Test Bank For Public Health Nursing 11th Edition (Stanhope, 2025), All Chapters.

TestBank- 2
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PublicHealthNursing
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: Population-Centered Health Care in
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the Community
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byMarciaStanhopeandJeanetteLancaster
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11thEdition
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,Chapter01:PublicHealthFoundationsandPopulationHealth
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Stanhope:PublicHealthNursing:Population-CenteredHealthCareinthe Community,
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11thEdition
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MULTIPLECHOICE 2
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1. Whatistheprimaryfocustobeaddressedconcerningtheimprovementofthehealthofthe
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American people in the twenty-first century?
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a. Bioterrorism and global health threats 2j 2j 2j 2j




b. Delivery of individual care and hygiene 2j 2j 2j 2j 2j




c. Theneedforincreasedhospitalandacutecare
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d. Chronicdiseaseanddisabilitymanagement 2
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CORRECT ANSWER: A 2j 2j




Therearenewconcerns,andofthemostseriousarebioterrorismandgloballyinduced
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infections,suchastheavianflu.Thesethreatswilldiverthealthcarefundsandresources from
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otherhealthcareprogramstobespentforpublicsafety.Theothersarenotrelatedto publichealth
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or areconcernsthathavebeenpresentformanyyears.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning 2j 2j 2
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MSC: NCLEX: Health Promotion and Maintenance
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2. Acommunityisconcernedaboutthethreat ofbioterrorism.Whichofthefollowingbest
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describesthebasisforthisconcern?
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a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms. 2
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b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
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c. The threat may divert funds from other public safety health care programs.
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d. Fearofbioterrorismwillincreasetheneedforshelters.
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CORRECT ANSWER: C 2j 2j




Bioterrorismmayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealth care 2
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programs.Becausefundsarediverteditispossiblethatcommunity-basedprograms wouldbe
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eliminated,thehealthcaresystemcouldexperiencechanges,andthattherewoul beanincrease
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intheneedforshelter.However,alltheremainingoptionswouldhappen becauseofthe
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diversionoffunds.
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DIF: Cognitive level: Analyzing 2j 2j TOP:Nursingprocess:Diagnosis 2
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MSC: NCLEX: Physiological Integrity
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3. Whichstatementdescribestheconsequenceofthesuccessfulimplementationofthe
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AffordableCareAct?
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a. Americanswillpaycloserattentiontotheirhealthstatus. 2
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b. Mostofthepopulationwillbecoveredbyhealthinsurance.2
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c. Publichealthdepartmentswillneedtoincreasethenumberofnursingpositions.
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d. Theprevalenceofobesitywill decrease. 2j 2
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ANS:B
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, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe
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majorityofthepopulation wouldbecoveredby insurance andpublichealthagencieswill notneed
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toprovidedirectclinicalservices inorder toassurethatthosewhoneedthemcan receive them.
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TheAffordableCare Actwillnot directlycauseAmericans topay closer attentiontotheirhealth
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statusor decreasetheprevalenceof obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment 2j 2j 2
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MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublic
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health.What is oneoftheessentialservicesof public healthnursing?
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a. Monitoringhealthstatusbycompletingacommunityassessment 2j 2j 2j 2j 2j 2j 2j




b. Diagnosing and investigating health problems in the world 2j 2j 2j 2j 2j 2j 2j




c. Informing, educating, and empowering people about health issues 2j 2j 2j 2j 2j 2j 2j




d. Workinginlawenforcementtoregulatehealthandensuresafety j
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CORRECTANSWER:C
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ThePHNmonitorshealthstatusinseveralways,completingacommunityassessment is onlyone
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jwaythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve“world” problems, or
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work in lawenforcement.Rather,thePHNwouldparticipatewithlocal regulators toprotect
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communities andempower people toaddress health issues.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation 2j 2j 2
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MSC: NCLEX: Health Promotion and Maintenance
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5. ApublichealthdepartmentisusingthemissionofpublichealthasdescribedbytheInstitute
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ofMedicinewhenplUaintnsiR
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heaNIlthTpGrogBra.mOCminMg.Which 2
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mostlikelybeimplemented? 2
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a. Tracking avian flu outbreaks and doing surveillance in the United States 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j




b. Providingaflushotforanelderlypersonatthehealthdepartment 2
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c. Keepingtrackofalternativetherapies inuseintheUnitedStates 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j




d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin 2
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Atlanta 2j




CORRECT ANSWER: A 2j 2j




TheInstitute ofMedicine’s statedmission on public health is“togenerate organized community
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andtechnicalknowledgetopreventdisease andpromotehealth.”Trackingavia fluoutbreaksand
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doingsurveillanceappliesthisconceptatapopulation level.Providinga flushotforanelderly
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persononlyaddressesindividualcare.Keepingtrackoftheuseof alternativetherapiesdoes
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nothingtopreventdiseaseorpromotehealthofthepopulation. Keepingsnakeantivenomis
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aimedatdiseasecareforanindividual,nothealthpromotionor diseaseprevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment 2j 2j 2
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MSC: NCLEX: Health Promotion and Maintenance
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6. Apublichealthdepartment makessurethattheessentialcommunity-orientedhealth services
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jareavailableinthecommunity.Whichofthefollowingcorepublichealthfunctions isbeing
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, b. Assessment
c. Assurance
d. Scientificknowledge-basedcare 2j 2j




CORRECTANSWER:C
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Assurancefocusesontheresponsibilityofpublichealthagenciestoensurecertainactivities
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havebeenappropriatelycarriedouttomeetpublichealthgoalsandplans.Policy development
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seekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicy Assessment
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includesactivitiesthatinvolvecollecting,analyzing,anddisseminating informationonboththe
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healthstatusandthehealth-relatedaspectsofacommunityora specificpopulation.Public
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healthisbasedonscientificknowledgebutisnotacorefunction
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment 2j 2j 2
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MSC: NCLEX: Health Promotion and Maintenance
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7. Whatisthepurposeofpublichealthcorefunctions?
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a. Clarifyingtherole ofthe government infulfillingthemission ofpublichealth 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j




b. Ensuring the safety of populations in receiving quality health care 2j 2j 2j 2j 2j 2j 2j 2j 2j




c. Providingcommunity-basedindividualizedcaretoeverypersonintheUnited 2
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d. Unitingpublicandprivateprovidersofcareinacomprehensiveapproachto
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providinghealthcare
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CORRECT ANSWER: A 2j 2j




Asdefinedby theInstitute ofMedicine in its1988report The Future of Public Health, assessment,
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policy development,andassurancearecorefunctions atalllevels of governmentforthe
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puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’srole.
USNT
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DIF: O
Cognitive level: Understanding
TOP:Nursingprocess:Assessment 2j 2j
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MSC: NCLEX: Health Promotion and Maintenance
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8. Whichofthefollowingstatementsaboutpublichealthisaccurate?
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a. Prevention of earlydeathscan be moreeffectively accomplishedby medical 2j 2j 2j 2j 2j 2j 2j 2j 2j 2j




treatment than by public health approaches.
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b. Expendituresandresourcesforpublichealthhaveincreasedinrecentyears. 2
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c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochanges in 2
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safety,sanitation, andfoodsafety.
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d. Reformofthemedicalinsurancesystemisthesinglechangeneededtoimprove the
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healthofAmericans.
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CORRECT ANSWER: C 2j 2j




FieldingandTilsonhaveassertedthatmostoftheincreaseinlifespanhasbeenmade through
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improvementsinsanitation,cleanwatersupplies,makingworkplacessafer, improving food and
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drug safety, immunizing children, and improving nutrition, hygiene,
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andhousing.Medicaltreatmenthasnotmadeassignificantofanimpact onthelifespanas public
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healthmeasures.Fundingforpublichealthinrecentyearshasbeenonagradual decline.
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Althoughreformofthemedicalinsurancesystemmayhelpimprovethehealthof Americans,
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therearemany otherfactorsthatwillneedtobeaddressed.
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DIF: Cognitive level: Understanding 2j 2j TOP: Nursing process: Assessment 2j 2j 2j