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TEST BANK p
FOR
PUBLIC HEALTH NURSING
p p
:POPULATION CENTERED p p
HEALTH CARE IN THE CO
p p p p
MMUNITY 9TH EDITION
p
p
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Chapterp01:pCommunitypandpPrevention-Oriented,pPopulation-
FocusedpPractice:pThepFoundationpofpSpecializationpinpPublicpHealthpNursing
Stanhope:pPublicpHealthpNursing:pPopulation-
CenteredpHealthpCarepinpthepCommunity,p9thpEditionpMULTIPLEpCHOICE
1. OnepofpthepprimarypfocusespofpimprovingpthephealthpofpthepAmericanppeoplepinptheptwenty-
firstpcenturypisptopaddress:
a. bioterrorismpandpglobalphealthpthreats.
b. deliverypofpindividualpcarepandphygiene.
c. thepneedpforpincreasedphospitalpandpacutepcare.
d. chronicpdiseasepandpdisabilitypmanagement.
ANS:p A
Thereparepnewpconcerns,pandpofpthepmostpseriousparepbioterrorismpandpgloballypinducedpinfections,psuchpaspt
hepavianpflu.pThesepthreatspwillpdivertphealthpcarepfundspandpresourcespfrompotherphealthpcarepprogramsptopb
epspentpforppublicpsafety.pThepothersparepnotprelatedptoppublicphealthporparepconcernspthatphavepbeenppresentp
forpmanypyears.
DIF: Cognitiveplevel:pUnderstanding REF:pppp.p5
TOP:p Nursingpprocess:pPlanningpMSC:p NCLEX:pHealthpPromotionpandpMaintenance
2. Apcommunitypispconcernedpaboutpthepthreatpofpbioterrorism.pWhichpofpthepfollowingpbestpdescribespthep
basispforpthispconcern?
a. Bioterrorismphasptheppotentialptopdissolvep
community-basedpprograms.
b. Thispthreatpcouldpcausepthephealthpcarepsystemp
topcollapse.
c. Thepthreatpofpbioterrorismpmaypdivertpfundspfr
ompotherppublicpsafetyphealthpcarepprograms.
d. Fearpofpbioterrorismpwillpincreasepthepneedpforp
shelters.
ANS:p C
Bioterrorismpmayphavepanpimpactponpthepavailabilitypofpresourcespforppublicpsafetyphealthpcarepprograms.pBe
causepfundsparepdivertedpitpisppossiblepthatpcommunity-
basedpprogramspwouldpbepeliminated,pthephealthpcarepsystempcouldpexperiencepchanges,pandpthatptherepwouldp
bepanpincreasepinpthepneedpforpshelter.
However,pallpofpthesepthingspwouldphappenpbecausepofpthepdiversionpofpfunds.
DIF: Cognitiveplevel:pAnalyzing REF:pppp.p5
TOP:p Nursingpprocess:pDiagnosispMSC:p NCLEX:pPsychosocialpIntegrity
3. WhichpofpthepfollowingpdescribespthepconsequencepofpthepsuccessfulpimplementationpofpthepAffordablep
CarepAct?
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a. Americanspwillppaypcloserpattentionptoptheirp
healthpstatus.
b. Thepmajoritypofptheppopulationpwillpbep
coveredpbypinsurance.
c. Publicphealthpdepartmentspwillpneedptopin
creasepthepnumberpofpnursingppositions.
d. Thepprevalencepofpobesitypwillpdecrease.
ANS:p B
OnepconsequencepofpsuccessfulpimplementationpofpthepAffordablepCarepActpmightpactuallypbepthatpthep
majoritypofptheppopulationpwouldpbepcoveredpbypinsurancepandppublicphealthpagenciespwillpnotpneedptopp
rovidepdirectpclinicalpservicespinporderptopassurepthatpthosepwhopneedpthempcanpreceivepthem.pThepAffo
rdablepCarepActpwillpnotpdirectlypcausepAmericansptoppaypcloserpattentionptoptheirphealthpstatusporpdecre
asepthepprevalencepofpobesity.
DIF: Cognitiveplevel:pRemembering REF:p p.p5
TOP:p Nursingpprocess:pAssessment MSC:p NCLEX:pHealthpPromotionpandpMaintenance
4. Theppublicphealthpnursep(PHN)pmustpparticipatepinpthepessentialpservicespofppublicphealth.pWhichpofpthepf
ollowingpmostpaccuratelypdescribesponepofpthepessentialpservicespofppublicphealth?
a. Monitoringphealthpstatuspbypcompletingpap
communitypassessment
b. Diagnosingpandpinvestigatingphealthpproblemsp
inpthepworld
c. Informing,peducating,pandpempoweringppeoplep
aboutphealthpissues
d. Workingpinplawpenforcementptopregulatephealthp
andpensurepsafety
ANS:p C
ThepPHNpmonitorsphealthpstatuspinpseveralpways,pcompletingpapcommunitypassessmentpisponlyponepwayptha
tphealthpstatuspispmonitored.pThepPHNpwouldpnotpdiagnoseporpsolvep“world”pproblems,porpworkpinplawpenfor
cement.pRather,pthepPHNpwouldpparticipatepwithplocalpregulatorsptopprotectpcommunitiespandpempowerppeo
pleptopaddressphealthpissues.
DIF: Cognitiveplevel:pUnderstanding REF:p p.p8p(HowptopBox)
TOP:p Nursingpprocess:pImplementation MSC:p NCLEX:pHealthpPromotionpandpMaintenance
5. AppublicphealthpdepartmentpispusingpthepmissionpofppublicphealthpaspdescribedpbypthepInstitutepofpMedicinep
whenpplanningpitsphealthpprogramming.pWhichpofpthepfollowingpactivitiespwillpmostplikelypbepimplemente
d?
a. Trackingpavianpflupoutbreakspandpdoingp
surveillancepinpthepUnitedpStates
b. Providingpapflupshotpforpanpelderlyppersonpat
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thephealthpdepartment
c. Keepingptrackpofpalternativeptherapiespinpusep
inpthepUnitedpStates
d. KeepingpsnakepantivenompatpthepCenterspforp
DiseasepControlpandpPreventionpinpAtlanta
ANS:p A
ThepInstitutepofpMedicine’spstatedpmissionponppublicphealthpisp“topgenerateporganizedpcommunitypandpt
echnicalpknowledgeptoppreventpdiseasepandppromotephealth.”pTrackingpavianpflupoutbreakspandpdoingps
urveillancepappliespthispconceptpatpappopulationplevel.pProvidingpapflupshotpforpanpelderlyppersonponlypa
ddressespindividualpcare.pKeepingptrackpofpthepusepofpalternativeptherapiespdoespnothingptoppreventpdise
aseporppromotephealthpofptheppopulation.pKeepingpsnakepantivenompispaimedpatpdiseasepcarepforpanpindiv
idual,pnotphealthppromotionporpdiseasepprevention.
DIF: Cognitiveplevel:pAnalyzing REF:p p.p6
TOP:p Nursingpprocess:pAssessment MSC:p NCLEX:pHealthpPromotionpandpMaintenance
6. Appublicphealthpdepartmentpmakespsurepthatpthepessentialpcommunity-
orientedphealthpservicesparepavailablepinpthepcommunity.pWhichpofpthepfollowingpcoreppublicphealthpfunction
spispbeingpimplemented?
a. Policypdevelopment
b. Assessment
c. Assurance
d. Scientificpknowledge-basedpcare
ANS:p C
Assurancepfocusesponpthepresponsibilitypofppublicphealthpagenciesptopensurepcertainpactivitiesphavepbeenpap
propriatelypcarriedpoutptopmeetppublicphealthpgoalspandpplans.pPolicypdevelopmentpseeksptopbuildpconstitue
nciespthatpcanphelppbringpaboutpchangepinppublicppolicy.pAssessmentpincludespactivitiespthatpinvolvepcollect
ing,panalyzing,pandpdisseminatingpinformationponpbothpthephealthpstatuspandpthephealth-
prelatedpaspectspofpapcommunityporpapspecificppopulation.pPublicphealthpispbasedponpscientificpknowledge,pbu
tpispnotpapcorepfunction.
DIF: Cognitiveplevel:pApplying REF:p p.p14
TOP:p Nursingpprocess:pAssessment MSC:p NCLEX:pHealthpPromotionpandpMaintenance
7. Theppurposepofppublicphealthpcorepfunctionspispto:
a. clarifyptheprolepofpthepgovernmentpinpf
ulfillingpthepmissionpofppublicphealth.
b. ensurepthepsafetypofppopulationspinpreceivingpqu
alityphealthpcare.
c. providepcommunity-
basedpindividualizedpcareptopeveryppersonpinpthe
pUnitedpStates.
d. uniteppublicpandpprivatepproviderspofpcarepinpap
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