Chapter 01: Public Health Foundations and Population Health
n n n n n n n
Stanhope: Public Health Nursing: Population-
n n n n
Centered Health Care in theCommunity, 10th Edition
n n n n n n n
MULTIPLEnCHOICE
1. Whatnisnthenprimarynfocusntonbenaddressednconcerningnthenimprovementnofnthenhealthnofnthen
Americannpeopleninnthentwenty-firstncentury?
a. Bioterrorismnandnglobalnhealthnthreats
b. Deliverynofnindividualncarenandnhygiene
c. Thenneednfornincreasednhospitalnandnacutencare
d. Chronicndiseasenandndisabilitynmanagement
ANS:n A
Therenarennewnconcerns,nandnofnthenmostnseriousnarenbioterrorismnandngloballyninducedninfe
ctions,nsuchnasnthenaviannflu.nThesenthreatsnwillndivertnhealthncarenfundsnandnresourcesnfromn
othernhealthncarenprogramsntonbenspentnfornpublicnsafety.nThenothersnarennotnrelatedntonpublicn
healthnornarenconcernsnthatnhavenbeennpresentnfornmanyn years.
DIF: Cognitivenlevel:nUnderstanding TOP:
Nursingnprocess:nPlanningnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
2. Ancommunitynisnconcernednaboutnthenthreatnofnbioterrorism.nWhichnofnthenfollowingnbestnd
escribesnthenbasisnfornthisnconcern?
a. Bioterrorismnhasnthenpotentialntondissolvencommunity-basednprograms.
b. ThisnthreatncouldncauseN thUeReaI
hS lthNcGaT
reBs.
ysC mMtoncollapse.
teO
c. Thenthreatnmayndivertnfundsnfromnothernpublicnsafetynhealthncarenprograms.
d. Fearnofnbioterrorismnwillnincreasenthenneednfornshelters.
ANS:n C
Bioterrorismnmaynhavenannimpactnonnthenavailabilitynofnresourcesnfornpublicnsafetynhealthncar
enprograms.nBecausenfundsnarendivertednitnisnpossiblenthatncommunity-
basednprogramsnwouldnbeneliminated,nthenhealthncarensystemncouldnexperiencenchanges,nandnt
hatntherenwouldnbenannincreaseninnthenneednfornshelter.nHowever,nallnthenremainingnoptionsnwo
uldnhappennbecausenofnthendiversionnofnfunds.
DIF: Cognitivenlevel:nAnalyzing TOP:
Nursingnprocess:nDiagnosisnMSC:n NCLEX:nPhysiologicalnIntegrity
3. Whichnstatementndescribesnthenconsequencenofnthensuccessfulnimplementationnofnthen
AffordablenCarenAct?
a. Americansnwillnpaynclosernattentionntontheirnhealthnstatus.
b. Mostnofnthenpopulationnwillnbencoverednbynhealthninsurance.
c. Publicnhealthndepartmentsnwillnneedntonincreasenthennumbernofnnursingnpositions.
d. Thenprevalencenofnobesitynwillndecrease.n
ANS:n B
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, PublicnHealthnNursingn10thnEditionnStanhopenTestnBank
OnenconsequencenofnsuccessfulnimplementationnofnthenAffordablenCarenActnmightnbenthatnthen
majoritynofnthenpopulationnwouldnbencoverednbyninsurancenandnpublicnhealthnagenciesnwillnnotn
needntonprovidendirectnclinicalnservicesninnorderntonassurenthatnthosenwhonneednthemncannreceiv
enthem.nThenAffordablenCarenActnwillnnotndirectlyncausenAmericansntonpaynclosernattentionntont
heirnhealthnstatusnorndecreasenthenprevalencenofnobesity.
DIF: Cognitivenlevel:nUnderstanding TOP:
Nursingnprocess:nAssessmentnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
4. Thenpublicnhealthnnursen(PHN)nmustnparticipateninnthenessentialnservicesnofnpublicnhealth.n
Whatnisnonenofnthenessentialnservicesnofnpublicnhealthnnursing?
a. Monitoringnhealthnstatusnbyncompletingnancommunitynassessment
b. Diagnosingnandninvestigatingnhealthnproblemsninnthenworld
c. Informing,neducating,nandnempoweringnpeoplenaboutnhealthnissues
d. Workingninnlawnenforcementntonregulatenhealthnandnensurensafety
ANS:n C
ThenPHNnmonitorsnhealthnstatusninnseveralnways,ncompletingnancommunitynassessmentnisnonlyn
onenwaynthatnhealthnstatusnisnmonitored.nThenPHNnwouldnnotndiagnosenornsolven“world”nproble
ms,nornworkninnlawnenforcement.nRather,nthenPHNnwouldnparticipatenwithnlocalnregulatorsntonp
rotectncommunitiesnandnempowernpeoplentonaddressnhealthnissues.
DIF: Cognitivenlevel:nUnderstanding TOP:
Nursingnprocess:nImplementationnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
5. AnpublicnhealthndepartmentnisnusingnthenmissionnofnpublicnhealthnasndescribednbynthenInstituteno
fnMedicinenwhennplanningNitsURhea IlthnpGrogBra.mCminM
nSnNnT Og.nWhichnofnthenfollowingnactivitiesnwillnmos
tnlikelynbenimplemented?
a. TrackingnaviannflunoutbreaksnandndoingnsurveillanceninnthenUnitednStates
b. Providingnanflunshotnfornannelderlynpersonnatnthenhealthndepartment
c. KeepingntracknofnalternativentherapiesninnuseninnthenUnitednStates
d. KeepingnsnakenantivenomnatnthenCentersnfornDiseasenControlnandnPreventionninn
Atlanta
ANS:n A
ThenInstitutenofnMedicine’snstatednmissionnonnpublicnhealthnisn“tongeneratenorganizedncommun
itynandntechnicalnknowledgentonpreventndiseasenandnpromotenhealth.”nTrackingnaviannflunoutbre
aksnandndoingnsurveillancenappliesnthisnconceptnatnanpopulationnlevel.nProvidingnanflunshotnforna
nnelderlynpersonnonlynaddressesnindividualncare.nKeepingntracknofnthenusenofnalternativentherapi
esndoesnnothingntonpreventndiseasenornpromotenhealthnofnthenpopulation.
Keepingnsnakenantivenomnisnaimednatndiseasencarenfornannindividual,nnotnhealthnpromotionnornd
iseasenprevention.
DIF: Cognitivenlevel:nAnalyzing TOP:
Nursingnprocess:nAssessmentnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
6. Anpublicnhealthn departmentnmakesn surenthatn then essentialn community-
orientednhealthnservicesnarenavailableninnthencommunity.nWhichnofnthenfollowingncorenpublicnh
ealthnfunctionsnisnbeingnimplemented?
a. Policyndevelopment
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, PublicnHealthnNursingn10thnEditionnStanhopenTestnBank
b. Assessment
c. Assurance
d. Scientificnknowledge-basedncare
ANS:n C
Assurancenfocusesnonnthenresponsibilitynofnpublicnhealthnagenciesntonensurencertainnactivitiesnh
avenbeennappropriatelyncarriednoutntonmeetnpublicnhealthngoalsnandnplans.nPolicyndevelopmentn
seeksntonbuildnconstituenciesnthatncannhelpnbringnaboutnchangeninnpublicnpolicy.nAssessmentninc
ludesnactivitiesnthatninvolvencollecting,nanalyzing,nandndisseminatingninformationnonnbothnthen
healthnstatusnandnthenhealth-
relatednaspectsnofnancommunitynornanspecificnpopulation.nPublicnhealthnisnbasednonnscientificnkn
owledgenbutnisnnotnancorenfunction.
DIF: Cognitivenlevel:nApplying TOP:
Nursingnprocess:nAssessmentnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
7. Whatnisnthenpurposenofnpublicnhealthncorenfunctions?
a. Clarifyingnthenrolenofnthengovernmentninnfulfillingnthenmissionnofnpublicnhealth
b. Ensuringnthensafetynofnpopulationsninnreceivingnqualitynhealthncare
c. Providingncommunity-
basednindividualizedncarentoneverynpersonninnthenUnitednStates
d. Unitingnpublicnandnprivatenprovidersnofncareninnancomprehensivenapproachntonp
rovidingnhealthncare
ANS:n A
AsndefinednbynthenInstitutenofnMedicineninnitsn1988nreportnThenFuturenofnPublicnHealth,na
ssessment,npolicyndevelopment,nandnassurancenarencorenfunctionsnatnallnlevelsnofngovern
mentnfornthenpurpose of clarifyingnthe government’snrole.
N R I G B.C M
USNT n n n O
DIF: Cognitivenlevel:nUnderstanding TOP:
Nursingnprocess:nAssessmentnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
8. Whichnofnthenfollowingnstatementsnaboutnpublicnhealthnisnaccurate?
a. Preventionnofnearlyndeathsncannbenmoreneffectivelynaccomplishednbynmedicalnt
reatmentnthannbynpublicnhealthnapproaches.
b. Expendituresnandnresourcesnfornpublicnhealthnhavenincreasedninnrecentnyears.
c. Historically,ngainsninnthenhealthnofnpopulationsnhavenbeennrelatednlargelyntonchangesni
nnsafety,nsanitation,nandnfoodnsafety.
d. Reformnofnthenmedicalninsurancensystemnisnthensinglenchangenneededntonimprovent
henhealthnofnAmericans.
ANS:n C
FieldingnandnTilsonnhavenassertednthatnmostnofnthenincreaseninnlifenspannhasnbeennmadenthrou
ghnimprovementsninnsanitation,ncleannwaternsupplies,nmakingnworkplacesnsafer,nimprovingnf
oodnandndrugnsafety,nimmunizingnchildren,nandnimprovingnnutrition,nhygiene,nandnhousing.n
Medicalntreatmentnhasnnotnmadenasnsignificantnofnannimpactnonnthenlifenspannasnpublicnhealthn
measures.nFundingnfornpublicnhealthninnrecentnyearsnhasnbeennonnangradualndecline.nAlthoughn
reformnofnthenmedicalninsurancensystemnmaynhelpnimproventhenhealthnofnAmericans,ntherenar
enmanynothernfactorsnthatnwillnneedntonbenaddressed.
DIF: Cognitivenlevel:nUnderstanding TOP: Nursingnprocess:nAssessment
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, PublicnHealthnNursingn10thnEditionnStanhopenTestnBank
MSC:n NCLEX:nSafenandnEffectivenCarenEnvironment:nManagementnofnCare
9. Anpublicnhealthnnursen(PHN)ncollectsndatanandnmonitorsnthenhealthnstatusnofnthenpopulation.n
Whichnofnthenfollowingncorenpublicnhealthnfunctionsnisnthennursenaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policyndevelopment
ANS:n A
Assessmentnconsistsnofnsystematicndatancollectionnandnmonitoringnhealthnstatus.
Preventionnisnnotnancorenfunction,nassurancenisnmakingnsurenessentialnservicesnarenavailable,na
ndnpolicyndevelopmentnisnneededntonprovidenleadershipninndevelopingnpolicies.
DIF: Cognitivenlevel:nApplying TOP:
Nursingnprocess:nAssessmentnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
10. Thenpublicnhealthnnursen(PHN)ncomparesnthenratenofnteenagenpregnancyninnvariousnareasnofnt
hencity.nWhichnofnthencorenfunctionsnofnpublicnhealthnisnthennursenaddressing?
a. Assurance
b. Assessment
c. Prevention
d. Policyndevelopment
ANS:n B
Assessmentnrefersntonsystematicndatancollection,nwhichnthisnnursenisndoingnfornteenagenpregna
ncy.nPreventionnisnnotnancorenfunction,nassurancenisnmakingnsurenessentialnservicesnare
Nnmen
available,nandnpolicyndevelopU
RnIStnG nB.CnM
nisNneeTdedntonO
providenleadershipninndevelopingnpolicies.
DIF: Cognitivenlevel:nApplying TOP:
Nursingnprocess:nAssessmentnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
11. Anpublicnhealthnnursen(PHN)ndevelopsnandnimplementsnlocalnpublicnhealthnpoliciesnthroughnp
artnershipsnwithnagencies,norganizations,nandnconsumersnwithinnthencommunity.nWhichnofnth
enfollowingncorenpublicnhealthnfunctionsnisnthennursenaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policyndevelopment
ANS:n D
Policyndevelopmentndealsnwithndevelopingnandnimplementingnhealthnpolicies.nPreventionnisnn
otnancorenfunction,nassurancenisnmakingnsurenessentialnservicesnarenavailable,nandnassessmentn
refersntonsystematicndatancollection.
DIF: Cognitivenlevel:nApplying TOP:
Nursingnprocess:nAssessmentnMSC:n NCLEX:nHealthnPromotionnandnMaint
enance
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