m m m m m mm
LATION CENTERED HEALTH CARE IN
m m m m m
THE COMMUNITY 10TH EDITION STANHOPE--
m m m m
2025-2026
m
,Chapter 01: Public Health Foundations and Population Health
m m m m m m m
Stanhope: Public Health Nursing: Population-
m m m m
Centered Health Care in the Community, 10th Edition
m m m m m m m
MULTIPLEmCHOICE
1. WhatmismthemprimarymfocusmtombemaddressedmconcerningmthemimprovementmofmthemhealthmofmthemAm
ericanmpeopleminmthemtwenty-firstmcentury?
a. Bioterrorismmandmglobalmhealthmthreats
b. Deliverymofmindividualmcaremandmhygiene
c. Themneedmformincreasedmhospitalmandmacutemcare
d. Chronicmdiseasemandmdisabilitymmanagement
ANS:m A
Theremaremnewmconcerns,mandmofmthemmostmseriousmarembioterrorismmandmgloballyminducedminfections,
msuchmasmthemavianmflu.mThesemthreatsmwillmdivertmhealthmcaremfundsmandmresourcesmfrommothermhealth
mcaremprogramsmtombemspentmformpublicmsafety.mThemothersmaremnotmrelatedmtompublicmhealthmormaremcon
cernsmthatmhavembeenmpresentmformmanymyears.
DIF: Cognitivemlevel:mUnderstanding TOP:
Nursingmprocess:mPlanningmMSC:m NCLEX:mHealthmPromotionmandmMainten
ance
2. Amcommunitymismconcernedmaboutmthemthreatmofmbioterrorism.mWhichmofmthemfollowingmbestmdes
cribesmthembasismformthismconcern?
a. Bioterrorismmhasmthempotentialmtomdissolvemcommunity-basedmprograms.
b. ThismthreatmcouldmcauseN eR
thUheSaI
lthNcGarTeBsy.sC O Mtomcollapse.
tem
c. Themthreatmmaymdivertmfundsmfrommothermpublicmsafetymhealthmcaremprograms.
d. Fearmofmbioterrorismmwillmincreasemthemneedmformshelters.
ANS:m C
Bioterrorismmmaymhavemanmimpactmonmthemavailabilitymofmresourcesmformpublicmsafetymhealthmcarempr
ograms.mBecausemfundsmaremdivertedmitmismpossiblemthatmcommunity-
basedmprogramsmwouldmbemeliminated,mthemhealthmcaremsystemmcouldmexperiencemchanges,mandmthatmt
heremwouldmbemanmincreaseminmthemneedmformshelter.mHowever,mallmthemremainingmoptionsmwouldmhap
penmbecausemofmthemdiversionmofmfunds.
DIF: Cognitivemlevel:mAnalyzing TOP:
Nursingmprocess:mDiagnosismMSC:m NCLEX:mPhysiologicalmIntegrity
3. WhichmstatementmdescribesmthemconsequencemofmthemsuccessfulmimplementationmofmthemAff
ordablemCaremAct?
a. Americansmwillmpaymclosermattentionmtomtheirmhealthmstatus.
b. Mostmofmthempopulationmwillmbemcoveredmbymhealthminsurance.
c. Publicmhealthmdepartmentsmwillmneedmtomincreasemthemnumbermofmnursingmpositions.
d. Themprevalencemofmobesitymwillmdecrease.mA
NS:m B
, OnemconsequencemofmsuccessfulmimplementationmofmthemAffordablemCaremActmmightmbemthatmt
hemmajoritymofmthempopulationmwouldmbemcoveredmbyminsurancemandmpublicmhealthmagenciesm
willmnotmneedmtomprovidemdirectmclinicalmservicesminmordermtomassuremthatmthosemwhomneedmthe
mmcanmreceivemthem.mThemAffordablemCaremActmwillmnotmdirectlymcausemAmericansmtompaymcl
osermattentionmtomtheirmhealthmstatusmormdecreasemthemprevalencemofmobesity.
DIF: Cognitivemlevel:mUnderstanding TOP:
Nursingmprocess:mAssessmentmMSC:m NCLEX:mHealthmPromotionmandmM
aintenance
4. Thempublicmhealthmnursem(PHN)mmustmparticipateminmthemessentialmservicesmofmpublicmheal
th.mWhatmismonemofmthemessentialmservicesmofmpublicmhealthmnursing?
a. Monitoringmhealthmstatusmbymcompletingmamcommunitymassessment
b. Diagnosingmandminvestigatingmhealthmproblemsminmthemworld
c. Informing,meducating,mandmempoweringmpeoplemaboutmhealthmissues
d. Workingminmlawmenforcementmtomregulatemhealthmandmensuremsafety
ANS:m C
ThemPHNmmonitorsmhealthmstatusminmseveralmways,mcompletingmamcommunitymassessmentmism
onlymonemwaymthatmhealthmstatusmismmonitored.mThemPHNmwouldmnotmdiagnosemormsolvem“worl
d”mproblems,mormworkminmlawmenforcement.mRather,mthemPHNmwouldmparticipatemwithmlocalmr
egulatorsmtomprotectmcommunitiesmandmempowermpeoplemtomaddressmhealthmissues.
DIF: Cognitivemlevel:mUnderstanding TOP:
Nursingmprocess:mImplementationmMSC:m NCLEX:mHealthmPromotionmandmM
aintenance
5. AmpublicmhealthmdepartmentmismusingmthemmissionmofmpublicmhealthmasmdescribedmbymthemInstit
utemofmMedicinemwhenmplanningNits RheaI lth mpGrogBra.mCminMg.mWhichmofmthemfollowingmactivitie
U S
smwillmmostmlikelymbemimplemented?
N T
a. TrackingmavianmflumoutbreaksmandmdoingmsurveillanceminmthemUnitedmStates
b. Providingmamflumshotmformanmelderlympersonmatmthemhealthmdepartment
c. KeepingmtrackmofmalternativemtherapiesminmuseminmthemUnitedmStates
d. KeepingmsnakemantivenommatmthemCentersmformDiseasemControlmandmPreventionm
inmAtlanta
ANS:m A
ThemInstitutemofmMedicine’smstatedmmissionmonmpublicmhealthmism“tomgeneratemorganizedmcom
munitymandmtechnicalmknowledgemtompreventmdiseasemandmpromotemhealth.”mTrackingmavianmfl
umoutbreaksmandmdoingmsurveillancemappliesmthismconceptmatmampopulationmlevel.mProvidingmamf
lumshotmformanmelderlympersonmonlymaddressesmindividualmcare.mKeepingmtrackmofmthemusemofmal
ternativemtherapiesmdoesmnothingmtompreventmdiseasemormpromotemhealthmofmthempopulation.
Keepingmsnakemantivenommismaimedmatmdiseasemcaremformanmindividual,mnotmhealthmpromotionm
ormdiseasemprevention.
DIF: Cognitivemlevel:mAnalyzing TOP:
Nursingmprocess:mAssessmentmMSC:m NCLEX:mHealthmPromotionmandmM
aintenance
6. Ampublicmhealthmdepartmentmmakesmsuremthatmthemessentialmcommunity-
orientedmhealthm servicesmaremavailableminmthemcommunity.mWhichmofmthemfollowingmcorempubl
icmhealthmfunctionsmismbeingmimplemented?
a. Policymdevelopment
, b. Assessment
c. Assurance
d. Scientificmknowledge-basedmcare
ANS:m C
Assurancemfocusesmonmthemresponsibilitymofmpublicmhealthmagenciesmtomensuremcertainmactiviti
esmhavembeenmappropriatelymcarriedmoutmtommeetmpublicmhealthmgoalsmandmplans.mPolicymdevel
opmentmseeksmtombuildmconstituenciesmthatmcanmhelpmbringmaboutmchangeminmpublicmpolicy.mAs
sessmentmincludesmactivitiesmthatminvolvemcollecting,manalyzing,mandmdisseminatingminformati
onmonmbothmthemhealthmstatusmandmthemhealth-
relatedmaspectsmofmamcommunitymormamspecificmpopulation.mPublicmhealthmismbasedmonmscientifi
cmknowledgembutmismnotmamcoremfunction.
DIF: Cognitivemlevel:mApplying TOP:
Nursingmprocess:mAssessmentmMSC:m NCLEX:mHealthmPromotionmandmMa
intenance
7. Whatmismthempurposemofmpublicmhealthmcoremfunctions?
a. Clarifyingmthemrolemofmthemgovernmentminmfulfillingmthemmissionmofmpublicmhealth
b. Ensuringmthemsafetymofmpopulationsminmreceivingmqualitymhealthmcare
c. Providingmcommunity-
basedmindividualizedmcaremtomeverympersonminmthemUnitedmStates
d. Unitingmpublicmandmprivatemprovidersmofmcareminmamcomprehensivemapproachm
tomprovidingmhealthmcare
ANS:m A
AsmdefinedmbymthemInstitutemofmMedicineminmitsm1988mreportmThemFuturemofmPublicmHealth,m
assessment,mpolicymdevelopment,mandmassurancemaremcoremfunctionsmatmallmlevelsmofmgovern
mentmformthempurposeNof R
clarI
ifyiG
ngmtB
he.gCoveMrnment’s mrole.
U S N T O
DIF: Cognitivemlevel:mUnderstanding TOP:
Nursingmprocess:mAssessmentmMSC:m NCLEX:mHealthmPromotionmandmM
aintenance
8. Whichmofmthemfollowingmstatementsmaboutmpublicmhealthmismaccurate?
a. Preventionmofmearlymdeathsmcanmbemmoremeffectivelymaccomplishedmbymmedic
almtreatmentmthanmbympublicmhealthmapproaches.
b. Expendituresmandmresourcesmformpublicmhealthmhavemincreasedminmrecentmyears.
c. Historically,mgainsminmthemhealthmofmpopulationsmhavembeenmrelatedmlargelymtomchang
esminmsafety,msanitation,mandmfoodmsafety.
d. Reformmofmthemmedicalminsurancemsystemmismthemsinglemchangemneededmtomimpro
vemthemhealthmofmAmericans.
ANS:m C
FieldingmandmTilsonmhavemassertedmthatmmostmofmthemincreaseminmlifemspanmhasmbeenmmademt
hroughmimprovementsminmsanitation,mcleanmwatermsupplies,mmakingmworkplacesmsafer,mimpr
ovingmfoodmandmdrugmsafety,mimmunizingmchildren,mandmimprovingmnutrition,mhygiene,mandm
housing.mMedicalmtreatmentmhasmnotmmademasmsignificantmofmanmimpactmonmthemlifemspanmasmp
ublicmhealthmmeasures.mFundingmformpublicmhealthminmrecentmyearsmhasmbeenmonmamgradualmd
ecline.mAlthoughmreformmofmthemmedicalminsurancemsystemmmaymhelpmimprovemthemhealthmof
mAmericans,mtheremaremmanymothermfactorsmthatmwillmneedmtombemaddressed.
DIF: Cognitivemlevel:mUnderstanding TOP: Nursingmprocess:mAssessment