PublicHealthNursing
:Population-CenteredHealthCarein
theCommunity
byMarciaStanhopeandJeanetteLancaster
11thEdition
,Chapter01:PublicHealthFoundationsandPopulationHealth
Stanhope:Public HealthNursing:Population-CenteredHealthCareinthe
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HCommunity, 11thEdition H
MULTIPLECHOICE b
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1. Whatistheprimaryfocus to beaddressedconcerningtheimprovementofthehealthofthe
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American people in the twenty-first century?
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a. Bioterrorism and global health threats H H H H
b. Delivery of individual care and hygiene
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c. Theneedforincreasedhospitaland acute care H bv
d. Chronicdiseaseanddisability management H H
CORRECT ANSWER: A v
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Thereare newconcerns,andofthem ostseriousarebioterrorismandgloballyinduced
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infections,suchastheavianflu.These threats willdiverthealthcarefundsandresources from
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otherhealthcareprogramstobespentforpublicsafety.Theothersarenot relatedto
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public healthorareconcernst hat havebeenpresentformanyyears.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning H H H
MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concernedabout thethreat ofbioterrorism. Whichofthefollowingbest
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describes thebasis forthisconcern?
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a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms.
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. Fearofbioterrorismwillincreasethe needforshelters. H H
CORRECT ANSWER: C v
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Bioterrorismmayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealth care v
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programs.Becausefundsarediverteditispossiblethat community-basedprograms would
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beeliminated,thehealthcaresystemcouldexperiencechanges,andthattherewoul be an
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increaseintheneedforshelter.However,alltheremainingoptionswouldhappen becauseof
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thediversionoffunds.
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DIF: Cognitive level: Analyzing H H TOP:Nursingprocess:Diagnosis
MSC: NCLEX: Physiological Integrity
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3. Whichstatementdescribestheconsequence ofthesuccessfulimplementationofthe H H
AffordableCareAct?
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a. Americans willpaycloser attentiontotheirhealth status. H H H
b. Mostofthepopulationwillbecoveredbyhealthinsurance.
c. Publichealthdepartments willneedtoincreasethe numberofnursingpositions. bv bv bv
d. Theprevalenceofobesitywilldecrease.
ANS:B H
, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe v
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majority of the population would becovered byinsurance and public health agencies will
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needtoprovidedirect clinicalservicesinordertoassurethatthosewhoneedthemcan receive
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Hthem.TheAffordableCareActwillnot directlycauseAmericanstopaycloser attention
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totheirhealthstatusordecreasetheprevalenceofobesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment H H H
MSC: NCLEX: Health Promotion and Maintenance
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4. Thepublichealth NURSE(PHN)mustparticipateintheessential servicesofpublic H H
health.Whati soneoftheessentialservicesofpublichealthnursing?
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b
a. Monitoring healthstatus byc ompleting acommunity assessment bv H H H H
b. Diagnosing and investigating health problems in the world H H H H H H H
c. Informing, educating, and empowering people about health issues H H H H H H H
d. Workinginlawenforcementtoregulatehealthandensuresafety
bgCORRECT ANSWER:C bg
The PHN monitors health statusinseveral ways, completing acommunity assessment is
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onewaythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve―world‖
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problems,orworkinlawenforcement.Rather,thePHNwouldparticipatewithlocal H H
regulators toprotectcommunitiesandempowerpeopletoaddresshealth issues.
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DIF: Cognitive level: Understanding H H
TOP:Nursingprocess:Implementation MSC: NCLEX: Health Promotion
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and Maintenance
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5. A publichealthdepartmentis u singthe missionofpublichealthas describedbytheInstitute
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ofMedicinewhenplUaintnsiR
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h eaNIlthTpGrogBra.mOCminMg.Which
mostlikelybeimplemented? v
b
a. Tracking avian flu outbreaks and doing surveillance in the United States
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b. Providingaflushotforanelderlypersonatthehealth department
c. KeepingtrackofalternativetherapiesinuseintheUnited States bv H H
d. Keepingsnakeantivenomat theCentersforDiseaseControlandPreventionin H vb
Atlanta H
CORRECT ANSWER: A v
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The Institute of Medicine‘s stated mission on public health is ―to generate organized community
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and technical knowledge to prevent disease and promote health.‖ Tracking avia fluoutbreaks
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anddoingsurveillance appliesthis concept at apopulationlevel.Providinga
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shotforanelderlypersononlyaddressesindividualcare.Keepingtrackoftheuseof
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alternativetherapiesdoesnothingtopreventdiseaseorpromotehealthofthepopulation.
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Keepingsnakeantivenomisaimedat diseasecareforanindividual,nothealthpromotionor H H bv
diseaseprevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment H H
MSC: NCLEX: Health Promotion and Maintenance
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6. Apublichealthdepartmentmakes surethatthee ssentialcommunity-orientedhealth services
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Hareavailableinthecommunity. Whichofthefollowingcorepublic healthfunctions is
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Hbeingimplemented?
a. Policy development H
, b. Assessment
c. Assurance
d. Scientific knowledge-based care H H
CORRECT ANSWER:C
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Assurancefocusesontheresponsibilityofpublichealthagenciestoensure certainactivities v
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havebeenappropriatelycarriedouttomeetp ublic healthgoalsandplans.Policy development
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seekstobuildconstituenciesthat canhelpbringaboutchangeinpublicpolicy
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Assessmentincludesactivities that involvecollecting,analyzing,anddisseminating
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informationonboththehealthstatus andthehealth-relatedaspectsofacommunityora
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specificpopulation.Public h ealth is basedonscientific knowledgeb utis not acorefunction
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment H H
MSC: NCLEX: Health Promotion and Maintenance
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7. Whatisthe p urpose ofpublichealthcore functions?
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a. Clarifyingthe roleofthegovernment infulfillingthe missionofpublic health bv bv bv v
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b. Ensuring the safety of populations in receiving quality health care
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c. Providingcommunity-basedindividualizedcaretoeverypersonintheUnited bv bv H
States H
d. Unitingpublic and private providers ofcare inacomprehensiveapproachto H H bv bv H
providinghealthcare
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CORRECT ANSWER: A v
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As definedby the Institute ofMedicine in its1988 report The Future of Public Health,
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assessment,policydevelopment,andassurancearecorefunctionsatalllevelsof government
forthe p uNr poofsRe clarIifyiGngtBhe.gCoveMrnment‘srole.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment H H H
MSC: NCLEX: Health Promotion and Maintenance
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8. Whichofthefollowingstatementsaboutpublic health is accurate? H H bv
a. Prevention of early deaths can be more effectively accomplished by medical
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treatment than by public health approaches.
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b. Expenditures andresources for p ublic h ealth h aveincreased inrecentyears. H b H H H H
c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochanges in H H
safety, sanitation, and food safety.
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d. Reform ofthe medicalinsurance systemis the singlechangeneededtoimprove
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thehealthofAmericans.
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CORRECT ANSWER: C v
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Fielding andTilson have assertedthat mostoftheincrease in life span has been made through
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improvements in sanitation, clean watersupplies, makingworkplacessafer,
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food and drug safety, immunizing children, and improving nutrition, hygiene,
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and h ousing. M edicaltreatment has notmade as significanto f animpactonthelifespan as
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publichealthmeasures.Fundingforpublichealthinrecent yearshasbeenonagradual decline.
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Althoughreformofthe medicalinsurancesystemmayhelpimprovethehealthof
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Americans,therearemanyotherfactorsthat willneedtobeaddressed.
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DIF: Cognitivelevel:Understanding TOP: Nursing process: Assessment H H H