Chapter 01: Public Health Foundations and Population Health
b b b b b b b
Stanhope: Public Health Nursing: Population-
b b b b
Centered Health Care in the Community, 10thEdition
b b b b b b b
MULTIPLEb CHOICE
1. Whatbisbthebprimarybfocusbtobbebaddressed bconcerning bthebimprovementbofbt
hebhealthbofbthebAmericanbpeoplebinbthebtwenty-firstbcentury?
a. Bioterrorismbandbglobalbhealth
threats
b. Deliveryb ofb individualb careb and
hygiene
c. Thebneedbforbincreasedbhospitalb
andbacutebcare
d. Chronicbdiseasebandbdisability
management
ANS:b A
Therebarebnewbconcerns,bandbofbthebmostbseriousbarebbioterrorismbandbgloballybinducedbinfections,bsuchba
sbthebavianbflu.bThesebthreatsbwillbdivertbhealthbcarebfundsbandbresourcesbfrombotherbhealthbcarebprogram
sbtobbebspentbforbpublicbsafety.bThebothersbarebnotbrelatedbtobpublicbhealthborbarebconcernsbthatbhavebbeenb
presentbforbmanybyears.
DIF: Cognitiveblevel:bUnderstanding TOP:
Nursingbprocess:bPlanningbMSC:b NCLEX:bHealthbPromotionbandbMain
tenance
2. Abcommunitybisbconcernedbaboutbthebthreatbofbbioterrorism.bWhichbofbthebfollowingbbestbdescribesbthebb
asisbforbthisbconcern?
a. Bioterrorismbhasbthebpotentialbtobdissolvebcommunity-basedbprograms.
b. Thisbthreatbcouldbcausebthebhealthbcarebsystembtobcollapse.
c. Thebthreatbmaybdivertbfundsbfrombotherbpublicbsafetybhealthbcarebprograms.
d. Fearbofbbioterrorismbwillbincreasebthebneedbforbshelters.
ANS:b C
Bioterrorismbmaybhavebanbimpactbonbthebavailabilitybofbresourcesbforbpublicbsafetybhealthbcarebprograms
.bBecausebfundsbarebdiverted bitbisbpossiblebthatbcommunity-
basedbprogramsbwouldbbebeliminated,bthebhealthbcarebsystembcouldbexperiencebchanges,bandbthatbtherebw
ouldbbebanbincreasebinbthebneedb forb shelter.b However,b allb theb remainingb optionsb wouldb happenb becauseb ofbt
heb diversionb ofb funds.
DIF: Cognitiveblevel:bAnalyzing TOP:
Nursingb process:b DiagnosisbMSC:b NCLEX:bPhysiologicalbIntegrity
3. Whichb statementb describesb theb consequenceb ofb theb successfulb implementationb ofb theb Affordableb Careb
Act?
, PublicbHealthbNursingb10thbEditionbbybMarciabStanhopebTestbBank
a. Americansbwillbpaybcloserbattentionbtobtheirbhealthbstatus.
b. Mostb ofbtheb populationb willb beb coveredb byb healthb insurance.
c. Publicbhealthbdepartmentsbwillbneedbtobincreasebthebnumberbofbnursingbpositions.
d. Thebprevalencebofbobesitybwillbdecrease.
ANS:b B
Onebconsequencebofbsuccessfulbimplementation bofbthebAffordablebCarebActbmightbbebthatbthebmajoritybof
btheb populationb wouldb beb coveredb byb insuranceb andb publicb healthb agenciesb willb notb needb tob providebdirectb
clinicalbservicesbinborderbtobassurebthatbthosebwhobneedbthembcanbreceivebthem.bThebAffordablebCarebAc
tbwillbnotbdirectlybcausebAmericansbtobpaybcloserbattentionbtobtheirbhealthbstatusborbdecreasebthebprevalenc
ebofbobesity.
DIF: Cognitiveblevel:bUnderstanding TOP:
Nursingb process:b AssessmentbMSC:b NCLEX:bHealthbPromotionbandbMain
tenance
4. Thebpublicbhealthbnurseb(PHN)bmustbparticipatebinbthebessentialbservicesbofbpublicbhealth.bWhatbisbonebo
fbthebessentialbservicesbofbpublicbhealthbnursing?
a. Monitoringb healthb statusb byb completingb ab communityb assessment
b. Diagnosingb andb investigatingb healthb problemsb inb theb world
c. Informing,beducating,bandbempoweringbpeoplebaboutbhealthbissues
d. Workingbinblawbenforcementbtobregulatebhealthbandbensurebsafety
ANS:b C
ThebPHNbmonitorsbhealthbstatusbinbseveralbways,bcompletingbabcommunitybassessmentbisbonlybonebwaybt
hatbhealthbstatusbisbmonitored.bThebPHNbwouldbnotbdiagnoseborbsolveb“world”bproblems,borbworkbinbla
wbenforcement.bRather,bthebPHNbwouldbparticipatebwithblocalbregulatorsbtobprotectbcommunities bandbem
powerbpeoplebtobaddressbhealthbissues.
DIF: Cognitiveblevel:bUnderstanding TOP:
Nursingbprocess:bImplementationbMSC:b NCLEX:bHealthbPromotionbandbMaint
enance
5. AbpublicbhealthbdepartmentbisbusingbthebmissionbofbpublicbhealthbasbdescribedbbybthebInstitutebofbMedici
nebwhenbplanningbitsbhealthbprogramming.bWhichbofbthebfollowingbactivitiesbwillbmostblikelybbebimplem
ented?
a. TrackingbavianbfluboutbreaksbandbdoingbsurveillancebinbthebUnitedbStates
b. Providingbabflubshotbforbanbelderlybpersonbatbthebhealthbdepartment
c. KeepingbtrackbofbalternativebtherapiesbinbusebinbthebUnitedbStates
d. KeepingbsnakebantivenombatbthebCentersbforbDiseasebControlbandbPreventionbinbAtl
anta
ANS:b A
ThebInstitutebofbMedicine’sbstatedbmissionbonbpublicbhealthbisb“tobgenerateborganizedbcommunitybandbt
echnicalbknowledgebtobpreventbdiseasebandbpromotebhealth.”bTrackingbavianbfluboutbreaksbandbdoingbs
urveillancebappliesbthisbconceptbatbabpopulationblevel.bProvidingbabflubshotbforbanbelderlybpersonbonlybad
dressesbindividualbcare.bKeepingbtrackbofbthebusebofbalternativebtherapiesbdoesbnothingbtobpreventbdiseasebo
rbpromotebhealthbofbthebpopulation.bKeepingbsnakebantivenombisbaimedbatbdiseasebcarebforbanbindividual
,bnotbhealthbpromotionborbdiseasebprevention.
DIF: Cognitiveblevel:bAnalyzing TOP: Nursingbprocess:bAssessment
, PublicbHealthbNursingb10thbEditionbbybMarciabStanhopebTestbBank
MSC:b NCLEX:bHealthbPromotionbandbMaintenance
6. Ab publicb healthb departmentb makesb sureb thatb theb essentialb community-
orientedb healthb servicesb arebavailablebinbthebcommunity.bWhichbofbthebfollowingbcorebpublicbhealt
hbfunctionsbisbbeingbimplemented?
a. Policybdevelopment
b. Assessment
c. Assurance
d. Scientificb knowledge-basedb care
ANS:b C
Assurancebfocusesbonbthebresponsibility bofbpublicbhealthbagenciesbtobensurebcertainbactivitiesbhavebbeenba
ppropriatelybcarriedboutbtobmeetbpublicbhealthbgoalsbandbplans.bPolicybdevelopmentbseeksbtobbuildbconsti
tuenciesbthatbcanbhelpbbringbaboutbchangebinbpublicbpolicy.bAssessmentbincludesbactivitiesbthatbinvolvebc
ollecting,banalyzing,bandbdisseminating binformationbonbbothbthebhealthbstatusbandbthebhealth-
brelatedbaspects bofbabcommunity borbabspecific bpopulation. bPublic bhealth bis bbased bon bscientific bknowledgebb
utbisbnotbab corebfunction.
DIF: Cognitiveblevel:bApplying TOP:
Nursingb process:b AssessmentbMSC:b NCLEX:bHealthbPromotionbandbMain
tenance
7. Whatbisbthebpurposebofbpublicbhealthbcorebfunctions?
a. Clarifyingbthebrolebofbthebgovernmentbinbfulfillingbthebmissionbofbpublicbhealth
b. Ensuringbthebsafetybofbpopulationsbinbreceivingbqualitybhealthbcare
c. Providingbcommunity-basedbindividualized bcarebtobeverybpersonbinbthebUnited
States
d. Unitingbpublicbandbprivatebprovidersbofbcarebinbabcomprehensivebapproachbto
providingbhealthbcare
ANS:b A
AsbdefinedbbybthebInstitutebofbMedicinebinbitsb1988breportb ThebFuturebofbPublicbHealth,bassessment,bp
olicybdevelopment,bandbassurancebarebcorebfunctionsbatballblevelsbofbgovernmentbforbthebpurposebofbcl
arifyingbthebgovernment’sbrole.
DIF: Cognitiveblevel:bUnderstanding TOP:
Nursingb process:b AssessmentbMSC:b NCLEX:bHealthbPromotionbandbMain
tenance
8. Whichbofbthebfollowing bstatementsbaboutbpublicbhealthbisbaccurate?
a. Preventionbofbearlybdeathsbcanbbebmorebeffectivelybaccomplishedbbybmedical
treatmentbthanbbybpublicbhealthbapproaches.
b. Expendituresbandbresourcesbforbpublicbhealthbhavebincreasedbinbrecentb years.
c. Historically,bgainsbinbthebhealthbofbpopulationsbhavebbeenbrelatedblargelybtobchanges
inbsafety,bsanitation,bandbfoodbsafety.
d. Reformb ofb theb medicalb insuranceb systemb isb theb singleb changeb neededb tob improvebtheb
healthbofb Americans.
ANS:b C
, PublicbHealthbNursingb10thbEditionbbybMarciabStanhopebTestbBank
FieldingbandbTilsonbhavebassertedbthatbmostbofbthebincreasebinblifebspanbhasbbeenbmadebthroughbimprove
mentsbinbsanitation,bcleanbwaterbsupplies,bmakingbworkplacesbsafer,bimprovingbfoodbandbdrugbsafety,bim
munizingbchildren,bandbimprovingbnutrition,bhygiene,bandbhousing.bMedicalbtreatmentbhasbnotbmadebasbsi
gnificantbofbanbimpactbonbtheblifebspanbasbpublicbhealthbmeasures.bFundingbforbpublicbhealthbinbrecentbye
arsbhasbbeenbonbabgradualbdecline.bAlthoughbreformbofbthebmedicalbinsurancebsystembmaybhelpbimproveb
thebhealthbofbAmericans,btherebarebmanybotherbfactorsbthatb willbneedbtobbebaddressed.
DIF: Cognitiveblevel:bUnderstanding TOP:
Nursingb process:b AssessmentbMSC:b NCLEX:bSafebandbEffectivebCarebEnv
ironment:bManagementbofbCare
9. Ab publicb healthb nurseb (PHN)b collectsb datab andb monitorsb theb healthb statusb ofbtheb population.b Whichb ofbt
hebfollowingbcorebpublicbhealthbfunctionsbisbthebnursebaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policybdevelopment
ANS:b A
Assessmentbconsistsbofbsystematicbdatabcollectionbandbmonitoringbhealthbstatus.
Preventionbisbnotbabcorebfunction,bassurancebisbmakingbsurebessentialbservicesbarebavailable,bandbpolicybdevel
opmentbisbneededbtobprovidebleadershipbinbdevelopingbpolicies.
DIF: Cognitiveblevel:bApplying TOP:
Nursingb process:b AssessmentbMSC:b NCLEX:bHealthbPromotionbandbMain
tenance
10. Thebpublicbhealthbnurseb(PHN)bcomparesbthebratebofbteenagebpregnancybinbvariousbareasbofbthebcity.b
Whichbofbthebcorebfunctionsbofbpublicbhealthbisbthebnursebaddressing?
a. Assurance
b. Assessment
c. Prevention
d. Policybdevelopment
ANS:b B
Assessmentbrefersbtobsystematicbdatabcollection,bwhichbthisbnursebisbdoingbforbteenagebpregnancy.bPreventi
onbisbnotbabcorebfunction,bassurancebisbmakingbsurebessentialbservicesbarebavailable,bandbpolicybdevelopmentb
isbneededbtobprovidebleadershipbinbdevelopingbpolicies.
DIF: Cognitiveblevel:bApplying TOP:
Nursingb process:b AssessmentbMSC:b NCLEX:bHealthbPromotionbandbMain
tenance
11. Abpublicbhealthbnurseb(PHN)bdevelopsbandbimplementsblocalbpublicbhealthbpoliciesbthroughbpar
tnershipsbwithbagencies,borganizations,bandbconsumersbwithinbthebcommunity.bWhichbofbthebfoll
owingbcorebpublicbhealthbfunctionsbisbthebnursebaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policybdevelopment
ANS:b D