Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th E
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of the American
century?
a. Bioterrorism and global health threats
b. Delivery of individual care and hygiene
c. The need for increased hospital and acute care
d. Chronic disease and disability management
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally induced infections, suc
threats will divert health care funds and resources from other health care programs to be spent for pu
not related to public health or are concerns that have been present for many years.
DIF: Cognitive level: Understanding TOP: 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 th
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could cause the health care system to collapse.
c. The threat may divert funds from other public safety health care programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health care progra
diverted it is possible that community-based programs would be eliminated, the health care system co
that there would be an increase in the need for shelter. However, all the remaining options would hap
of funds.
DIF: Cognitive level: Analyzing TOP: Nursing process: Diagnosis
MSC: NCLEX: Physiological Integrity
3. Which statement describes the consequence of the successful implementation of the Affordable Care
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.
ANS: B
One consequence of successful implementation of the Affordable Care Act might be that the majority
covered by insurance and public health agencies will not need to provide direct clinical services in or
need them can receive them. The Affordable Care Act will not directly cause Americans to pay close
status or decrease the prevalence of obesity.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
4. The public health nurse (PHN) must participate in the essential services of public health. What is one
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
ANS: C
, 5. A public health department is using the mission of public health as described by the Institute of Medi
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
ANS: A
The Institute of Medicine’s stated mission on public health is “to generate organized community and
prevent disease and promote health.” Tracking avian flu outbreaks and doing surveillance applies thi
level. Providing a flu shot for an elderly person only addresses individual care. Keeping track of the u
does nothing to prevent disease or promote health of the population. Keeping snake antivenom is aim
individual, not health promotion or disease prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
6. A public health department makes sure that the essential community-oriented health services are ava
Which of the following core public health functions is being implemented?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance focuses on the responsibility of public health agencies to ensure certain activities have bee
to meet public health goals and plans. Policy development seeks to build constituencies that can help
policy. Assessment includes activities that involve collecting, analyzing, and disseminating informati
and the health-related aspects of a community or a specific population. Public health is based on scie
core function.
DIF: Cognitive level: Applying TOP: 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 health 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 health care
ANS: A
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assessment, p
assurance are core functions at all levels of government for the purpose of clarifying the government
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
8. Which of the following statements about public health is accurate?
a. Prevention of early deaths can be more effectively accomplished by medical
treatment than by public health approaches.
b. Expenditures and resources for public health have increased in recent years.
c. Historically, gains in the health of populations have been related largely to
changes in safety, sanitation, and food safety.
d. Reform of the medical insurance system is the single change needed to improve
the health of Americans.