rt rt rt




Assessment MSC: NCLEX: Health Promotion and Maintenance
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, 7. What is the purpose ofpublic health core functions?
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a. Clarifying the role ofthe government in fulfilling the mission ofpublic health
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b. Ensuring the safetyofpopulations in receiving quality primary care
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c. Providing community-based individualized caretoeveryperson intheUnited
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States rt




d. Uniting public and private providers ofcare ina comprehensive approach to
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providing primary care
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ACCURATE ANSWER:-A rt




REASONING:->>>As defined by the Institute of Medicine in its 1988 report The Future of rt rt rt rt rt rt rt rt rt rt rt rt rt




Public Health, assessment, policy development, and assurance are corefunctions
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at all levels ofgovernment for the purposeNofRclarIifyiGng tBhe.gCoveMrnment’s
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role.