Test bank - public health nursing: Population-Centered Health Care in the Community 11th edition (Stanhope,2024), Latest Edition || All Chapters

Public Health Nursing 11th Edition Stanhope Test Bank
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, Public Health Nursing 11th Edition Stanhope Test Bank
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Chapter 01: P ublic Health F oundations and P opulation 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 9i




1. What is the primary focus to be addressed concerning the improvement of the health of the
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American people in the twenty- first century?
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a. Bioterrorism and global health threats 9i 9i 9i 9i


b. Delivery of individual care and hygiene 9i 9i 9i 9i 9i


c. The need for increased hospital and acute care
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d. Chronic disease and disability management 9i 9i 9i 9i




ANS: A 9 i9 i


There are new concerns, and of the most serious are bioterrorism and globally induced infe
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ctions, such as the avian flu. These threats will divert health care funds and resources from
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other health care programs to be spent for public safety. The others are not related to 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: 9i 9i


Nursing process: P lanning MSC: NCLEX: Health Promotion and Ma 9i 9i 9i 9 i 9i 9i 9i 9i


intenance

2. A community is concerned about the threat of bioterrorism. Which of the following best
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describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs. 9i 9i 9i 9i 9i 9i 9i



b. This threat could causeNthUeRhS
eaI
lthNcGaT
reBsy.sC
9i mMto collapse.
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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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ANS: C 9 i9 i


Bioterrorism may have an impact on the availability of resources for public safety health ca
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re 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, and t
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hat there would be an increase in the need for shelter. However, all the remaining options w
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ould happen because of the diversion of funds.
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DIF: Cognitive level: Analyzing TOP: 9i 9i


Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
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3. Which statement describes the consequence of the successful implementation of the
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Affordable Care Act? 9i 9i


a. Americans will pay closer attention to their health status. 9i 9i 9i 9i 9i 9i 9i 9i


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 o f obesity will decrease.
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ANS: B 9 i




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, Public Health Nursing 11th Edition Stanhope Test Bank
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One consequence of successful implementation of the Affordable Care Act might be that the
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majority of the population would be covered by insurance and public health agencies will n
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ot need to provide direct clinical services in order to assure that those who need them can re
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ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti
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on to their health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP: 9i 9i


Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma 9i 9i 9i 9 i 9i 9i 9i 9i


intenance

4. The public health nurse (PHN) must participate in the essential services of public health.
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What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment 9i 9i 9i 9i 9i 9i 9i


b. Diagnosing and investigating health problems in the world 9i 9i 9i 9i 9i 9i 9i


c. Informing, educating, and empowering people about health issues 9i 9i 9i 9i 9i 9i 9i


d. Working in law enforcement to regulate health and ensure safety9i 9i 9i 9i 9i 9i 9i 9i 9i




ANS: C 9 i9 i


The PHN monitors health status in several ways, completing a community assessment is onl
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y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ pro
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blems, or work in law enforcement. Rather, the PHN would participate with local regulators
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to protect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP: 9i 9i


Nursing process: Implementation MSC: NCLEX: Health Promotion and Ma 9i 9i 9i 9 i 9i 9i 9i 9i


intenance

5. A public health department is using the mission of public health as described by the Institute
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of Medicine when pla nningNits RheaIlth pGrogBra.mCminMg. Which of the following activities will
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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 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i


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 in
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Atlanta i




ANS: A 9 i9 i


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 avian
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flu outbreaks and doing surveillance applies this concept at a population level. Providing a f
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lu shot for an elderly person only addresses individual care. Keeping track of the use of alter
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native therapies does nothing to prevent disease or promote health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotion or di
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sease prevention. 9i




DIF: Cognitive level: Analyzing TOP: 9i 9i


Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma 9i 9i 9i 9 i 9i 9i 9i 9i


intenance

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 public
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health functions is being implemented?
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a. Policy development 9i




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, Public Health Nursing 11th Edition Stanhope Test Bank
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b. Assessment
c. Assurance
d. Scientific knowledge-based care 9i 9i




ANS: C 9 i9 i


Assurance focuses on the responsibility of public health agencies to ensure certain activities
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have been appropriately carried out to meet public health goals and plans. Policy developm
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ent seeks to build constituencies that can help bring about change in public policy. Assessm
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ent includes activities that involve collecting, analyzing, and disseminating information on b
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oth the health status and the health-
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related aspects of a community or a specific population. Public health is based on scientific
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knowledge but is not a core function. 9i 9i 9i 9i 9i 9i




DIF: Cognitive level: Applying TOP: 9i 9i


Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma 9i 9i 9i 9 i 9i 9i 9i 9i


intenance

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- 9i


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 to
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providing health care 9i 9i




ANS: A 9 i9 i


As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assess
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ment, policy development, and assurance are core functions at all levels of
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government for the purposeNofR
clarIifyiG 9ihe.gCoveMr nme nt‘ s role.
ng tB 9i 9i 9i 9i



US N T 9i 9i 9i O
DIF: Cognitive level: Understanding TOP: 9i 9i


Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma 9i 9i 9i 9 i 9i 9i 9i 9i


intenance

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 medical
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treatment than by public health approaches.
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b. Expenditures and resources for public health have increased in recent years. 9i 9i 9i 9i 9i 9i 9i 9i 9i 9i


c. Historically, gains in the health of populations have been related largely to changes
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in safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve
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the health of Americans. 9i 9i 9i




ANS: C 9 i9 i


Fielding and Tilson have asserted that most of the increase in life span has been made thro
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ugh improvements in sanitation, clean water supplies, making workplaces safer, improving
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food and drug safety, immunizing children, and improving nutrition, hygiene, and housing
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. Medical treatment has not made as significant of an impact on the life span as public healt
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h measures. Funding for public health in recent years has been on a gradual decline. Altho
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ugh reform of the medical insurance system may help improve the health of Americans, th
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ere are many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding 9i 9i TOP: Nursing process: Assessment 9i 9i




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