PUBLIC HEALTH NURSING: POPULATION-CENTERED
PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
46/COMPLETE GUIDE 2026
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Primary care in the
Community, 11th Edition
1. What is the primary focus to be addressed concerning the improvement of the health of
the American people in the twenty-first century?
a. Bioterrorism and global health threats
b. Delivery of individual care and hygiene
c. The need for increased health center and acute care
d. Chronic disease and disability management
ACCURATE ANSWER:-A
REASONING:->>>There are new concerns, and of the most serious are bioterrorism and
globally induced infections, such as the avian flu. These threats will divert primary care
funds and resources from other primary care programs to be spent for public safety. The
others are not related to public health or are concerns that have been present for many years.
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing
process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
c. The threat may divert funds from other public safety primary care programs.
d. Fear of bioterrorism will increase the need for shelters.
ACCURATE ANSWER:-C
REASONING:->>>Bioterrorism may have an impact on the availability of resources for
public safety primary care programs. Because funds are diverted it is possible those
community-based programs would be eliminated, the primary care system could experience
changes, and that there would be an increase in the need for shelter. However, all the
remaining options would happen because of the diversion of funds.
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:
Diagnosis MSC: NCLEX: Physiological Integrity
3. Which statement describes the consequence of the successful implementation of the
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
c. Public health departments will need to increase the number of nursing positions.
d. The prevalence of obesity will decrease.
ACCURATE ANSWER:-B
REASONING:->>>One consequence of successful implementation of the Affordable Care
Act might be that the majority of the population would be covered by insurance and public
health agencies will not need to provide direct clinical services in order to assure that those
who need them can receive them. The Affordable Care Act will not directly cause
Americans to pay closer attention to their health status or decrease the prevalence of
obesity.
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
,4. The public health nursing attendant (PHN) must participate in the essential
services of public health. What is one of the essential services of public health
nursing?
a. Monitoring health status by completing a community assessment
b. Diagnosing and investigating health problems in the world
c. Informing, educating, and empowering people about health issues
d. Working in law enforcement to regulate health and ensure safety
ACCURATE ANSWER:-C
REASONING:->>>The PHN monitors health status in several ways, completing a
community assessment is only one way that health status is monitored. The PHN would not
diagnose or solve “world” problems, or work in law enforcement. Rather, the PHN would
participate with local regulators to protect communities and empower people to address
health issues.
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process:
Implementation MSC: NCLEX: Health Promotion and Maintenance
5. A public health department is using the mission of public health as described by the Institute
of Medicine when planning its health programming. Which of the following activities will
most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the United States
b. Providing a flu shot for an elderly person at the health department
c. Keeping track of alternative therapies in use in the United States
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
Atlanta
ACCURATE ANSWER:-A
REASONING:->>>The Institute of Medicine’s stated mission on public health is “to
generate organized community and technical knowledge to prevent disease and promote
health.” Tracking avian flu outbreaks and doing surveillance applies this concept at a
population level. Providing a flu shot for an elderly person only addresses individual care.
Keeping track of the use of alternative therapies does nothing to prevent disease or promote
health of the population.
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
disease prevention.
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-oriented health
services are available in the community. Which of the following core public health functions
is being implemented?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care
ACCURATE ANSWER:-C
REASONING:->>>Assurance focuses on the responsibility of public health agencies to
ensure certain activities have been appropriately carried out to meet public health goals and
plans. Policy development seeks to build constituencies that can help bring about change in
public policy. Assessment includes activities that involve collecting, analyzing, and
disseminating information on both the health status and the health-related aspects of a
community or a specific population. Public health is based on scientific knowledge but is not
a core function.
, DIFFICULT: Cognitive level: Applying TOPIC: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
7. What is the purpose of public health core functions?
a. Clarifying the role of the government in fulfilling the mission of public health
b. Ensuring the safety of populations in receiving quality primary care
c. Providing community-based individualized care to every person in the United
States
d. Uniting public and private providers of care in a comprehensive approach
to providing primary care
ACCURATE ANSWER:-A
REASONING:->>>As defined by the Institute of Medicine in its 1988 report The Future of
Public Health, assessment, policy development, and assurance are core functions
at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment’s
role.
PRIMARY CARE IN THE COMMUNITY, 11TH EDITION
MARCIA STANHOPE TESTBANK / ALL CHAPTER 1-
46/COMPLETE GUIDE 2026
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Primary care in the
Community, 11th Edition
1. What is the primary focus to be addressed concerning the improvement of the health of
the American people in the twenty-first century?
a. Bioterrorism and global health threats
b. Delivery of individual care and hygiene
c. The need for increased health center and acute care
d. Chronic disease and disability management
ACCURATE ANSWER:-A
REASONING:->>>There are new concerns, and of the most serious are bioterrorism and
globally induced infections, such as the avian flu. These threats will divert primary care
funds and resources from other primary care programs to be spent for public safety. The
others are not related to public health or are concerns that have been present for many years.
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing
process: Planning MSC: NCLEX: Health Promotion and Maintenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto collapse.
c. The threat may divert funds from other public safety primary care programs.
d. Fear of bioterrorism will increase the need for shelters.
ACCURATE ANSWER:-C
REASONING:->>>Bioterrorism may have an impact on the availability of resources for
public safety primary care programs. Because funds are diverted it is possible those
community-based programs would be eliminated, the primary care system could experience
changes, and that there would be an increase in the need for shelter. However, all the
remaining options would happen because of the diversion of funds.
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:
Diagnosis MSC: NCLEX: Physiological Integrity
3. Which statement describes the consequence of the successful implementation of the
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
c. Public health departments will need to increase the number of nursing positions.
d. The prevalence of obesity will decrease.
ACCURATE ANSWER:-B
REASONING:->>>One consequence of successful implementation of the Affordable Care
Act might be that the majority of the population would be covered by insurance and public
health agencies will not need to provide direct clinical services in order to assure that those
who need them can receive them. The Affordable Care Act will not directly cause
Americans to pay closer attention to their health status or decrease the prevalence of
obesity.
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
,4. The public health nursing attendant (PHN) must participate in the essential
services of public health. What is one of the essential services of public health
nursing?
a. Monitoring health status by completing a community assessment
b. Diagnosing and investigating health problems in the world
c. Informing, educating, and empowering people about health issues
d. Working in law enforcement to regulate health and ensure safety
ACCURATE ANSWER:-C
REASONING:->>>The PHN monitors health status in several ways, completing a
community assessment is only one way that health status is monitored. The PHN would not
diagnose or solve “world” problems, or work in law enforcement. Rather, the PHN would
participate with local regulators to protect communities and empower people to address
health issues.
DIFFICULT: Cognitive level: Understanding TOPIC: Nursing process:
Implementation MSC: NCLEX: Health Promotion and Maintenance
5. A public health department is using the mission of public health as described by the Institute
of Medicine when planning its health programming. Which of the following activities will
most likely be implemented?
a. Tracking avian flu outbreaks and doing surveillance in the United States
b. Providing a flu shot for an elderly person at the health department
c. Keeping track of alternative therapies in use in the United States
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
Atlanta
ACCURATE ANSWER:-A
REASONING:->>>The Institute of Medicine’s stated mission on public health is “to
generate organized community and technical knowledge to prevent disease and promote
health.” Tracking avian flu outbreaks and doing surveillance applies this concept at a
population level. Providing a flu shot for an elderly person only addresses individual care.
Keeping track of the use of alternative therapies does nothing to prevent disease or promote
health of the population.
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
disease prevention.
DIFFICULT: Cognitive level: Analyzing TOPIC: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-oriented health
services are available in the community. Which of the following core public health functions
is being implemented?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care
ACCURATE ANSWER:-C
REASONING:->>>Assurance focuses on the responsibility of public health agencies to
ensure certain activities have been appropriately carried out to meet public health goals and
plans. Policy development seeks to build constituencies that can help bring about change in
public policy. Assessment includes activities that involve collecting, analyzing, and
disseminating information on both the health status and the health-related aspects of a
community or a specific population. Public health is based on scientific knowledge but is not
a core function.
, DIFFICULT: Cognitive level: Applying TOPIC: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
7. What is the purpose of public health core functions?
a. Clarifying the role of the government in fulfilling the mission of public health
b. Ensuring the safety of populations in receiving quality primary care
c. Providing community-based individualized care to every person in the United
States
d. Uniting public and private providers of care in a comprehensive approach
to providing primary care
ACCURATE ANSWER:-A
REASONING:->>>As defined by the Institute of Medicine in its 1988 report The Future of
Public Health, assessment, policy development, and assurance are core functions
at all levels of government for the purposeNofRclarIifyiGng tBhe.gCoveMrnment’s
role.
