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THECOMMUNITY10THEDITIONSTANHOPE--
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2023-2024 mp
Chapter 01:Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-Centered Health Care in the
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Community, 10th Edition
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1. What is the primary focus to be addressed concerning the improvement of the health of the
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American people in the twenty-first century?
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a. Bioterrorism and global health threats mp mp mp mp
b. Delivery of individual care and hygiene mp mp mp mp mp
c. The need for increased hospital and acute care mp mp mp mp mp mp mp
d. Chronic disease and disability management mp mp mp mp
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There are new concerns, and of the most serious are bioterrorism and globally induced
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infections, such as the avian flu. These threats will divert health care funds and resources from
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other health care programs to be spent for public safety. The others are not related to public health
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or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP: Nursingprocess:Planning mp mp m
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MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best
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describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs. mp mp mp mp mp mp mp
b. This threat could causeN thUeReaI
hS lthNcGaT
reBsy.sC mMto collapse.
teO mp mp mp mp
c. The threat may divert funds from other public safety health care programs.
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d. Fear of bioterrorism will increase the need for shelters. mp mp mp mp mp mp mp mp
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Bioterrorism may have an impact on the availability of resources for public safety health care mp mp mp mp mp mp mp mp mp mp mp mp mp mp
programs. Because funds are diverted it is possible that community-based programs would be
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eliminated, the health care system could experience changes, and that there would be an increase
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in the need for shelter. However, all the remaining options would happen because of the
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diversion of funds.
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DIF: Cognitive level: Analyzing mp mp TOP: Nursingprocess:Diagnosis m
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MSC: NCLEX: Physiological Integrity
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3. Which statement describes the consequence of the successful implementation of the
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Affordable Care Act?
mp mp mp
a. Americans will pay closer attention to their health status. mp mp mp mp mp mp mp mp
b. Most of the population will be covered by health insurance. mp mp mp mp mp mp mp mp mp
c. Public health departments will need to increase the number of nursing positions. mp mp mp mp mp mp mp mp mp mp mp
100% TOP mp
,d. Theprevalenceofobesitywilldecrease.
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mp ANS: B
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mp
, One consequence of successful implementation of the Affordable Care Act might be that the
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majority of the population would be covered by insurance and public health agencies will not
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need to provide direct clinical services in order to assure that those who need them can receive
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them. The Affordable Care Act will not directly cause Americans to pay closer attention to their
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health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP: Nursingprocess:Assessment mp mp m
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MSC: NCLEX: Health Promotion and Maintenance
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4. The public health nurse (PHN) must participate in the essential services of public health.
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What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment mp mp mp mp mp mp mp
b. Diagnosing and investigating health problems in the world mp mp mp mp mp mp mp
c. Informing, educating, and empowering people about health issues mp mp mp mp mp mp mp
d. Working in law enforcement to regulate health and ensure safety mp mp mp mp mp mp mp mp mp
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The PHN monitors health status in several ways, completing a community assessment is only
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one way that health status is monitored. The PHN would not diagnose or solve ―world‖ problems,
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or work in law enforcement. Rather, the PHN would participate with local regulators to protect
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communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP: Nursingprocess:Implementation mp mp m
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MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is using the mission of public health as described by the Institute of
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Medicine when planningNits RheaI
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USNlthT pGrogBra.mCminMg. Which of thefollowing activities will most
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p
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a. Tracking avian flu outbreaks and doing surveillance in the United States mp mp mp mp mp mp mp mp mp mp
b. Providing a flu shot for an elderly person at the health department mp mp mp mp mp mp mp mp mp mp mp
c. Keeping track of alternative therapies in use in the United States mp mp mp mp mp mp mp mp mp mp
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in mp mp mp mp mp mp mp mp mp mp mp
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The Institute of Medicine‘s stated mission on public health is ―to generate organized community
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and technical knowledge to prevent disease and promote health.‖ Tracking avian flu outbreaks
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and doing surveillance applies this concept at a population level. Providing a flu shot for an
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elderly person only addresses individual care. Keeping track of the use of alternative therapies
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does nothing to prevent disease or promote health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
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disease prevention.
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DIF: Cognitive level: Analyzing TOP: Nursingprocess:Assessment mp mp m
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MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health services
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are available in the community. Which of the following core public health functions is being
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implemented?
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a. Policy development mp
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Assurance focuses on the responsibility of public health agencies to ensure certain activities
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have been appropriately carried out to meet public health goals and plans. Policy development
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seeks to build constituencies that can help bring about change in public policy. Assessment
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includes activities that involve collecting, analyzing, and disseminating information on both the
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health status and the health-related aspects of a community or a specific population. Public
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health is based on scientific knowledge but is not a core function.
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DIF: Cognitive level: Applying TOP: Nursingprocess:Assessment mp mp m
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MSC: NCLEX: Health Promotion and Maintenance
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7. What is the purpose of public health core functions?
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a. Clarifying the role of the government in fulfilling the mission of public health mp mp mp mp mp mp mp mp mp mp mp mp
b. Ensuring the safety of populations in receiving quality health care mp mp mp mp mp mp mp mp mp
c. Providing community-based individualized care to every person in the United mp mp mp mp mp mp mp mp mp
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d. Uniting public and private providers of care in a comprehensive approach to mp mp mp mp mp mp mp mp mp mp mp
providing health care
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As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
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assessment, policy development, and assurance are core functions at all levels of government
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for the purposeNof R
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DIF: Cognitive level: Understanding TOP: Nursingprocess:Assessment mp mp m
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MSC: NCLEX: Health Promotion and Maintenance
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8. Which of the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by medical mp mp mp mp mp mp mp mp mp mp
treatment than by public health approaches.
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b. Expenditures and resources for public health have increased in recent years. mp mp mp mp mp mp mp mp mp mp
c. Historically, gains in the health of populations have been related largely to changes in mp mp mp mp mp mp mp mp mp mp mp mp mp
safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve the mp mp mp mp mp mp mp mp mp mp mp mp mp
health of Americans.
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Fielding and Tilson have asserted that most of the increase in life span has been made through
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improvements in sanitation, clean water supplies, making workplaces safer, improving food
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and drug safety, immunizing children, and improving nutrition, hygiene, and housing. Medical
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treatment has not made as significant of an impact on the life span as public health measures.
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Funding for public health in recent years has been on a gradual decline. Although reform of the
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medical insurance system may help improve the health of Americans, there are many other
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