Centered Health Care in the Community 10th Edition
by Lancaster & Stanhope, Full Chapter 1-46,Version
2025/2026 (A+).
ISBN: 9780323611114.
.
ORIGINAL FILE
. .
VERSION 2023
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TEST BANK .
,Chapter .01: .Public .Health .Foundations .and .Population .Health
Stanhope: .Public .Health .Nursing: .Population-Centered .Health .Care .in .the
.Community, .10th .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
ANS: . 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 .causeN thUeRheSaI
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c. The .threat .may .divert .funds .from .other .public .safety .health .care .programs.
d. Fear .of .bioterrorism .will .increase .the .need .for .shelters.
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 .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
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, 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
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 .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 .planningNits R heaI lth .pGrogBra.mCminMg. .Which .of .the .following
U .S .N .T
.activities .will .most .likely .be .implemented?
a. Tracking .avian .flu .outbreaksO.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
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 .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
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, b. Assessment
c. Assurance
d. Scientific .knowledge-based .care
ANS: . 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
ANS: . 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 .purpose of clar ifyi ng .t he g ove rnment‘s .role.
N R I G B .C M
U .S .N .T
DIF: Cognitive .level: .Understanding TOP: Nursing .process: .Assessment
O
.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.
ANS: . 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
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