PUBLIC HEALTH TEST BANK EXAM 2024/2025
Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the
Community, 10th Edition
MULTIPLE CHOICE
1. In the United States, what are most health care dollars spent on?
a. Prescription drugs
b. Hospital care
c. Physician services
d. Public health services (PHSs)
ANS: B
The largest share of health care expenditures goes to pay for hospital care, with
physician services the next largest item. The money spent for PHSs is
significantly lower than the other categories of expenditures. Other significant
drivers of the increasingly high cost of health care include prescription drugs,
technology, and chronic and degenerative disease.
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. What has caused the number of uninsured Americans to dramatically increase?
a. Medicare took over payment of health care costs.
b. With a declining population, the costs for health care rose.
c. Nursing salaries greatly increased, causing health care costs to rise.
d. Health insurance coverage was dropped from employment based health
plans.
ANS: D
Although most Americans continue to obtain health insurance from their
employer as a benefit, employment does not guarantee insurance. Employer-
sponsored health insurance is sensitive to both the general economy and changes
in health insurance premiums. As costs for insurance premiums rose, employers
, either shifted more of these costs to their employees or declined to offer
employment-based health coverage at all. Medicare provides coverage only to the
elderly and other special populations. The costs for health care are continuing to
rise regardless of the size of the population. There has not been a significant
change to nursing salaries, and a change in nursing salaries would not impact the
number of uninsured Americans.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. A nurse is working with a community to decrease the occurrence of influenza. Which
of the following U.S. Department of Health and Human Services (USDHHS) or
simply HHS) goals is being applied?
a. Strengthen Health Care.
b. Advance the Health, Safety, and Well-being of the American People.
c. Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS
Programs.
d. Advance Scientific Knowledge and Innovation.
ANS: B
One of the objectives of Advance the Health, Safety, and Well-being of the
American
People is to reduce the occurrence of infectious diseases. The goal of Strengthen
Health
Care focuses on improving health care services, quality, and coverage. The goal
of Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS
Programs focuses on improving programming and application of found data. The
goal of Advance Scientific Knowledge and Innovation focuses on scientific
discovery and application of the new knowledge.
DIF: Cognitive level: Remembering TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
4. According to the 1999 Institute of Medicine report, as many as 98,000 deaths each
year could be attributed to what cause? a. Cardiovascular disease
b. Obesity
c. Medical error
d. Drug overdose
, ANS: C
In 1999 it was thought that our health care system was expensive, and that access
and quality were not optimal, but we had not considered this important fact: many
people die of preventable medical errors in the United States. This number is not
the correct statistic for cardiovascular disease, obesity, or drug overdose.
DIF: Cognitive level: Remembering TOP: Nursing process:
Assessment MSC: NCLEX: Safe and Effective Care Environment: Management of
Care
5. Residents of rural communities report that they must travel for long distances to
obtain
health care services. As a result, they seek health care only for emergencies and
severe illnesses. Which aspect of the health care system in the United States is
illustrated in this situation?
a. Access to care
b. Cost
c. Quality
d. Advances in technology
ANS: A
One significant problem is poor access to care. Access can refer to inability to pay
for care and inability to access care. Cost refers to the health care expenditures
that happen to pay for the services received. Quality refers to the quality of health
care that is provided. Advances in technology refer to the medical advancements
made to treat diseases.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. A nurse is exploring a job opportunity at a community health center. Which
expectation would the nurse have about the center?
a. Would be situated in a large metropolitan area.
b. Provides care only to the economically disadvantaged.
c. Offers comprehensive primary care services and supportive services.
d. Is used for preventive services such as flu shots.
, ANS: C
Community health centers serve the entire community for primary health care
(PHC) services, regardless of income. They are in a high need or medically
underserved community, which can be urban or rural.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. A nursing program has initiated a recruitment campaign focusing on increasing the
minority students in its program. Which of the following best describes the rationale
for this program?
a. The number of minority versus non-minority nurses should be equal.
b. Minority health care professionals who share the same culture with the clients
may provide more effective care.
c. The profession should be more diverse.
d. Minority nurses can mentor other nurses when providing care for diverse
populations.
ANS: B
It is thought that increasing minority representation in the health workforce not
only is a commitment to diversity, but also will improve the health care delivery
system. Minority health professionals can be expected to practice in underserved
areas at a greater rate and health professionals who share the same culture and
language with the clients they serve can provide more effective care. It has been
suggested that the number of minority nurses should be representative of the
population served rather than there being equal numbers of minority and non-
minority nurses. Minority nurses are able to mentor other nurses; however, is not
the main reason that there is a focus on increasing recruitment of minorities.
DIF: Cognitive level: Applying TOP: Nursing process: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of
Care
8. A community health nurse is utilizing telehealth. Which factor best describes the
rationale for its use?
a. Enables clients to get nursing care in their homes.
b. Substitutes for health department delivered care.
c. Improves access to care in rural areas.
d. Replaces face-to-face care for those who cannot afford it.
Public Health, Primary Care, and Primary Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the
Community, 10th Edition
MULTIPLE CHOICE
1. In the United States, what are most health care dollars spent on?
a. Prescription drugs
b. Hospital care
c. Physician services
d. Public health services (PHSs)
ANS: B
The largest share of health care expenditures goes to pay for hospital care, with
physician services the next largest item. The money spent for PHSs is
significantly lower than the other categories of expenditures. Other significant
drivers of the increasingly high cost of health care include prescription drugs,
technology, and chronic and degenerative disease.
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. What has caused the number of uninsured Americans to dramatically increase?
a. Medicare took over payment of health care costs.
b. With a declining population, the costs for health care rose.
c. Nursing salaries greatly increased, causing health care costs to rise.
d. Health insurance coverage was dropped from employment based health
plans.
ANS: D
Although most Americans continue to obtain health insurance from their
employer as a benefit, employment does not guarantee insurance. Employer-
sponsored health insurance is sensitive to both the general economy and changes
in health insurance premiums. As costs for insurance premiums rose, employers
, either shifted more of these costs to their employees or declined to offer
employment-based health coverage at all. Medicare provides coverage only to the
elderly and other special populations. The costs for health care are continuing to
rise regardless of the size of the population. There has not been a significant
change to nursing salaries, and a change in nursing salaries would not impact the
number of uninsured Americans.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
3. A nurse is working with a community to decrease the occurrence of influenza. Which
of the following U.S. Department of Health and Human Services (USDHHS) or
simply HHS) goals is being applied?
a. Strengthen Health Care.
b. Advance the Health, Safety, and Well-being of the American People.
c. Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS
Programs.
d. Advance Scientific Knowledge and Innovation.
ANS: B
One of the objectives of Advance the Health, Safety, and Well-being of the
American
People is to reduce the occurrence of infectious diseases. The goal of Strengthen
Health
Care focuses on improving health care services, quality, and coverage. The goal
of Increase Efficiency, Transparency, Accountability, and Effectiveness of HHS
Programs focuses on improving programming and application of found data. The
goal of Advance Scientific Knowledge and Innovation focuses on scientific
discovery and application of the new knowledge.
DIF: Cognitive level: Remembering TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
4. According to the 1999 Institute of Medicine report, as many as 98,000 deaths each
year could be attributed to what cause? a. Cardiovascular disease
b. Obesity
c. Medical error
d. Drug overdose
, ANS: C
In 1999 it was thought that our health care system was expensive, and that access
and quality were not optimal, but we had not considered this important fact: many
people die of preventable medical errors in the United States. This number is not
the correct statistic for cardiovascular disease, obesity, or drug overdose.
DIF: Cognitive level: Remembering TOP: Nursing process:
Assessment MSC: NCLEX: Safe and Effective Care Environment: Management of
Care
5. Residents of rural communities report that they must travel for long distances to
obtain
health care services. As a result, they seek health care only for emergencies and
severe illnesses. Which aspect of the health care system in the United States is
illustrated in this situation?
a. Access to care
b. Cost
c. Quality
d. Advances in technology
ANS: A
One significant problem is poor access to care. Access can refer to inability to pay
for care and inability to access care. Cost refers to the health care expenditures
that happen to pay for the services received. Quality refers to the quality of health
care that is provided. Advances in technology refer to the medical advancements
made to treat diseases.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
6. A nurse is exploring a job opportunity at a community health center. Which
expectation would the nurse have about the center?
a. Would be situated in a large metropolitan area.
b. Provides care only to the economically disadvantaged.
c. Offers comprehensive primary care services and supportive services.
d. Is used for preventive services such as flu shots.
, ANS: C
Community health centers serve the entire community for primary health care
(PHC) services, regardless of income. They are in a high need or medically
underserved community, which can be urban or rural.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
7. A nursing program has initiated a recruitment campaign focusing on increasing the
minority students in its program. Which of the following best describes the rationale
for this program?
a. The number of minority versus non-minority nurses should be equal.
b. Minority health care professionals who share the same culture with the clients
may provide more effective care.
c. The profession should be more diverse.
d. Minority nurses can mentor other nurses when providing care for diverse
populations.
ANS: B
It is thought that increasing minority representation in the health workforce not
only is a commitment to diversity, but also will improve the health care delivery
system. Minority health professionals can be expected to practice in underserved
areas at a greater rate and health professionals who share the same culture and
language with the clients they serve can provide more effective care. It has been
suggested that the number of minority nurses should be representative of the
population served rather than there being equal numbers of minority and non-
minority nurses. Minority nurses are able to mentor other nurses; however, is not
the main reason that there is a focus on increasing recruitment of minorities.
DIF: Cognitive level: Applying TOP: Nursing process: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of
Care
8. A community health nurse is utilizing telehealth. Which factor best describes the
rationale for its use?
a. Enables clients to get nursing care in their homes.
b. Substitutes for health department delivered care.
c. Improves access to care in rural areas.
d. Replaces face-to-face care for those who cannot afford it.
