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Public Health Nursing
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: Population-Centered Health Care in
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the Community
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by Marcia Stanhope and Jeanette Lancaster
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11th Edition
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,Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-
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Centered Health Care in the Community, 11th Edition
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MULTIPLE CHOICE w#
1. What is the primary focus to be addressed concerning the improvement of the health of
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the American people in the twenty-first century?
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a. Bioterrorism and global health threats w# w# w# w#
b. Delivery of individual care and hygiene w# w# w# w# w#
c. The need for increased hospital and acute care
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d. Chronic disease and disability management w# w# w# w#
CORRECT ANSWER: A w# w#
There are new concerns, and of the most serious are bioterrorism and globally induced
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infections, such as the avian flu. These threats will divert health care funds and resource
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s from other health care programs to be spent for public safety. The others are not relate
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d to public health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding w# w#
TOP: Nursing process: Planning MSC: NCLEX: Health Promotio
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n and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following b
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est describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs.
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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. Fear of bioterrorism will increase the need for shelters.
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CORRECT ANSWER: C w# w#
Bioterrorism may have an impact on the availability of resources for public safety health
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care programs. Because funds are diverted it is possible that community-
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based programs would be eliminated, the health care system could experience changes,
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and that there woul be an increase in the need for shelter. However, all the remaining o
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ptions would happen because of the diversion of funds.
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DIF: Cognitive level: Analyzing w# w#
TOP: Nursing process: Diagnosis MSC: NCLEX: Physiological Int
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egrity
3. Which statement describes the consequence of the successful implementation of th
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e Affordable Care Act?
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a. Americans will pay closer attention to their health status.
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b. Most of the population will be covered by health insurance.
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c. Public health departments will need to increase the number of nursing positions.
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d. The prevalence of obesity will decrease
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. ANS: B
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, One consequence of successful implementation of the Affordable Care Act might be that t
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he majority of the population would be covered by insurance and public health agencies
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will not need to provide direct clinical services in order to assure that those who need t
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hem can receive them. The Affordable Care Act will not directly cause Americans to pay
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closer attention to their health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding w# w#
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotio
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n and Maintenance
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4. The public health NURSE (PHN) must participate in the essential services of pub
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lic health. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment
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b. Diagnosing and investigating health problems in the world
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c. Informing, educating, and empowering people about health issues
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d. Working in law enforcement to regulate health and ensure safet
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y CORRECT ANSWER: C
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The PHN monitors health status in several ways, completing a community assessment is
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w# only one way that health status is monitored. The PHN would not diagnose or solve “wor
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d” problems, or work in law enforcement. Rather, the PHN would participate with local
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regulators to protect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding w# w#
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotio
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n and Maintenance
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5. A public health department is using the mission of public health as described by the Institu
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te
of Medicine when plU
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nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which
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most likely be implemented?
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a. Tracking avian flu outbreaks and doing surveillance in the United States
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b. Providing a flu shot for an elderly person at the health department
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c. Keeping track of alternative therapies in use in the United States
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d. Keeping snake antivenom at the Centers for Disease Control and Prevention
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in Atlanta w#
CORRECT ANSWER: A w# w#
The Institute of Medicine’s stated mission on public health is “to generate organized co
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mmunity and technical knowledge to prevent disease and promote health.” Tracking avia
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flu outbreaks and doing surveillance applies this concept at a population level. Providin
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g a flu shot for an elderly person only addresses individual care. Keeping track of the us
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e of alternative therapies does nothing to prevent disease or promote health of the popu
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lation. Keeping snake antivenom is aimed at disease care for an individual, not health pro
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motion or disease prevention. w# w# w#
DIF: Cognitive level: Analyzing w# w#
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotio
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n and Maintenance
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6. A public health department makes sure that the essential community-
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oriented health services are available in the community. Which of the following core pu
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blic health functions is being implemented?
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a. Policy development w#