n n n
n PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
n n n n n n
nMARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
n n n n n n
46/COMPLETE GUIDE 2024-2025
n n n
,Chapter 01: Public Health Foundations and Population Health
n n n n n n n
Stanhope: Public Health Nursing: Population-Centered Primary care in the
n n n n n n n n
Community, 11th Edition
n n n
1. What nis nthe nprimary nfocus nto nbe naddressed nconcerning nthe nimprovement nof
nthe nhealth nof nthe nAmerican npeople nin n the ntwenty-first ncentury?
a. Bioterrorism nand nglobal nhealth nthreats
b. Delivery nof nindividual ncare nand nhygiene
c. The nneed nfor nincreased nhealth ncenter nand nacute ncare
d. Chronic ndisease nand ndisability nmanagement
ACCURATE nANSWER:-A
REASONING:->>>There nare nnew nconcerns, nand nof nthe nmost nserious nare
nbioterrorism nand nglobally ninduced ninfections, nsuch nas nthe navian nflu. nThese
nthreats nwill ndivert nprimary ncare nfunds nand nresources nfrom nother nprimary ncare
nprograms nto nbe nspent nfor npublic nsafety. nThe nothers nare nnot nrelated nto npublic
nhealth nor nare nconcerns nthat n have nbeen npresent nfor nmany nyears.
DIFFICULT: nCognitive nlevel: nUnderstanding TOPIC: Nursing
nprocess: nPlanning nMSC: n NCLEX: nHealth nPromotion nand
nMaintenance
2. A ncommunity nis nconcerned nabout nthe nthreat nof nbioterrorism. nWhich nof nthe
nfollowing nbest ndescribes nthe nbasis nfor n this nconcern?
a. Bioterrorism nhas nthe npotential nto ndissolve ncommunity-based nprograms.
b. This nthreat ncould ncauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMto ncollapse.
c. The nthreat nmay ndivert nfunds nfrom nother npublic nsafety nprimary ncare nprograms.
d. Fear nof nbioterrorism nwill nincrease nthe nneed nfor nshelters.
ACCURATE nANSWER:-C
REASONING:->>>Bioterrorism nmay nhave nan nimpact non nthe navailability nof
nresources nfor npublic nsafety nprimary ncare nprograms. nBecause nfunds nare
ndiverted nit nis npossible nthose n community-based nprograms nwould nbe neliminated,
nthe nprimary ncare nsystem ncould nexperience nchanges, nand nthat nthere nwould nbe
nan nincrease nin nthe nneed nfor n shelter. nHowever, nall nthe nremaining noptions
nwould nhappen nbecause n of nthe ndiversion nof n funds.
DIFFICULT: nCognitive nlevel: nAnalyzing TOPIC: Nursing
nprocess: nDiagnosis nMSC: n NCLEX: nPhysiological nIntegrity
3. Which nstatement ndescribes nthe nconsequence nof nthe nsuccessful
nimplementation nof nthe nAffordable nCare nAct?
a. Americans nwill npay ncloser nattention nto ntheir nhealth nstatus.
b. Most nof nthe npopulation nwill nbe ncovered nby nhealth ninsurance.
c. Public nhealth ndepartments nwill nneed nto nincrease nthe nnumber nof nnursing npositions.
d. The nprevalence nof nobesity nwill
ndecrease. nACCURATE nANSWER:-B
REASONING:->>>One nconsequence nof nsuccessful nimplementation nof nthe
nAffordable nCare nAct nmight nbe nthat nthe nmajority nof nthe npopulation nwould nbe
ncovered nby ninsurance nand npublic nhealth nagencies nwill nnot nneed nto nprovide
, ndirect nclinical nservices nin norder nto nassure nthat nthose nwho nneed nthem ncan
nreceive nthem. nThe nAffordable nCare nAct nwill nnot ndirectly ncause nAmericans n to
npay ncloser nattention n to ntheir nhealth nstatus nor ndecrease nthe nprevalence n of
nobesity.
DIFFICULT: nCognitive nlevel: nUnderstanding TOPIC: Nursing
nprocess: nAssessment nMSC: n NCLEX: nHealth nPromotion nand
nMaintenance
4. The npublic nhealth nnursing nattendant n(PHN) nmust nparticipate nin nthe
nessential nservices nof npublic nhealth. nWhat nis n one nof n the nessential
nservices nof npublic nhealth nnursing?
a. Monitoring nhealth nstatus nby ncompleting na ncommunity nassessment
b. Diagnosing nand ninvestigating nhealth nproblems nin nthe nworld
c. Informing, neducating, nand nempowering npeople nabout nhealth nissues
d. Working nin nlaw nenforcement nto nregulate nhealth nand nensure nsafety
ACCURATE nANSWER:-C
REASONING:->>>The nPHN nmonitors nhealth nstatus nin nseveral nways,
ncompleting na ncommunity nassessment nis nonly none nway nthat nhealth nstatus nis
nmonitored. nThe nPHN nwould nnot ndiagnose nor nsolve n“world” nproblems, nor nwork
nin nlaw nenforcement. nRather, nthe nPHN nwould nparticipate nwith nlocal nregulators
nto nprotect ncommunities nand nempower npeople nto naddress nhealth nissues.
DIFFICULT: nCognitive nlevel: nUnderstanding TOPIC: Nursing nprocess:
nImplementation nMSC: n NCLEX: nHealth nPromotion nand n Maintenance
5. A npublic nhealth ndepartment nis nusing nthe nmission nof npublic nhealth nas ndescribed
nby nthe nInstitute nof nMedicine nwhen nplanning nits nhealth nprogramming. nWhich nof
nthe nfollowing nactivities nwill nmost nlikely nbe nimplemented?
a. Tracking navian nflu noutbreaks nand ndoing nsurveillance nin nthe nUnited nStates
b. Providing na nflu nshot nfor nan nelderly nperson nat nthe nhealth ndepartment
c. Keeping ntrack nof nalternative ntherapies nin nuse nin nthe nUnited nStates
d. Keeping nsnake nantivenom nat nthe nCenters nfor nDisease nControl nand
nPrevention nin nAtlanta
ACCURATE nANSWER:-A
REASONING:->>>The nInstitute nof nMedicine’s nstated nmission non npublic nhealth
nis n“to ngenerate norganized ncommunity nand ntechnical nknowledge nto nprevent
ndisease nand npromote n health.” nTracking navian nflu noutbreaks nand ndoing
nsurveillance napplies nthis nconcept nat na npopulation nlevel. nProviding na nflu nshot
nfor nan nelderly nperson nonly naddresses nindividual ncare. nKeeping ntrack nof nthe nuse
nof nalternative ntherapies ndoes nnothing nto nprevent ndisease nor npromote nhealth nof
nthe npopulation.
Keeping nsnake nantivenom nis naimed nat ndisease ncare nfor nan nindividual, nnot nhealth
npromotion nor ndisease nprevention.
DIFFICULT: nCognitive nlevel: nAnalyzing TOPIC: Nursing
nprocess: nAssessment nMSC: n NCLEX: nHealth nPromotion nand
nMaintenance
6. A npublic nhealth ndepartment nmakes nsure nthat nthe nessential ncommunity-oriented
nhealth nservices nare navailable nin nthe ncommunity. nWhich nof nthe nfollowing ncore
npublic nhealth nfunctions nis nbeing nimplemented?
, a. Policy ndevelopment
b. Assessment
c. Assurance
d. Scientific nknowledge-based ncare
ACCURATE nANSWER:-C
REASONING:->>>Assurance nfocuses non nthe nresponsibility nof npublic nhealth
nagencies nto nensure ncertain nactivities nhave nbeen nappropriately ncarried nout nto
nmeet npublic nhealth ngoals nand nplans. nPolicy ndevelopment nseeks n to nbuild
nconstituencies nthat ncan nhelp nbring nabout nchange nin npublic npolicy. nAssessment
nincludes nactivities nthat ninvolve ncollecting, nanalyzing, nand ndisseminating
ninformation non nboth nthe nhealth nstatus nand n the nhealth-related naspects n of na
ncommunity nor na nspecific npopulation. nPublic nhealth nis nbased non nscientific
nknowledge nbut nis nnot na n core nfunction.
DIFFICULT: nCognitive nlevel: nApplying TOPIC: Nursing nprocess:
nAssessment nMSC: n NCLEX: nHealth nPromotion nand nMaintenance
7. What nis nthe npurpose nof npublic nhealth ncore nfunctions?
a. Clarifying nthe nrole nof nthe ngovernment nin nfulfilling nthe nmission nof npublic nhealth
b. Ensuring nthe nsafety nof npopulations nin nreceiving nquality nprimary ncare
c. Providing ncommunity-based nindividualized ncare nto nevery nperson nin
nthe nUnited nStates
d. Uniting npublic nand nprivate nproviders nof ncare nin na ncomprehensive
napproach nto nproviding nprimary ncare
ACCURATE nANSWER:-A
REASONING:->>>As ndefined nby nthe nInstitute nof nMedicine nin nits n1988 nreport
nThe nFuture nof nPublic nHealth, nassessment, npolicy ndevelopment, nand nassurance nare
ncore nfunctions
at nall nlevels nof ngovernment nfor nthe npurposeNofRclarIifyiGng
nt
Bhe.gCoveMrnment’s
role.