TestBank- v
p
Public Health Nursing
pv pv
: Population-Centered Health Care in
pv pv pv pv
the Community
pv
by Marcia Stanhope and Jeanette Lancaster
pv pv pv pv pv
11th Edition
pv
,Chapter 01: Public Health Foundations and Population Health
pv pv pv pv pv pv pv
Stanhope: Public Health Nursing: Population-
pv pv pv pv
Centered Health Care in the Community, 11th Edition
pv pv pv pv pv pv pv
MULTIPLE CHOICE pv
1. What is the primary focus to be addressed concerning the improvement of the health of the
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
American people in the twenty-first century? pv pv pv pv pv
a. Bioterrorism and global health threats pv pv pv pv
b. Delivery of individual care and hygiene pv pv pv pv pv
c. The need for increased hospital and acute care
pv pv pv pv pv pv pv
d. Chronic disease and disability management pv pv pv pv
CORRECT ANSWER: A pv pv
There are new concerns, and of the most serious are bioterrorism and globally induced infe
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ctions, such as the avian flu. These threats will divert health care funds and resources from
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
other health care programs to be spent for public safety. The others are not related to public
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
health or are concerns that have been present for many years.
pv pv pv pv pv pv pv pv pv pv
DIF: Cognitive level: Understanding pv pv
TOP: Nursing process: Planning MSC: NCLEX: Health Promotion
pv pv pv pv pv pv pv pv
and Maintenance
pv
2. A community is concerned about the threat of bioterrorism. Which of the following best
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
describes the basis for this concern? pv pv pv pv pv
a. Bioterrorism has the potential to dissolve community-based programs. pv pv pv pv pv pv pv
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
pv pv pv pv
c. The threat may divert funds from other public safety health care programs.
pv pv pv pv pv pv pv pv pv pv pv
d. Fear of bioterrorism will increase the need for shelters.
pv pv pv pv pv pv pv pv
CORRECT ANSWER: C pv pv
Bioterrorism may have an impact on the availability of resources for public safety health car
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
e programs. Because funds are diverted it is possible that community-
pv pv pv pv pv pv pv pv pv pv
based programs would be eliminated, the health care system could experience changes, an
pv pv pv pv pv pv pv pv pv pv pv pv
d that there woul be an increase in the need for shelter. However, all the remaining options
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
would happen because of the diversion of funds.
pv pv pv pv pv pv pv
DIF: Cognitive level: Analyzing pv pv
TOP: Nursing process: Diagnosis MSC: NCLEX: Physiological Inte
pv pv pv pv pv pv pv
grity
3. Which statement describes the consequence of the successful implementation of the
pv pv pv pv pv pv pv pv pv pv pv
Affordable Care Act? pv pv
a. Americans will pay closer attention to their health status. pv pv pv pv pv pv pv pv
b. Most of the population will be covered by health insurance.
pv pv pv pv pv pv pv pv pv
c. Public health departments will need to increase the number of nursing positions.
pv pv pv pv pv pv pv pv pv pv pv
d. The prevalence of obesity will decrease.
pv pv pv pv pv p
vANS: B pv
, One consequence of successful implementation of the Affordable Care Act might be that the
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
majority of the population would be covered by insurance and public health agencies will no
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
t need to provide direct clinical services in order to assure that those who need them can rec
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
eive them. The Affordable Care Act will not directly cause Americans to pay closer attention
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
to their health status or decrease the prevalence of obesity.
v pv pv pv pv pv pv pv pv pv
DIF: Cognitive level: Understanding pv pv
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion pv pv pv pv pv pv pv pv
and Maintenance pv
4. The public health NURSE (PHN) must participate in the essential services of public
pv pv pv pv pv pv pv pv pv pv pv pv pv
health. What is one of the essential services of public health nursing?
pv pv pv pv pv pv pv pv pv pv pv
a. Monitoring health status by completing a community assessment pv pv pv pv pv pv pv
b. Diagnosing and investigating health problems in the world pv pv pv pv pv pv pv
c. Informing, educating, and empowering people about health issues pv pv pv pv pv pv pv
d. Working in law enforcement to regulate health and ensure safety
pv pv pv pv pv pv pv pv pv pv
CORRECT ANSWER: C pv pv
The PHN monitors health status in several ways, completing a community assessment is on
pv pv pv pv pv pv pv pv pv pv pv pv pv
y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ probl
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ems, or work in law enforcement. Rather, the PHN would participate with local regulators t
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
o protect communities and empower people to address health issues.
pv pv pv pv pv pv pv pv pv
DIF: Cognitive level: Understanding pv pv
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion pv pv pv pv pv pv pv pv
and Maintenance pv
5. A public health department is using the mission of public health as described by the Institute
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
of Medicine when plU
pv aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which pv pv pv pv pv pv pv pv
most likely be implemented? pv pv pv
a. Tracking avian flu outbreaks and doing surveillance in the United States
pv pv pv pv pv pv pv pv pv pv
b. Providing a flu shot for an elderly person at the health department pv pv pv pv pv pv pv pv pv pv pv
c. Keeping track of alternative therapies in use in the United States
pv pv pv pv pv pv pv pv pv pv
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
pv pv pv pv pv pv pv pv pv pv pv pv
Atlanta
CORRECT ANSWER: A pv pv
The Institute of Medicine‘s stated mission on public health is ―to generate organized comm
pv pv pv pv pv pv pv pv pv pv pv pv pv
unity and technical knowledge to prevent disease and promote health.‖ Tracking avia flu out
pv pv pv pv pv pv pv pv pv pv pv pv pv
breaks and doing surveillance applies this concept at a population level. Providing a flu shot
pv pv pv pv pv pv pv pv pv pv pv pv pv pv p
for an elderly person only addresses individual care. Keeping track of the use of alternative
v pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
therapies does nothing to prevent disease or promote health of the population. Keeping sna
pv pv pv pv pv pv pv pv pv pv pv pv pv
ke antivenom is aimed at disease care for an individual, not health promotion or disease pre
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
vention.
DIF: Cognitive level: Analyzing pv pv
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion pv pv pv pv pv pv pv pv
and Maintenance pv
6. A public health department makes sure that the essential community-
pv pv pv pv pv pv pv pv pv
oriented health services are available in the community. Which of the following core public
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
health functions is being implemented?
pv pv pv pv
a. Policy development pv
, b. Assessment
c. Assurance
d. Scientific knowledge- pv
based care CORRECT ANSWER: Cpv pv pv pv
Assurance focuses on the responsibility of public health agencies to ensure certain activities
pv pv pv pv pv pv pv pv pv pv pv pv
have been appropriately carried out to meet public health goals and plans. Policy developm
pv pv pv pv pv pv pv pv pv pv pv pv pv
ent seeks to build constituencies that can help bring about change in public policy Assessme
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
nt includes activities that involve collecting, analyzing, and disseminating information on bo
pv pv pv pv pv pv pv pv pv pv pv
th the health status and the health-
pv pv pv pv pv pv
related aspects of a community or a specific population. Public health is based on scientific k
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
nowledge but is not a core function pv pv pv pv pv pv
DIF: Cognitive level: Applying pv pv
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
pv pv pv pv pv pv pv pv
and Maintenance
pv
7. What is the purpose of public health core functions?
pv pv pv pv pv pv pv pv
a. Clarifying the role of the government in fulfilling the mission of public health
pv pv pv pv pv pv pv pv pv pv pv pv
b. Ensuring the safety of populations in receiving quality health care
pv pv pv pv pv pv pv pv pv
c. Providing community- pv
based individualized care to every person in the United States
pv pv pv pv pv pv pv pv pv
d. Uniting public and private providers of care in a comprehensive approach to
pv pv pv pv pv pv pv pv pv pv pv pv
providing health care pv pv
CORRECT ANSWER: A pv pv
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assess
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ment, policy development, and assurance are core functions at all levels of government for t
pv pv pv pv pv pv pv pv pv pv pv pv
pv pv
he puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment‘s role.
pv
USNT pv
pv
pv pv p v O pv
DIF: Cognitive level: Understanding pv pv
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
pv pv pv pv pv pv pv pv
and Maintenance
pv
8. Which of the following statements about public health is accurate?
pv pv pv pv pv pv pv pv pv
a. Prevention of early deaths can be more effectively accomplished by medical
pv pv pv pv pv pv pv pv pv pv pv
treatment than by public health approaches. pv pv pv pv pv
b. Expenditures and resources for public health have increased in recent years. pv pv pv pv pv pv pv pv pv pv
c. Historically, gains in the health of populations have been related largely to changes i
pv pv pv pv pv pv pv pv pv pv pv pv pv
n safety, sanitation, and food safety.
pv pv pv pv pv
d. Reform of the medical insurance system is the single change needed to improve
pv pv pv pv pv pv pv pv pv pv pv pv pv
the health of Americans. pv pv pv
CORRECT ANSWER: C pv pv
Fielding and Tilson have asserted that most of the increase in life span has been made throug
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
h improvements in sanitation, clean water supplies, making workplaces safer, improving foo
pv pv pv pv pv pv pv pv pv pv pv
d and drug safety, immunizing children, and improving nutrition, hygiene,
pv pv pv pv pv pv pv pv pv
and housing. Medical treatment has not made as significant of an impact on the life span as p
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ublic health measures. Funding for public health in recent years has been on a gradual decli
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ne. Although reform of the medical insurance system may help improve the health of Ameri
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
cans, there are many other factors that will need to be addressed.
pv pv pv pv pv pv pv pv pv pv pv
DIF: Cognitive level: Understanding pv pv TOP: Nursing process: Assessment
pv pv pv
p
Public Health Nursing
pv pv
: Population-Centered Health Care in
pv pv pv pv
the Community
pv
by Marcia Stanhope and Jeanette Lancaster
pv pv pv pv pv
11th Edition
pv
,Chapter 01: Public Health Foundations and Population Health
pv pv pv pv pv pv pv
Stanhope: Public Health Nursing: Population-
pv pv pv pv
Centered Health Care in the Community, 11th Edition
pv pv pv pv pv pv pv
MULTIPLE CHOICE pv
1. What is the primary focus to be addressed concerning the improvement of the health of the
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
American people in the twenty-first century? pv pv pv pv pv
a. Bioterrorism and global health threats pv pv pv pv
b. Delivery of individual care and hygiene pv pv pv pv pv
c. The need for increased hospital and acute care
pv pv pv pv pv pv pv
d. Chronic disease and disability management pv pv pv pv
CORRECT ANSWER: A pv pv
There are new concerns, and of the most serious are bioterrorism and globally induced infe
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ctions, such as the avian flu. These threats will divert health care funds and resources from
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
other health care programs to be spent for public safety. The others are not related to public
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
health or are concerns that have been present for many years.
pv pv pv pv pv pv pv pv pv pv
DIF: Cognitive level: Understanding pv pv
TOP: Nursing process: Planning MSC: NCLEX: Health Promotion
pv pv pv pv pv pv pv pv
and Maintenance
pv
2. A community is concerned about the threat of bioterrorism. Which of the following best
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
describes the basis for this concern? pv pv pv pv pv
a. Bioterrorism has the potential to dissolve community-based programs. pv pv pv pv pv pv pv
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
pv pv pv pv
c. The threat may divert funds from other public safety health care programs.
pv pv pv pv pv pv pv pv pv pv pv
d. Fear of bioterrorism will increase the need for shelters.
pv pv pv pv pv pv pv pv
CORRECT ANSWER: C pv pv
Bioterrorism may have an impact on the availability of resources for public safety health car
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
e programs. Because funds are diverted it is possible that community-
pv pv pv pv pv pv pv pv pv pv
based programs would be eliminated, the health care system could experience changes, an
pv pv pv pv pv pv pv pv pv pv pv pv
d that there woul be an increase in the need for shelter. However, all the remaining options
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
would happen because of the diversion of funds.
pv pv pv pv pv pv pv
DIF: Cognitive level: Analyzing pv pv
TOP: Nursing process: Diagnosis MSC: NCLEX: Physiological Inte
pv pv pv pv pv pv pv
grity
3. Which statement describes the consequence of the successful implementation of the
pv pv pv pv pv pv pv pv pv pv pv
Affordable Care Act? pv pv
a. Americans will pay closer attention to their health status. pv pv pv pv pv pv pv pv
b. Most of the population will be covered by health insurance.
pv pv pv pv pv pv pv pv pv
c. Public health departments will need to increase the number of nursing positions.
pv pv pv pv pv pv pv pv pv pv pv
d. The prevalence of obesity will decrease.
pv pv pv pv pv p
vANS: B pv
, One consequence of successful implementation of the Affordable Care Act might be that the
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
majority of the population would be covered by insurance and public health agencies will no
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
t need to provide direct clinical services in order to assure that those who need them can rec
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
eive them. The Affordable Care Act will not directly cause Americans to pay closer attention
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
to their health status or decrease the prevalence of obesity.
v pv pv pv pv pv pv pv pv pv
DIF: Cognitive level: Understanding pv pv
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion pv pv pv pv pv pv pv pv
and Maintenance pv
4. The public health NURSE (PHN) must participate in the essential services of public
pv pv pv pv pv pv pv pv pv pv pv pv pv
health. What is one of the essential services of public health nursing?
pv pv pv pv pv pv pv pv pv pv pv
a. Monitoring health status by completing a community assessment pv pv pv pv pv pv pv
b. Diagnosing and investigating health problems in the world pv pv pv pv pv pv pv
c. Informing, educating, and empowering people about health issues pv pv pv pv pv pv pv
d. Working in law enforcement to regulate health and ensure safety
pv pv pv pv pv pv pv pv pv pv
CORRECT ANSWER: C pv pv
The PHN monitors health status in several ways, completing a community assessment is on
pv pv pv pv pv pv pv pv pv pv pv pv pv
y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ probl
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ems, or work in law enforcement. Rather, the PHN would participate with local regulators t
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
o protect communities and empower people to address health issues.
pv pv pv pv pv pv pv pv pv
DIF: Cognitive level: Understanding pv pv
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion pv pv pv pv pv pv pv pv
and Maintenance pv
5. A public health department is using the mission of public health as described by the Institute
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
of Medicine when plU
pv aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which pv pv pv pv pv pv pv pv
most likely be implemented? pv pv pv
a. Tracking avian flu outbreaks and doing surveillance in the United States
pv pv pv pv pv pv pv pv pv pv
b. Providing a flu shot for an elderly person at the health department pv pv pv pv pv pv pv pv pv pv pv
c. Keeping track of alternative therapies in use in the United States
pv pv pv pv pv pv pv pv pv pv
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
pv pv pv pv pv pv pv pv pv pv pv pv
Atlanta
CORRECT ANSWER: A pv pv
The Institute of Medicine‘s stated mission on public health is ―to generate organized comm
pv pv pv pv pv pv pv pv pv pv pv pv pv
unity and technical knowledge to prevent disease and promote health.‖ Tracking avia flu out
pv pv pv pv pv pv pv pv pv pv pv pv pv
breaks and doing surveillance applies this concept at a population level. Providing a flu shot
pv pv pv pv pv pv pv pv pv pv pv pv pv pv p
for an elderly person only addresses individual care. Keeping track of the use of alternative
v pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
therapies does nothing to prevent disease or promote health of the population. Keeping sna
pv pv pv pv pv pv pv pv pv pv pv pv pv
ke antivenom is aimed at disease care for an individual, not health promotion or disease pre
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
vention.
DIF: Cognitive level: Analyzing pv pv
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion pv pv pv pv pv pv pv pv
and Maintenance pv
6. A public health department makes sure that the essential community-
pv pv pv pv pv pv pv pv pv
oriented health services are available in the community. Which of the following core public
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
health functions is being implemented?
pv pv pv pv
a. Policy development pv
, b. Assessment
c. Assurance
d. Scientific knowledge- pv
based care CORRECT ANSWER: Cpv pv pv pv
Assurance focuses on the responsibility of public health agencies to ensure certain activities
pv pv pv pv pv pv pv pv pv pv pv pv
have been appropriately carried out to meet public health goals and plans. Policy developm
pv pv pv pv pv pv pv pv pv pv pv pv pv
ent seeks to build constituencies that can help bring about change in public policy Assessme
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
nt includes activities that involve collecting, analyzing, and disseminating information on bo
pv pv pv pv pv pv pv pv pv pv pv
th the health status and the health-
pv pv pv pv pv pv
related aspects of a community or a specific population. Public health is based on scientific k
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
nowledge but is not a core function pv pv pv pv pv pv
DIF: Cognitive level: Applying pv pv
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
pv pv pv pv pv pv pv pv
and Maintenance
pv
7. What is the purpose of public health core functions?
pv pv pv pv pv pv pv pv
a. Clarifying the role of the government in fulfilling the mission of public health
pv pv pv pv pv pv pv pv pv pv pv pv
b. Ensuring the safety of populations in receiving quality health care
pv pv pv pv pv pv pv pv pv
c. Providing community- pv
based individualized care to every person in the United States
pv pv pv pv pv pv pv pv pv
d. Uniting public and private providers of care in a comprehensive approach to
pv pv pv pv pv pv pv pv pv pv pv pv
providing health care pv pv
CORRECT ANSWER: A pv pv
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assess
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ment, policy development, and assurance are core functions at all levels of government for t
pv pv pv pv pv pv pv pv pv pv pv pv
pv pv
he puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment‘s role.
pv
USNT pv
pv
pv pv p v O pv
DIF: Cognitive level: Understanding pv pv
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
pv pv pv pv pv pv pv pv
and Maintenance
pv
8. Which of the following statements about public health is accurate?
pv pv pv pv pv pv pv pv pv
a. Prevention of early deaths can be more effectively accomplished by medical
pv pv pv pv pv pv pv pv pv pv pv
treatment than by public health approaches. pv pv pv pv pv
b. Expenditures and resources for public health have increased in recent years. pv pv pv pv pv pv pv pv pv pv
c. Historically, gains in the health of populations have been related largely to changes i
pv pv pv pv pv pv pv pv pv pv pv pv pv
n safety, sanitation, and food safety.
pv pv pv pv pv
d. Reform of the medical insurance system is the single change needed to improve
pv pv pv pv pv pv pv pv pv pv pv pv pv
the health of Americans. pv pv pv
CORRECT ANSWER: C pv pv
Fielding and Tilson have asserted that most of the increase in life span has been made throug
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
h improvements in sanitation, clean water supplies, making workplaces safer, improving foo
pv pv pv pv pv pv pv pv pv pv pv
d and drug safety, immunizing children, and improving nutrition, hygiene,
pv pv pv pv pv pv pv pv pv
and housing. Medical treatment has not made as significant of an impact on the life span as p
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ublic health measures. Funding for public health in recent years has been on a gradual decli
pv pv pv pv pv pv pv pv pv pv pv pv pv pv pv
ne. Although reform of the medical insurance system may help improve the health of Ameri
pv pv pv pv pv pv pv pv pv pv pv pv pv pv
cans, there are many other factors that will need to be addressed.
pv pv pv pv pv pv pv pv pv pv pv
DIF: Cognitive level: Understanding pv pv TOP: Nursing process: Assessment
pv pv pv