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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 b&
1. What is the primary focus to be addressed concerning the improvement of the health of the
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American people in the twenty-first century?
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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
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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 inf
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ections, such as the avian flu. These threats will divert health care funds and resources fro
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m other health care programs to be spent for public safety. The others are not related to pu
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blic health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding b& b&
TOP: Nursing process: Planning MSC: NCLEX: Health Promotion
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and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best
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b&describes the basis for this concern? 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
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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 b& b&
Bioterrorism may have an impact on the availability of resources for public safety health ca
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re 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, a
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nd that there woul be an increase in the need for shelter. However, all the remaining optio
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ns would happen because of the diversion of funds.
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DIF: Cognitive level: Analyzing b& b&
TOP: Nursing process: Diagnosis MSC: NCLEX: Physiological Inte
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grity
3. Which statement describes the consequence of the successful implementation of the
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&Affordable Care Act? 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.
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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 the
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majority of the population would be covered by insurance and public health agencies will
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not need to provide direct clinical services in order to assure that those who need them can
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receive them. The Affordable Care Act will not directly cause Americans to pay closer atte
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ntion to their health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding b& b&
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
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and Maintenance
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4. The public health NURSE (PHN) must participate in the essential services of public
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& 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 b& b& b& b& b& b& b&
c. Informing, educating, and empowering people about health issues
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d. Working in law enforcement to regulate health and ensure safety
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& CORRECT ANSWER: C b& b&
The PHN monitors health status in several ways, completing a community assessment is o
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nly one way that health status is monitored. The PHN would not diagnose or solve “world” pr
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oblems, or work in law enforcement. Rather, the PHN would participate with local regulato
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rs to protect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding b& b&
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion
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and Maintenance
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5. A public health department is using the mission of public health as described by the Institute
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of Medicine when plU
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nSgN
h eaNIlt hT pG rogBra.mO CminMg. Which b& b& b& b& b& b& b& b&
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 in
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Atlanta&
CORRECT ANSWER: A b& b&
The Institute of Medicine’s stated mission on public health is “to generate organized com
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munity and technical knowledge to prevent disease and promote health.” Tracking avia flu
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outbreaks and doing surveillance applies this concept at a population level. Providing a flu
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shot for an elderly person only addresses individual care. Keeping track of the use of alter
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native therapies does nothing to prevent disease or promote health of the population. Kee
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ping snake antivenom is aimed at disease care for an individual, not health promotion or dis
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ease prevention. b&
DIF: Cognitive level: Analyzing b& b&
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion
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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 public
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&health functions is being implemented?
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a. Policy development b&