TestBank-
x
Public Health Nursing
x x
: Population-Centered Health Care in
x x x x
the Community
x
byxMarciaxStanhopexandxJeanettexLancaster
11th Edition
x
,Chapterx01:xPublicxHealthxFoundationsxandxPopulationxHealth
Stanhope:xPublicxHealthxNursing:xPopulation-
CenteredxHealthxCarexinxthexCommunity,x11thxEdition
MULTIPLExCHOICE
1. Whatxisxthexprimaryxfocusxtoxbexaddressedxconcerningxtheximprovementxofxthexhealthxofxthex
Americanxpeoplexinxthextwenty-firstxcentury?
a. Bioterrorismxandxglobalxhealthxthreats
b. Deliveryxofxindividualxcarexandxhygiene
c. Thexneedxforxincreasedxhospitalxandxacutexcare
d. Chronicxdiseasexandxdisabilityxmanagement
CORRECTxANSWER:xA
Therexarexnewxconcerns,xandxofxthexmostxseriousxarexbioterrorismxandxgloballyxinducedxinf
ections,xsuchxasxthexavianxflu.xThesexthreatsxwillxdivertxhealthxcarexfundsxandxresourcesxfro
mxotherxhealthxcarexprogramsxtoxbexspentxforxpublicxsafety.xThexothersxarexnotxrelatedxtoxpu
blicxhealthxorxarexconcernsxthatxhavexbeenxpresentxforxmanyxyears.
DIF: Cognitivexlevel:xUnderstanding
TOP:xNursingxprocess:xPlanningxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
2. Axcommunityxisxconcernedxaboutxthexthreatxofxbioterrorism.xWhichxofxthexfollowingxbestx
describesxthexbasisxforxthisxconcern?
a. Bioterrorismxhasxthexpotentialxtoxdissolvexcommunity-basedxprograms.
b. ThisxthreatxcouldxcauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMtoxc
c. Thexthreatxmayxdivertxfundsxfromxotherxpublicxsafetyxhealthxcarexprograms.
d. Fearxofxbioterrorismxwillxincreasexthexneedxforxshelters.
CORRECTxANSWER:xC
Bioterrorismxmayxhavexanximpactxonxthexavailabilityxofxresourcesxforxpublicxsafetyxhealthxca
rexprograms.xBecausexfundsxarexdivertedxitxisxpossiblexthatxcommunity-
basedxprogramsxwouldxbexeliminated,xthexhealthxcarexsystemxcouldxexperiencexchanges,xan
dxthatxtherexwoulxbexanxincreasexinxthexneedxforxshelter.xHowever,xallxthexremainingxoptions
xwouldxhappen xbecausexofxthexdiversionxofxfunds.
DIF: Cognitivexlevel:xAnalyzing
TOP:xNursingxprocess:xDiagnosisxMSC:xNCLEX:xPhysiologicalxInte
grity
3. Whichxstatementxdescribesxthexconsequencexofxthexsuccessfulximplementationxofxthe
xAffordablexCarexAct?
a. Americansxwillxpayxcloserxattentionxtoxtheirxhealthxstatus.
b. Mostxofxthexpopulationxwillxbexcoveredxbyxhealthxinsurance.
c. Publicxhealthxdepartmentsxwillxneedxtoxincreasexthexnumberxofxnursingxpositions.
d. Thexprevalencexofxobesityxwillxdecrease.
xANS:xB
, OnexconsequencexofxsuccessfulximplementationxofxthexAffordablexCarexActxmightxbexthatxthe
xmajorityxofxthexpopulation xwouldxbexcoveredxbyxinsurance xandxpublicxhealth xagenciesxwillxn
otxneedxtoxprovidexdirectxclinicalxservicesxinxorderxtoxassurexthatxthosexwhoxneedxthemxcanxr
eceivexthem.xThexAffordablexCarexActxwillxnotxdirectlyxcausexAmericansxtoxpayxcloserxattenti
onxtoxtheirxhealthxstatusxorxdecreasexthexprevalencexofxobesity.
DIF: Cognitivexlevel:xUnderstanding
TOP:xNursingxprocess:xAssessmentxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
4. ThexpublicxhealthxNURSEx(PHN)xmustxparticipatexinxthexessentialxservicesxofxpublic
xhealth.xWhatxisxonexofxthexessentialxservicesxofxpublicxhealthxnursing?
a. Monitoringxhealthxstatusxbyxcompletingxaxcommunityxassessment
b. Diagnosingxandxinvestigatingxhealthxproblemsxinxthexworld
c. Informing,xeducating,xandxempoweringxpeoplexaboutxhealthxissues
d. Workingxinxlawxenforcementxtoxregulatexhealthxandxensurexsafety
xCORRECTxANSWER:xC
ThexPHNxmonitorsxhealthxstatusxinxseveralxways,xcompletingxaxcommunityxassessmentxisxon
lyxonexwayxthatxhealthxstatusxisxmonitored.xThexPHNxwouldxnotxdiagnosexorxsolvex―world‖xpro
blems,xorxworkxinxlawxenforcement.xRather,xthexPHNxwouldxparticipatexwithxlocalxregulators
xtoxprotect xcommunities xandxempower xpeoplextoxaddressxhealthxissues.
DIF: Cognitivexlevel:xUnderstanding
TOP:xNursingxprocess:xImplementationxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
5. AxpublicxhealthxdepartmentxisxusingxthexmissionxofxpublicxhealthxasxdescribedxbyxthexInstitute
ofxMedicinexwhenxplU
aintnsiR
nSgN
hxeaNIltxhTxpGxrogBra.mOxCminMg.xWhich
mostxlikelyxbeximplemented?
a. TrackingxavianxfluxoutbreaksxandxdoingxsurveillancexinxthexUnitedxStates
b. Providingxaxfluxshotxforxanxelderlyxpersonxatxthexhealthxdepartment
c. KeepingxtrackxofxalternativextherapiesxinxusexinxthexUnitedxStates
d. KeepingxsnakexantivenomxatxthexCentersxforxDiseasexControlxandxPreventionxinx
Atlanta
CORRECTxANSWER:xA
ThexInstitutexofxMedicine‘sxstatedxmissionxonxpublicxhealthxisx―toxgeneratexorganizedxcomm
unityxandxtechnicalxknowledgextoxpreventxdiseasexandxpromotexhealth.‖xTrackingxaviaxfluxou
tbreaksxandxdoingxsurveillancexappliesxthisxconceptxatxaxpopulationxlevel.xProvidingxaxfluxsh
otxforxanxelderlyxpersonxonlyxaddressesxindividualxcare.xKeepingxtrackxofxthexusexofxalternati
vextherapiesxdoesxnothingxtoxpreventxdiseasexorxpromotexhealthxofxthexpopulation.xKeepingx
snakexantivenomxisxaimedxatxdiseasexcarexforxanxindividual,xnotxhealthxpromotionxorxdiseasex
prevention.
DIF: Cognitivexlevel:xAnalyzing
TOP:xNursingxprocess:xAssessmentxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
6. Axpublicxhealthxdepartmentxmakesxsurexthatxthexessentialxcommunity-
orientedxhealthxservicesxarexavailablexinxthexcommunity.xWhichxofxthexfollowingxcorexpublicx
healthxfunctionsxisxbeingximplemented?
a. Policyxdevelopment
, b. Assessment
c. Assurance
d. Scientificxknowledge-
basedxcarexCORRECTxANSWER:xC
Assurancexfocusesxonxthexresponsibilityxofxpublicxhealthxagenciesxtoxensurexcertainxactivities
havexbeenxappropriatelyxcarriedxoutxtoxmeetxpublicxhealthxgoalsxandxplans.xPolicyxdevelop
mentxseeksxtoxbuildxconstituenciesxthatxcanxhelpxbringxaboutxchangexinxpublicxpolicyxAssess
mentxincludesxactivitiesxthatxinvolvexcollecting,xanalyzing,xandxdisseminatingxinformationxo
nxbothxthexhealthxstatusxandxthexhealth-
relatedxaspectsxofxaxcommunityxorxaxspecificxpopulation.xPublicxhealthxisxbasedxonxscientificx
knowledgexbutxisxnotxaxcorexfunction
DIF: Cognitivexlevel:xApplying
TOP:xNursingxprocess:xAssessmentxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
7. Whatxisxthexpurposexofxpublicxhealthxcorexfunctions?
a. Clarifyingxthexrolexofxthexgovernmentxinxfulfillingxthexmissionxofxpublicxhealth
b. Ensuringxthexsafetyxofxpopulationsxinxreceivingxqualityxhealthxcare
c. Providingxcommunity-
basedxindividualizedxcarextoxeveryxpersonxinxthexUnitedxStates
d. Unitingxpublicxandxprivatexprovidersxofxcarexinxaxcomprehensivexapproachxto
xprovidingxhealthxcare
CORRECTxANSWER:xA
AsxdefinedxbyxthexInstitutexofxMedicinexinxitsx1988xreportxThexFuturexofxPublicxHealth,xassess
ment,xpolicyxdevelopment,xandxassurancexarexcorexfunctionsxatxallxlevelsxofxgovernmentxforxt
hexpuNrpoofsRe clarIifyiGng xtBhe.gCoveMrnment‘sxrole.
UxSxNxTx O
DIF: Cognitivexlevel:xUnderstanding
TOP:xNursingxprocess:xAssessmentxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
8. Whichxofxthexfollowingxstatementsxaboutxpublicxhealthxisxaccurate?
a. Preventionxofxearlyxdeathsxcanxbexmorexeffectivelyxaccomplishedxbyxmedical
xtreatment xthanxbyxpublicxhealthxapproaches.
b. Expendituresxandxresourcesxforxpublicxhealthxhavexincreasedxinxrecentxyears.
c. Historically,xgainsxinxthexhealthxofxpopulationsxhavexbeenxrelatedxlargelyxtoxchanges
xinxsafety,xsanitation,xandxfoodxsafety.
d. Reformxofxthexmedicalxinsurancexsystemxisxthexsinglexchangexneededxtoximprovex
thexhealthxofxAmericans.
CORRECTxANSWER:xC
FieldingxandxTilsonxhavexassertedxthatxmostxofxthexincreasexinxlifexspanxhasxbeenxmadexthrou
ghximprovementsxinxsanitation,xcleanxwaterxsupplies,xmakingxworkplacesxsafer,ximprovingxf
oodxandxdrugxsafety,ximmunizingxchildren,xandximprovingxnutrition,xhygiene,
andxhousing.xMedicalxtreatmentxhasxnotxmadexasxsignificantxofxanximpactxonxthexlifexspanxasx
publicxhealthxmeasures.xFundingxforxpublicxhealthxinxrecentxyearsxhasxbeenxonxaxgradualxde
cline.xAlthoughxreformxofxthexmedicalxinsurancexsystemxmayxhelpximprovexthexhealthxofxA
mericans,xtherexarexmanyxotherxfactorsxthatxwillxneedxtoxbexaddressed.
DIF: Cognitivexlevel:xUnderstanding TOP:xNursingxprocess:xAssessment
x
Public Health Nursing
x x
: Population-Centered Health Care in
x x x x
the Community
x
byxMarciaxStanhopexandxJeanettexLancaster
11th Edition
x
,Chapterx01:xPublicxHealthxFoundationsxandxPopulationxHealth
Stanhope:xPublicxHealthxNursing:xPopulation-
CenteredxHealthxCarexinxthexCommunity,x11thxEdition
MULTIPLExCHOICE
1. Whatxisxthexprimaryxfocusxtoxbexaddressedxconcerningxtheximprovementxofxthexhealthxofxthex
Americanxpeoplexinxthextwenty-firstxcentury?
a. Bioterrorismxandxglobalxhealthxthreats
b. Deliveryxofxindividualxcarexandxhygiene
c. Thexneedxforxincreasedxhospitalxandxacutexcare
d. Chronicxdiseasexandxdisabilityxmanagement
CORRECTxANSWER:xA
Therexarexnewxconcerns,xandxofxthexmostxseriousxarexbioterrorismxandxgloballyxinducedxinf
ections,xsuchxasxthexavianxflu.xThesexthreatsxwillxdivertxhealthxcarexfundsxandxresourcesxfro
mxotherxhealthxcarexprogramsxtoxbexspentxforxpublicxsafety.xThexothersxarexnotxrelatedxtoxpu
blicxhealthxorxarexconcernsxthatxhavexbeenxpresentxforxmanyxyears.
DIF: Cognitivexlevel:xUnderstanding
TOP:xNursingxprocess:xPlanningxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
2. Axcommunityxisxconcernedxaboutxthexthreatxofxbioterrorism.xWhichxofxthexfollowingxbestx
describesxthexbasisxforxthisxconcern?
a. Bioterrorismxhasxthexpotentialxtoxdissolvexcommunity-basedxprograms.
b. ThisxthreatxcouldxcauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMtoxc
c. Thexthreatxmayxdivertxfundsxfromxotherxpublicxsafetyxhealthxcarexprograms.
d. Fearxofxbioterrorismxwillxincreasexthexneedxforxshelters.
CORRECTxANSWER:xC
Bioterrorismxmayxhavexanximpactxonxthexavailabilityxofxresourcesxforxpublicxsafetyxhealthxca
rexprograms.xBecausexfundsxarexdivertedxitxisxpossiblexthatxcommunity-
basedxprogramsxwouldxbexeliminated,xthexhealthxcarexsystemxcouldxexperiencexchanges,xan
dxthatxtherexwoulxbexanxincreasexinxthexneedxforxshelter.xHowever,xallxthexremainingxoptions
xwouldxhappen xbecausexofxthexdiversionxofxfunds.
DIF: Cognitivexlevel:xAnalyzing
TOP:xNursingxprocess:xDiagnosisxMSC:xNCLEX:xPhysiologicalxInte
grity
3. Whichxstatementxdescribesxthexconsequencexofxthexsuccessfulximplementationxofxthe
xAffordablexCarexAct?
a. Americansxwillxpayxcloserxattentionxtoxtheirxhealthxstatus.
b. Mostxofxthexpopulationxwillxbexcoveredxbyxhealthxinsurance.
c. Publicxhealthxdepartmentsxwillxneedxtoxincreasexthexnumberxofxnursingxpositions.
d. Thexprevalencexofxobesityxwillxdecrease.
xANS:xB
, OnexconsequencexofxsuccessfulximplementationxofxthexAffordablexCarexActxmightxbexthatxthe
xmajorityxofxthexpopulation xwouldxbexcoveredxbyxinsurance xandxpublicxhealth xagenciesxwillxn
otxneedxtoxprovidexdirectxclinicalxservicesxinxorderxtoxassurexthatxthosexwhoxneedxthemxcanxr
eceivexthem.xThexAffordablexCarexActxwillxnotxdirectlyxcausexAmericansxtoxpayxcloserxattenti
onxtoxtheirxhealthxstatusxorxdecreasexthexprevalencexofxobesity.
DIF: Cognitivexlevel:xUnderstanding
TOP:xNursingxprocess:xAssessmentxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
4. ThexpublicxhealthxNURSEx(PHN)xmustxparticipatexinxthexessentialxservicesxofxpublic
xhealth.xWhatxisxonexofxthexessentialxservicesxofxpublicxhealthxnursing?
a. Monitoringxhealthxstatusxbyxcompletingxaxcommunityxassessment
b. Diagnosingxandxinvestigatingxhealthxproblemsxinxthexworld
c. Informing,xeducating,xandxempoweringxpeoplexaboutxhealthxissues
d. Workingxinxlawxenforcementxtoxregulatexhealthxandxensurexsafety
xCORRECTxANSWER:xC
ThexPHNxmonitorsxhealthxstatusxinxseveralxways,xcompletingxaxcommunityxassessmentxisxon
lyxonexwayxthatxhealthxstatusxisxmonitored.xThexPHNxwouldxnotxdiagnosexorxsolvex―world‖xpro
blems,xorxworkxinxlawxenforcement.xRather,xthexPHNxwouldxparticipatexwithxlocalxregulators
xtoxprotect xcommunities xandxempower xpeoplextoxaddressxhealthxissues.
DIF: Cognitivexlevel:xUnderstanding
TOP:xNursingxprocess:xImplementationxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
5. AxpublicxhealthxdepartmentxisxusingxthexmissionxofxpublicxhealthxasxdescribedxbyxthexInstitute
ofxMedicinexwhenxplU
aintnsiR
nSgN
hxeaNIltxhTxpGxrogBra.mOxCminMg.xWhich
mostxlikelyxbeximplemented?
a. TrackingxavianxfluxoutbreaksxandxdoingxsurveillancexinxthexUnitedxStates
b. Providingxaxfluxshotxforxanxelderlyxpersonxatxthexhealthxdepartment
c. KeepingxtrackxofxalternativextherapiesxinxusexinxthexUnitedxStates
d. KeepingxsnakexantivenomxatxthexCentersxforxDiseasexControlxandxPreventionxinx
Atlanta
CORRECTxANSWER:xA
ThexInstitutexofxMedicine‘sxstatedxmissionxonxpublicxhealthxisx―toxgeneratexorganizedxcomm
unityxandxtechnicalxknowledgextoxpreventxdiseasexandxpromotexhealth.‖xTrackingxaviaxfluxou
tbreaksxandxdoingxsurveillancexappliesxthisxconceptxatxaxpopulationxlevel.xProvidingxaxfluxsh
otxforxanxelderlyxpersonxonlyxaddressesxindividualxcare.xKeepingxtrackxofxthexusexofxalternati
vextherapiesxdoesxnothingxtoxpreventxdiseasexorxpromotexhealthxofxthexpopulation.xKeepingx
snakexantivenomxisxaimedxatxdiseasexcarexforxanxindividual,xnotxhealthxpromotionxorxdiseasex
prevention.
DIF: Cognitivexlevel:xAnalyzing
TOP:xNursingxprocess:xAssessmentxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
6. Axpublicxhealthxdepartmentxmakesxsurexthatxthexessentialxcommunity-
orientedxhealthxservicesxarexavailablexinxthexcommunity.xWhichxofxthexfollowingxcorexpublicx
healthxfunctionsxisxbeingximplemented?
a. Policyxdevelopment
, b. Assessment
c. Assurance
d. Scientificxknowledge-
basedxcarexCORRECTxANSWER:xC
Assurancexfocusesxonxthexresponsibilityxofxpublicxhealthxagenciesxtoxensurexcertainxactivities
havexbeenxappropriatelyxcarriedxoutxtoxmeetxpublicxhealthxgoalsxandxplans.xPolicyxdevelop
mentxseeksxtoxbuildxconstituenciesxthatxcanxhelpxbringxaboutxchangexinxpublicxpolicyxAssess
mentxincludesxactivitiesxthatxinvolvexcollecting,xanalyzing,xandxdisseminatingxinformationxo
nxbothxthexhealthxstatusxandxthexhealth-
relatedxaspectsxofxaxcommunityxorxaxspecificxpopulation.xPublicxhealthxisxbasedxonxscientificx
knowledgexbutxisxnotxaxcorexfunction
DIF: Cognitivexlevel:xApplying
TOP:xNursingxprocess:xAssessmentxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
7. Whatxisxthexpurposexofxpublicxhealthxcorexfunctions?
a. Clarifyingxthexrolexofxthexgovernmentxinxfulfillingxthexmissionxofxpublicxhealth
b. Ensuringxthexsafetyxofxpopulationsxinxreceivingxqualityxhealthxcare
c. Providingxcommunity-
basedxindividualizedxcarextoxeveryxpersonxinxthexUnitedxStates
d. Unitingxpublicxandxprivatexprovidersxofxcarexinxaxcomprehensivexapproachxto
xprovidingxhealthxcare
CORRECTxANSWER:xA
AsxdefinedxbyxthexInstitutexofxMedicinexinxitsx1988xreportxThexFuturexofxPublicxHealth,xassess
ment,xpolicyxdevelopment,xandxassurancexarexcorexfunctionsxatxallxlevelsxofxgovernmentxforxt
hexpuNrpoofsRe clarIifyiGng xtBhe.gCoveMrnment‘sxrole.
UxSxNxTx O
DIF: Cognitivexlevel:xUnderstanding
TOP:xNursingxprocess:xAssessmentxMSC:xNCLEX:xHealthxPromotionx
andxMaintenance
8. Whichxofxthexfollowingxstatementsxaboutxpublicxhealthxisxaccurate?
a. Preventionxofxearlyxdeathsxcanxbexmorexeffectivelyxaccomplishedxbyxmedical
xtreatment xthanxbyxpublicxhealthxapproaches.
b. Expendituresxandxresourcesxforxpublicxhealthxhavexincreasedxinxrecentxyears.
c. Historically,xgainsxinxthexhealthxofxpopulationsxhavexbeenxrelatedxlargelyxtoxchanges
xinxsafety,xsanitation,xandxfoodxsafety.
d. Reformxofxthexmedicalxinsurancexsystemxisxthexsinglexchangexneededxtoximprovex
thexhealthxofxAmericans.
CORRECTxANSWER:xC
FieldingxandxTilsonxhavexassertedxthatxmostxofxthexincreasexinxlifexspanxhasxbeenxmadexthrou
ghximprovementsxinxsanitation,xcleanxwaterxsupplies,xmakingxworkplacesxsafer,ximprovingxf
oodxandxdrugxsafety,ximmunizingxchildren,xandximprovingxnutrition,xhygiene,
andxhousing.xMedicalxtreatmentxhasxnotxmadexasxsignificantxofxanximpactxonxthexlifexspanxasx
publicxhealthxmeasures.xFundingxforxpublicxhealthxinxrecentxyearsxhasxbeenxonxaxgradualxde
cline.xAlthoughxreformxofxthexmedicalxinsurancexsystemxmayxhelpximprovexthexhealthxofxA
mericans,xtherexarexmanyxotherxfactorsxthatxwillxneedxtoxbexaddressed.
DIF: Cognitivexlevel:xUnderstanding TOP:xNursingxprocess:xAssessment
