Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care in
the Community, 10th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the
improvement of the health of the American people in the
twenty-first century?
a. Bioterrorism and global
health
threats
b. Delivery of individual
care and
hygiene
c. The need for increased
hospital and acute care
d. Chronic disease and
disability
management
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally
induced infections, such as the avian flu. These threats will divert health care
funds and resources from other health care programs to be spent for public
safety. The others are not related to public health or are concerns that have
been present for many years.
DIF: Cognitive level: Understanding TOP: Nursing
process: Planning MSC: NCLEX: Health Promotion and
Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the
following best describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-
based programs.
b. This threat could cause the health care system to collapse.
c. The threat may divert funds from other public safety
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
health care programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public
safety health care programs. Because funds are diverted it is possible that
community-based programs would be eliminated, the health care system could
experience changes, and that there would be an increase in the need for shelter.
However, all the remaining options would happen because of the diversion of
funds.
DIF: Cognitive level: Analyzing TOP: Nursing process:
Diagnosis MSC: NCLEX: Physiological Integrity
3. Which statement describes the consequence of the successful implementation of
the Affordable Care Act?
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
c. Public health departments will need to increase the number of
nursing positions.
d. The prevalence of obesity will decrease.
ANS: B
One consequence of successful implementation of the Affordable Care Act
might be that the majority of the population would be covered by insurance
and public health agencies will not need to provide direct clinical services in
order to assure that those who need them can receive them. The Affordable
Care Act will not directly cause Americans to pay closer attention to their
health status or decrease the prevalence of obesity.
DIF: Cognitive level: Understanding TOP: Nursing
process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
4. The public health nurse (PHN) must participate in the essential services of public
health. What is one of the essential services of public health nursing?
a. Monitoring health status by completing a
community assessment
b. Diagnosing and investigating health problems in
the world
c. Informing, educating, and empowering people
about health issues
d. Working in law enforcement to regulate health and
ensure safety
ANS: C
The PHN monitors health status in several ways, completing a community
assessment is only one way that health status is monitored. The PHN would
not diagnose or solve “world” problems, or work in law enforcement. Rather,
the PHN would participate with local regulators to protect communities and
empower people to address health issues.
DIF: Cognitive level: Understanding TOP: Nursing
process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
5. A public health department is using the mission of public health as described by
the Institute of Medicine when planning its health programming. Which of the
following activities will most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the
United States
b. Providing a flu shot for an elderly person at the health
,Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
department
c. Keeping track of alternative therapies in use in the United
States
d. Keeping snake antivenom at the Centers for Disease Control
and Prevention in Atlanta
ANS: A
The Institute of Medicine’s stated mission on public health is “to generate
organized community and technical knowledge to prevent disease and promote
health.” Tracking avian flu outbreaks and doing surveillance applies this concept
at a population level. Providing a flu shot for an elderly person only addresses
individual care. Keeping track of the use of alternative therapies does nothing to
prevent disease or promote health of the population. Keeping snake antivenom is
aimed at disease care for an individual, not health promotion or disease
prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
MSC: NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-
oriented health services are available in the community. Which of the
following core public health functions is being implemented?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-
based care
ANS: C
Assurance focuses on the responsibility of public health agencies to ensure
certain activities have been appropriately carried out to meet public health
goals and plans. Policy development seeks to build constituencies that can help
bring about change in public policy. Assessment includes activities that involve
collecting, analyzing, and disseminating information on both the health status
and the health- related aspects of a community or a specific population. Public
health is based on scientific knowledge but is not a core function.
DIF: Cognitive level: Applying TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
7. What is the purpose of public health core functions?
a. Clarifying the role of the government in fulfilling the mission
of public health
b. Ensuring the safety of populations in receiving quality
health care
c. Providing community-based individualized care to every
person in the United
States
d. Uniting public and private providers of care in a
comprehensive approach to
providing health care
ANS: A
As defined by the Institute of Medicine in its 1988 report The Future of
Public Health, assessment, policy development, and assurance are core
functions at all levels of government for the purpose of clarifying the
government’s role.
DIF: Cognitive level: Understanding TOP: Nursing
process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care in
the Community, 10th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the
improvement of the health of the American people in the
twenty-first century?
a. Bioterrorism and global
health
threats
b. Delivery of individual
care and
hygiene
c. The need for increased
hospital and acute care
d. Chronic disease and
disability
management
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally
induced infections, such as the avian flu. These threats will divert health care
funds and resources from other health care programs to be spent for public
safety. The others are not related to public health or are concerns that have
been present for many years.
DIF: Cognitive level: Understanding TOP: Nursing
process: Planning MSC: NCLEX: Health Promotion and
Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the
following best describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-
based programs.
b. This threat could cause the health care system to collapse.
c. The threat may divert funds from other public safety
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
health care programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public
safety health care programs. Because funds are diverted it is possible that
community-based programs would be eliminated, the health care system could
experience changes, and that there would be an increase in the need for shelter.
However, all the remaining options would happen because of the diversion of
funds.
DIF: Cognitive level: Analyzing TOP: Nursing process:
Diagnosis MSC: NCLEX: Physiological Integrity
3. Which statement describes the consequence of the successful implementation of
the Affordable Care Act?
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
c. Public health departments will need to increase the number of
nursing positions.
d. The prevalence of obesity will decrease.
ANS: B
One consequence of successful implementation of the Affordable Care Act
might be that the majority of the population would be covered by insurance
and public health agencies will not need to provide direct clinical services in
order to assure that those who need them can receive them. The Affordable
Care Act will not directly cause Americans to pay closer attention to their
health status or decrease the prevalence of obesity.
DIF: Cognitive level: Understanding TOP: Nursing
process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
4. The public health nurse (PHN) must participate in the essential services of public
health. What is one of the essential services of public health nursing?
a. Monitoring health status by completing a
community assessment
b. Diagnosing and investigating health problems in
the world
c. Informing, educating, and empowering people
about health issues
d. Working in law enforcement to regulate health and
ensure safety
ANS: C
The PHN monitors health status in several ways, completing a community
assessment is only one way that health status is monitored. The PHN would
not diagnose or solve “world” problems, or work in law enforcement. Rather,
the PHN would participate with local regulators to protect communities and
empower people to address health issues.
DIF: Cognitive level: Understanding TOP: Nursing
process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
5. A public health department is using the mission of public health as described by
the Institute of Medicine when planning its health programming. Which of the
following activities will most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the
United States
b. Providing a flu shot for an elderly person at the health
,Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
department
c. Keeping track of alternative therapies in use in the United
States
d. Keeping snake antivenom at the Centers for Disease Control
and Prevention in Atlanta
ANS: A
The Institute of Medicine’s stated mission on public health is “to generate
organized community and technical knowledge to prevent disease and promote
health.” Tracking avian flu outbreaks and doing surveillance applies this concept
at a population level. Providing a flu shot for an elderly person only addresses
individual care. Keeping track of the use of alternative therapies does nothing to
prevent disease or promote health of the population. Keeping snake antivenom is
aimed at disease care for an individual, not health promotion or disease
prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
, Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
MSC: NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-
oriented health services are available in the community. Which of the
following core public health functions is being implemented?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-
based care
ANS: C
Assurance focuses on the responsibility of public health agencies to ensure
certain activities have been appropriately carried out to meet public health
goals and plans. Policy development seeks to build constituencies that can help
bring about change in public policy. Assessment includes activities that involve
collecting, analyzing, and disseminating information on both the health status
and the health- related aspects of a community or a specific population. Public
health is based on scientific knowledge but is not a core function.
DIF: Cognitive level: Applying TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
7. What is the purpose of public health core functions?
a. Clarifying the role of the government in fulfilling the mission
of public health
b. Ensuring the safety of populations in receiving quality
health care
c. Providing community-based individualized care to every
person in the United
States
d. Uniting public and private providers of care in a
comprehensive approach to
providing health care
ANS: A
As defined by the Institute of Medicine in its 1988 report The Future of
Public Health, assessment, policy development, and assurance are core
functions at all levels of government for the purpose of clarifying the
government’s role.
DIF: Cognitive level: Understanding TOP: Nursing
process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
