r r r r r rr
LATION CENTERED HEALTH CARE IN
r r r r r
THE COMMUNITY 10TH EDITION STANHOPE--
r r r r
2025-2026
r
,Chapter 01: Public Health Foundations and Population Health
r r r r r r r
Stanhope: Public Health Nursing: Population-
r r r r
Centered Health Care in the Community, 10th Edition
r r r r r r r
MULTIPLErCHOICE
1. WhatrisrtherprimaryrfocusrtorberaddressedrconcerningrtherimprovementrofrtherhealthrofrtherAmericanrp
eoplerinrthertwenty-firstrcentury?
a. Bioterrorismrandrglobalrhealthrthreats
b. Deliveryrofrindividualrcarerandrhygiene
c. Therneedrforrincreasedrhospitalrandracutercare
d. Chronicrdiseaserandrdisabilityrmanagement
ANS:r A
Thererarernewrconcerns,randrofrthermostrseriousrarerbioterrorismrandrgloballyrinducedrinfections,rsuchra
srtheravianrflu.rTheserthreatsrwillrdivertrhealthrcarerfundsrandrresourcesrfromrotherrhealthrcarerprogramsrt
orberspentrforrpublicrsafety.rTherothersrarernotrrelatedrtorpublicrhealthrorrarerconcernsrthatrhaverbeenrprese
ntrforrmanyryears.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rPlanningrMSC:r NCLEX:rHealthrPromotionrandrMaintenance
2. Arcommunityrisrconcernedraboutrtherthreatrofrbioterrorism.rWhichrofrtherfollowingrbestrdescribesrt
herbasisrforrthisrconcern?
a. Bioterrorismrhasrtherpotentialrtordissolvercommunity-basedrprograms.
b. ThisrthreatrcouldrcauseN eR
thU eaI
hS lthNcGaT
reBsy.sC mMtorcollapse.
teO
c. Therthreatrmayrdivertrfundsrfromrotherrpublicrsafetyrhealthrcarerprograms.
d. Fearrofrbioterrorismrwillrincreasertherneedrforrshelters.
ANS:r C
Bioterrorismrmayrhaveranrimpactronrtheravailabilityrofrresourcesrforrpublicrsafetyrhealthrcarerprograms.r
Becauserfundsrarerdivertedritrisrpossiblerthatrcommunity-
basedrprogramsrwouldrbereliminated,rtherhealthrcarersystemrcouldrexperiencerchanges,randrthatrthererwo
uldrberanrincreaserinrtherneedrforrshelter.rHowever,rallrtherremainingroptionsrwouldrhappenrbecauserofrt
herdiversionrofrfunds.
DIF: Cognitiverlevel:rAnalyzing TOP:
Nursingrprocess:rDiagnosisrMSC:r NCLEX:rPhysiologicalrIntegrity
3. WhichrstatementrdescribesrtherconsequencerofrthersuccessfulrimplementationrofrtherAffordabl
erCarerAct?
a. Americansrwillrpayrcloserrattentionrtortheirrhealthrstatus.
b. Mostrofrtherpopulationrwillrbercoveredrbyrhealthrinsurance.
c. Publicrhealthrdepartmentsrwillrneedrtorincreaserthernumberrofrnursingrpositions.
d. Therprevalencerofrobesityrwillrdecrease.rAN
S:r B
, OnerconsequencerofrsuccessfulrimplementationrofrtherAffordablerCarerActrmightrberthatrtherma
jorityrofrtherpopulationrwouldrbercoveredrbyrinsurancerandrpublicrhealthragenciesrwillrnotrneedrt
orproviderdirectrclinicalrservicesrinrorderrtorassurerthatrthoserwhorneedrthemrcanrreceiverthem.rT
herAffordablerCarerActrwillrnotrdirectlyrcauserAmericansrtorpayrcloserrattentionrtortheirrhealthrs
tatusrorrdecreasertherprevalencerofrobesity.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
4. Therpublicrhealthrnurser(PHN)rmustrparticipaterinrtheressentialrservicesrofrpublicrhealth.rWh
atrisronerofrtheressentialrservicesrofrpublicrhealthrnursing?
a. Monitoringrhealthrstatusrbyrcompletingrarcommunityrassessment
b. Diagnosingrandrinvestigatingrhealthrproblemsrinrtherworld
c. Informing,reducating,randrempoweringrpeopleraboutrhealthrissues
d. Workingrinrlawrenforcementrtorregulaterhealthrandrensurersafety
ANS:r C
TherPHNrmonitorsrhealthrstatusrinrseveralrways,rcompletingrarcommunityrassessmentrisronlyro
nerwayrthatrhealthrstatusrisrmonitored.rTherPHNrwouldrnotrdiagnoserorrsolver“world”rproblems,r
orrworkrinrlawrenforcement.rRather,rtherPHNrwouldrparticipaterwithrlocalrregulatorsrtorprotectr
communitiesrandrempowerrpeoplertoraddressrhealthrissues.
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rImplementationrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
5. ArpublicrhealthrdepartmentrisrusingrthermissionrofrpublicrhealthrasrdescribedrbyrtherInstituterofr
MedicinerwhenrplanningNits RheaI lth rpGrogB
ra.mCminMg.rWhichrofrtherfollowingractivitiesrwillrmostr
likelyrberimplemented?
U rSrNrT
a. TrackingravianrfluroutbreaksrandrdoingrsurveillancerinrtherUnitedrStates
b. Providingrarflurshotrforranrelderlyrpersonratrtherhealthrdepartment
c. KeepingrtrackrofralternativertherapiesrinruserinrtherUnitedrStates
d. KeepingrsnakerantivenomratrtherCentersrforrDiseaserControlrandrPreventionrinrAtl
anta
ANS:r A
TherInstituterofrMedicine’srstatedrmissionronrpublicrhealthrisr“torgeneraterorganizedrcommunity
randrtechnicalrknowledgertorpreventrdiseaserandrpromoterhealth.”rTrackingravianrfluroutbreaksra
ndrdoingrsurveillancerappliesrthisrconceptratrarpopulationrlevel.rProvidingrarflurshotrforranrelderl
yrpersonronlyraddressesrindividualrcare.rKeepingrtrackrofrtheruserofralternativertherapiesrdoesrno
thingrtorpreventrdiseaserorrpromoterhealthrofrtherpopulation.
Keepingrsnakerantivenomrisraimedratrdiseasercarerforranrindividual,rnotrhealthrpromotionrorrdise
aserprevention.
DIF: Cognitiverlevel:rAnalyzing TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
6. Arpublicrhealthrdepartmentrmakesrsurerthatrtheressentialrcommunity-
orientedrhealthr servicesrareravailablerinrthercommunity.rWhichrofrtherfollowingrcorerpublicrheal
thrfunctionsrisrbeingrimplemented?
a. Policyrdevelopment
, b. Assessment
c. Assurance
d. Scientificrknowledge-basedrcare
ANS:r C
Assurancerfocusesronrtherresponsibilityrofrpublicrhealthragenciesrtorensurercertainractivitiesrhav
erbeenrappropriatelyrcarriedroutrtormeetrpublicrhealthrgoalsrandrplans.rPolicyrdevelopmentrseeks
rtorbuildrconstituenciesrthatrcanrhelprbringraboutrchangerinrpublicrpolicy.rAssessmentrincludesra
ctivitiesrthatrinvolvercollecting,ranalyzing,randrdisseminatingrinformationronrbothrtherhealthrstat
usrandrtherhealth-
relatedraspectsrofrarcommunityrorrarspecificrpopulation.rPublicrhealthrisrbasedronrscientificrknow
ledgerbutrisrnotrarcorerfunction.
DIF: Cognitiverlevel:rApplying TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMainte
nance
7. Whatrisrtherpurposerofrpublicrhealthrcorerfunctions?
a. Clarifyingrtherrolerofrthergovernmentrinrfulfillingrthermissionrofrpublicrhealth
b. Ensuringrthersafetyrofrpopulationsrinrreceivingrqualityrhealthrcare
c. Providingrcommunity-
basedrindividualizedrcarertoreveryrpersonrinrtherUnitedrStates
d. Unitingrpublicrandrprivaterprovidersrofrcarerinrarcomprehensiverapproachrtorpr
ovidingrhealthrcare
ANS:r A
AsrdefinedrbyrtherInstituterofrMedicinerinritsr1988rreportrTherFuturerofrPublicrHealth,rassess
ment,rpolicyrdevelopment,randrassurancerarercorerfunctionsratrallrlevelsrofrgovernmentrforrtherpu
rposeNof R
clarIifyiG
ngrtBhe.gCoveMrnment’s rrole.
USNT
r r r O
DIF: Cognitiverlevel:rUnderstanding TOP:
Nursingrprocess:rAssessmentrMSC:r NCLEX:rHealthrPromotionrandrMaint
enance
8. Whichrofrtherfollowingrstatementsraboutrpublicrhealthrisraccurate?
a. Preventionrofrearlyrdeathsrcanrbermorereffectivelyraccomplishedrbyrmedicalrtre
atmentrthanrbyrpublicrhealthrapproaches.
b. Expendituresrandrresourcesrforrpublicrhealthrhaverincreasedrinrrecentryears.
c. Historically,rgainsrinrtherhealthrofrpopulationsrhaverbeenrrelatedrlargelyrtorchangesrinrs
afety,rsanitation,randrfoodrsafety.
d. Reformrofrthermedicalrinsurancersystemrisrthersinglerchangerneededrtorimproverther
healthrofrAmericans.
ANS:r C
FieldingrandrTilsonrhaverassertedrthatrmostrofrtherincreaserinrliferspanrhasrbeenrmaderthroughri
mprovementsrinrsanitation,rcleanrwaterrsupplies,rmakingrworkplacesrsafer,rimprovingrfoodran
drdrugrsafety,rimmunizingrchildren,randrimprovingrnutrition,rhygiene,randrhousing.rMedicalrtr
eatmentrhasrnotrmaderasrsignificantrofranrimpactronrtherliferspanrasrpublicrhealthrmeasures.rFun
dingrforrpublicrhealthrinrrecentryearsrhasrbeenronrargradualrdecline.rAlthoughrreformrofrtherme
dicalrinsurancersystemrmayrhelprimprovertherhealthrofrAmericans,rthererarermanyrotherrfactor
srthatrwillrneedrtorberaddressed.
DIF: Cognitiverlevel:rUnderstanding TOP: Nursingrprocess:rAssessment