Test Bank 11th Edition
@!#############Stanhope Publi c Healt h Nu rsin g 11t h Edi tion, Po pulat ion-Cente red Heal th Care i n the Commu nity, c ommun ity heal th nu rsi ng st udy gu ide, pub lic hea lth n ursing exam review, popu latio n focu sed ca re nu rsin g, com munity n ursing concep ts, pu bli c healt h nu rsi ng textbook 11th e ditio n, nu rsi ng comm uni ty health exam prep, po pulat ion hea lth n ursing ____ ___ ___ ____ ___ ___ ____ ___ ___ _
, Chapter 01: Public Health Foundations and Population Health
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the
American people in the twenty-first century?
a. Bioterrorism and global health threats
b. Delivery of individual care and hygiene
c. The need for increased hospital and acute care
d. Chronic disease and disability management
CORRECT ANSWER: A
There are new concerns, and of the most serious are bioterrorism and globally induced
infections, such as the avian flu. These threats will divert health care funds and resources from
other health care programs to be spent for public safety. The others are not related to public
health or are concerns that have been present for many years.
DIF: Cognitive level: Understanding TOP: Nursing process: Planning MSC: NCLEX:
Health Promotion and Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could cause the healthcare system to c
c. The threat may divert funds from other public safety health care programs.
d. Fear of bioterrorism will increase the need for shelters.
CORRECT ANSWER: C
Bioterrorism may have an impact on the availability of resources for public safety health care
programs. Because funds are diverted it is possible that community-based programs would be
eliminated, the health care system could experience changes, and that there woul be an
increase in the need for shelter. However, all the remaining options would happen because of
the diversion of funds.
DIF: Cognitive level: Analyzing TOP: Nursing process: Diagnosis MSC: NCLEX:
Physiological Integrity
3. Which statement describes the consequence of the successful implementation of the
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
c. Public health departments will need to increase the number of nursing positions.
d. The prevalence of obesity will decrease. ANS: B
@!#############Stanhope Publi c Healt h Nu rsin g 11t h Edi tion, Po pulat ion-Cente red Heal th Care i n the Commu nity, c ommun ity heal th nu rsi ng st udy gu ide, pub lic hea lth n ursing exam review, popu latio n focu sed ca re nu rsin g, com munity n ursing concep ts, pu bli c healt h nu rsi ng textbook 11th e ditio n, nu rsi ng comm uni ty health exam prep, po pulat ion hea lth n ursing ____ ___ ___ ____ ___ ___ ____ ___ ___ _
, One consequence of successful implementation of the Affordable Care Act might be that the
majority of the population would be covered by insurance and public health agencies will not
need to provide direct clinical services in order to assure that those who need them can
receive them. The Affordable Care Act will not directly cause Americans to pay closer attention
to their health status or decrease the prevalence of obesity.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
4. The public health NURSE (PHN) must participate in the essential services of public health. What
is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
b. Diagnosing and investigating health problems in the world
c. Informing, educating, and empowering people about health issues
d. Working in law enforcement to regulate health and ensure safety CORRECT ANSWER:
C
The PHN monitors health status in several ways, completing a community assessment is only
one way that health status is monitored. The PHN would not diagnose or solve “world”
problems, or work in law enforcement. Rather, the PHN would participate with local regulators
to protect communities and empower people to address health issues.
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation MSC:
NCLEX: Health Promotion and Maintenance
5. A public health department is using the mission of public health as described by the Institute
of Medicine when plU
aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which
most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the United States
b. Providing a flu shot for an elderly person at the health department
c. Keeping track of alternative therapies in use in the United States
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in Atlanta
CORRECT ANSWER: A
The Institute of Medicine’s stated mission on public health is “to generate organized
community and technical knowledge to prevent disease and promote health.” Tracking avia flu
outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
for an elderly person only addresses individual care. Keeping track of the use of alternative
therapies does nothing to prevent disease or promote health of the population. Keeping snake
antivenom is aimed at disease care for an individual, not health promotion or disease
prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-oriented health services
are available in the community. Which of the following core public health functions is being
implemented?
a. Policy development
@!#############Stanhope Publi c Healt h Nu rsin g 11t h Edi tion, Po pulat ion-Cente red Heal th Care i n the Commu nity, c ommun ity heal th nu rsi ng st udy gu ide, pub lic hea lth n ursing exam review, popu latio n focu sed ca re nu rsin g, com munity n ursing concep ts, pu bli c healt h nu rsi ng textbook 11th e ditio n, nu rsi ng comm uni ty health exam prep, po pulat ion hea lth n ursing ____ ___ ___ ____ ___ ___ ____ ___ ___ _
, b. Assessment
c. Assurance
d. Scientific knowledge-based care CORRECT ANSWER: C
Assurance focuses on the responsibility of public health agencies to ensure certain activities
have been appropriately carried out to meet public health goals and plans. Policy development
seeks to build constituencies that can help bring about change in public policy Assessment
includes activities that involve collecting, analyzing, and disseminating information on both the
health status and the health-related aspects of a community or a specific population. Public
health is based on scientific knowledge but is not a core function
DIF: Cognitive level: Applying TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
7. What is the purpose of public health core functions?
a. Clarifying the role of the government in fulfilling the mission of public health
b. Ensuring the safety of populations in receiving quality health care
c. Providing community-based individualized care to every person in the United States
d. Uniting public and private providers of care in a comprehensive approach to providing
health care
CORRECT ANSWER: A
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
assessment, policy development, and assurance are core functions at all levels of government
for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
U S N T O
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
8. Which of the following statements about public health is accurate?
a. Prevention of early deaths can be more effectively accomplished by medical treatment than
by public health approaches.
b. Expenditures and resources for public health have increased in recent years.
c. Historically, gains in the health of populations have been related largely to changes in
safety, sanitation, and food safety.
d. Reform of the medical insurance system is the single change needed to improve the health
of Americans.
CORRECT ANSWER: C
Fielding and Tilson have asserted that most of the increase in life span has been made through
improvements in sanitation, clean water supplies, making workplaces safer, improving food
and drug safety, immunizing children, and improving nutrition, hygiene,
and housing. Medical treatment has not made as significant of an impact on the life span as
public health measures. Funding for public health in recent years has been on a gradual
decline. Although reform of the medical insurance system may help improve the health of
Americans, there are many other factors that will need to be addressed.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
@!#############Stanhope Publi c Healt h Nu rsin g 11t h Edi tion, Po pulat ion-Cente red Heal th Care i n the Commu nity, c ommun ity heal th nu rsi ng st udy gu ide, pub lic hea lth n ursing exam review, popu latio n focu sed ca re nu rsin g, com munity n ursing concep ts, pu bli c healt h nu rsi ng textbook 11th e ditio n, nu rsi ng comm uni ty health exam prep, po pulat ion hea lth n ursing ____ ___ ___ ____ ___ ___ ____ ___ ___ _
@!#############Stanhope Publi c Healt h Nu rsin g 11t h Edi tion, Po pulat ion-Cente red Heal th Care i n the Commu nity, c ommun ity heal th nu rsi ng st udy gu ide, pub lic hea lth n ursing exam review, popu latio n focu sed ca re nu rsin g, com munity n ursing concep ts, pu bli c healt h nu rsi ng textbook 11th e ditio n, nu rsi ng comm uni ty health exam prep, po pulat ion hea lth n ursing ____ ___ ___ ____ ___ ___ ____ ___ ___ _
, Chapter 01: Public Health Foundations and Population Health
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the
American people in the twenty-first century?
a. Bioterrorism and global health threats
b. Delivery of individual care and hygiene
c. The need for increased hospital and acute care
d. Chronic disease and disability management
CORRECT ANSWER: A
There are new concerns, and of the most serious are bioterrorism and globally induced
infections, such as the avian flu. These threats will divert health care funds and resources from
other health care programs to be spent for public safety. The others are not related to public
health or are concerns that have been present for many years.
DIF: Cognitive level: Understanding TOP: Nursing process: Planning MSC: NCLEX:
Health Promotion and Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could cause the healthcare system to c
c. The threat may divert funds from other public safety health care programs.
d. Fear of bioterrorism will increase the need for shelters.
CORRECT ANSWER: C
Bioterrorism may have an impact on the availability of resources for public safety health care
programs. Because funds are diverted it is possible that community-based programs would be
eliminated, the health care system could experience changes, and that there woul be an
increase in the need for shelter. However, all the remaining options would happen because of
the diversion of funds.
DIF: Cognitive level: Analyzing TOP: Nursing process: Diagnosis MSC: NCLEX:
Physiological Integrity
3. Which statement describes the consequence of the successful implementation of the
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
c. Public health departments will need to increase the number of nursing positions.
d. The prevalence of obesity will decrease. ANS: B
@!#############Stanhope Publi c Healt h Nu rsin g 11t h Edi tion, Po pulat ion-Cente red Heal th Care i n the Commu nity, c ommun ity heal th nu rsi ng st udy gu ide, pub lic hea lth n ursing exam review, popu latio n focu sed ca re nu rsin g, com munity n ursing concep ts, pu bli c healt h nu rsi ng textbook 11th e ditio n, nu rsi ng comm uni ty health exam prep, po pulat ion hea lth n ursing ____ ___ ___ ____ ___ ___ ____ ___ ___ _
, One consequence of successful implementation of the Affordable Care Act might be that the
majority of the population would be covered by insurance and public health agencies will not
need to provide direct clinical services in order to assure that those who need them can
receive them. The Affordable Care Act will not directly cause Americans to pay closer attention
to their health status or decrease the prevalence of obesity.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
4. The public health NURSE (PHN) must participate in the essential services of public health. What
is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
b. Diagnosing and investigating health problems in the world
c. Informing, educating, and empowering people about health issues
d. Working in law enforcement to regulate health and ensure safety CORRECT ANSWER:
C
The PHN monitors health status in several ways, completing a community assessment is only
one way that health status is monitored. The PHN would not diagnose or solve “world”
problems, or work in law enforcement. Rather, the PHN would participate with local regulators
to protect communities and empower people to address health issues.
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation MSC:
NCLEX: Health Promotion and Maintenance
5. A public health department is using the mission of public health as described by the Institute
of Medicine when plU
aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which
most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the United States
b. Providing a flu shot for an elderly person at the health department
c. Keeping track of alternative therapies in use in the United States
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in Atlanta
CORRECT ANSWER: A
The Institute of Medicine’s stated mission on public health is “to generate organized
community and technical knowledge to prevent disease and promote health.” Tracking avia flu
outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
for an elderly person only addresses individual care. Keeping track of the use of alternative
therapies does nothing to prevent disease or promote health of the population. Keeping snake
antivenom is aimed at disease care for an individual, not health promotion or disease
prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-oriented health services
are available in the community. Which of the following core public health functions is being
implemented?
a. Policy development
@!#############Stanhope Publi c Healt h Nu rsin g 11t h Edi tion, Po pulat ion-Cente red Heal th Care i n the Commu nity, c ommun ity heal th nu rsi ng st udy gu ide, pub lic hea lth n ursing exam review, popu latio n focu sed ca re nu rsin g, com munity n ursing concep ts, pu bli c healt h nu rsi ng textbook 11th e ditio n, nu rsi ng comm uni ty health exam prep, po pulat ion hea lth n ursing ____ ___ ___ ____ ___ ___ ____ ___ ___ _
, b. Assessment
c. Assurance
d. Scientific knowledge-based care CORRECT ANSWER: C
Assurance focuses on the responsibility of public health agencies to ensure certain activities
have been appropriately carried out to meet public health goals and plans. Policy development
seeks to build constituencies that can help bring about change in public policy Assessment
includes activities that involve collecting, analyzing, and disseminating information on both the
health status and the health-related aspects of a community or a specific population. Public
health is based on scientific knowledge but is not a core function
DIF: Cognitive level: Applying TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
7. What is the purpose of public health core functions?
a. Clarifying the role of the government in fulfilling the mission of public health
b. Ensuring the safety of populations in receiving quality health care
c. Providing community-based individualized care to every person in the United States
d. Uniting public and private providers of care in a comprehensive approach to providing
health care
CORRECT ANSWER: A
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
assessment, policy development, and assurance are core functions at all levels of government
for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
U S N T O
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment MSC:
NCLEX: Health Promotion and Maintenance
8. Which of the following statements about public health is accurate?
a. Prevention of early deaths can be more effectively accomplished by medical treatment than
by public health approaches.
b. Expenditures and resources for public health have increased in recent years.
c. Historically, gains in the health of populations have been related largely to changes in
safety, sanitation, and food safety.
d. Reform of the medical insurance system is the single change needed to improve the health
of Americans.
CORRECT ANSWER: C
Fielding and Tilson have asserted that most of the increase in life span has been made through
improvements in sanitation, clean water supplies, making workplaces safer, improving food
and drug safety, immunizing children, and improving nutrition, hygiene,
and housing. Medical treatment has not made as significant of an impact on the life span as
public health measures. Funding for public health in recent years has been on a gradual
decline. Although reform of the medical insurance system may help improve the health of
Americans, there are many other factors that will need to be addressed.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
@!#############Stanhope Publi c Healt h Nu rsin g 11t h Edi tion, Po pulat ion-Cente red Heal th Care i n the Commu nity, c ommun ity heal th nu rsi ng st udy gu ide, pub lic hea lth n ursing exam review, popu latio n focu sed ca re nu rsin g, com munity n ursing concep ts, pu bli c healt h nu rsi ng textbook 11th e ditio n, nu rsi ng comm uni ty health exam prep, po pulat ion hea lth n ursing ____ ___ ___ ____ ___ ___ ____ ___ ___ _
