Chapter 01: Public Health Foundations and Population Health
d d d d d d d
Stanhope: Public Health Nursing: Population-
d d d d
Centered Health Care in theCommunity, 10th Edition
d d d d d d d
MULTIPLEdCHOICE
1. Whatdisdthedprimarydfocusdtodbedaddresseddconcerningdthedimprovementdofdthedhealthdofdthed
Americandpeopledindthedtwenty-firstdcentury?
a. Bioterrorismdanddglobaldhealthdthreats
b. Deliverydofdindividualdcaredanddhygiene
c. Thedneeddfordincreaseddhospitaldanddacutedcare
d. Chronicddiseasedandddisabilitydmanagement
ANS:d A
Theredarednewdconcerns,danddofdthedmostdseriousdaredbioterrorismdanddgloballydinduceddinfe
ctions,dsuchdasdthedaviandflu.dThesedthreatsdwillddivertdhealthdcaredfundsdanddresourcesdfromd
otherdhealthdcaredprogramsdtodbedspentdfordpublicdsafety.dThedothersdarednotdrelateddtodpublicd
healthdordaredconcernsdthatdhavedbeendpresentdfordmanydyears.
DIF: Cognitivedlevel:dUnderstanding TOP:
Nursingdprocess:dPlanningdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
2. Adcommunitydisdconcerneddaboutdthedthreatdofdbioterrorism.dWhichdofdthedfollowingdbestdd
escribesdthedbasisdfordthisdconcern?
a. Bioterrorismdhasdthedpotentialdtoddissolvedcommunity-baseddprograms.
b. ThisdthreatdcoulddcauseN thUeReaI
hS lthNcGaT
reBs.
ysC mMtodcollapse.
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c. Thedthreatdmayddivertdfundsdfromdotherdpublicdsafetydhealthdcaredprograms.
d. Feardofdbioterrorismdwilldincreasedthedneeddfordshelters.
ANS:d C
Bioterrorismdmaydhavedandimpactdondthedavailabilitydofdresourcesdfordpublicdsafetydhealthdcar
edprograms.dBecausedfundsdareddivertedditdisdpossibledthatdcommunity-
baseddprogramsdwoulddbedeliminated,dthedhealthdcaredsystemdcoulddexperiencedchanges,danddt
hatdtheredwoulddbedandincreasedindthedneeddfordshelter.dHowever,dalldthedremainingdoptionsdwo
ulddhappendbecausedofdtheddiversiondofdfunds.
DIF: Cognitivedlevel:dAnalyzing TOP:
Nursingdprocess:dDiagnosisdMSC:d NCLEX:dPhysiologicaldIntegrity
3. Whichdstatementddescribesdthedconsequencedofdthedsuccessfuldimplementationdofdthed
AffordabledCaredAct?
a. Americansdwilldpaydcloserdattentiondtodtheirdhealthdstatus.
b. Mostdofdthedpopulationdwilldbedcovereddbydhealthdinsurance.
c. Publicdhealthddepartmentsdwilldneeddtodincreasedthednumberdofdnursingdpositions.
d. Thedprevalencedofdobesitydwillddecrease.d
ANS:d B
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, PublicdHealthdNursingd10thdEditiondStanhopedTestdBank
OnedconsequencedofdsuccessfuldimplementationdofdthedAffordabledCaredActdmightdbedthatdthed
majoritydofdthedpopulationdwoulddbedcovereddbydinsurancedanddpublicdhealthdagenciesdwilldnotd
needdtodprovideddirectdclinicaldservicesdindorderdtodassuredthatdthosedwhodneeddthemdcandreceiv
edthem.dThedAffordabledCaredActdwilldnotddirectlydcausedAmericansdtodpaydcloserdattentiondtodt
heirdhealthdstatusdorddecreasedthedprevalencedofdobesity.
DIF: Cognitivedlevel:dUnderstanding TOP:
Nursingdprocess:dAssessmentdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
4. Thedpublicdhealthdnursed(PHN)dmustdparticipatedindthedessentialdservicesdofdpublicdhealth.d
Whatdisdonedofdthedessentialdservicesdofdpublicdhealthdnursing?
a. Monitoringdhealthdstatusdbydcompletingdadcommunitydassessment
b. Diagnosingdanddinvestigatingdhealthdproblemsdindthedworld
c. Informing,deducating,danddempoweringdpeopledaboutdhealthdissues
d. Workingdindlawdenforcementdtodregulatedhealthdanddensuredsafety
ANS:d C
ThedPHNdmonitorsdhealthdstatusdindseveraldways,dcompletingdadcommunitydassessmentdisdonlyd
onedwaydthatdhealthdstatusdisdmonitored.dThedPHNdwoulddnotddiagnosedordsolved“world”dproble
ms,dordworkdindlawdenforcement.dRather,dthedPHNdwoulddparticipatedwithdlocaldregulatorsdtodp
rotectdcommunitiesdanddempowerdpeopledtodaddressdhealthdissues.
DIF: Cognitivedlevel:dUnderstanding TOP:
Nursingdprocess:dImplementationdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
5. AdpublicdhealthddepartmentdisdusingdthedmissiondofdpublicdhealthdasddescribeddbydthedInstitutedo
fdMedicinedwhendplanningNitsURhea IlthdpGrogBra.mCminM
dSdNdT Og.dWhichdofdthedfollowingdactivitiesdwilldmos
tdlikelydbedimplemented?
a. TrackingdaviandfludoutbreaksdandddoingdsurveillancedindthedUniteddStates
b. Providingdadfludshotdfordandelderlydpersondatdthedhealthddepartment
c. KeepingdtrackdofdalternativedtherapiesdindusedindthedUniteddStates
d. KeepingdsnakedantivenomdatdthedCentersdfordDiseasedControldanddPreventiondind
Atlanta
ANS:d A
ThedInstitutedofdMedicine’sdstateddmissiondondpublicdhealthdisd“todgeneratedorganizeddcommun
itydanddtechnicaldknowledgedtodpreventddiseasedanddpromotedhealth.”dTrackingdaviandfludoutbre
aksdandddoingdsurveillancedappliesdthisdconceptdatdadpopulationdlevel.dProvidingdadfludshotdforda
ndelderlydpersondonlydaddressesdindividualdcare.dKeepingdtrackdofdthedusedofdalternativedtherapi
esddoesdnothingdtodpreventddiseasedordpromotedhealthdofdthedpopulation.
Keepingdsnakedantivenomdisdaimeddatddiseasedcaredfordandindividual,dnotdhealthdpromotiondordd
iseasedprevention.
DIF: Cognitivedlevel:dAnalyzing TOP:
Nursingdprocess:dAssessmentdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
6. Adpublicdhealthddepartmentdmakesd suredthatd thedessentiald community-
orienteddhealthdservicesdaredavailabledindthedcommunity.dWhichdofdthedfollowingdcoredpublicdh
ealthdfunctionsdisdbeingdimplemented?
a. Policyddevelopment
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, PublicdHealthdNursingd10thdEditiondStanhopedTestdBank
b. Assessment
c. Assurance
d. Scientificdknowledge-baseddcare
ANS:d C
Assurancedfocusesdondthedresponsibilitydofdpublicdhealthdagenciesdtodensuredcertaindactivitiesdh
avedbeendappropriatelydcarrieddoutdtodmeetdpublicdhealthdgoalsdanddplans.dPolicyddevelopmentd
seeksdtodbuilddconstituenciesdthatdcandhelpdbringdaboutdchangedindpublicdpolicy.dAssessmentdinc
ludesdactivitiesdthatdinvolvedcollecting,danalyzing,dandddisseminatingdinformationdondbothdthed
healthdstatusdanddthedhealth-
relateddaspectsdofdadcommunitydordadspecificdpopulation.dPublicdhealthdisdbaseddondscientificdkn
owledgedbutdisdnotdadcoredfunction.
DIF: Cognitivedlevel:dApplying TOP:
Nursingdprocess:dAssessmentdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
7. Whatdisdthedpurposedofdpublicdhealthdcoredfunctions?
a. Clarifyingdthedroledofdthedgovernmentdindfulfillingdthedmissiondofdpublicdhealth
b. Ensuringdthedsafetydofdpopulationsdindreceivingdqualitydhealthdcare
c. Providingdcommunity-
baseddindividualizeddcaredtodeverydpersondindthedUniteddStates
d. Unitingdpublicdanddprivatedprovidersdofdcaredindadcomprehensivedapproachdtodp
rovidingdhealthdcare
ANS:d A
AsddefineddbydthedInstitutedofdMedicinedinditsd1988dreportdThedFuturedofdPublicdHealth,da
ssessment,dpolicyddevelopment,danddassurancedaredcoredfunctionsdatdalldlevelsdofdgovern
mentdfordthedpurpose of clarifyingdthe government’sdrole.
N R I G B.C M
USNT d d d O
DIF: Cognitivedlevel:dUnderstanding TOP:
Nursingdprocess:dAssessmentdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
8. Whichdofdthedfollowingdstatementsdaboutdpublicdhealthdisdaccurate?
a. Preventiondofdearlyddeathsdcandbedmoredeffectivelydaccomplisheddbydmedicaldt
reatmentdthandbydpublicdhealthdapproaches.
b. Expendituresdanddresourcesdfordpublicdhealthdhavedincreaseddindrecentdyears.
c. Historically,dgainsdindthedhealthdofdpopulationsdhavedbeendrelateddlargelydtodchangesdi
ndsafety,dsanitation,danddfooddsafety.
d. Reformdofdthedmedicaldinsurancedsystemdisdthedsingledchangedneededdtodimprovedt
hedhealthdofdAmericans.
ANS:d C
FieldingdanddTilsondhavedasserteddthatdmostdofdthedincreasedindlifedspandhasdbeendmadedthrou
ghdimprovementsdindsanitation,dcleandwaterdsupplies,dmakingdworkplacesdsafer,dimprovingdf
ooddandddrugdsafety,dimmunizingdchildren,danddimprovingdnutrition,dhygiene,danddhousing.d
Medicaldtreatmentdhasdnotdmadedasdsignificantdofdandimpactdondthedlifedspandasdpublicdhealthd
measures.dFundingdfordpublicdhealthdindrecentdyearsdhasdbeendondadgradualddecline.dAlthoughd
reformdofdthedmedicaldinsurancedsystemdmaydhelpdimprovedthedhealthdofdAmericans,dtheredar
edmanydotherdfactorsdthatdwilldneeddtodbedaddressed.
DIF: Cognitivedlevel:dUnderstanding TOP: Nursingdprocess:dAssessment
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, PublicdHealthdNursingd10thdEditiondStanhopedTestdBank
MSC:d NCLEX:dSafedanddEffectivedCaredEnvironment:dManagementdofdCare
9. Adpublicdhealthdnursed(PHN)dcollectsddatadanddmonitorsdthedhealthdstatusdofdthedpopulation.d
Whichdofdthedfollowingdcoredpublicdhealthdfunctionsdisdthednursedaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policyddevelopment
ANS:d A
Assessmentdconsistsdofdsystematicddatadcollectiondanddmonitoringdhealthdstatus.
Preventiondisdnotdadcoredfunction,dassurancedisdmakingdsuredessentialdservicesdaredavailable,da
nddpolicyddevelopmentdisdneededdtodprovidedleadershipdinddevelopingdpolicies.
DIF: Cognitivedlevel:dApplying TOP:
Nursingdprocess:dAssessmentdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
10. Thedpublicdhealthdnursed(PHN)dcomparesdthedratedofdteenagedpregnancydindvariousdareasdofdt
hedcity.dWhichdofdthedcoredfunctionsdofdpublicdhealthdisdthednursedaddressing?
a. Assurance
b. Assessment
c. Prevention
d. Policyddevelopment
ANS:d B
Assessmentdrefersdtodsystematicddatadcollection,dwhichdthisdnursedisddoingdfordteenagedpregna
ncy.dPreventiondisdnotdadcoredfunction,dassurancedisdmakingdsuredessentialdservicesdare
Ndmen
available,danddpolicyddevelopU
RdIStdG dB.CdM
disNneeTdeddtodO
providedleadershipdinddevelopingdpolicies.
DIF: Cognitivedlevel:dApplying TOP:
Nursingdprocess:dAssessmentdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
11. Adpublicdhealthdnursed(PHN)ddevelopsdanddimplementsdlocaldpublicdhealthdpoliciesdthroughdp
artnershipsdwithdagencies,dorganizations,danddconsumersdwithindthedcommunity.dWhichdofdth
edfollowingdcoredpublicdhealthdfunctionsdisdthednursedaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policyddevelopment
ANS:d D
Policyddevelopmentddealsdwithddevelopingdanddimplementingdhealthdpolicies.dPreventiondisdn
otdadcoredfunction,dassurancedisdmakingdsuredessentialdservicesdaredavailable,danddassessmentd
refersdtodsystematicddatadcollection.
DIF: Cognitivedlevel:dApplying TOP:
Nursingdprocess:dAssessmentdMSC:d NCLEX:dHealthdPromotiondanddMaint
enance
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