Test Bank for Public Health Nursing: Population-Centered Health Care in the Community, 11th Edition by Marcia Stanhope and Jeanette Lancaster All Chapter 1-46

TestBank- x
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Public Health Nursing
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: Population-
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Centered Health Care in
the Community
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by Marcia Stanhope and Jeanette Lancaster
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11th Edition
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,Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-
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Centered Health Care in the Community, 11th Edition
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MULTIPLE CHOICE x@




1. What is the primary focus to be addressed concerning the improvement of the health of t
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he American people in the twenty-first century?
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a. Bioterrorism and global health threats x@ x@ x@ x@


b. Delivery of individual care and hygiene x@ x@ x@ x@ x@


c. The need for increased hospital and acute care
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d. Chronic disease and disability management x@ x@ x@ x@




CORRECT ANSWER: A x@ x@



There are new concerns, and of the most serious are bioterrorism and globally induced i
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nfections, such as the avian flu. These threats will divert health care funds and resources
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from other health care programs to be spent for public safety. The others are not related
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to public health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding x@ x@


TOP: Nursing process: Planning MSC: NCLEX: Health Promotio
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n and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following b
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est describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs.
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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. Fear of bioterrorism will increase the need for shelters.
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CORRECT ANSWER: C x@ x@



Bioterrorism may have an impact on the availability of resources for public safety health
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care programs. Because funds are diverted it is possible that community-
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based programs would be eliminated, the health care system could experience changes,
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and that there woul be an increase in the need for shelter. However, all the remaining o
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ptions would happen because of the diversion of funds.
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DIF: Cognitive level: Analyzing x@ x@


TOP: Nursing process: Diagnosis MSC: NCLEX: Physiological Int
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egrity

3. Which statement describes the consequence of the successful implementation of th
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e Affordable Care Act?
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a. Americans will pay closer attention to their health status.
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b. Most of the population will be covered by health insurance.
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c. Public health departments will need to increase the number of nursing positions.
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d. The prevalence of obesity will decrease
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. ANS: B
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, One consequence of successful implementation of the Affordable Care Act might be that t
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he majority of the population would be covered by insurance and public health agencies
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will not need to provide direct clinical services in order to assure that those who need th
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em can receive them. The Affordable Care Act will not directly cause Americans to pay c
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loser attention to their health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding x@ x@


TOP: Nursing process: Assessment MSC: NCLEX: Health Promotio
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n and Maintenance
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4. The public health NURSE (PHN) must participate in the essential services of publ
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ic health. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment
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b. Diagnosing and investigating health problems in the world
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c. Informing, educating, and empowering people about health issues
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d. Working in law enforcement to regulate health and ensure safet
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y CORRECT ANSWER: C
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The PHN monitors health status in several ways, completing a community assessment is
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@ only one way that health status is monitored. The PHN would not diagnose or solve ―worl
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d‖ problems, or work in law enforcement. Rather, the PHN would participate with local r
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egulators to protect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding x@ x@


TOP: Nursing process: Implementation MSC: NCLEX: Health Promotio
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n and Maintenance
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5. A public health department is using the mission of public health as described by the Institu
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te
of Medicine when plU
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nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which
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most likely be implemented?
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a. Tracking avian flu outbreaks and doing surveillance in the United States
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b. Providing a flu shot for an elderly person at the health department
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c. Keeping track of alternative therapies in use in the United States
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d. Keeping snake antivenom at the Centers for Disease Control and Prevention i
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n Atlanta x@




CORRECT ANSWER: A x@ x@



The Institute of Medicine‘s stated mission on public health is ―to generate organized co
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mmunity and technical knowledge to prevent disease and promote health.‖ Tracking avia
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@flu outbreaks and doing surveillance applies this concept at a population level. Providing
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a flu shot for an elderly person only addresses individual care. Keeping track of the use
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of alternative therapies does nothing to prevent disease or promote health of the popula
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tion. Keeping snake antivenom is aimed at disease care for an individual, not health prom
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otion or disease prevention.
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DIF: Cognitive level: Analyzing x@ x@


TOP: Nursing process: Assessment MSC: NCLEX: Health Promotio
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n and Maintenance
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6. A public health department makes sure that the essential community-
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oriented health services are available in the community. Which of the following core pub
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lic health functions is being implemented?
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a. Policy development x@

, b. Assessment
c. Assurance
d. Scientific knowledge- x@




based care CORRECT ANSWER:
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C
Assurance focuses on the responsibility of public health agencies to ensure certain activitie
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s
have been appropriately carried out to meet public health goals and plans. Policy develo
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pment seeks to build constituencies that can help bring about change in public policy Ass
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essment includes activities that involve collecting, analyzing, and disseminating informat
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ion on both the health status and the health-
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related aspects of a community or a specific population. Public health is based on scienti
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fic knowledge but is not a core function
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DIF: Cognitive level: Applying x@ x@


TOP: Nursing process: Assessment MSC: NCLEX: Health Promotio
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n and Maintenance
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7. What is the purpose of public health core functions?
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a. Clarifying the role of the government in fulfilling the mission of public health
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b. Ensuring the safety of populations in receiving quality health care
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c. Providing community- x@


based individualized care to every person in the United States
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d. Uniting public and private providers of care in a comprehensive approach
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to providing health care
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CORRECT ANSWER: A x@ x@


As defined by the Institute of Medicine in its 1988 report The Future of Public Health, ass
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essment, policy development, and assurance are core functions at all levels of governme
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nt for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment‘s role.
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USNT x@ x@ x@ x
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DIF: Cognitive level: Understanding x@ x@


TOP: Nursing process: Assessment MSC: NCLEX: Health Promotio
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n and Maintenance
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8. Which of the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medic
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al treatment than by public health approaches.
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b. Expenditures and resources for public health have increased in recent years.
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c. Historically, gains in the health of populations have been related largely to chang
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es in safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to impro
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ve the health of Americans.
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CORRECT ANSWER: C x@ x@



Fielding and Tilson have asserted that most of the increase in life span has been made thr
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ough improvements in sanitation, clean water supplies, making workplaces safer, improvi
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ng food and drug safety, immunizing children, and improving nutrition, hygiene,
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and housing. Medical treatment has not made as significant of an impact on the life span
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as public health measures. Funding for public health in recent years has been on a grad
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ual decline. Although reform of the medical insurance system may help improve the hea
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lth of Americans, there are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding x@ x@ TOP: Nursing process: Assessment
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