Test Bank for Public Health Nursing: Population-Centered Health Care in the Community, 11th Edition by Marcia Stanhope & Jeanette Lancaster | Latest 2025/2026 Update

TestBank- 7
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PublicHealthNursing
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: Population-Centered Health Care in
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the Community
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byMarciaStanhopeandJeanetteLancaster
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11thEdition
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,Chapter01:PublicHealthFoundationsandPopulationHealth
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Stanhope:PublicHealthNursing:Population-CenteredHealthCareinthe Community,
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11thEdition
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MULTIPLECHOICE 7
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1. Whatistheprimaryfocustobeaddressedconcerningtheimprovementofthehealthofthe
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American people in the twenty-first century?
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a. Bioterrorismand globalhealththreats 7l 7l 7l 7l




b. Delivery of individual care and hygiene 7l 7l 7l 7l 7l




c. Theneedforincreasedhospitalandacutecare
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d. Chronicdiseaseanddisabilitymanagement 7
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CORRECT ANSWER: A 7l 7l




Therearenewconcerns,andofthemostseriousarebioterrorismandgloballyinduced
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infections,suchastheavianflu.Thesethreatswilldiverthealthcarefundsandresources from
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otherhealthcareprogramstobespentforpublicsafety.Theothersarenotrelatedto publichealth
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or areconcernsthathavebeenpresentformanyyears.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning 7l 7l 7
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MSC: NCLEX: Health Promotion and Maintenance
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2. Acommunityisconcernedaboutthethreat ofbioterrorism.Whichofthefollowingbest
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describesthebasisforthisconcern?
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a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms. 7
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b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
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c. The threat may divert funds from other public safety health care programs.
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d. Fearofbioterrorismwillincreasetheneedforshelters.
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CORRECT ANSWER: C 7l 7l




Bioterrorismmayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealth care 7
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programs.Becausefundsarediverteditispossiblethatcommunity-basedprograms wouldbe
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eliminated,thehealthcaresystemcouldexperiencechanges,andthattherewoul beanincrease
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intheneedforshelter.However,alltheremainingoptionswouldhappen becauseofthe
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diversionoffunds.
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DIF: Cognitive level: Analyzing 7l 7l TOP:Nursingprocess:Diagnosis 7
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MSC: NCLEX: Physiological Integrity
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3. Whichstatementdescribestheconsequenceofthesuccessfulimplementationofthe
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AffordableCareAct?
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a. Americanswillpaycloserattentiontotheirhealthstatus. 7
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b. Mostofthepopulationwillbecoveredbyhealthinsurance.7
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c. Publichealthdepartmentswillneedtoincreasethenumberofnursingpositions.
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d. Theprevalenceofobesitywill decrease. 7l 7
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ANS:B
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, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe
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majorityofthepopulationwouldbecoveredby insurance andpublichealthagencieswill notneed
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toprovidedirectclinicalservices inorder toassurethatthosewhoneedthemcan receive them.
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TheAffordableCare Actwillnot directlycauseAmericans topay closer attentiontotheirhealth
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statusor decreasetheprevalenceof obesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment 7l 7l 7
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MSC: NCLEX: Health Promotion and Maintenance
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4. ThepublichealthNURSE(PHN)mustparticipateintheessentialservicesofpublic
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health.What is oneof theessentialservicesof public healthnursing?
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a. Monitoringhealthstatusbycompletingacommunityassessment 7l 7l 7l 7l 7l 7l 7l




b. Diagnosing and investigating health problems in the world 7l 7l 7l 7l 7l 7l 7l




c. Informing, educating, and empowering people about health issues 7l 7l 7l 7l 7l 7l 7l




d. Workinginlawenforcementtoregulatehealthandensuresafety l
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CORRECTANSWER:C
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ThePHNmonitorshealthstatusinseveralways,completingacommunityassessment is onlyone
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work in lawenforcement.Rather,thePHNwouldparticipatewithlocal regulators toprotect
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communities andempower people toaddress health issues.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Implementation 7l 7l 7
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MSC: NCLEX: Health Promotion and Maintenance
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5. ApublichealthdepartmentisusingthemissionofpublichealthasdescribedbytheInstitute
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ofMedicinewhenplUaintnsiR
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heaNIlthTpGrogBra.mOCminMg.Which 7
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mostlikelybeimplemented? 7
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a. Tracking avian flu outbreaks and doing surveillance in the United States 7l 7l 7l 7l 7l 7l 7l 7l 7l 7l




b. Providingaflushotforanelderlypersonatthehealthdepartment 7
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c. Keepingtrackofalternativetherapies inuseintheUnitedStates 7l 7l 7l 7l 7l 7l 7l 7l 7l 7l




d. KeepingsnakeantivenomattheCentersforDiseaseControlandPreventionin 7
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Atlanta 7l




CORRECT ANSWER: A 7l 7l




TheInstitute ofMedicine’s statedmission on public health is“togenerate organized community
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andtechnicalknowledgetopreventdisease andpromotehealth.”Trackingavia fluoutbreaksand
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doingsurveillanceappliesthisconceptatapopulation level.Providinga flushotforanelderly
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persononlyaddressesindividualcare.Keepingtrackoftheuseof alternativetherapiesdoes
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nothingtopreventdiseaseorpromotehealthofthepopulation. Keepingsnakeantivenomis
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aimedatdiseasecareforanindividual,nothealthpromotionor diseaseprevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment 7l 7l 7
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MSC: NCLEX: Health Promotion and Maintenance
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6. Apublichealthdepartment makessurethattheessentialcommunity-orientedhealth services
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a. Policy development 7l

, b. Assessment
c. Assurance
d. Scientificknowledge-basedcare 7l 7l




CORRECTANSWER:C
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Assurancefocusesontheresponsibilityofpublichealthagenciestoensurecertainactivities7
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havebeenappropriatelycarriedouttomeetpublichealthgoalsandplans.Policy development
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seekstobuildconstituenciesthatcanhelpbringaboutchangeinpublicpolicy Assessment
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includesactivitiesthatinvolvecollecting,analyzing,anddisseminating informationonboththe
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healthstatusandthehealth-relatedaspectsofacommunityora specificpopulation.Public
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healthisbasedonscientificknowledgebutisnotacorefunction
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment 7l 7l 7
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MSC: NCLEX: Health Promotion and Maintenance
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7. Whatisthepurposeofpublichealthcorefunctions?
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a. Clarifyingtherole ofthe government infulfillingthemission ofpublichealth 7l 7l 7l 7l 7l 7l 7l 7l 7l 7l 7l 7l




b. Ensuring the safety of populations in receiving quality health care 7l 7l 7l 7l 7l 7l 7l 7l 7l




c. Providingcommunity-basedindividualizedcaretoeverypersonintheUnited 7
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d. Unitingpublicandprivateprovidersofcareinacomprehensiveapproachto 7
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providinghealthcare
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CORRECT ANSWER: A 7l 7l




Asdefinedby theInstitute ofMedicine in its1988report The Future of Public Health, assessment,
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policy development,andassurancearecorefunctions atalllevels of governmentforthe
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puNr poofsRe clarIifyiGng tBhe.gCoveMrnment’srole.
USNT
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DIF: TOP:Nursingprocess:Assessment O
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MSC: NCLEX: Health Promotion and Maintenance
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8. Whichofthefollowingstatementsaboutpublichealthisaccurate?
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a. Prevention of earlydeathscan be moreeffectively accomplishedby medical 7l 7l 7l 7l 7l 7l 7l 7l 7l 7l




treatment than by public health approaches.
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b. Expendituresandresourcesforpublichealthhaveincreasedinrecentyears. 7
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c. Historically,gainsinthehealthofpopulationshavebeenrelatedlargelytochanges in 7
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safety,sanitation, andfoodsafety.
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d. Reformofthemedicalinsurancesystemisthesinglechangeneededtoimprove the 7
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healthofAmericans.
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CORRECT ANSWER: C 7l 7l




FieldingandTilsonhaveassertedthatmostoftheincreaseinlifespanhasbeenmade through
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improvementsinsanitation,cleanwatersupplies,makingworkplacessafer, improving food and
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drug safety, immunizing children, and improving nutrition, hygiene,
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andhousing.Medicaltreatmenthasnotmadeassignificantofanimpact onthelifespanas public
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healthmeasures.Fundingforpublichealthinrecentyearshasbeenonagradual decline.
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Althoughreformofthemedicalinsurancesystemmayhelpimprovethehealthof Americans,
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therearemany otherfactorsthatwillneedtobeaddressed.
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DIF: Cognitive level: Understanding 7l 7l TOP: Nursing process: Assessment 7l 7l 7l