Public Health Nursing: Population-Centered Health Care in the Community
Author: Marcia Stanhope
11th Edition
,Chapter 01: Public Health Foundations And Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care In The Community, 11th
Edition
MULTIPLE CHOICE
1. What Is The Primary Focus To Be Addressed Concerning The
Improvement Of The Health Of The American People In The Twenty-
First Century?
A. Bioterrorism And Global
Health
Threats
B. Delivery Of Individual Care
And
Hygiene
C. The Need For Increased
Hospital And Acute Care
D. Chronic Disease And Disability
Management
ANS: A
There Are New Concerns, And Of The Most Serious Are Bioterrorism And Globally Induced
Infections, Such As The Avian Flu. These Threats Will Divert Health Care Funds And Resources
From Other Health Care Programs To Be Spent For Public Safety. The Others Are Not Related To
Public Health Or Are Concerns That Have Been Present For Many Years.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
MSC: NCLEX: Health Promotion And Maintenance
2. A Community Is Concerned About The Threat Of Bioterrorism. Which Of The Following Best
Describes The Basis For This Concern?
A. Bioterrorism Has The Potential To Dissolve Community-Based Programs.
B. This Threat Could Cause The Health Care System To Collapse.
C. The Threat May Divert Funds From Other Public Safety Health Care
Programs.
D. Fear Of Bioterrorism Will Increase The Need For Shelters.
ANS: C
Bioterrorism May Have An Impact On The Availability Of Resources For Public Safety Health Care
Programs. Because Funds Are Diverted It Is Possible That Community-Based Programs Would Be
Eliminated, The Health Care System Could Experience Changes, And That There Would Be An
Increase In The Need For Shelter. However, All The Remaining Options Would Happen Because Of
The Diversion Of Funds.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Diagnosis
MSC: NCLEX: Physiological Integrity
3. Which Statement Describes The Consequence Of The Successful Implementation Of The Affordable
Care Act?
, A. Americans Will Pay Closer Attention To Their Health Status.
B. Most Of The Population Will Be Covered By Health Insurance.
C. Public Health Departments Will Need To Increase The Number Of Nursing
Positions.
D. The Prevalence Of Obesity Will Decrease.
ANS: B
One Consequence Of Successful Implementation Of The Affordable Care Act Might Be That The
Majority Of The Population Would Be Covered By Insurance And Public Health Agencies Will Not
Need To Provide Direct Clinical Services In Order To Assure That Those Who Need Them Can
Receive Them. The Affordable Care Act Will Not Directly Cause Americans To Pay Closer Attention
To Their Health Status Or Decrease The Prevalence Of Obesity.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion And Maintenance
4. The Public Health Nurse (PHN) Must Participate In The Essential Services Of Public Health. What
Is One Of The Essential Services Of Public Health Nursing?
A. Monitoring Health Status By Completing A Community
Assessment
B. Diagnosing And Investigating Health Problems In The World
C. Informing, Educating, And Empowering People About Health
Issues
D. Working In Law Enforcement To Regulate Health And Ensure
Safety
ANS: C
The PHN Monitors Health Status In Several Ways, Completing A Community Assessment Is Only
One Way That Health Status Is Monitored. The PHN Would Not Diagnose Or Solve “World”
Problems, Or Work In Law Enforcement. Rather, The PHN Would Participate With Local Regulators
To Protect Communities And Empower People To Address Health Issues.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion And Maintenance
5. A Public Health Department Is Using The Mission Of Public Health As Described By The Institute
Of Medicine When Planning Its Health Programming. Which Of The Following Activities Will Most
Likely Be Implemented?
A. Tracking Avian Flu Outbreaks And Doing Surveillance In The United States
B. Providing A Flu Shot For An Elderly Person At The Health Department
C. Keeping Track Of Alternative Therapies In Use In The United States
D. Keeping Snake Antivenom At The Centers For Disease Control And
Prevention In Atlanta
ANS: A
The Institute Of Medicine’s Stated Mission On Public Health Is “To Generate Organized Community
And Technical Knowledge To Prevent Disease And Promote Health.” Tracking Avian Flu Outbreaks
And Doing Surveillance Applies This Concept At A Population Level. Providing A Flu Shot For An
Elderly Person Only Addresses Individual Care. Keeping Track Of The Use Of Alternative Therapies
Does Nothing To Prevent Disease Or Promote Health Of The Population. Keeping Snake Antivenom Is
Aimed At Disease Care For An Individual, Not Health Promotion Or Disease Prevention.
DIF: Cognitive Level: Analyzing TOP: Nursing Process: Assessment
, MSC: NCLEX: Health Promotion And Maintenance
6. A Public Health Department Makes Sure That The Essential Community-Oriented Health
Services Are Available In The Community. Which Of The Following Core Public Health
Functions Is Being Implemented?
A. Policy Development
B. Assessment
C. Assurance
D. Scientific Knowledge-Based
Care
ANS: C
Assurance Focuses On The Responsibility Of Public Health Agencies To Ensure Certain Activities
Have Been Appropriately Carried Out To Meet Public Health Goals And Plans. Policy Development
Seeks To Build Constituencies That Can Help Bring About Change In Public Policy. Assessment
Includes Activities That Involve Collecting, Analyzing, And Disseminating Information On Both The
Health Status And The Health- Related Aspects Of A Community Or A Specific Population. Public
Health Is Based On Scientific Knowledge But Is Not A Core Function.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion And Maintenance
7. What Is The Purpose Of Public Health Core Functions?
A. Clarifying The Role Of The Government In Fulfilling The Mission Of Public
Health
B. Ensuring The Safety Of Populations In Receiving Quality Health Care
C. Providing Community-Based Individualized Care To Every Person In The
United
States
D. Uniting Public And Private Providers Of Care In A Comprehensive Approach
To
Providing Health Care
ANS: A
As Defined By The Institute Of Medicine In Its 1988 Report The Future Of Public Health,
Assessment, Policy Development, And Assurance Are Core Functions At All Levels Of
Government For The Purpose Of Clarifying The Government’s Role.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Assessment
MSC: NCLEX: Health Promotion And Maintenance
8. Which Of The Following Statements About Public Health Is Accurate?
A. Prevention Of Early Deaths Can Be More Effectively Accomplished By Medical
Treatment Than By Public Health Approaches.
B. Expenditures And Resources For Public Health Have Increased In Recent Years.
C. Historically, Gains In The Health Of Populations Have Been Related Largely To
Changes
In Safety, Sanitation, And Food Safety.
D. Reform Of The Medical Insurance System Is The Single Change Needed To
Improve The Health Of Americans.
ANS: C