Test bank for Public Health Nursing: Population Centered Health Care in the Community 11th Edition by Marcia Stanhope and Jeanette Lancaster isbn-9780323882828 All Chapter Latest Complete Guide A+

TestBank- b
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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 Community,
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11thEdition
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MULTIPLE CHOICE w
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1. What is the primary focus to be addressed concerningthe improvement of thehealth of the
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American people in the twenty-first century?
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a. Bioterrorism and global health threats wb wb wb wb




b. Delivery of individual care and hygiene wb wb wb wb wb




c. Theneed for increased hospitaland acute care
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d. Chronic disease anddisability management w
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CORRECT ANSWER: A wb wb




There are new concerns, and of the most serious are bioterrorism and globally induced
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infections, such as theavian flu.Thesethreatswilldivert healthcarefunds andresources from
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other health careprograms tobe spent for public safety. Theothers are not relatedto public
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health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning wb wb bw w
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MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best
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describesthebasisforthisconcern?
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a. Bioterrorismhasthepotentialtodissolve community-basedprograms. bw w
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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 increasethe needfor shelters.
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CORRECT ANSWER: C wb wb




Bioterrorismmayhave an impact onthe availabilityof resources for public safetyhealth care w
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programs. Becausefunds arediverted it is possible that community-based programs would be
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eliminated, the health care system could experience changes, and that there woul be an increase
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in the needfor shelter.However, allthe remaining options would happen becauseofthe
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diversionoffunds.
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DIF: Cognitive level: Analyzing wb wb TOP:Nursingprocess:Diagnosis w
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MSC: NCLEX: Physiological Integrity
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3. Whichstatement describes theconsequence ofthesuccessfulimplementation of the
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AffordableCareAct?
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a. Americanswillpaycloser attentiontotheirhealth status. bw bw bw w
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b. Most of the population will be covered by health insurance.
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c. Public health departments will needto 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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, Oneconsequence of successfulimplementation oftheAffordableCareActmight bethatthe
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majority of the population would be covered by insurance and public health agencies will not
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need to provide direct clinical services in order to assure that those who need them can receive
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them. The Affordable Care Act will not directly cause Americans to pay closer attention to their
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health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment wb wb bw w
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MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipate intheessentialservices of public
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wbhealth. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment wb wb wb wb wb wb wb




b. Diagnosing and investigating health problems in the world wb wb wb wb wb wb wb




c. Informing, educating, and empowering people about health issues wb wb wb wb wb wb wb




d. Workinginlawenforcementtoregulatehealthandensuresafety w
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wbCORRECTANSWER:C b
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The PHN monitors health status in several ways, completing a community assessment is only
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onewaythathealthstatusis monitored. ThePHNwouldnotdiagnose orsolve“world” problems,
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or work in law enforcement. Rather, the PHN would participate with local regulators to protect
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communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation wb wb bw w
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MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is usingthe mission of public health as described by the Institute
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ofMedicinewhenplU
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h eaNIlthTpGrogBra.mOCminMg.Which bw bw bw bw bw bw bw bw




most likely be implemented? w
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a. Tracking avian flu outbreaks and doing surveillance in the United States wb wb wb wb wb wb wb wb wb wb




b. Providingaflushotforanelderlypersonat thehealthdepartment bw bw w
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c. Keeping track of alternative therapies in use in the United States wb wb wb wb wb wb wb wb wb wb




d. Keepingsnake antivenomattheCentersfor DiseaseControlandPreventionin w
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Atlanta wb




CORRECT ANSWER: A wb wb




The Institute of Medicine’s stated mission on public health is “to generate organized
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community and technical knowledge to prevent disease and promote health.” Tracking avia flu
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outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
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for an elderly person only addresses individualcare. Keepingtrack of the use of alternative
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therapies does nothingto prevent disease or promotehealth of thepopulation. Keepingsnake
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antivenomis aimedat diseasecare for an individual,not healthpromotion or disease
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prevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment wb wb bw w
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MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health services
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are available in the community. Which of the following core public health functions isbeing
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, b. Assessment
c. Assurance
d. Scientific knowledge-based care wb wb




CORRECTANSWER:C
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Assurancefocuses on theresponsibility of public health agenciestoensure certain activities
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have been appropriately carried out to meet public health goals and plans. Policy development
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seekstobuildconstituenciesthatcan helpbringaboutchange in public policy Assessment
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includes activitiesthatinvolvecollecting,analyzing,anddisseminating information on both the
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health status andthe health-related aspects of acommunity or a specific population. Public
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health is based on scientific knowledge but is not a core function
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment wb wb bw w
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MSC: NCLEX: Health Promotion 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 wb wb wb wb wb wb wb wb wb wb wb wb




b. Ensuring the safety of populations in receiving quality health care wb wb wb wb wb wb wb wb wb




c. Providingcommunity-basedindividualizedcaretoevery personintheUnited w
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States wb




d. Uniting public and private providers of care in acomprehensive approachtowb wb wb wb wb wb wb wb wb wb wb




providinghealthcare
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CORRECT ANSWER: A wb wb




As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
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assessment, policy development, and assurance are core functions at all levels of government
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for the puNr poofsRe clarIifyiGng tBhe.gCoveMrnment’s role.
USNT
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DIF: TOP:Nursingprocess:Assessment O
Cognitive level: Understanding wb wb
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MSC: NCLEX: Health Promotion and Maintenance
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8. Whichof the followingstatements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medical wb wb wb wb wb wb wb wb wb wb




treatment than by public health approaches.
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b. Expendituresandresourcesforpublic healthhaveincreasedinrecent years. w
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c. Historically, gains inthe health of populations have been relatedlargely tochanges in wb wb w
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safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve the
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healthofAmericans.
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CORRECT ANSWER: C wb wb




FieldingandTilsonhave assertedthatmostof theincreasein lifespan has beenmade through
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improvementsinsanitation,cleanwatersupplies, makingworkplacessafer, improving food
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and drug safety, immunizing children, and improving nutrition, hygiene,
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andhousing. Medical treatment has not made as significant of an impact onthe life span as public
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health measures. Fundingfor public health in recentyears has been on a gradual decline.
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Although reform of the medical insurance system may help improve the health of Americans,
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there are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding wb wb TOP: Nursing process: Assessment wb wb wb