PUBLIC HEALTH NURSING: POPULATION
CENTERED HEALTH CARE IN THE COMMUNITY
,Chapter 01: Public Health Foundations And Population Health
Stanhope: Public Health NURSING: Population-Centered Health Care In
The Community, 11th 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:
Planningmsc: 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 Causenthuer
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c. The Threat May Divert Funds From Other Public Safety 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:
Diagnosismsc: NCLEX: Physiological Integrity
3. Which Statement Describes The Consequence Of The Successful Implementation
Of The Affordable Care Act?
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:
Assessmentmsc: 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:
Implementationmsc: 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 Planningnits rheai
lth Pgrogbra.Mcminmg. Which Of The Following
U S N T
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 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:
Assessmentmsc: 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:
Assessmentmsc: 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 Purposenof r
clari
ifyig
ng Tbhe.Gcovemrnment’s Role.
DIF: Cognitive Level: Understanding TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
8. Which Of The Following Statements About Public Health Is Accurate?
a. Prevention Of Early Deaths Can Be More Effectively Accomplished By
Medical Treatment Than By Public Health Approaches.
b. Expenditures And Resources For Public Health Have Increased In Recent Years.
c. Historically, Gains In The Health Of Populations Have Been Related Largely To
Changes In Safety, Sanitation, And Food Safety.
d. Reform Of The Medical Insurance System Is The Single Change Needed To
Improve The Health Of Americans.
ANS: C
Fielding And Tilson Have Asserted That Most Of The Increase In Life Span Has Been
Made Through Improvements In Sanitation, Clean Water Supplies, Making Workplaces
Safer, Improving Food And Drug Safety, Immunizing Children, And Improving Nutrition,
Hygiene, And Housing. Medical Treatment Has Not Made As Significant Of An Impact On
The Life Span As Public Health Measures. Funding For Public Health In Recent Years Has
Been On A Gradual Decline. Although Reform Of The Medical Insurance System May
Help Improve The Health Of Americans, There Are Many Other Factors That Will Need
To Be Addressed.
DIF: Cognitive Level: Understanding TOP: NURSING Process: Assessment
, MSC: NCLEX: Safe And Effective Care Environment: Management Of Care
9. A Public Health Nurse (PHN) Collects Data And Monitors The Health Status Of The
Population. Which Of The Following Core Public Health Functions Is The Nurse
Addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy Development
ANS: A
Assessment Consists Of Systematic Data Collection And Monitoring Health Status.
Prevention Is Not A Core Function, Assurance Is Making Sure Essential Services Are
Available, And Policy Development Is Needed To Provide Leadership In Developing
Policies.
DIF: Cognitive Level: Applying TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
10. The Public Health Nurse (PHN) Compares The Rate Of Teenage Pregnancy In Various
Areas Of The City. Which Of The Core Functions Of Public Health Is The Nurse
Addressing?
a. Assurance
b. Assessment
c. Prevention
d. Policy Development
ANS: B
Assessment Refers To Systematic Data Collection, Which This Nurse Is Doing For Teenage
Pregnancy. Prevention Is Not A Core Function, Assurance Is Making Sure Essential
Services Are
N R I G B.C
Available, And Policy Developumenst Isnneetded To O
p rovide Leadership In Developing Policies.
DIF: Cognitive Level: Applying TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
11. A Public Health Nurse (PHN) Develops And Implements Local Public Health Policies
Through Partnerships With Agencies, Organizations, And Consumers Within The
Community. Which Of The Following Core Public Health Functions Is The Nurse
Addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy Development
ANS: D
Policy Development Deals With Developing And Implementing Health Policies. Prevention
Is Not A Core Function, Assurance Is Making Sure Essential Services Are Available, And
Assessment Refers To Systematic Data Collection.
DIF: Cognitive Level: Applying TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
,12. A Nurse Provides For The Availability Of Essential Personal Health Services For
People Who Would Otherwise Not Receive Health Care. Which Of The Public Health
Core Functions Is The Nurse Addressing
a. Assessment
b. Prevention
c. Assurance
d. Policy Development
ANS: C
Assurance Deals With The Availability Of Health Services. Prevention Is Not A Core Function,
Assessment Refers To Systematic Data Collection, And Policy Development Refers To The
Need To Provide Leadership In Developing Health Policies.
DIF: Cognitive Level: Applying TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
13. The Nurse Manager Makes Sure That The Staff Members Who Work In A Local Clinic
Are Competent In Their Job Responsibilities. Which Of The Public Health Core
Functions Is Being Demonstrated?
a. Assurance
b. Assessment
c. Prevention
d. Policy Development
ANS: A
Assurance Refers To Making Sure A Competent Health Care Workforce Is Available.
Prevention Is Not A Core Function, Assessment Refers To Systematic Data Collection,
And Policy
N R I G B.C
Development Refers To The Neeud T osp r onv i dte Leadeo
rship In Developing Health Policies.
DIF: Cognitive Level: Applying TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
14. Which Intervention Is The Nurse Most Likely To Implement When Addressing One
Of The Primary Goals Of Public Health?
a. Ensuring That A Newly Diagnosed 40-Year-Old Hypertensive Man
Takes His Medication
b. Finding Home Care For A 70-Year-Old Client Recuperating From A Hip Replacement
c. Conducting An Infant Car Seat Safety Check
d. Contacting A Local Hospice To Admit A Terminally Ill 60-Year-Old Woman
ANS: C
The Correct Answer Is Concerned With The Health Of Many People, While The Other
Answers Address Individual Interventions. According To The Core Functions Project, All
Levels Of Health Care, Including Population-Based Public Health Care, Must Be Funded
Or The Goal Of Health Of Populations May Never Be Reached.
DIF: Cognitive Level: Analyzing TOP: NURSING Process:
Assessmentmsc: NCLEX: Safe And Effective Care Environment: Management
Of Care
,15. A Community Health Nurse Collects Data About The Number And Proportion Of Persons
Aged 25 Or Older With Less Than A High School Education. Which Term Best Describes
This Type Of Data?
a. Sociodemographic Characteristics
b. Health Status Data
c. Health Risk Factors
d. Health Care Resource Consumption Information
ANS: A
The Number And Proportion Of People Is A Sociodemographic Characteristic. Health
Status Includes Birth And Death Rates. Health Risk Factors Discuss Proportions Of
Populations Who Have Particular Health Conditions Or Health Risks. Health Care Resource
Consumption Refers To Spending On Health Care Per Capita.
DIF: Cognitive Level: Understanding TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
16. The Public Health Nurse (PHN) Analyzes Data Related To The Number And Type Of
United States Environmental Protection Agency Air Quality Standards That A Community
Failed To Meet. This Data Is An Example Of Using Which Community Health Profile
Indicator?
a. Sociodemographic Characteristics
b. Health Status
c. Health Risk Factor
d. Functional Status
ANS: C
Health Risk Factors Discuss Proportions Of Populations Who Have Particular Health
Conditions Or Health Risks; Breathing Air Of Poor Quality Is A Risk To Health. The
Number And Proportion
N R I G B.C
Of People Is A Sociodemograpu hic s
chan
ractt
eristic. O
h ealth Status Includes Birth And Death Rates.
Functional Status Refers To Reports Of Good Health Status By Members Of The Population.
DIF: Cognitive Level: Understanding TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
17. A Nurse Is Implementing Quality Performance Standards In A Public Health
Department. Which Statement Best Describes The Importance Of This Action?
a. Quality Performance Standards Are Used To Guide Improvement In The Public
Health System.
b. Quality Performance Standards Rigidly Control Public Health.
c. Quality Performance Standards Guide Administrators To Monitor Public Health
At The National Level.
d. Quality Performance Standards Can Be Used As Hiring Guidelines For Nurses.
ANS: A
These Standards Were Developed By The Centers For Disease Control And Prevention In
1998. They Set The Bar For The Level Of Performance That Is Necessary To Deliver
Essential Public Health Services (Phss). These Standards Were Developed Around The 10
Essential Phss. They Focus On The Overall Public Health System Rather Than On Single
Organizations And Describe An Optimal Level Of Performance. They Are Intended To
Support A Process Of Quality Improvement. State And Local Communities Can Assess
Their Performance Using Certain Available Tools. They Are Not Meant To Control Public
Health Or Be Used For Hiring Guidelines.
, DIF: Cognitive Level: Understanding TOP: NURSING Process:
Implementationmsc: NCLEX: Safe And Effective Care Environment: Management
Of Care
18. To Better Address Emerging Public Health Issues, A Public Health Nurse (PHN) Plans
To Complete Continuing Education In This Area. Which Content Areas Should Be
Included In The Course That Is Chosen?
a. Leadership
b. Ethics
c. Communication
d. Finance
ANS: B
Public Health Workers Should Be Educated In Eight Content Areas To Be Able To Address
Emerging Public Health Issues And Advances In Science And Policy: (1) Informatics, (2)
Genomics, (3) Cultural Competence, (4) Community-Based Participatory Research, (5)
Policy,
(6) Law, (7) Global Health, And (8) Ethics.
DIF: Cognitive Level: Understanding TOP: NURSING Process:
Planningmsc: NCLEX: Safe And Effective Care Environment: Management
Of Care
19. The Public Health Workforce Should Demonstrate Competency In Which Of The
Following Competency Categories?
a. Financial Planning And Management
b. Workforce Needs Assessment
c. Acute Care Services
d. Curriculum
Developmen ntursingtb.COM ANS: A
Workforce Needs Assessment, Acute Care Services, And Curriculum Developments Are
Not Considered Categories Of Core Competencies Of Public Health. Rather There Are
Eight Categories Of Competency, Which Include: (1) Analytic/Assessment, (2) Policy
Development/Program Planning, (3) Communication, (4) Cultural Competence, (5)
Community Dimensions Of Practice, (6) Basic Public Health Sciences, (7) Financial
Planning And Management, And (8) Leadership And Systems Thinking.
DIF: Cognitive Level: Understanding TOP: NURSING Process:
Assessmentmsc: NCLEX: Health Promotion And Maintenance
20. Why Is Public Health NURSING Considered A NURSING Specialty?
a. It Has A Distinct Focus And Scope Of Practice.
b. It Requires A Master’s Degree In NURSING.
c. It Is Focused On Disadvantaged Citizens.
d. It Performs Interventions At The Acute Care Level.
ANS: A
Public Health NURSING Has A Distinct Focus And Requires A Special Knowledge Base. The
Otheranswers Are Not Characteristics Of A Specialty.
DIF: Cognitive Level: Understanding TOP: NURSING Process: Assessment