m m m m m m
Centered Health Care in the Community 11th Edition by
m m m m m m m m m
Stanhope
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,Chapterm01:mPublicmHealthmFoundationsmandmPopulationmHealthmSt
anhope:mPublicmHealthmNursing:mPopulation-
Centeredm Healthm Carem in mthem Community,m 11thm Edition
MULTIPLEmCHOICE
1. Whatmismthemprimarymfocusmtombemaddressedmconcerningmthemimprovementmofmthemhealth ofmt 9i
hemAmericanmpeoplem in mthemtwenty-mfirstmcentury?
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a. Bioterrorismmandmglobalmhealthmthreats
b. Deliverymofmindividualmcaremandmhygiene
c. Themneedmformincreasedmhospitalmandmacutemcare
d. Chronicmdiseasemandmdisabilitymmanagement
ANS:m m A
Theremaremnewmconcerns,mandmofmthemmostmseriousmarembioterrorism andm globallyminducedmin 9i
femctions,msuch asmthemavian flu.mThesemthreatsmwillmdivertmhealth caremfundsmandmresourcesmf
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rom m othermhealthmcaremprogramsmtombemspentmformpublicmsafety.mThemothersmaremnotmrelatedmt
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ompublicmhealth ormaremconcernsmthatmhavembeenmpresentmformmanymyears.
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DIF:m m Cognitivem level:mUnderstandingm m m m TOP:
Nursing process:PlanningmMSC:m NCLEX:mHealth mPromotionmandmMaminten
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ance
2. Amcommunitymismconcernedmaboutmthemthreatmofmbioterrorism.mWhichmofmthemfollowingmb
estmdescribesmthembasismformthismconcern?
a. Bioterrorismmhasmthempotentialmtomdissolvemcommunity-basedmprograms.
b. ThismthreatmcouldmcauseNthUeRheSaI
lthNcGaT
reBsy.sC mMtomcollapse.
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c. Themthreatmmaymdivertmfundsm frommothermpublicmsafetymhealthmcaremprograms.
d. Fearmofmbioterrorismmwillmincreasemthemneedmformshelters.
ANS:m m C
Bioterrorismmmaymhaveman m impactmonmthemavailabilitymofmresourcesmformpublicmsafetymhealth
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camremprograms.mBecausemfundsmaremdivertedmit mismpossiblemthatmcommunity-
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basedmprogramsmwouldmbemeliminated,mthemhealth caremsystem m couldmexperiencemchanges,man
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dmtmhat theremwouldmbeman m mincreaseminmthemneedm formshelter.mHowever,mall m themremainingmop
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tionsmwmouldmhappen becausemofmthemdiversionmof m funds.
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DIF: Cognitivemlevel:mAnalyzing
TOP:mNursing process: Diagnosi
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smMSC: NCLEX:mPhysiologicalmIntegrity
3. Which statementmdescribesmthemconsequencemof m themsuccessfulmimplementation of m t
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hemAffordablemCaremAct?
a. Americansmwillmpaymclosermattentionmtomtheirmhealthmstatus.
b. Mostmof thempopulationmwillmbemcoveredmbymhealth insurance.
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c. Publicmhealth departmentsmwillmneedmtomincreasemthemnumbermofmnursingmpositions.
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d. Theprevalencemof mom besitymwillmdecreas
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e.mANS:m B
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, Onemconsequencemof successfulmimplementationmof m themAffordablemCaremActmmightmbemthatmt
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hemmajoritymofmthempopulationmwouldmbemcoveredmbyminsurancemandmpublicmhealthmagenciesm
willmnmotmneedmtomprovidemdirectmclinical servicesmin m ordermtomassuremthatmthosemwhomneedmth 9i 9 i
emmcan remceivemthem.mThemAffordablemCaremActmwill m notmdirectlymcausemAmericansmtompaym
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closermattentimon tomtheirmhealthmstatusmormdecreasemthemprevalencemof m obesity.
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DIF:m m Cognitivem level:mUnderstandingm m m m TOP:
Nursing process: AssessmentmMSC:
9i 9i
NCLEX: mHealthmPromotionmandmM 9i
amintenance
4. Thempublicmhealth mnursem(PHN)mmustmparticipatemin mthemessentialmservicesmof m publicmhe
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alth.mWhatmismonemofmthemessentialmservicesmofmpublicmhealthmnursing?
a. Monitoringmhealth statusmbymcompleting amcommunitymassessment 9i 9i
b. Diagnosingmandminvestigating healthmproblemsminmthemworld 9i
c. Informing,meducating,mandmempoweringmpeoplemabout health missues 9i 9i
d. Workingmin mlawmenforcementmtomregulatemhealthmandmensuremsafety
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ANS:m m C
ThemPHNmmonitorsmhealthmstatusminmseveral m ways,mcompleting mamcommunitymassessmentmism 9 i 9i
onlmymonemwaymthatmhealth statusmismmonitored.mThemPHNmwouldmnot diagnosemormsolvem―wor
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ld‖mpromblems,mormworkmin m mlawmenforcement.mRather,mthemPHNmwouldmparticipatemwithmlocal
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m regulatorsmtomprotectmcommunitiesmandmempowermpeoplemtomaddressmhealth issues.
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DIF:m m Cognitivem level:mUnderstandingm m m m TOP:
Nursing process: ImplementationmMSC:
9i 9i
NCLEX:mHealth PromotionmandmM 9i
amintenance
5. Ampublicmhealthmdepartmentmismusingmthemmission of m publicmhealthmasmdescribedmbymthemInstit 9i 9 i
utemofmMedicinemwhen pla nningNits RheaIltmhmpGrogBra.mCminMg.m Which of m them followingmactivitie
US N T
sm will m m mostmlikelymbemimplemented?
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a. Trackingmavian mflumoutbreaksmandmdoing msurveillancemin mthemUnitedmStates
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b. Providing amflu shotmforman m melderlymperson at m themhealthmdepartment
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c. Keeping trackmof m alternativemtherapiesminmuseminmthemUnitedmStates
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d. Keeping snakemantivenommatmthemCentersmformDiseasemControl m andmPrevention m
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in m Atlanta
9
ANS:m m A
ThemInstitutemofmMedicine‘smstatedmmission on m publicmhealth mism―tomgeneratemorganizedmco 9i 9 i 9i
mmunitymandmtechnical knowledgemtompreventmdiseasemandmpromotemhealth.‖mTracking avianm
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flu outbreaksmandmdoing surveillancemappliesmthismconcept at m ampopulationmlevel.mProviding m
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amfmlumshotmformanmelderlympersonmonlymaddressesmindividual care.mKeeping trackmofmthem usemo 9i 9i
fmaltermnativemtherapiesmdoesmnothing tompreventmdiseasemormpromotemhealth of m thempopulatio 9i 9i 9 i
n.
Keeping snakemantivenommismaimedmatmdiseasemcaremformanmindividual,mnotmhealthmpromotion orm
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di m seasemprevention.
DIF: Cognitivemlevel:mAnalyzing TOP:
Nursing process: AssessmentmMSC:
9i 9i
NCLEX: mHealthmPromotionmandmM 9i
amintenance
6. Ampublicmhealth departmentmmakesmsuremthatmthemessential community-
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, orientedmhealthm servicesmaremavailableminmthemcommunity.mWhich ofmthemfollowing corempublicmhealth
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functionsm ismbeing implemented?
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a. Policymdevelopment
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