TEST BANK FOR PUBLIC HEALTH NURSING
POPULATION CENTERED HEALTH CARE IN THE
COMMUNITY 10TH EDITION STANHOPE
Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care
in theCommunity, 10th Edition
MULTIPLE CHOICE
• What is the primary focus to be addressed concerning the improvement of the
health of theAmerican people in the twenty-first century?
• Bioterrorism and global health threats
• Delivery of individual care and hygiene
• The need for increased hospital and acute care
• Chronic disease and disability management
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally
induced infections, such as the avian flu. These threats will divert health care funds
and resources from other health 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.
DIF: Cognitive level: Understanding TOP: Nursing process:
PlanningMSC: NCLEX: Health Promotion and Maintenance
• A community is concerned about the threat of bioterrorism. Which of the
following best describes the basis for this concern?
• Bioterrorism has the potential to dissolve community-based programs.
• This threat could causeNthUeReaI
hS lthNcGaT
reBs.
ysC mMto collapse.
teO
• The threat may divert funds from other public safety health care programs.
• 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 programs. Because funds are diverted it is possible that community-based
programs would be eliminated, the health care system could experience changes, and
that there wouldbe an increase in the need for shelter. However, all the remaining
options would happen because of the diversion of funds.
, DIF: Cognitive level: Analyzing TOP: Nursing process:
DiagnosisMSC: NCLEX: Physiological Integrity
• Which statement describes the consequence of the successful
implementation of the Affordable Care Act?
• Americans will pay closer attention to their health status.
• Most of the population will be covered by health insurance.
• Public health departments will need to increase the number of nursing positions.
• The prevalence of obesity will
decrease. ANS: B
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.
DIF: Cognitive level: Understanding TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
• The public health nurse (PHN) must participate in the essential services of public
health. What is one of the essential services of public health nursing?
• Monitoring health status by completing a community assessment
• Diagnosing and investigating health problems in the world
• Informing, educating, and empowering people about health issues
• Working in law enforcement to regulate health and ensure safety
ANS: C
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.
DIF: Cognitive level: Understanding TOP: Nursing process:
ImplementationMSC: NCLEX: Health Promotion and Maintenance
• U S N T O
• A public health department is using the mission of public health as described by the
Instituteof Medicine when planningNitsR heaI
lth pGrogB
ra.mCminMg. Which of the following
activities will most likely be implemented?
• Tracking avian flu outbreaks and doing surveillance in the United States
, • Providing a flu shot for an elderly person at the health department
• Keeping track of alternative therapies in use in the United States
• Keeping snake antivenom at the Centers for Disease Control and
Prevention inAtlanta
ANS: A
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 avianflu 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 ordisease prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
• 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?
• Policy development
• Assessment
• Assurance
• Scientific knowledge-based care
ANS: C
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.
DIF: Cognitive level: Applying TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
• What is the purpose of public health core functions?
• Clarifying the role of the government in fulfilling the mission of public health
• Ensuring the safety of populations in receiving quality health care
• Providing community-based individualized care to every person in the
UnitedStates
• 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, policy development, and assurance are core functions at all
levels of government for the purposeNofRclarIifyiG
ng tB
he.gCoveM
rnment’s role.
U S N T O
DIF: Cognitive level: Understanding TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
• Which of the following statements about public health is accurate?
• Prevention of early deaths can be more effectively accomplished by
medicaltreatment than by public health approaches.
• Expenditures and resources for public health have increased in recent years.
• Historically, gains in the health of populations have been related largely to
changes in safety, sanitation, and food safety.
• Reform of the medical insurance system is the single change needed to
improvethe health of Americans.
ANS: C
Fielding and Tilson have asserted that most of the increase in life span has been
made through improvements in sanitation, clean water supplies, making workplaces
safer, improving food and drug safety, immunizing children, and improving
nutrition, hygiene, and housing. Medical treatment has not made as significant of an
impact on the life span aspublic health measures. Funding for public health in recent
years has been on a gradual decline. Although reform of the medical insurance
system may help improve the health of Americans, there are many other factors that
will need to be addressed.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• A public health nurse (PHN) collects data and monitors the health status of the
population. Which of the following core public health functions is the nurse
addressing?
• Assessment
• Prevention
• Assurance
• Policy development
ANS: A
Assessment consists of systematic data collection and monitoring health status.
Prevention is not a core function, assurance is making sure essential services are
available, and policy development is needed to provide leadership in developing
policies.
POPULATION CENTERED HEALTH CARE IN THE
COMMUNITY 10TH EDITION STANHOPE
Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care
in theCommunity, 10th Edition
MULTIPLE CHOICE
• What is the primary focus to be addressed concerning the improvement of the
health of theAmerican people in the twenty-first century?
• Bioterrorism and global health threats
• Delivery of individual care and hygiene
• The need for increased hospital and acute care
• Chronic disease and disability management
ANS: A
There are new concerns, and of the most serious are bioterrorism and globally
induced infections, such as the avian flu. These threats will divert health care funds
and resources from other health 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.
DIF: Cognitive level: Understanding TOP: Nursing process:
PlanningMSC: NCLEX: Health Promotion and Maintenance
• A community is concerned about the threat of bioterrorism. Which of the
following best describes the basis for this concern?
• Bioterrorism has the potential to dissolve community-based programs.
• This threat could causeNthUeReaI
hS lthNcGaT
reBs.
ysC mMto collapse.
teO
• The threat may divert funds from other public safety health care programs.
• 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 programs. Because funds are diverted it is possible that community-based
programs would be eliminated, the health care system could experience changes, and
that there wouldbe an increase in the need for shelter. However, all the remaining
options would happen because of the diversion of funds.
, DIF: Cognitive level: Analyzing TOP: Nursing process:
DiagnosisMSC: NCLEX: Physiological Integrity
• Which statement describes the consequence of the successful
implementation of the Affordable Care Act?
• Americans will pay closer attention to their health status.
• Most of the population will be covered by health insurance.
• Public health departments will need to increase the number of nursing positions.
• The prevalence of obesity will
decrease. ANS: B
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.
DIF: Cognitive level: Understanding TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
• The public health nurse (PHN) must participate in the essential services of public
health. What is one of the essential services of public health nursing?
• Monitoring health status by completing a community assessment
• Diagnosing and investigating health problems in the world
• Informing, educating, and empowering people about health issues
• Working in law enforcement to regulate health and ensure safety
ANS: C
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.
DIF: Cognitive level: Understanding TOP: Nursing process:
ImplementationMSC: NCLEX: Health Promotion and Maintenance
• U S N T O
• A public health department is using the mission of public health as described by the
Instituteof Medicine when planningNitsR heaI
lth pGrogB
ra.mCminMg. Which of the following
activities will most likely be implemented?
• Tracking avian flu outbreaks and doing surveillance in the United States
, • Providing a flu shot for an elderly person at the health department
• Keeping track of alternative therapies in use in the United States
• Keeping snake antivenom at the Centers for Disease Control and
Prevention inAtlanta
ANS: A
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 avianflu 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 ordisease prevention.
DIF: Cognitive level: Analyzing TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
• 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?
• Policy development
• Assessment
• Assurance
• Scientific knowledge-based care
ANS: C
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.
DIF: Cognitive level: Applying TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
• What is the purpose of public health core functions?
• Clarifying the role of the government in fulfilling the mission of public health
• Ensuring the safety of populations in receiving quality health care
• Providing community-based individualized care to every person in the
UnitedStates
• 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, policy development, and assurance are core functions at all
levels of government for the purposeNofRclarIifyiG
ng tB
he.gCoveM
rnment’s role.
U S N T O
DIF: Cognitive level: Understanding TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
• Which of the following statements about public health is accurate?
• Prevention of early deaths can be more effectively accomplished by
medicaltreatment than by public health approaches.
• Expenditures and resources for public health have increased in recent years.
• Historically, gains in the health of populations have been related largely to
changes in safety, sanitation, and food safety.
• Reform of the medical insurance system is the single change needed to
improvethe health of Americans.
ANS: C
Fielding and Tilson have asserted that most of the increase in life span has been
made through improvements in sanitation, clean water supplies, making workplaces
safer, improving food and drug safety, immunizing children, and improving
nutrition, hygiene, and housing. Medical treatment has not made as significant of an
impact on the life span aspublic health measures. Funding for public health in recent
years has been on a gradual decline. Although reform of the medical insurance
system may help improve the health of Americans, there are many other factors that
will need to be addressed.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
• A public health nurse (PHN) collects data and monitors the health status of the
population. Which of the following core public health functions is the nurse
addressing?
• Assessment
• Prevention
• Assurance
• Policy development
ANS: A
Assessment consists of systematic data collection and monitoring health status.
Prevention is not a core function, assurance is making sure essential services are
available, and policy development is needed to provide leadership in developing
policies.
