Public Health Nursing: Population-Centered Health Care in the Community, 11th Edition by Marcia Stanhope & Jeanette Lancaster | Latest 2025/2026 Updated Test Bank

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PublicHealth Nursing
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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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MULTIPLE CHOICE 2
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1. What is the primary focus to be addressed concerning the improvement of the health of the
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American people in the twenty-first century?
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a. Bioterrorism and global health threats 2m 2m 2m 2m




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




c. The need for increased hospital and acute care
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d. Chronic disease and disability management 2m 2m 2m 2m




CORRECT ANSWER: A 2m 2m




There are new concerns, and of the most serious are bioterrorism and globally induced
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infections, such as the avian flu. These threats will divert health care funds and resources from
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other health care programs to be spent for public safety. The others are not related to public
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health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning 2m 2m 2
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MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best
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describesthebasisforthisconcern?
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a. Bioterrorismhasthe potentialtodissolve community-based programs. 2m 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. Fear of bioterrorism will increase the need for shelters.
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CORRECT ANSWER: C 2m 2m




Bioterrorism may have an impact on the availability of resources for public safety health care 2m 2m 2m 2m 2m 2m 2
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programs. Because funds are diverted it is possible that community-based programs would be
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eliminated, the health care system could experience changes, and that there woul be an
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increase in the need for shelter. However, all the remaining options would happen becauseof
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thediversionoffunds.
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DIF: Cognitive level: Analyzing 2m 2m TOP: Nursing process: Diagnosis 2m 2m 2
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MSC: NCLEX: Physiological Integrity
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3. Which statement describes the consequence of the successful implementation of the
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AffordableCareAct?
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a. Americans will pay closer attention totheir health status. 2m 2m 2m 2m 2m 2m 2m 2m




b. Most of the population will be covered by health insurance.
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c. Public health departments will need to increase the number of nursing positions.
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d. The prevalence of obesity will decrease.
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ANS: B
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, Oneconsequence of successful implementation of the Affordable Care Act might be that the
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majority of the population would be covered by insurance and public health agencies will not
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need to provide direct clinical services in order to assure that those who need them can receive
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them. The Affordable Care Act will not directly cause Americans to pay closer attention to their
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health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment 2m 2m 2
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MSC: NCLEX: Health Promotion and Maintenance
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4. The public health NURSE(PHN) must participate in the essential services of public
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2mhealth. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment 2m 2m 2m 2m 2m 2m 2m




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




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




d. Working in law enforcement toregulate health andensuresafety 2m 2m 2m 2m 2m 2m 2m 2m 2m




2mCORRECTANSWER:C 2
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The PHN monitors health status in several ways, completing a community assessment is only
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2
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or work in law enforcement. Rather, the PHN would participate with local regulators to protect
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communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation 2m 2m 2
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MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is using the mission of public health as described by the Institute
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ofMedicine when plUaintnsiR
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most likely be implemented? 2m 2
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a. Tracking avian flu outbreaks and doing surveillance in the United States 2m 2m 2m 2m 2m 2m 2m 2m 2m 2m




b. Providing aflu shot for an elderly person atthe health department 2
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c. Keeping track of alternative therapies in use in the United States 2m 2m 2m 2m 2m 2m 2m 2m 2m 2m




d. Keeping snake antivenom at theCenters for Disease Control and Prevention in
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CORRECT ANSWER: A 2m 2m




The Institute of Medicine’s stated mission on public health is “to generate organized
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community and technical knowledge to prevent disease and promote health.” Tracking avia flu
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outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
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for an elderly person only addresses individual care. Keeping track of the use of alternative
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therapies does nothing to prevent disease or promote health of the population. Keeping snake
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antivenom is aimed at disease care for an individual, not health promotion or disease
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prevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment 2m 2m 2
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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 in the community. Which of the following core public health functions isbeing
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a. Policy development 2m

, b. Assessment
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CORRECTANSWER:C
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Assurance focuses on the responsibility of public health agencies to ensure certain activities
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have been appropriately carried out to meet public health goals and plans. Policy development
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seeks to build constituencies that can help bring about change in public policy Assessment
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includes activities that involve collecting, analyzing, and disseminating information on both
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the health status and the health-related aspects of a community or a specific population. Public
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health is based on scientific knowledge but is not a core function
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment 2m 2m 2
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MSC: NCLEX: Health Promotion and Maintenance
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7. What is the purpose of public health core functions?
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a. Clarifying the role of the government in fulfilling the mission of public health 2m 2m 2m 2m 2m 2m 2m 2m 2m 2m 2m 2m




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




c. Providing community-based individualized careto every person in the United 2m 2m 2m 2m 2m 2m 2m 2m 2m




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d. Uniting public and private providers of care in a comprehensive approach to
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providinghealthcare
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CORRECT ANSWER: A 2m 2m




As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
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assessment, policy development, and assurance are core functions at all levels of government
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for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
USNT
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DIF: O
Cognitive level: Understanding TOP:Nursingprocess:Assessment 2m 2m
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MSC: NCLEX: Health Promotion and Maintenance
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8. Which of the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medical 2m 2m 2m 2m 2m 2m 2m 2m 2m 2m




treatment than by public health approaches.
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b. Expenditures and resources for public health have increased in recent years. 2m 2m 2m 2m 2m 2m 2m 2m 2m 2m




c. Historically, gains in the health of populations have been related largely to changes in 2
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safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve the
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healthofAmericans.
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CORRECT ANSWER: C 2m 2m




Fielding and Tilson have asserted that most of the increase in life span has been made through
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improvements in sanitation, clean water supplies, making workplaces safer, improving food
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and drug safety, immunizing children, and improving nutrition, hygiene,
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and housing. Medical treatment has not made as significant of an impact on the life span as public
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health measures. Funding for public health in recent years has been on a gradual decline.
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Although reform of the medical insurance system may help improve the health of Americans,
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there are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding 2m 2m TOP: Nursing process: Assessment 2m 2m 2m