.
Public .Health .Nursing
: .Population-Centered .Health .Care .in
the .Community
by .Marcia .Stanhope .and .Jeanette .Lancaster
11th .Edition
,Chapter .01: .Public .Health .Foundations .and .Population .Health
Stanhope: .Public .Health .Nursing: .Population-Centered .Health .Care .in .the
.Community, .11th .Edition
MULTIPLE .CHOICE
1. What .is .the .primary .focus .to .be .addressed .concerning .the .improvement .of .the .health .of
.the .American .people .in .the .twenty-first .century?
a. Bioterrorism .and .global .health .threats
b. Delivery .of .individual .care .and .hygiene
c. The .need .for .increased .hospital .and .acute .care
d. Chronic .disease .and .disability .management
CORRECT .ANSWER: .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: .Planning
.MSC: .NCLEX: .Health .Promotion .and .Maintenance
2. A .community .is .concerned .about .the .threat .of .bioterrorism. .Which .of .the .following
.best .describes .the .basis .for .this .concern?
a. Bioterrorism .has .the .potential .to .dissolve .community-based .programs.
b. This .threat .could .causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto .c
c. The .threat .may .divert .funds .from .other .public .safety .health .care .programs.
d. Fear .of .bioterrorism .will .increase .the .need .for .shelters.
CORRECT .ANSWER: .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
.woul .be .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: .Diagnosis
.MSC: .NCLEX: .Physiological .Integrity
3. Which .statement .describes .the .consequence .of .the .successful .implementation .of .the
.Affordable .Care .Act?
a. Americans .will .pay .closer .attention .to .their .health .status.
b. Most .of .the .population .will .be .covered .by .health .insurance.
c. Public .health .departments .will .need .to .increase .the .number .of .nursing .positions.
d. 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
4. 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?
a. Monitoring .health .status .by .completing .a .community .assessment
b. Diagnosing .and .investigating .health .problems .in .the .world
c. Informing, .educating, .and .empowering .people .about .health .issues
d. Working .in .law .enforcement .to .regulate .health .and .ensure .safety
.CORRECT .ANSWER: .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: .Implementation
.MSC: .NCLEX: .Health .Promotion .and .Maintenance
5. A .public .health .department .is .using .the .mission .of .public .health .as .described .by .the .Institute
of .Medicine .when .plU
aintnsiR
nSgN
h .eaNIlt .hT .pG .rogBra.mO .CminMg. .Which
most .likely .be .implemented?
a. Tracking .avian .flu .outbreaks .and .doing .surveillance .in .the .United .States
b. Providing .a .flu .shot .for .an .elderly .person .at .the .health .department
c. Keeping .track .of .alternative .therapies .in .use .in .the .United .States
d. Keeping .snake .antivenom .at .the .Centers .for .Disease .Control .and .Prevention .in
.Atlanta
CORRECT .ANSWER: .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
.avia .flu .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 .or .disease .prevention.
DIF: Cognitive .level: .Analyzing TOP: .Nursing .process: .Assessment
.MSC: .NCLEX: .Health .Promotion .and .Maintenance
6. 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?
a. Policy .development
, b. Assessment
c. Assurance
d. Scientific .knowledge-based .care
.CORRECT .ANSWER: .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
7. What .is .the .purpose .of .public .health .core .functions?
a. Clarifying .the .role .of .the .government .in .fulfilling .the .mission .of .public .health
b. Ensuring .the .safety .of .populations .in .receiving .quality .health .care
c. Providing .community-based .individualized .care .to .every .person .in .the .United
.States
d. Uniting .public .and .private .providers .of .care .in .a .comprehensive .approach
.to .providing .health .care
CORRECT .ANSWER: .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 .puNrpoofsRe clarIifyiGng .tBhe.gCoveMrnment‘s .role.
U .S .N .T
DIF: O
Cognitive .level: .Understanding TOP: .Nursing .process: .Assessment
.MSC: .NCLEX: .Health .Promotion .and .Maintenance
8. Which .of .the .following .statements .about .public .health .is .accurate?
a. Prevention .of .early .deaths .can .be .more .effectively .accomplished .by
.medical .treatment .than .by .public .health .approaches.
b. Expenditures .and .resources .for .public .health .have .increased .in .recent .years.
c. Historically, .gains .in .the .health .of .populations .have .been .related .largely .to
.changes .in .safety, .sanitation, .and .food .safety.
d. Reform .of .the .medical .insurance .system .is .the .single .change .needed .to
.improve .the .health .of .Americans.
CORRECT .ANSWER: .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 .as
.public .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