Public Health Nursing
a a
: Population-Centered Health Care in
a a a a
the Community
a
by Marcia Stanhope and Jeanette Lancaster
a a a a a
11th Edition
a
,Chapter 01: Public Health Foundations and Population Health
a a a a a a a
Stanhope: Public Health Nursing: Population-
a a a a
Centered Health Care in the Community, 11th Edition
a a a a a a a
MULTIPLEaCHOICE
1. WhataisatheaprimaryafocusatoabeaaddressedaconcerningatheaimprovementaofatheahealthaofatheaA
mericanapeopleainatheatwenty-firstacentury?
a. Bioterrorismaandaglobalahealthathreats
b. Deliveryaofaindividualacareaandahygiene
c. Theaneedaforaincreasedahospitalaandaacuteacare
d. Chronicadiseaseaandadisabilityamanagement
CORRECTaANSWER:aA
Thereaareanewaconcerns,aandaofatheamostaseriousaareabioterrorismaandagloballyainducedainfecti
ons,asuchaasatheaavianaflu.aTheseathreatsawilladivertahealthacareafundsaandaresourcesafromaothe
rahealthacareaprogramsatoabeaspentaforapublicasafety.aTheaothersaareanotarelatedatoapublicahealtha
oraareaconcernsathatahaveabeenapresentaforamanyayears.
DIF: Cognitivealevel:aUnderstanding
TOP:aNursingaprocess:aPlanningaMSC:aNCLEX:aHealthaPromotionaa
ndaMaintenance
2. Aacommunityaisaconcernedaaboutatheathreataofabioterrorism.aWhichaofatheafollowingabestade
scribesatheabasisaforathisaconcern?
a. Bioterrorismahasatheapotentialatoadissolveacommunity-basedaprograms.
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
a a a a
c. Theathreatamayadivertafundsafromaotherapublicasafetyahealthacareaprograms.
d. Fearaofabioterrorismawillaincreaseatheaneedaforashelters.
CORRECTaANSWER:aC
Bioterrorism amayahaveaanaimpactaonatheaavailabilityaofaresourcesaforapublicasafetyahealthacarea
programs.aBecauseafundsaareadivertedaitaisapossibleathatacommunity-
basedaprogramsawouldabeaeliminated,atheahealthacareasystemacouldaexperienceachanges,aandat
hatathereawoulabeaanaincreaseainatheaneedaforashelter.aHowever,aallathearemainingaoptionsawoul
dahappenabecauseaofatheadiversionaofafunds.
DIF: Cognitivealevel:aAnalyzing
TOP:aNursingaprocess:aDiagnosisaMSC:aNCLEX:aPhysiologicalaIntegr
ity
3. WhichastatementadescribesatheaconsequenceaofatheasuccessfulaimplementationaofatheaA
ffordableaCareaAct?
a. Americansawillapayacloseraattentionatoatheirahealthastatus.
b. Mostaofatheapopulationawillabeacoveredabyahealthainsurance.
c. Publicahealthadepartmentsawillaneedatoaincreaseatheanumberaofanursingapositions.
d. Theaprevalenceaofaobesityawilladecrease.a
ANS:aB
, OneaconsequenceaofasuccessfulaimplementationaofatheaAffordableaCareaActamightabeathatatheam
ajorityaofatheapopulationawouldabeacoveredabyainsuranceaandapublicahealthaagenciesawillanotane
edatoaprovideadirectaclinicalaservicesainaorderatoaassureathatathoseawhoaneedathemacanareceiveat
hem.aTheaAffordableaCareaActawillanotadirectlyacauseaAmericansatoapayacloseraattentionatoatheir
healthastatusaoradecreaseatheaprevalenceaofaobesity.
DIF: Cognitivealevel:aUnderstanding
TOP:aNursingaprocess:aAssessmentaMSC:aNCLEX:aHealthaPromotionaa
ndaMaintenance
4. TheapublicahealthaNURSEa(PHN)amustaparticipateainatheaessentialaservicesaofapublicah
ealth.aWhataisaoneaofatheaessentialaservicesaofapublicahealthanursing?
a. Monitoringahealthastatusabyacompletingaaacommunityaassessment
b. Diagnosingaandainvestigatingahealthaproblemsainatheaworld
c. Informing,aeducating,aandaempoweringapeopleaaboutahealthaissues
d. WorkingainalawaenforcementatoaregulateahealthaandaensureasafetyaC
ORRECTaANSWER:aC
TheaPHNamonitorsahealthastatusainaseveralaways,acompletingaaacommunityaassessmentaisaonlya
oneawayathatahealthastatusaisamonitored.aTheaPHNawouldanotadiagnoseaorasolvea“world”aproblem
s,aoraworkainalawaenforcement.aRather,atheaPHNawouldaparticipateawithalocalaregulatorsatoaprot
ectacommunitiesaandaempowerapeopleatoaaddressahealthaissues.
DIF: Cognitivealevel:aUnderstanding
TOP:aNursingaprocess:aImplementationaMSC:aNCLEX:aHealthaPromotionaa
ndaMaintenance
5. AapublicahealthadepartmentaisausingatheamissionaofapublicahealthaasadescribedabyatheaInstitute
of Medicine when plU
a a aintnsiR
a nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which
a a a a a a
mostalikelyabeaimplemented?
a. TrackingaavianafluaoutbreaksaandadoingasurveillanceainatheaUnitedaStates
b. Providingaaafluashotaforaanaelderlyapersonaatatheahealthadepartment
c. KeepingatrackaofaalternativeatherapiesainauseainatheaUnitedaStates
d. KeepingasnakeaantivenomaatatheaCentersaforaDiseaseaControlaandaPreventionainaA
tlanta
CORRECTaANSWER:aA
TheaInstituteaofaMedicine’sastatedamissionaonapublicahealthaisa“toagenerateaorganizedacommun
ityaandatechnicalaknowledgeatoapreventadiseaseaandapromoteahealth.”aTrackingaaviaafluaoutbrea
ksaandadoingasurveillanceaappliesathisaconceptaataaapopulationalevel.aProvidingaaafluashotaforaana
elderlyapersonaonlyaaddressesaindividualacare.aKeepingatrackaofatheauseaofaalternativeatherapie
sadoesanothingatoapreventadiseaseaorapromoteahealthaofatheapopulation.aKeepingasnakeaantiven
omaisaaimedaatadiseaseacareaforaanaindividual,anotahealthapromotionaoradiseaseaprevention.
DIF: Cognitivealevel:aAnalyzing
TOP:aNursingaprocess:aAssessmentaMSC:aNCLEX:aHealthaPromotionaa
ndaMaintenance
6. Aapublicahealthadepartmentamakesasureathatatheaessentialacommunity-
orientedahealthaservicesaareaavailableainatheacommunity.aWhichaofatheafollowingacoreapublicahe
althafunctionsaisabeingaimplemented?
a. Policyadevelopment
, b. Assessment
c. Assurance
d. Scientificaknowledge-
basedacareaCORRECTaANSWER:aC
Assuranceafocusesaonathearesponsibilityaofapublicahealthaagenciesatoaensureacertainaactivities
haveabeenaappropriatelyacarriedaoutatoameetapublicahealthagoalsaandaplans.aPolicyadevelopme
ntaseeksatoabuildaconstituenciesathatacanahelpabringaaboutachangeainapublicapolicyaAssessmentai
ncludesaactivitiesathatainvolveacollecting,aanalyzing,aandadisseminatingainformationaonabothath
eahealthastatusaandatheahealth-
relatedaaspectsaofaaacommunityaoraaaspecificapopulation.aPublicahealthaisabasedaonascientificakn
owledgeabutaisanotaaacoreafunction
DIF: Cognitivealevel:aApplying
TOP:aNursingaprocess:aAssessmentaMSC:aNCLEX:aHealthaPromotionaa
ndaMaintenance
7. Whataisatheapurposeaofapublicahealthacoreafunctions?
a. Clarifyingathearoleaofatheagovernmentainafulfillingatheamissionaofapublicahealth
b. Ensuringatheasafetyaofapopulationsainareceivingaqualityahealthacare
c. Providingacommunity-
basedaindividualizedacareatoaeveryapersonainatheaUnitedaStates
d. Unitingapublicaandaprivateaprovidersaofacareainaaacomprehensiveaapproachatoap
rovidingahealthacare
CORRECTaANSWER:aA
AsadefinedabyatheaInstituteaofaMedicineainaitsa1988areportaTheaFutureaofaPublicaHealth,aassessme
nt,apolicyadevelopment,aandaassuranceaareacoreafunctionsaataallalevelsaofagovernmentaforatheapuN
rpoofsRe clarIifyiGng atBhe.gCoveMrnment’sarole.
USNT
a a a a O
DIF: Cognitivealevel:aUnderstanding
TOP:aNursingaprocess:aAssessmentaMSC:aNCLEX:aHealthaPromotionaa
ndaMaintenance
8. Whichaofatheafollowingastatementsaaboutapublicahealthaisaaccurate?
a. Preventionaofaearlyadeathsacanabeamoreaeffectivelyaaccomplishedabyamedicalatr
eatmentathanabyapublicahealthaapproaches.
b. Expendituresaandaresourcesaforapublicahealthahaveaincreasedainarecentayears.
c. Historically,againsainatheahealthaofapopulationsahaveabeenarelatedalargelyatoachangesaina
safety,asanitation,aandafoodasafety.
d. Reformaofatheamedicalainsuranceasystemaisatheasingleachangeaneededatoaimproveath
eahealthaofaAmericans.
CORRECTaANSWER:aC
FieldingaandaTilsonahaveaassertedathatamostaofatheaincreaseainalifeaspanahasabeenamadeathrougha
improvementsainasanitation,acleanawaterasupplies,amakingaworkplacesasafer,aimprovingafoodaa
ndadrugasafety,aimmunizingachildren,aandaimprovinganutrition,ahygiene,
andahousing.aMedicalatreatmentahasanotamadeaasasignificantaofaanaimpactaonathealifeaspanaasapub
licahealthameasures.aFundingaforapublicahealthainarecentayearsahasabeenaonaaagradualadecline.aA
lthoughareformaofatheamedicalainsuranceasystemamayahelpaimproveatheahealthaofaAmericans,at
hereaareamanyaotherafactorsathatawillaneedatoabeaaddressed.
DIF: Cognitivealevel:aUnderstanding TOP:aNursingaprocess:aAssessment