PublicHealthNursing
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: Population-Centered Health Care in
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the Community
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byMarciaStanhopeandJeanetteLancaster
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11thEdition
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,Chapter01:PublicHealthFoundationsandPopulationHealth
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Stanhope:PublicHealthNursing:Population-CenteredHealthCareinthe
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Community,11thEdition
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MULTIPLECHOICE f
1. Whatistheprimaryfocustobeaddressedconcerningtheimprovementofthehealthofthe
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American people in the twenty-first century?
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a. Bioterrorism and global health threats ff ff ff ff
b. Delivery of individual care and hygiene ff ff ff ff ff
c. Theneedforincreasedhospitalandacutecare
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d. Chronicdiseaseanddisabilitymanagement f f f f
CORRECT ANSWER: A ff ff
Therearenewconcerns,andofthemostseriousarebioterrorism andgloballyinduced
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infections,suchastheavianflu.Thesethreatswilldiverthealthcarefundsandresources
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fromotherhealthcareprogramstobespentforpublicsafety.Theothersarenotrelatedto
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publichealthorareconcernsthathavebeenpresentformanyyears.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning ff ff f f f
MSC: NCLEX: Health Promotion and Maintenance
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2. Acommunityisconcernedaboutthethreatofbioterrorism.Whichofthefollowingbest
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describesthebasisforthisconcern?
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a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms. f f f f f f f
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c ff ff ff ff
c. The threat may divert funds from other public safety health care programs.
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d. Fearofbioterrorismwillincreasetheneedforshelters. f f f f f f f f
CORRECT ANSWER: C ff ff
Bioterrorism mayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealth f f f f f f f f f f f f f
careprograms.Becausefundsarediverteditispossiblethatcommunity-basedprograms would
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beeliminated,thehealthcaresystemcouldexperiencechanges,andthattherewoul
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beanincreaseintheneedforshelter.However,alltheremainingoptionswouldhappen
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becauseofthediversionoffunds.
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DIF: Cognitive level: Analyzing ff ff TOP:Nursingprocess:Diagnosis f f f
MSC: NCLEX: Physiological Integrity
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3. Whichstatementdescribestheconsequenceofthesuccessfulimplementationofthe
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AffordableCareAct?
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a. Americanswillpaycloserattentiontotheirhealthstatus. f f f f f f f f
b. Mostofthepopulationwillbecoveredbyhealthinsurance. f f f f f f f f f
c. Publichealthdepartmentswillneedtoincreasethenumberofnursingpositions.
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d. The prevalenceofobesitywilldecrease. f f f f f
ANS:B
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, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe
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majorityofthepopulationwouldbecoveredbyinsuranceandpublichealthagencieswill
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notneedtoprovidedirectclinicalservicesinordertoassurethatthosewhoneedthemcan receive
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them.The Affordable Care Act will not directly cause Americans to paycloser
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attentiontotheirhealthstatusordecreasetheprevalenceofobesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment ff ff f f f
MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublic
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health.Whatisoneoftheessentialservicesofpublichealthnursing?
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a. Monitoring health status by completing a community assessment f f f f f f f
b. Diagnosing and investigating health problems in the world ff ff ff ff ff ff ff
c. Informing, educating, and empowering people about health issues ff ff ff ff ff ff ff
d. Workinginlawenforcementtoregulatehealthandensuresafety f f f f f f f f f
CORRECTANSWER:C
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ThePHNmonitorshealthstatusinseveralways,completingacommunityassessmentis
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onlyonewaythathealthstatusismonitored.ThePHNwouldnotdiagnoseorsolve―world‖
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problems, or work in law enforcement. Rather, the PHN would participate with local regulators to
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fprotect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation ff ff f f f
MSC: NCLEX: Health Promotion and Maintenance
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5. ApublichealthdepartmentisusingthemissionofpublichealthasdescribedbytheInstitute
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ofMedicinewhenplU
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nSgN
heaNIlthTpGrogBra.mOCminMg.Which f f f f f f f f
mostlikelybeimplemented? f f f
a. Tracking avian flu outbreaks and doing surveillance in the United States ff ff ff ff ff ff ff ff ff ff
b. Providingaflushotforanelderlypersonatthehealthdepartment f f f f f f f f f f f
c. Keeping trackofalternative therapies in use inthe United States f f f f f f f f f f
d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin f f f f f f f f f f f
Atlanta ff
CORRECT ANSWER: A ff ff
The Institute of Medicine‘s stated mission on public health is ―to generate organized community
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andtechnical knowledgetoprevent disease and promote health.‖Tracking avia
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fluoutbreaksanddoingsurveillanceappliesthisconceptatapopulationlevel.Providinga
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flushotforanelderlypersononlyaddressesindividualcare.Keepingtrackoftheuseof
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alternativetherapiesdoesnothingtopreventdiseaseorpromotehealthofthepopulation.
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Keepingsnakeantivenomisaimedatdiseasecareforanindividual,nothealthpromotionor
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diseaseprevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment ff ff f f f
MSC: NCLEX: Health Promotion and Maintenance
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6. Apublichealthdepartmentmakessurethattheessentialcommunity-orientedhealth services
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fareavailableinthecommunity.Whichofthefollowingcorepublichealthfunctions
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isbeingimplemented?
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a. Policy development f
, b. Assessment
c. Assurance
d. Scientific knowledge-based care f f
CORRECTANSWER:C
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Assurancefocusesontheresponsibilityofpublichealthagenciestoensurecertainactivities
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havebeenappropriatelycarriedouttomeetpublichealthgoalsandplans.Policy
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developmentseekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicy
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Assessmentincludesactivitiesthatinvolvecollecting,analyzing,anddisseminating
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informationonboththehealthstatusandthehealth-relatedaspectsofacommunityora
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specificpopulation.Publichealthisbasedonscientificknowledgebutisnotacorefunction
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment ff ff f f f
MSC: NCLEX: Health Promotion and Maintenance
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7. Whatisthepurposeofpublichealthcorefunctions?
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a. Clarifying the role ofthe government in fulfilling the mission of public health f f f f f f f f f f f f
b. Ensuring the safety of populations in receiving quality health care ff ff ff ff ff ff ff ff ff
c. Providingcommunity-basedindividualizedcaretoeverypersonintheUnited f f f f f f f f f
States
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d. Unitingpublicandprivateprovidersofcareinacomprehensiveapproachto
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providinghealthcare
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CORRECT ANSWER: A ff ff
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assessment,
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policydevelopment,andassurance arecorefunctionsatalllevelsof government for the
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puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment‘srole.
USNT
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DIF: O
Cognitive level: Understanding
TOP:Nursingprocess:Assessment ff ff f f f
MSC: NCLEX: Health Promotion and Maintenance
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8. Whichofthefollowingstatementsaboutpublichealthisaccurate?
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a. Prevention of early deaths can be more effectively accomplished by medical f f f f f f f f f f
treatment than by public health approaches.
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b. Expendituresandresourcesforpublichealthhaveincreasedinrecentyears. f f f f f f f f f f
c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochanges in f f f f f f f f f f f f ff
safety, sanitation, and food safety.
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d. Reformofthemedicalinsurancesystemisthesinglechangeneededtoimprove
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thehealthofAmericans.
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CORRECT ANSWER: C ff ff
FieldingandTilsonhaveassertedthatmostoftheincreaseinlifespanhasbeenmade
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throughimprovementsinsanitation,cleanwatersupplies,makingworkplacessafer, improving
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food and drug safety, immunizing children, and improving nutrition, hygiene,
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andhousing.Medicaltreatmenthasnotmadeassignificantofanimpactonthelifespanas
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publichealthmeasures.Fundingforpublichealthinrecentyearshasbeenonagradual
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decline.Althoughreformofthemedicalinsurancesystemmayhelpimprovethehealthof
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Americans,therearemanyotherfactorsthatwillneedtobeaddressed.
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DIF: Cognitive level: Understanding f f TOP: Nursing process: Assessment ff ff ff