Chapter 28: Nursing Practice at the Local, State, and National Levels in Public Health
Stanhope: Foundations of Population Health for Community/Public Health Nursing,
5th Edition '
MULTIPLE CHOICE
1. Which of the following is the underlying science or area of study on which public health is
based?
a. Biostatistics
b. Epidemiology
c. Medicine
d. Social sciences
ANS: B
It works across many disciplines and is based on the scientific core of epidemiology. Public
health uses biostatistics in its practice. It is not a branch of medicine; it is an organized
community approach designed to prevent disease, promote health, and protect populations.
Public health is not based on the social sciences, which is the study of society and
relationships.
2. A nurse is employed at the state department of public health. Which of the following is a
fundamental principle guiding his practice?
a. Decisions are made at the federal level, disseminated at the state level, and carried
out at the community level.
b. Health of populations is only as good as the health of individuals that live and
work in the community. N R I G B.C M
U Sdepartments
c. Oversight of community health N T isOthe most important function.
d. The interaction of the local-state-federal partnership is critical to success.
ANS: D
In the United States, the local-state-federal partnership includes federal agencies, the state and
territorial public health agencies, and the local public health agencies. Their effective
interaction is critical to the effective use of both financial and personnel resources to address
the health of populations. Nurses working in all of these agencies work together to identify,
develop, and implement interventions that will improve and maintain the nation’s health.
Decisions can be made and implemented at the federal, state, and local levels. The health of
individuals and populations is influenced by the health policies that are in place. The state
agency may provide some oversight of local health departments, but that is not its primary
purpose.
3. The public health administrator is in the process of hiring a new public health nurse. Which of
the following statements made by an applicant would most likely result in the applicant not
being hired?
a. “I like to be the only person working on a project because individuals in teams
have their own ideas and plans and the resulting debate slows progress.”
b. “I prefer to work in teams because no single person has too much responsibility
because the burden is shared.”
c. “Teamwork is better than work done by individuals because teamwork
incorporates different perspectives.”
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:36:19 GMT -05:00
https://www.coursehero.com/file/57577180/28pdf/ NURSINGTB.COM
, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
d. “Whether teamwork is better than work done by individuals depends on the nature
of the work being performed.”
ANS: A
An applicant who does not like to work in and with teams would not be appropriate to fill this
position. Teamwork is a necessary skill when working as a public health nurse. Working in
collaborative partnerships is an essential role of public health nursing. Partnerships and
collaboration among groups are much more powerful in making change than the individual
client and nurse working alone. Part of the reason is that multiple perspectives are examined
in the process of coming to the best solution.
4. Which of the following federal agencies is most influential in public health activities?
a. The Agency for Healthcare, Research, and Quality
b. Centers for Disease Control and Prevention
c. Department of Health and Human Services
d. Food and Drug Administration
ANS: C
The U.S. Department of Health and Human Services (USDHHS) and the Environmental
Protection Agency (EPA) are the federal agencies that most influence public health activities
at the state and local levels. The Agency for Healthcare, Research, and Quality, the Centers
for Disease Control and Prevention, and the Food and Drug Administration are all pieces of
the broader USDHHS.
5. Which of the following agencies are responsible for implementing and enforcing local, state,
and federal public health codes and ordinances and providing essential public health programs
to a community?
a. Community health clinicsNURSINGTB.COM
b. Federal health agencies
c. Local health agencies
d. State health agencies
ANS: C
Local public health agencies are the agencies responsible for implementing and enforcing
local, state, and federal public health codes and ordinances and providing essential public
health programs to a community. State public heatlh ageencies are reponsible for monitoring
health status and enforcing laws and regulations that protect and improve the public’s health;
they do not provide essential public health programs to the community. Federal health
agencies develop regulations that implement policies formuated by Congress. Community
health clinics may provide essential public health programs to the community, but are not
responsible for implementing and enforcing local, state, and federal public health codes and
ordinances.
6. A nurse at a migrant clinic assists clients with completing the application process to receive
supplemental food assistance. Which of the following roles of the nurse is being used?
a. Advocate
b. Case manager
c. Outreach worker
d. Primary caregiver
ANS: A
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:36:19 GMT -05:00
https://www.coursehero.com/file/57577180/28pdf/ NURSINGTB.COM