Stanhope:70Public70Health70Nursing:70Population-
Centered70Health70Care70in70the70Community,7010th70Edition
MULTIPLE70CHOICE
1. What70is70the70primary70focus70to70be70addressed70concerning70the70improvement70of70the7
0health70of70the70American70people70 in70the70twenty-first70 century?
a. Bioterrorism70and70global70health70threats
b. Delivery70of70individual70care70and70hygiene
c. The70need70for70increased70hospital70and70acute70care
d. Chronic70disease70and70disability70management
ANS:7 0 A
There70are70new70concerns,70and70of70the70most70serious70are70bioterrorism70and70globally70
induced70infections,70such70as70the70avian70flu.70These70threats70will70divert70health70care70f
unds70and70resources70from70other70health70care70programs70to70be70spent70for70public70safet
y.70The70others70are70not70related70to70public70health70or70are70concerns70that70have70been70pr
esent70for70many70 years.
DIF: Cognitive70level:70Understanding
TOP:70 Nursing70process:70Planning70MSC:7 0 NCLEX:70Health70Promot
ion70and70Maintenance
2. A70community70is70concerned70about70the70threat70of70bioterrorism.70Which70of70the70fol
lowing70best70describes70the70basis70for70this70concern?
a. Bioterrorism70has70the70potential70to70dissolve70community-based70programs.
b. This70threat70could70causeN thUeReaI
hS lthNcGaT
reBsy.sC mMto70 collapse.
t eO
c. The70threat70may70divert70funds70from70other70public70safety70health70care70programs.
d. Fear70of70bioterrorism70will70increase70the70need70for70shelters.
ANS:7 0 C
Bioterrorism70may70have70an70impact70on70the70availability70of70resources70for70public70saf
ety70health70care70programs.70Because70funds70are70diverted70it70is70possible70that70commun
ity-
based70programs70would70be70eliminated,70the70health70care70system70could70experience70ch
anges,70and70that70there70would70be70an70increase70in70the70need70for70shelter.70However,70all
70the70remaining70options70would70happen70because70of70the70diversion70 of70funds.
DIF: Cognitive70level:70Analyzing
TOP:70 Nursing70process:70Diagnosis70MSC:7 0 NCLEX:70Physiological7
0Integrity
3. Which70statement70describes70the70consequence70of70the70successful70implementati
on70of70the70Affordable70Care70Act?
a. Americans70will70pay70closer70attention70to70their70health70status.
b. Most70of70the70population70will70be70covered70by70health70insurance.
c. Public70health70departments70will70need70to70increase70the70number70of70nursing70positions.
,d. The70prevalence70of70obesity70will70decr
ease.70ANS:70B
, One70consequence70of70successful70implementation70of70the70Affordable70Care70Act70 might7
0be70that70the70majority70of70the70population70would70be70covered70by70insurance70and70publi
c70health70agencies70will70not70need70to70provide70direct70clinical70services70in70order70to70a
ssure70that70those70who70need70them70can70receive70them.70The70Affordable70Care70Act70wi
ll70not70directly70cause70Americans70to70pay70closer70attention70to70their70health70status70or7
0decrease70the70prevalence70of70obesity.
DIF: Cognitive70level:70Understanding
TOP:70 Nursing70process:70Assessment70MSC:7 0 NCLEX:70Health70Promot
ion70and70Maintenance
4. The70public70health70nurse70(PHN)70must70participate70in70the70essential70services70of70p
ublic70health.70What70 is70one70of70the70essential70services70of70public70 health70nursing?
a. Monitoring70health70status70by70completing70a70community70assessment
b. Diagnosing70and70investigating70health70problems70in70the70world
c. Informing,70educating,70and70empowering70people70about70health70issues
d. Working70in70law70enforcement70to70regulate70health70and70ensure70safety
ANS:7 0 C
The70PHN70monitors70health70status70in70several70ways,70completing70a70community70asses
sment70is70only70one70way70that70health70status70is70monitored.70The70PHN70would70not70dia
gnose70or70solve70“world”70problems,70or70work70in70law70enforcement.70Rather,70the70PHN7
0would70participate70with70local70regulators70to70 protect70 communities70and70empower70 peo
ple70to70 address70health70issues.
DIF: Cognitive70level:70Understanding
TOP:70Nursing70process:70Implementation70MSC:7 0 NCLEX:70Health70Promot
ion70and70Maintenance
5. A70public70health70department70is70using70the70mission70of70public70health70as70described70b
y70the70Institute70of70Medicine70 when70planningNitsRheaI
lth70pGrogBra.mCminMg.70Which70of70the70fol
U70S70N70T
lowing70activities70will70most70 likely70be70 implemented?
a. Tracking70avian70flu70outbreaks70and70doing70surveillance70in70the70United70States
b. Providing70a70flu70shot70for70an70elderly70person70at70the70health70department
c. Keeping70track70of70alternative70therapies70in70use70in70the70United70States
d. Keeping70snake70antivenom70at70the70Centers70for70Disease70Control70and70Pre
vention70in70Atlanta
ANS:7 0 A
The70Institute70of70Medicine’s70stated70mission70on70public70health70is70“to70generate70organ
ized70community70and70technical70knowledge70to70prevent70disease70and70promote70health.”7
0Tracking70avian70flu70outbreaks70and70doing70surveillance70applies70this70concept70at70a70po
pulation70level.70Providing70a70flu70shot70for70an70elderly70person70only70addresses70individu
al70care.70Keeping70track70of70the70use70of70alternative70therapies70does70nothing70to70preven
t70disease70or70promote70health70of70the70population.
Keeping70snake70antivenom70is70aimed70at70disease70care70for70an70individual,70 not70health70
promotion70or70disease70prevention.
DIF: Cognitive70level:70Analyzing
TOP:70 Nursing70process:70Assessment70MSC:7 0 NCLEX:70Health70Promot
ion70and70Maintenance
6. A70public70health70department70 makes70sure70that70the70essential70community-
oriented70 health70services70are70available70in70the70community.70Which70of70the70following70