Test bank - public health nursing: Population-Centered Health Care in the Community 11th edition (Stanhope,2024), Latest Edition || All Chapters

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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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MULTIPLECHOICE j




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 j j j j


b. Delivery of individual care and hygiene j j j j j


c. The need for increased hospital and acute care
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d. Chronicdiseaseanddisabilitymanagement j j j j




CORRECT ANSWER: A j j



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 health
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or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning j j j j j


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. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms. j j j j j j j



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 willincrease the need for shelters.
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CORRECT ANSWER: C j j



Bioterrorism may have animpacton theavailability ofresourcesfor public safety health care j j j j j j j j j j j j j j


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 increase
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in the need for shelter. However, all the remaining options would happen becauseofthe
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diversionoffunds.
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DIF: Cognitive level: Analyzing j j TOP:Nursing process: Diagnosis
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MSC: NCLEX: Physiological Integrity
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3. Whichstatementdescribestheconsequenceofthesuccessfulimplementationofthe
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AffordableCareAct?
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a. Americanswillpaycloserattentiontotheirhealth status. j j j j j j j j


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 ofnursing positions.
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d. The prevalence of obesity will decrease.
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ANS: B
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, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe
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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 j j j j j


MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublic
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jhealth. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment j j j j j j j


b. Diagnosing and investigating health problems in the world j j j j j j j


c. Informing, educating, and empowering people about health issues j j j j j j j


d. Workinginlawenforcementtoregulate health andensuresafety j j j j j j j j j



jCORRECTANSWER:C j j



The PHN monitors health status in several ways, completing a community assessment is only
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jonewaythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve“world” problems,
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jor work in law enforcement. Rather, the PHN would participate with local regulators to protect
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jcommunities and empower people to address health issues. j j j j j j j




DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation j j j j j


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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ofMedicinewhenplU
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nSgN
heaNIlthTpGrogBra.mOCminMg.Which j j j j j j j j


most likely be implemented? j j j


a. Tracking avian flu outbreaks and doing surveillance in the United States j j j j j j j j j j


b. Providingaflushotforanelderlypersonatthehealthdepartment j j j j j j j j j j j


c. Keeping track of alternative therapies in use in the United States j j j j j j j j j j


d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin j j j j j j j j j j j


Atlanta j




CORRECT ANSWER: A j j



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 doesnothing topreventdisease or promote health ofthepopulation. Keeping snake
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antivenom isaimed at diseasecarefor anindividual, nothealth promotionor diseaseprevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment j j j j j


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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jare available in the community. Which of the following core public health functions isbeing
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jimplemented?
a. Policy development j

, b. Assessment
c. Assurance
d. Scientific knowledge-based care j j




CORRECTANSWER:C
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Assurance focuses on the responsibility ofpublic 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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seekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicy Assessment
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includesactivitiesthatinvolvecollecting,analyzing,anddisseminating information on both the
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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 j j j j j


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 j j j j j j j j j j j j


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


c. Providing community-basedindividualized care to everyperson in the United j j j j j j j j j


States
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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 j j


As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assessment,
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policy development, and assurance are core functions at all levels of government for the
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puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
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USNT j
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment j j j j j


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 j j j j j j j j j j


treatment than by public health approaches.
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b. Expendituresandresourcesforpublichealth haveincreasedinrecentyears. j j j j j j j j j j


c. Historically, gains in the health of populations have been related largely to changes in j j j j j j j j j j j j j


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 j j



FieldingandTilsonhaveassertedthatmostoftheincreaseinlifespanhasbeenmade through
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improvementsinsanitation,cleanwatersupplies,makingworkplacessafer, improving food and
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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 j j TOP: Nursing process: Assessment j j j