PUBLIClHEALTHlNURSING:lPOPULATION-
CENTEREDlPRIMARYlCARElINlTHElCOMMUNITY,l11THlEDIT
IONlMARCIAlSTANHOPElTESTBANKl/lALLlCHAPTERl1-
l46/COMPLETElGUIDEl2024-2025
,Chapterl01:lPubliclHealthlFoundationslandlPopulationlHealth
Stanhope:lPubliclHealthlNursing:lPopulation-
CenteredlPrimarylcarelinlthelCommunity,l11thlEdition
1. Whatlislthelprimarylfocusltolbeladdressedlconcerninglthelimprovementloflthelhealthloflth
elAmericanlpeoplelinltheltwenty-firstlcentury?
a. Bioterrorismlandlgloballhealthlthreats
b. Deliveryloflindividuallcarelandlhygiene
c. Thelneedlforlincreasedlhealthlcenterlandlacutelcare
d. Chronicldiseaselandldisabilitylmanagement
ACCURATElANSWER:-A
REASONING:-
>>>Therelarelnewlconcerns,landloflthelmostlseriouslarelbioterrorismlandlgloballylinducedlinf
ections,lsuchlaslthelavianlflu.lTheselthreatslwillldivertlprimarylcarelfundslandlresourceslfroml
otherlprimarylcarelprogramsltolbelspentlforlpubliclsafety.lThelotherslarelnotlrelatedltolpublicl
healthlorlarelconcernslthatlhavelbeenlpresentlforlmanylyears.
DIFFICULT:lCognitivellevel:lUnderstandingTOPIC:
Nursinglprocess:lPlanninglMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
2. Alcommunitylislconcernedlaboutlthelthreatloflbioterrorism.lWhichloflthelfollowinglbestld
escribeslthelbasislforlthislconcern?
a. Bioterrorismlhaslthelpotentialltoldissolvelcommunity-basedlprograms.
b. ThislthreatlcouldlcauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMtolcollapse.
c. Thelthreatlmayldivertlfundslfromlotherlpubliclsafetylprimarylcarelprograms.
d. Fearloflbioterrorismlwilllincreaselthelneedlforlshelters.
ACCURATElANSWER:-C
REASONING:-
>>>Bioterrorismlmaylhavelanlimpactlonlthelavailabilityloflresourceslforlpubliclsafetylprimar
ylcarelprograms.lBecauselfundslareldivertedlitlislpossiblelthoselcommunity-
basedlprogramslwouldlbeleliminated,lthelprimarylcarelsystemlcouldlexperiencelchanges,landl
thatltherelwouldlbelanlincreaselinlthelneedlforlshelter.lHowever,lalllthelremainingloptionslwo
uldlhappenlbecauselofltheldiversionloflfunds.
DIFFICULT:lCognitivellevel:lAnalyzing TOPIC:
Nursinglprocess:lDiagnosislMSC:l NCLEX:lPhysiologicallIntegrity
3. Whichlstatementldescribeslthelconsequenceloflthelsuccessfullimplementationloflthel
AffordablelCarelAct?
a. Americanslwilllpaylcloserlattentionltoltheirlhealthlstatus.
b. Mostloflthelpopulationlwilllbelcoveredlbylhealthlinsurance.
c. Publiclhealthldepartmentslwilllneedltolincreaselthelnumberloflnursinglpositions.
d. Thelprevalenceloflobesitylwillldecrease.l
ACCURATElANSWER:-B
REASONING:-
>>>OnelconsequenceloflsuccessfullimplementationloflthelAffordablelCarelActlmightlbelthatl
thelmajorityloflthelpopulationlwouldlbelcoveredlbylinsurancelandlpubliclhealthlagencieslwilll
notlneedltolprovideldirectlclinicallserviceslinlorderltolassurelthatlthoselwholneedlthemlcanlrec
eivelthem.lThelAffordablelCarelActlwilllnotldirectlylcauselAmericansltolpaylcloserlattentionl
toltheirlhealthlstatuslorldecreaselthelprevalenceloflobesity.
, DIFFICULT:lCognitivellevel:lUnderstandingTOPIC:
Nursinglprocess:lAssessmentlMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
4. Thelpubliclhealthlnursinglattendantl(PHN)lmustlparticipatelinlthelessentiallservice
sloflpubliclhealth.lWhatlisloneloflthelessentiallservicesloflpubliclhealthlnursing?
a. Monitoringlhealthlstatuslbylcompletinglalcommunitylassessment
b. Diagnosinglandlinvestigatinglhealthlproblemslinlthelworld
c. Informing,leducating,landlempoweringlpeoplelaboutlhealthlissues
d. Workinglinllawlenforcementltolregulatelhealthlandlensurelsafety
ACCURATElANSWER:-C
REASONING:-
>>>ThelPHNlmonitorslhealthlstatuslinlseverallways,lcompletinglalcommunitylassessmentlisl
onlylonelwaylthatlhealthlstatuslislmonitored.lThelPHNlwouldlnotldiagnoselorlsolvel“world”lpr
oblems,lorlworklinllawlenforcement.lRather,lthelPHNlwouldlparticipatelwithllocallregulatorsl
tolprotectlcommunitieslandlempowerlpeopleltoladdresslhealthlissues.
DIFFICULT:lCognitivellevel:lUnderstandingTOPIC:
Nursinglprocess:lImplementationlMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
5. AlpubliclhealthldepartmentlislusinglthelmissionloflpubliclhealthlasldescribedlbylthelInstitutelof
lMedicinelwhenlplanninglitslhealthlprogramming.lWhichloflthelfollowinglactivitieslwilllmos
tllikelylbelimplemented?
a. TrackinglavianlfluloutbreakslandldoinglsurveillancelinlthelUnitedlStates
b. Providinglalflulshotlforlanlelderlylpersonlatlthelhealthldepartment
c. KeepingltrackloflalternativeltherapieslinluselinlthelUnitedlStates
d. KeepinglsnakelantivenomlatlthelCenterslforlDiseaselControllandlPreventionlinl
Atlanta
ACCURATElANSWER:-A
REASONING:-
>>>ThelInstituteloflMedicine’slstatedlmissionlonlpubliclhealthlisl“tolgeneratelorganizedlcom
munitylandltechnicallknowledgeltolpreventldiseaselandlpromotelhealth.”lTrackinglavianlflulo
utbreakslandldoinglsurveillancelapplieslthislconceptlatlalpopulationllevel.lProvidinglalflulshot
lforlanlelderlylpersonlonlyladdresseslindividuallcare.lKeepingltracklofltheluseloflalternativelth
erapiesldoeslnothingltolpreventldiseaselorlpromotelhealthloflthelpopulation.
Keepinglsnakelantivenomlislaimedlatldiseaselcarelforlanlindividual,lnotlhealthlpromotionlorldiseas
elprevention.
DIFFICULT:lCognitivellevel:lAnalyzing TOPIC:
Nursinglprocess:lAssessmentlMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
6. Alpubliclhealthldepartmentlmakeslsurelthatlthelessentiallcommunity-
orientedlhealthlserviceslarelavailablelinlthelcommunity.lWhichloflthelfollowinglcorelpubliclhe
althlfunctionslislbeinglimplemented?
a. Policyldevelopment
b. Assessment
c. Assurance
d. Scientificlknowledge-basedlcare
ACCURATElANSWER:-C
REASONING:-
>>>Assurancelfocuseslonlthelresponsibilityloflpubliclhealthlagenciesltolensurelcertainlactiviti
, eslhavelbeenlappropriatelylcarriedloutltolmeetlpubliclhealthlgoalslandlplans.lPolicyldevelopm
entlseeksltolbuildlconstituencieslthatlcanlhelplbringlaboutlchangelinlpubliclpolicy.lAssessment
lincludeslactivitieslthatlinvolvelcollecting,lanalyzing,landldisseminatinglinformationlonlbothlt
helhealthlstatuslandlthelhealth-
relatedlaspectsloflalcommunitylorlalspecificlpopulation.lPubliclhealthlislbasedlonlscientificlkno
wledgelbutlislnotlalcorelfunction.
DIFFICULT:lCognitivellevel:lApplying TOPIC:
Nursinglprocess:lAssessmentlMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
7. Whatl islthelpurposeloflpubliclhealthlcorelfunctions?
a. Clarifyinglthelroleloflthelgovernmentlinlfulfillinglthelmissionloflpubliclhealth
b. Ensuringlthelsafetyloflpopulationslinlreceivinglqualitylprimarylcare
c. Providinglcommunity-
basedlindividualizedlcareltoleverylpersonlinlthelUnitedlStates
d. Unitinglpubliclandlprivatelprovidersloflcarelinlalcomprehensivelapproachlt
olprovidinglprimarylcare
ACCURATElANSWER:-A
REASONING:-
>>>AsldefinedlbylthelInstituteloflMedicinelinlitsl1988lreportlThelFutureloflPubliclHealth,lass
essment,lpolicyldevelopment,landlassurancelarelcorelfunctions
atlallllevelsloflgovernmentlforlthelpurposeNofRclarIifyiGngltBhe.gCoveMrnment’s
role.
CENTEREDlPRIMARYlCARElINlTHElCOMMUNITY,l11THlEDIT
IONlMARCIAlSTANHOPElTESTBANKl/lALLlCHAPTERl1-
l46/COMPLETElGUIDEl2024-2025
,Chapterl01:lPubliclHealthlFoundationslandlPopulationlHealth
Stanhope:lPubliclHealthlNursing:lPopulation-
CenteredlPrimarylcarelinlthelCommunity,l11thlEdition
1. Whatlislthelprimarylfocusltolbeladdressedlconcerninglthelimprovementloflthelhealthloflth
elAmericanlpeoplelinltheltwenty-firstlcentury?
a. Bioterrorismlandlgloballhealthlthreats
b. Deliveryloflindividuallcarelandlhygiene
c. Thelneedlforlincreasedlhealthlcenterlandlacutelcare
d. Chronicldiseaselandldisabilitylmanagement
ACCURATElANSWER:-A
REASONING:-
>>>Therelarelnewlconcerns,landloflthelmostlseriouslarelbioterrorismlandlgloballylinducedlinf
ections,lsuchlaslthelavianlflu.lTheselthreatslwillldivertlprimarylcarelfundslandlresourceslfroml
otherlprimarylcarelprogramsltolbelspentlforlpubliclsafety.lThelotherslarelnotlrelatedltolpublicl
healthlorlarelconcernslthatlhavelbeenlpresentlforlmanylyears.
DIFFICULT:lCognitivellevel:lUnderstandingTOPIC:
Nursinglprocess:lPlanninglMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
2. Alcommunitylislconcernedlaboutlthelthreatloflbioterrorism.lWhichloflthelfollowinglbestld
escribeslthelbasislforlthislconcern?
a. Bioterrorismlhaslthelpotentialltoldissolvelcommunity-basedlprograms.
b. ThislthreatlcouldlcauseNthUeRhSeaIlthNcGaTreBs.ysCteOmMtolcollapse.
c. Thelthreatlmayldivertlfundslfromlotherlpubliclsafetylprimarylcarelprograms.
d. Fearloflbioterrorismlwilllincreaselthelneedlforlshelters.
ACCURATElANSWER:-C
REASONING:-
>>>Bioterrorismlmaylhavelanlimpactlonlthelavailabilityloflresourceslforlpubliclsafetylprimar
ylcarelprograms.lBecauselfundslareldivertedlitlislpossiblelthoselcommunity-
basedlprogramslwouldlbeleliminated,lthelprimarylcarelsystemlcouldlexperiencelchanges,landl
thatltherelwouldlbelanlincreaselinlthelneedlforlshelter.lHowever,lalllthelremainingloptionslwo
uldlhappenlbecauselofltheldiversionloflfunds.
DIFFICULT:lCognitivellevel:lAnalyzing TOPIC:
Nursinglprocess:lDiagnosislMSC:l NCLEX:lPhysiologicallIntegrity
3. Whichlstatementldescribeslthelconsequenceloflthelsuccessfullimplementationloflthel
AffordablelCarelAct?
a. Americanslwilllpaylcloserlattentionltoltheirlhealthlstatus.
b. Mostloflthelpopulationlwilllbelcoveredlbylhealthlinsurance.
c. Publiclhealthldepartmentslwilllneedltolincreaselthelnumberloflnursinglpositions.
d. Thelprevalenceloflobesitylwillldecrease.l
ACCURATElANSWER:-B
REASONING:-
>>>OnelconsequenceloflsuccessfullimplementationloflthelAffordablelCarelActlmightlbelthatl
thelmajorityloflthelpopulationlwouldlbelcoveredlbylinsurancelandlpubliclhealthlagencieslwilll
notlneedltolprovideldirectlclinicallserviceslinlorderltolassurelthatlthoselwholneedlthemlcanlrec
eivelthem.lThelAffordablelCarelActlwilllnotldirectlylcauselAmericansltolpaylcloserlattentionl
toltheirlhealthlstatuslorldecreaselthelprevalenceloflobesity.
, DIFFICULT:lCognitivellevel:lUnderstandingTOPIC:
Nursinglprocess:lAssessmentlMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
4. Thelpubliclhealthlnursinglattendantl(PHN)lmustlparticipatelinlthelessentiallservice
sloflpubliclhealth.lWhatlisloneloflthelessentiallservicesloflpubliclhealthlnursing?
a. Monitoringlhealthlstatuslbylcompletinglalcommunitylassessment
b. Diagnosinglandlinvestigatinglhealthlproblemslinlthelworld
c. Informing,leducating,landlempoweringlpeoplelaboutlhealthlissues
d. Workinglinllawlenforcementltolregulatelhealthlandlensurelsafety
ACCURATElANSWER:-C
REASONING:-
>>>ThelPHNlmonitorslhealthlstatuslinlseverallways,lcompletinglalcommunitylassessmentlisl
onlylonelwaylthatlhealthlstatuslislmonitored.lThelPHNlwouldlnotldiagnoselorlsolvel“world”lpr
oblems,lorlworklinllawlenforcement.lRather,lthelPHNlwouldlparticipatelwithllocallregulatorsl
tolprotectlcommunitieslandlempowerlpeopleltoladdresslhealthlissues.
DIFFICULT:lCognitivellevel:lUnderstandingTOPIC:
Nursinglprocess:lImplementationlMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
5. AlpubliclhealthldepartmentlislusinglthelmissionloflpubliclhealthlasldescribedlbylthelInstitutelof
lMedicinelwhenlplanninglitslhealthlprogramming.lWhichloflthelfollowinglactivitieslwilllmos
tllikelylbelimplemented?
a. TrackinglavianlfluloutbreakslandldoinglsurveillancelinlthelUnitedlStates
b. Providinglalflulshotlforlanlelderlylpersonlatlthelhealthldepartment
c. KeepingltrackloflalternativeltherapieslinluselinlthelUnitedlStates
d. KeepinglsnakelantivenomlatlthelCenterslforlDiseaselControllandlPreventionlinl
Atlanta
ACCURATElANSWER:-A
REASONING:-
>>>ThelInstituteloflMedicine’slstatedlmissionlonlpubliclhealthlisl“tolgeneratelorganizedlcom
munitylandltechnicallknowledgeltolpreventldiseaselandlpromotelhealth.”lTrackinglavianlflulo
utbreakslandldoinglsurveillancelapplieslthislconceptlatlalpopulationllevel.lProvidinglalflulshot
lforlanlelderlylpersonlonlyladdresseslindividuallcare.lKeepingltracklofltheluseloflalternativelth
erapiesldoeslnothingltolpreventldiseaselorlpromotelhealthloflthelpopulation.
Keepinglsnakelantivenomlislaimedlatldiseaselcarelforlanlindividual,lnotlhealthlpromotionlorldiseas
elprevention.
DIFFICULT:lCognitivellevel:lAnalyzing TOPIC:
Nursinglprocess:lAssessmentlMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
6. Alpubliclhealthldepartmentlmakeslsurelthatlthelessentiallcommunity-
orientedlhealthlserviceslarelavailablelinlthelcommunity.lWhichloflthelfollowinglcorelpubliclhe
althlfunctionslislbeinglimplemented?
a. Policyldevelopment
b. Assessment
c. Assurance
d. Scientificlknowledge-basedlcare
ACCURATElANSWER:-C
REASONING:-
>>>Assurancelfocuseslonlthelresponsibilityloflpubliclhealthlagenciesltolensurelcertainlactiviti
, eslhavelbeenlappropriatelylcarriedloutltolmeetlpubliclhealthlgoalslandlplans.lPolicyldevelopm
entlseeksltolbuildlconstituencieslthatlcanlhelplbringlaboutlchangelinlpubliclpolicy.lAssessment
lincludeslactivitieslthatlinvolvelcollecting,lanalyzing,landldisseminatinglinformationlonlbothlt
helhealthlstatuslandlthelhealth-
relatedlaspectsloflalcommunitylorlalspecificlpopulation.lPubliclhealthlislbasedlonlscientificlkno
wledgelbutlislnotlalcorelfunction.
DIFFICULT:lCognitivellevel:lApplying TOPIC:
Nursinglprocess:lAssessmentlMSC:l NCLEX:lHealthlPromotionlandlMaint
enance
7. Whatl islthelpurposeloflpubliclhealthlcorelfunctions?
a. Clarifyinglthelroleloflthelgovernmentlinlfulfillinglthelmissionloflpubliclhealth
b. Ensuringlthelsafetyloflpopulationslinlreceivinglqualitylprimarylcare
c. Providinglcommunity-
basedlindividualizedlcareltoleverylpersonlinlthelUnitedlStates
d. Unitinglpubliclandlprivatelprovidersloflcarelinlalcomprehensivelapproachlt
olprovidinglprimarylcare
ACCURATElANSWER:-A
REASONING:-
>>>AsldefinedlbylthelInstituteloflMedicinelinlitsl1988lreportlThelFutureloflPubliclHealth,lass
essment,lpolicyldevelopment,landlassurancelarelcorelfunctions
atlallllevelsloflgovernmentlforlthelpurposeNofRclarIifyiGngltBhe.gCoveMrnment’s
role.
