TestBank- b
Public Health Nursing
b b
: Population-Centered Health Care in
b b b b
the Community
b
by Marcia Stanhope and Jeanette Lancaster
b b b b b
11th Edition
b
,Chapter 01: Public Health Foundations and Population Health
b b b b b b b
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
b b b b b b b b b
11th Edition
b b
MULTIPLE CHOICE b
1. What is the primary focus to be addressed concerning the improvement of the health of the
b b b b b b b b b b b b b b b
American people in the twenty-first century?
b b b b b b
a. Bioterrorism and global health threats b b b b
b. Delivery of individual care and hygiene b b b b b
c. The need for increased hospital and acute care
b b b b b b b
d. Chronic disease and disability management b b b b
CORRECT ANSWER: A b b
There are new concerns, and of the most serious are bioterrorism and globally induced
b b b b b b b b b b b b b
infections, such as the avian flu. These threats will divert health care funds and resources
b b b b b b b b b b b b b b b
from other health care programs to be spent for public safety. The others are not related to
b b b b b b b b b b b b b b b b b
public health or are concerns that have been present for many years.
b b b b b b b b b b b b
DIF: Cognitive level: Understanding TOP: Nursing process: Planning b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
2. A community is concerned about the threat of bioterrorism. Which of the following best
b b b b b b b b b b b b b
describes the basis for this concern?
b b b b b b
a. Bioterrorism has the potential to dissolve community-based programs. b b b b b b b
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
b b b b
c. The threat may divert funds from other public safety health care programs.
b b b b b b b b b b b
d. Fear of bioterrorism will increase the need for shelters.
b b b b b b b b
CORRECT ANSWER: C b b
Bioterrorism may have an impact on the availability of resources for public safety health care
b b b b b b b b b b b b b b
programs. Because funds are diverted it is possible that community-based programs would
b b b b b b b b b b b b
be eliminated, the health care system could experience changes, and that there woul be an
b b b b b b b b b b b b b b b
increase in the need for shelter. However, all the remaining options would happen because of
b b b b b b b b b b b b b b b
the diversionoffunds.
b b b b
DIF: Cognitive level: Analyzing b b TOP: Nursing process: Diagnosis
b b b
MSC: NCLEX: Physiological Integrity
b b b b
3. Which statement describes the consequence of the successful implementation of the
b b b b b b b b b b
Affordable Care Act?
b b b
a. Americans will pay closer attention to their health status. b b b b b b b b
b. Most of the population will be covered by health insurance.
b b b b b b b b b
c. Public health departments will need to increase the number of nursing positions.
b b b b b b b b b b b
d. The prevalence of obesity will decrease.
b b b b b
ANS: B
b b
, One consequence of successful implementation of the Affordable Care Act might be that the
b b b b b b b b b b b b b
majority of the population would be covered by insurance and public health agencies will not
b b b b b b b b b b b b b b b
need to provide direct clinical services in order to assure that those who need them can
b b b b b b b b b b b b b b b b
receive them. The Affordable Care Act will not directly cause Americans to pay closer
b b b b b b b b b b b b b b
attention to their health status or decrease the prevalence of obesity.
b b b b b b b b b b b
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
4. The public health NURSE (PHN) must participate in the essential services of public
b b b b b b b b b b b b
b health. What is one of the essential services of public health nursing?
b b b b b b b b b b b
a. Monitoring health status by completing a community assessment b b b b b b b
b. Diagnosing and investigating health problems in the world b b b b b b b
c. Informing, educating, and empowering people about health issues b b b b b b b
d. Working in law enforcement to regulate health and ensure safety
b b b b b b b b b
bCORRECT ANSWER:C b b
The PHN monitors health status in several ways, completing a community assessment is only
b b b b b b b b b b b b b
bone way that health status is monitored. The PHN would not diagnose or solve ―world‖
b b b b b b b b b b b b b b
b problems, or work in law enforcement. Rather, the PHN would participate with local
b b b b b b b b b b b b
bregulators to protect communities and empower people to address health issues.
b b b b b b b b b b
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
5. A public health department is using the mission of public health as described by the Institute
b b b b b b b b b b b b b b b
of Medicine when plU
b aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which b b b b b b b b
most likely be implemented?
b b b
a. Tracking avian flu outbreaks and doing surveillance in the United States
b b b b b b b b b b
b. Providing a flu shot for an elderly person at the health department
b b b b b b b b b b b
c. Keeping track of alternative therapies in use in the United States
b b b b b b b b b b
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
b b b b b b b b b b b
Atlanta b
CORRECT ANSWER: A b b
The Institute of Medicine‘s stated mission on public health is ―to generate organized
b b b b b b b b b b b b
community and technical knowledge to prevent disease and promote health.‖ Tracking avia
b b b b b b b b b b b b
flu outbreaks and doing surveillance applies this concept at a population level. Providing a flu
b b b b b b b b b b b b b b b
shot for an elderly person only addresses individual care. Keeping track of the use of
b b b b b b b b b b b b b b b
alternative therapies does nothing to prevent disease or promote health of the population.
b b b b b b b b b b b b b
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
b b b b b b b b b b b b b b b
disease prevention.
b b
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
6. A public health department makes sure that the essential community-oriented health
b b b b b b b b b b
bservices are available in the community. Which of the following core public health functions is
b b b b b b b b b b b b b b
bbeing implemented? b
a. Policy development b
, b. Assessment
c. Assurance
d. Scientific knowledge-based care b b
CORRECT ANSWER:C
b b b
Assurance focuses on the responsibility of public health agencies to ensure certain activities
b b b b b b b b b b b b
have been appropriately carried out to meet public health goals and plans. Policy
b b b b b b b b b b b b
development seeks to build constituencies that can help bring about change in public policy
b b b b b b b b b b b b b b
Assessment includes activities that involve collecting, analyzing, and disseminating
b b b b b b b b b
information on both the health status and the health-related aspects of a community or a
b b b b b b b b b b b b b b b
specific population. Public health is based on scientific knowledge but is not a core function
b b b b b b b b b b b b b b b
DIF: Cognitive level: Applying TOP: Nursing process: Assessment b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
7. What is the purpose of public health core functions?
b b b b b b b b
a. Clarifying the role of the government in fulfilling the mission of public health
b b b b b b b b b b b b
b. Ensuring the safety of populations in receiving quality health care
b b b b b b b b b
c. Providing community-based individualized care to every person in the United
b b b b b b b b b
States
b
d. Uniting public and private providers of care in a comprehensive approach to
b b b b b b b b b b b
providing health care
b b b
CORRECT ANSWER: A b b
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
b b b b b b b b b b b b b b b
assessment, policy development, and assurance are core functions at all levels of government
b b b b b b b b b b b b b
for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment‘s role.
b b b
USNT b b b
b
b O b
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
8. Which of the following statements about public health is accurate?
b b b b b b b b b
a. Prevention of early deaths can be more effectively accomplished by medical
b b b b b b b b b b
treatment than by public health approaches.
b b b b b b
b. Expenditures and resources for public health have increased in recent years. b b b b b b b b b b
c. Historically, gains in the health of populations have been related largely to changes in
b b b b b b b b b b b b b
safety, sanitation, and food safety.
b b b b b
d. Reform of the medical insurance system is the single change needed to improve
b b b b b b b b b b b b
the health of Americans.
b b b b
CORRECT ANSWER: C b b
Fielding and Tilson have asserted that most of the increase in life span has been made through
b b b b b b b b b b b b b b b b
improvements in sanitation, clean water supplies, making workplaces safer, improving food
b b b b b b b b b b b
and drug safety, immunizing children, and improving nutrition, hygiene,
b b b b b b b b b
and housing. Medical treatment has not made as significant of an impact on the life span as
b b b b b b b b b b b b b b b b
public health measures. Funding for public health in recent years has been on a gradual
b b b b b b b b b b b b b b b
decline. Although reform of the medical insurance system may help improve the health of
b b b b b b b b b b b b b b
Americans, there are many other factors that will need to be addressed.
b b b b b b b b b b b b
DIF: Cognitive level: Understanding b b TOP: Nursing process: Assessment b b b
Public Health Nursing
b b
: Population-Centered Health Care in
b b b b
the Community
b
by Marcia Stanhope and Jeanette Lancaster
b b b b b
11th Edition
b
,Chapter 01: Public Health Foundations and Population Health
b b b b b b b
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
b b b b b b b b b
11th Edition
b b
MULTIPLE CHOICE b
1. What is the primary focus to be addressed concerning the improvement of the health of the
b b b b b b b b b b b b b b b
American people in the twenty-first century?
b b b b b b
a. Bioterrorism and global health threats b b b b
b. Delivery of individual care and hygiene b b b b b
c. The need for increased hospital and acute care
b b b b b b b
d. Chronic disease and disability management b b b b
CORRECT ANSWER: A b b
There are new concerns, and of the most serious are bioterrorism and globally induced
b b b b b b b b b b b b b
infections, such as the avian flu. These threats will divert health care funds and resources
b b b b b b b b b b b b b b b
from other health care programs to be spent for public safety. The others are not related to
b b b b b b b b b b b b b b b b b
public health or are concerns that have been present for many years.
b b b b b b b b b b b b
DIF: Cognitive level: Understanding TOP: Nursing process: Planning b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
2. A community is concerned about the threat of bioterrorism. Which of the following best
b b b b b b b b b b b b b
describes the basis for this concern?
b b b b b b
a. Bioterrorism has the potential to dissolve community-based programs. b b b b b b b
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
b b b b
c. The threat may divert funds from other public safety health care programs.
b b b b b b b b b b b
d. Fear of bioterrorism will increase the need for shelters.
b b b b b b b b
CORRECT ANSWER: C b b
Bioterrorism may have an impact on the availability of resources for public safety health care
b b b b b b b b b b b b b b
programs. Because funds are diverted it is possible that community-based programs would
b b b b b b b b b b b b
be eliminated, the health care system could experience changes, and that there woul be an
b b b b b b b b b b b b b b b
increase in the need for shelter. However, all the remaining options would happen because of
b b b b b b b b b b b b b b b
the diversionoffunds.
b b b b
DIF: Cognitive level: Analyzing b b TOP: Nursing process: Diagnosis
b b b
MSC: NCLEX: Physiological Integrity
b b b b
3. Which statement describes the consequence of the successful implementation of the
b b b b b b b b b b
Affordable Care Act?
b b b
a. Americans will pay closer attention to their health status. b b b b b b b b
b. Most of the population will be covered by health insurance.
b b b b b b b b b
c. Public health departments will need to increase the number of nursing positions.
b b b b b b b b b b b
d. The prevalence of obesity will decrease.
b b b b b
ANS: B
b b
, One consequence of successful implementation of the Affordable Care Act might be that the
b b b b b b b b b b b b b
majority of the population would be covered by insurance and public health agencies will not
b b b b b b b b b b b b b b b
need to provide direct clinical services in order to assure that those who need them can
b b b b b b b b b b b b b b b b
receive them. The Affordable Care Act will not directly cause Americans to pay closer
b b b b b b b b b b b b b b
attention to their health status or decrease the prevalence of obesity.
b b b b b b b b b b b
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
4. The public health NURSE (PHN) must participate in the essential services of public
b b b b b b b b b b b b
b health. What is one of the essential services of public health nursing?
b b b b b b b b b b b
a. Monitoring health status by completing a community assessment b b b b b b b
b. Diagnosing and investigating health problems in the world b b b b b b b
c. Informing, educating, and empowering people about health issues b b b b b b b
d. Working in law enforcement to regulate health and ensure safety
b b b b b b b b b
bCORRECT ANSWER:C b b
The PHN monitors health status in several ways, completing a community assessment is only
b b b b b b b b b b b b b
bone way that health status is monitored. The PHN would not diagnose or solve ―world‖
b b b b b b b b b b b b b b
b problems, or work in law enforcement. Rather, the PHN would participate with local
b b b b b b b b b b b b
bregulators to protect communities and empower people to address health issues.
b b b b b b b b b b
DIF: Cognitive level: Understanding TOP: Nursing process: Implementation b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
5. A public health department is using the mission of public health as described by the Institute
b b b b b b b b b b b b b b b
of Medicine when plU
b aintnsiR
nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which b b b b b b b b
most likely be implemented?
b b b
a. Tracking avian flu outbreaks and doing surveillance in the United States
b b b b b b b b b b
b. Providing a flu shot for an elderly person at the health department
b b b b b b b b b b b
c. Keeping track of alternative therapies in use in the United States
b b b b b b b b b b
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
b b b b b b b b b b b
Atlanta b
CORRECT ANSWER: A b b
The Institute of Medicine‘s stated mission on public health is ―to generate organized
b b b b b b b b b b b b
community and technical knowledge to prevent disease and promote health.‖ Tracking avia
b b b b b b b b b b b b
flu outbreaks and doing surveillance applies this concept at a population level. Providing a flu
b b b b b b b b b b b b b b b
shot for an elderly person only addresses individual care. Keeping track of the use of
b b b b b b b b b b b b b b b
alternative therapies does nothing to prevent disease or promote health of the population.
b b b b b b b b b b b b b
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
b b b b b b b b b b b b b b b
disease prevention.
b b
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
6. A public health department makes sure that the essential community-oriented health
b b b b b b b b b b
bservices are available in the community. Which of the following core public health functions is
b b b b b b b b b b b b b b
bbeing implemented? b
a. Policy development b
, b. Assessment
c. Assurance
d. Scientific knowledge-based care b b
CORRECT ANSWER:C
b b b
Assurance focuses on the responsibility of public health agencies to ensure certain activities
b b b b b b b b b b b b
have been appropriately carried out to meet public health goals and plans. Policy
b b b b b b b b b b b b
development seeks to build constituencies that can help bring about change in public policy
b b b b b b b b b b b b b b
Assessment includes activities that involve collecting, analyzing, and disseminating
b b b b b b b b b
information on both the health status and the health-related aspects of a community or a
b b b b b b b b b b b b b b b
specific population. Public health is based on scientific knowledge but is not a core function
b b b b b b b b b b b b b b b
DIF: Cognitive level: Applying TOP: Nursing process: Assessment b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
7. What is the purpose of public health core functions?
b b b b b b b b
a. Clarifying the role of the government in fulfilling the mission of public health
b b b b b b b b b b b b
b. Ensuring the safety of populations in receiving quality health care
b b b b b b b b b
c. Providing community-based individualized care to every person in the United
b b b b b b b b b
States
b
d. Uniting public and private providers of care in a comprehensive approach to
b b b b b b b b b b b
providing health care
b b b
CORRECT ANSWER: A b b
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
b b b b b b b b b b b b b b b
assessment, policy development, and assurance are core functions at all levels of government
b b b b b b b b b b b b b
for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment‘s role.
b b b
USNT b b b
b
b O b
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment b b b b b
MSC: NCLEX: Health Promotion and Maintenance
b b b b b b
8. Which of the following statements about public health is accurate?
b b b b b b b b b
a. Prevention of early deaths can be more effectively accomplished by medical
b b b b b b b b b b
treatment than by public health approaches.
b b b b b b
b. Expenditures and resources for public health have increased in recent years. b b b b b b b b b b
c. Historically, gains in the health of populations have been related largely to changes in
b b b b b b b b b b b b b
safety, sanitation, and food safety.
b b b b b
d. Reform of the medical insurance system is the single change needed to improve
b b b b b b b b b b b b
the health of Americans.
b b b b
CORRECT ANSWER: C b b
Fielding and Tilson have asserted that most of the increase in life span has been made through
b b b b b b b b b b b b b b b b
improvements in sanitation, clean water supplies, making workplaces safer, improving food
b b b b b b b b b b b
and drug safety, immunizing children, and improving nutrition, hygiene,
b b b b b b b b b
and housing. Medical treatment has not made as significant of an impact on the life span as
b b b b b b b b b b b b b b b b
public health measures. Funding for public health in recent years has been on a gradual
b b b b b b b b b b b b b b b
decline. Although reform of the medical insurance system may help improve the health of
b b b b b b b b b b b b b b
Americans, there are many other factors that will need to be addressed.
b b b b b b b b b b b b
DIF: Cognitive level: Understanding b b TOP: Nursing process: Assessment b b b
