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Stuvia.comv-vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
TEST BANK v
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PUBLIC HEALTH NURSING
v v
:POPULATION CENTERED v v
HEALTH CARE IN THE CO
v v v v
MMUNITY 9TH EDITIONv
v
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Chapterv01:vCommunityvandvPrevention-Oriented,vPopulation-
FocusedvPractice:vThevFoundationvofvSpecializationvinvPublicvHealthvNursing
Stanhope:vPublicvHealthvNursing:vPopulation-
CenteredvHealthvCarevinvthevCommunity,v9thvEditionvMULTIPLEvCHOICE
1. OnevofvthevprimaryvfocusesvofvimprovingvthevhealthvofvthevAmericanvpeoplevinvthevtwenty-
firstvcenturyvisvtovaddress:
a. bioterrorismvandvglobalvhealthvthreats.
b. deliveryvofvindividualvcarevandvhygiene.
c. thevneedvforvincreasedvhospitalvandvacutevcare.
d. chronicvdiseasevandvdisabilityvmanagement.
ANS:v A
Therevarevnewvconcerns,vandvofvthevmostvseriousvarevbioterrorismvandvgloballyvinducedvinfections,vsuchvasvt
hevavianvflu.vThesevthreatsvwillvdivertvhealthvcarevfundsvandvresourcesvfromvothervhealthvcarevprogramsvtovb
evspentvforvpublicvsafety.vThevothersvarevnotvrelatedvtovpublicvhealthvorvarevconcernsvthatvhavevbeenvpresentv
forvmanyvyears.
DIF: Cognitivevlevel:vUnderstanding REF:vvvp.v5
TOP:v Nursingvprocess:vPlanningvMSC:v NCLEX:vHealthvPromotionvandvMaintenance
2. Avcommunityvisvconcernedvaboutvthevthreatvofvbioterrorism.vWhichvofvthevfollowingvbestvdescribesvthev
basisvforvthisvconcern?
a. Bioterrorismvhasvthevpotentialvtovdissolvev
community-basedvprograms.
b. Thisvthreatvcouldvcausevthevhealthvcarevsystemv
tovcollapse.
c. Thevthreatvofvbioterrorismvmayvdivertvfundsvfr
omvothervpublicvsafetyvhealthvcarevprograms.
d. Fearvofvbioterrorismvwillvincreasevthevneedvforv
shelters.
ANS:v C
Bioterrorismvmayvhavevanvimpactvonvthevavailabilityvofvresourcesvforvpublicvsafetyvhealthvcarevprograms.vBe
causevfundsvarevdivertedvitvisvpossiblevthatvcommunity-
basedvprogramsvwouldvbeveliminated,vthevhealthvcarevsystemvcouldvexperiencevchanges,vandvthatvtherevwouldv
bevanvincreasevinvthevneedvforvshelter.
However,vallvofvthesevthingsvwouldvhappenvbecausevofvthevdiversionvofvfunds.
DIF: Cognitivevlevel:vAnalyzing REF:vvvp.v5
TOP:v Nursingvprocess:vDiagnosisvMSC:v NCLEX:vPsychosocialvIntegrity
3. WhichvofvthevfollowingvdescribesvthevconsequencevofvthevsuccessfulvimplementationvofvthevAffordablev
CarevAct?
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a. Americansvwillvpayvcloservattentionvtovtheirv
healthvstatus.
b. Thevmajorityvofvthevpopulationvwillvbev
coveredvbyvinsurance.
c. Publicvhealthvdepartmentsvwillvneedvtovin
creasevthevnumbervofvnursingvpositions.
d. Thevprevalencevofvobesityvwillvdecrease.
ANS:v B
OnevconsequencevofvsuccessfulvimplementationvofvthevAffordablevCarevActvmightvactuallyvbevthatvthev
majorityvofvthevpopulationvwouldvbevcoveredvbyvinsurancevandvpublicvhealthvagenciesvwillvnotvneedvtovp
rovidevdirectvclinicalvservicesvinvordervtovassurevthatvthosevwhovneedvthemvcanvreceivevthem.vThevAffo
rdablevCarevActvwillvnotvdirectlyvcausevAmericansvtovpayvcloservattentionvtovtheirvhealthvstatusvorvdecre
asevthevprevalencevofvobesity.
DIF: Cognitivevlevel:vRemembering REF:v p.v5
TOP:v Nursingvprocess:vAssessment MSC:v NCLEX:vHealthvPromotionvandvMaintenance
4. Thevpublicvhealthvnursev(PHN)vmustvparticipatevinvthevessentialvservicesvofvpublicvhealth.vWhichvofvthevf
ollowingvmostvaccuratelyvdescribesvonevofvthevessentialvservicesvofvpublicvhealth?
a. Monitoringvhealthvstatusvbyvcompletingvav
communityvassessment
b. Diagnosingvandvinvestigatingvhealthvproblemsv
invthevworld
c. Informing,veducating,vandvempoweringvpeoplev
aboutvhealthvissues
d. Workingvinvlawvenforcementvtovregulatevhealthv
andvensurevsafety
ANS:v C
ThevPHNvmonitorsvhealthvstatusvinvseveralvways,vcompletingvavcommunityvassessmentvisvonlyvonevwayvtha
tvhealthvstatusvisvmonitored.vThevPHNvwouldvnotvdiagnosevorvsolvev“world”vproblems,vorvworkvinvlawvenfor
cement.vRather,vthevPHNvwouldvparticipatevwithvlocalvregulatorsvtovprotectvcommunitiesvandvempowervpeo
plevtovaddressvhealthvissues.
DIF: Cognitivevlevel:vUnderstanding REF:v p.v8v(HowvtovBox)
TOP:v Nursingvprocess:vImplementation MSC:v NCLEX:vHealthvPromotionvandvMaintenance
5. AvpublicvhealthvdepartmentvisvusingvthevmissionvofvpublicvhealthvasvdescribedvbyvthevInstitutevofvMedicinev
whenvplanningvitsvhealthvprogramming.vWhichvofvthevfollowingvactivitiesvwillvmostvlikelyvbevimplemente
d?
a. Trackingvavianvfluvoutbreaksvandvdoingv
surveillancevinvthevUnitedvStates
b. Providingvavfluvshotvforvanvelderlyvpersonvat
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thevhealthvdepartment
c. Keepingvtrackvofvalternativevtherapiesvinvusev
invthevUnitedvStates
d. KeepingvsnakevantivenomvatvthevCentersvforv
DiseasevControlvandvPreventionvinvAtlanta
ANS:v A
ThevInstitutevofvMedicine’svstatedvmissionvonvpublicvhealthvisv“tovgeneratevorganizedvcommunityvandvt
echnicalvknowledgevtovpreventvdiseasevandvpromotevhealth.”vTrackingvavianvfluvoutbreaksvandvdoingvs
urveillancevappliesvthisvconceptvatvavpopulationvlevel.vProvidingvavfluvshotvforvanvelderlyvpersonvonlyva
ddressesvindividualvcare.vKeepingvtrackvofvthevusevofvalternativevtherapiesvdoesvnothingvtovpreventvdise
asevorvpromotevhealthvofvthevpopulation.vKeepingvsnakevantivenomvisvaimedvatvdiseasevcarevforvanvindiv
idual,vnotvhealthvpromotionvorvdiseasevprevention.
DIF: Cognitivevlevel:vAnalyzing REF:v p.v6
TOP:v Nursingvprocess:vAssessment MSC:v NCLEX:vHealthvPromotionvandvMaintenance
6. Avpublicvhealthvdepartmentvmakesvsurevthatvthevessentialvcommunity-
orientedvhealthvservicesvarevavailablevinvthevcommunity.vWhichvofvthevfollowingvcorevpublicvhealthvfunction
svisvbeingvimplemented?
a. Policyvdevelopment
b. Assessment
c. Assurance
d. Scientificvknowledge-basedvcare
ANS:v C
Assurancevfocusesvonvthevresponsibilityvofvpublicvhealthvagenciesvtovensurevcertainvactivitiesvhavevbeenvap
propriatelyvcarriedvoutvtovmeetvpublicvhealthvgoalsvandvplans.vPolicyvdevelopmentvseeksvtovbuildvconstitue
nciesvthatvcanvhelpvbringvaboutvchangevinvpublicvpolicy.vAssessmentvincludesvactivitiesvthatvinvolvevcollect
ing,vanalyzing,vandvdisseminatingvinformationvonvbothvthevhealthvstatusvandvthevhealth-
vrelatedvaspectsvofvavcommunityvorvavspecificvpopulation.vPublicvhealthvisvbasedvonvscientificvknowledge,vbu
tvisvnotvavcorevfunction.
DIF: Cognitivevlevel:vApplying REF:v p.v14
TOP:v Nursingvprocess:vAssessment MSC:v NCLEX:vHealthvPromotionvandvMaintenance
7. Thevpurposevofvpublicvhealthvcorevfunctionsvisvto:
a. clarifyvthevrolevofvthevgovernmentvinvfu
lfillingvthevmissionvofvpublicvhealth.
b. ensurevthevsafetyvofvpopulationsvinvreceivingvqu
alityvhealthvcare.
c. providevcommunity-
basedvindividualizedvcarevtoveveryvpersonvinvthe
vUnitedvStates.
d. unitevpublicvandvprivatevprovidersvofvcarevinvav
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Stuvia.comv-vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
TEST BANK v
FOR
PUBLIC HEALTH NURSING
v v
:POPULATION CENTERED v v
HEALTH CARE IN THE CO
v v v v
MMUNITY 9TH EDITIONv
v
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Chapterv01:vCommunityvandvPrevention-Oriented,vPopulation-
FocusedvPractice:vThevFoundationvofvSpecializationvinvPublicvHealthvNursing
Stanhope:vPublicvHealthvNursing:vPopulation-
CenteredvHealthvCarevinvthevCommunity,v9thvEditionvMULTIPLEvCHOICE
1. OnevofvthevprimaryvfocusesvofvimprovingvthevhealthvofvthevAmericanvpeoplevinvthevtwenty-
firstvcenturyvisvtovaddress:
a. bioterrorismvandvglobalvhealthvthreats.
b. deliveryvofvindividualvcarevandvhygiene.
c. thevneedvforvincreasedvhospitalvandvacutevcare.
d. chronicvdiseasevandvdisabilityvmanagement.
ANS:v A
Therevarevnewvconcerns,vandvofvthevmostvseriousvarevbioterrorismvandvgloballyvinducedvinfections,vsuchvasvt
hevavianvflu.vThesevthreatsvwillvdivertvhealthvcarevfundsvandvresourcesvfromvothervhealthvcarevprogramsvtovb
evspentvforvpublicvsafety.vThevothersvarevnotvrelatedvtovpublicvhealthvorvarevconcernsvthatvhavevbeenvpresentv
forvmanyvyears.
DIF: Cognitivevlevel:vUnderstanding REF:vvvp.v5
TOP:v Nursingvprocess:vPlanningvMSC:v NCLEX:vHealthvPromotionvandvMaintenance
2. Avcommunityvisvconcernedvaboutvthevthreatvofvbioterrorism.vWhichvofvthevfollowingvbestvdescribesvthev
basisvforvthisvconcern?
a. Bioterrorismvhasvthevpotentialvtovdissolvev
community-basedvprograms.
b. Thisvthreatvcouldvcausevthevhealthvcarevsystemv
tovcollapse.
c. Thevthreatvofvbioterrorismvmayvdivertvfundsvfr
omvothervpublicvsafetyvhealthvcarevprograms.
d. Fearvofvbioterrorismvwillvincreasevthevneedvforv
shelters.
ANS:v C
Bioterrorismvmayvhavevanvimpactvonvthevavailabilityvofvresourcesvforvpublicvsafetyvhealthvcarevprograms.vBe
causevfundsvarevdivertedvitvisvpossiblevthatvcommunity-
basedvprogramsvwouldvbeveliminated,vthevhealthvcarevsystemvcouldvexperiencevchanges,vandvthatvtherevwouldv
bevanvincreasevinvthevneedvforvshelter.
However,vallvofvthesevthingsvwouldvhappenvbecausevofvthevdiversionvofvfunds.
DIF: Cognitivevlevel:vAnalyzing REF:vvvp.v5
TOP:v Nursingvprocess:vDiagnosisvMSC:v NCLEX:vPsychosocialvIntegrity
3. WhichvofvthevfollowingvdescribesvthevconsequencevofvthevsuccessfulvimplementationvofvthevAffordablev
CarevAct?
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a. Americansvwillvpayvcloservattentionvtovtheirv
healthvstatus.
b. Thevmajorityvofvthevpopulationvwillvbev
coveredvbyvinsurance.
c. Publicvhealthvdepartmentsvwillvneedvtovin
creasevthevnumbervofvnursingvpositions.
d. Thevprevalencevofvobesityvwillvdecrease.
ANS:v B
OnevconsequencevofvsuccessfulvimplementationvofvthevAffordablevCarevActvmightvactuallyvbevthatvthev
majorityvofvthevpopulationvwouldvbevcoveredvbyvinsurancevandvpublicvhealthvagenciesvwillvnotvneedvtovp
rovidevdirectvclinicalvservicesvinvordervtovassurevthatvthosevwhovneedvthemvcanvreceivevthem.vThevAffo
rdablevCarevActvwillvnotvdirectlyvcausevAmericansvtovpayvcloservattentionvtovtheirvhealthvstatusvorvdecre
asevthevprevalencevofvobesity.
DIF: Cognitivevlevel:vRemembering REF:v p.v5
TOP:v Nursingvprocess:vAssessment MSC:v NCLEX:vHealthvPromotionvandvMaintenance
4. Thevpublicvhealthvnursev(PHN)vmustvparticipatevinvthevessentialvservicesvofvpublicvhealth.vWhichvofvthevf
ollowingvmostvaccuratelyvdescribesvonevofvthevessentialvservicesvofvpublicvhealth?
a. Monitoringvhealthvstatusvbyvcompletingvav
communityvassessment
b. Diagnosingvandvinvestigatingvhealthvproblemsv
invthevworld
c. Informing,veducating,vandvempoweringvpeoplev
aboutvhealthvissues
d. Workingvinvlawvenforcementvtovregulatevhealthv
andvensurevsafety
ANS:v C
ThevPHNvmonitorsvhealthvstatusvinvseveralvways,vcompletingvavcommunityvassessmentvisvonlyvonevwayvtha
tvhealthvstatusvisvmonitored.vThevPHNvwouldvnotvdiagnosevorvsolvev“world”vproblems,vorvworkvinvlawvenfor
cement.vRather,vthevPHNvwouldvparticipatevwithvlocalvregulatorsvtovprotectvcommunitiesvandvempowervpeo
plevtovaddressvhealthvissues.
DIF: Cognitivevlevel:vUnderstanding REF:v p.v8v(HowvtovBox)
TOP:v Nursingvprocess:vImplementation MSC:v NCLEX:vHealthvPromotionvandvMaintenance
5. AvpublicvhealthvdepartmentvisvusingvthevmissionvofvpublicvhealthvasvdescribedvbyvthevInstitutevofvMedicinev
whenvplanningvitsvhealthvprogramming.vWhichvofvthevfollowingvactivitiesvwillvmostvlikelyvbevimplemente
d?
a. Trackingvavianvfluvoutbreaksvandvdoingv
surveillancevinvthevUnitedvStates
b. Providingvavfluvshotvforvanvelderlyvpersonvat
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thevhealthvdepartment
c. Keepingvtrackvofvalternativevtherapiesvinvusev
invthevUnitedvStates
d. KeepingvsnakevantivenomvatvthevCentersvforv
DiseasevControlvandvPreventionvinvAtlanta
ANS:v A
ThevInstitutevofvMedicine’svstatedvmissionvonvpublicvhealthvisv“tovgeneratevorganizedvcommunityvandvt
echnicalvknowledgevtovpreventvdiseasevandvpromotevhealth.”vTrackingvavianvfluvoutbreaksvandvdoingvs
urveillancevappliesvthisvconceptvatvavpopulationvlevel.vProvidingvavfluvshotvforvanvelderlyvpersonvonlyva
ddressesvindividualvcare.vKeepingvtrackvofvthevusevofvalternativevtherapiesvdoesvnothingvtovpreventvdise
asevorvpromotevhealthvofvthevpopulation.vKeepingvsnakevantivenomvisvaimedvatvdiseasevcarevforvanvindiv
idual,vnotvhealthvpromotionvorvdiseasevprevention.
DIF: Cognitivevlevel:vAnalyzing REF:v p.v6
TOP:v Nursingvprocess:vAssessment MSC:v NCLEX:vHealthvPromotionvandvMaintenance
6. Avpublicvhealthvdepartmentvmakesvsurevthatvthevessentialvcommunity-
orientedvhealthvservicesvarevavailablevinvthevcommunity.vWhichvofvthevfollowingvcorevpublicvhealthvfunction
svisvbeingvimplemented?
a. Policyvdevelopment
b. Assessment
c. Assurance
d. Scientificvknowledge-basedvcare
ANS:v C
Assurancevfocusesvonvthevresponsibilityvofvpublicvhealthvagenciesvtovensurevcertainvactivitiesvhavevbeenvap
propriatelyvcarriedvoutvtovmeetvpublicvhealthvgoalsvandvplans.vPolicyvdevelopmentvseeksvtovbuildvconstitue
nciesvthatvcanvhelpvbringvaboutvchangevinvpublicvpolicy.vAssessmentvincludesvactivitiesvthatvinvolvevcollect
ing,vanalyzing,vandvdisseminatingvinformationvonvbothvthevhealthvstatusvandvthevhealth-
vrelatedvaspectsvofvavcommunityvorvavspecificvpopulation.vPublicvhealthvisvbasedvonvscientificvknowledge,vbu
tvisvnotvavcorevfunction.
DIF: Cognitivevlevel:vApplying REF:v p.v14
TOP:v Nursingvprocess:vAssessment MSC:v NCLEX:vHealthvPromotionvandvMaintenance
7. Thevpurposevofvpublicvhealthvcorevfunctionsvisvto:
a. clarifyvthevrolevofvthevgovernmentvinvfu
lfillingvthevmissionvofvpublicvhealth.
b. ensurevthevsafetyvofvpopulationsvinvreceivingvqu
alityvhealthvcare.
c. providevcommunity-
basedvindividualizedvcarevtoveveryvpersonvinvthe
vUnitedvStates.
d. unitevpublicvandvprivatevprovidersvofvcarevinvav
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