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TEST BANK FOR PUBLIC HEALTH NURSING POPULATION CENTERED HEALTH CARE IN THE COMMUNITY 9TH EDITION STANHOPE.

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TEST BANK FOR PUBLIC HEALTH NURSING POPULATION CENTERED HEALTH CARE IN THE COMMUNITY 10TH EDITION STANHOPE.

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TEST BANK FOR PUBLIC HEALTH NURSING POPULATION-
CENTERED HEALTH CARE IN THE COMMUNITY 9TH EDITION.
Chapter 01: Community and Prevention-Oriented, Population-Focused Practice: The
Foundation ofSpecialization in Public Health Nursing
Stanhope: Public Health Nursing: Population-Centered Health Care in the

Community, 9th EditionMULTIPLE CHOICE

• One of the primary focuses of improving the health of the American people in the twenty-
first century isto address:



delivery of individual care and hygiene.




ANS: A
There are new concerns, and of the most serious are bioterrorism and globally induced
infections, suchas 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 thathave been present for many years.

DIF: Cognitive level: Understanding REF: p. 5 TOP: Nursing process: Planning MSC:
NCLEX: HealthPromotion and Maintenance

• A community is concerned about the threat of bioterrorism. Which of the following best
describes thebasis for this concern?




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
would be an increase in the need for shelter. However, all of these things would happen
because of the diversion of funds.

DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis MSC: NCLEX:
PsychosocialIntegrity

Page 1 of 276




2


• Which of the following describes the consequence of the successful implementation of
the AffordableCare Act?




ANS: B
One consequence of successful implementation of the Affordable Care Act might
actually be that the majority of the population would be covered by insurance and
public health agencies will not need toprovide 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: Remembering REF: p. 5
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
• The public health nurse (PHN) must participate in the essential services of public health.
Which of thefollowing most accurately describes one of the essential services of public
health?

, 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 lawenforcement. Rather, the PHN would participate with local regulators to
protect communities and empower people to address health issues.

DIF: Cognitive level: Understanding REF: p. 8 (How to Box)
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance

• 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 beimplemented?

Page 2 of 276




Tracking avian flu outbreaks and doing




Disease Control and Prevention in Atlanta


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
avian flu outbreaks and doingsurveillance 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 anindividual, not health promotion or disease prevention.

DIF: Cognitive level: Analyzing REF: p. 6
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




Scientific knowledge-based care



ANS: C
Assurance focuses on the responsibility of public health agencies to ensure certain
activities have beenappropriately 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 healthrelated 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 REF: p. 14
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
• The purpose of public health core functions is to:
• clarify the role of the
government in
fulfilling the mission of public health.
• ensure the safety of populations in receiving
Page 3 of 276




ANS: A
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
assessment, policydevelopment, and assurance are core functions at all levels of
government for the purpose of clarifying the government’s role.
DIF: Cognitive level: Understanding REF: p. 6
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
• Which of the following statements about public health is accurate?

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