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PublicHealthNursing
: Population-Centered Health Care in
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the Community
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byMarciaStanhopeandJeanetteLancaster
11thEdition
,Chapter01:Public HealthFoundationsandPopulationHealth b
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Stanhope:Public HealthNursing:Population-CenteredHealthCareinthe
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Community, 11thEdition
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MULTIPLECHOICE v
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1. What isthe primary focus to be addressedconcerning the improvementofthe healthofthe
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American people in the twenty-first century?
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a. Bioterrorism and global health threats bv bv bv bv
b. Delivery of individual care and hygiene bv bv bv bv bv
c. Theneed forincreasedhospital and acutecare
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d. Chronic disease anddisability management bg bv v
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CORRECT ANSWER: A v
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Therearenewconcerns,andofthemost seriousarebioterrorism andgloballyinduced
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infections, such as the avian flu. These threats will divert health care funds and resources from
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otherhealthcareprograms tobespentforpublicsafety.The others are not relatedto
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public healthorareconcernsthat havebeenpresentformanyyears.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Planning
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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 thebasisforthis concern?
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a. Bioterrorismhasthepotentialtodissolvecommunity-basedprograms.
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto c
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c. The threat may divert funds from other public safety health care programs.
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d. Fearofbioterrorismwillincreasethe needforshelters.
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CORRECT ANSWER: C v
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Bioterrorism mayhaveanimpactontheavailabilityofresourcesforpublicsafetyhealth care v
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programs.Becausefundsarediverteditispossiblethat community-basedprograms would
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beeliminated,thehealthcaresystemcouldexperiencechanges,andthattherewoul bean
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increaseintheneedforshelter.However,alltheremainingoptionswouldhappen becauseof
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thediversion offunds.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Diagnosis
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MSC: NCLEX: Physiological Integrity
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3. Whichstatement describes theconsequence ofthe successfulimplementation of the bv bg bv bv bv bv
b AffordableCareAct?
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a. Americans willpaycloser attentiontotheirhealth status. b v bv b v
b. Most of the population willbe covered by health insurance.
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c. Publichealth departments willneed to increase the number ofnursing positions.
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d. The prevalence of obesitywill decrease.
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ANS:B
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b
, OneconsequenceofsuccessfulimplementationoftheAffordableCareActmightbethatthe v
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majority of the population would be covered by insurance and public health agencies will not
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needtoprovidedirect clinicalservicesinordertoassurethatthosewhoneedthemcan receive
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them.TheAffordableCareAct willnot directlycauseAmericansto paycloser attention
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totheirhealthstatusordecreasetheprevalence ofobesity.
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment
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MSC: NCLEX: Health Promotion and Maintenance
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4. Thepublichealth NURSE(PHN) must participate intheessential servicesof public bv bv bg bv bv bv
health.What isoneoftheessentialservicesofpublichealthnursing?
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a. Monitoring health status by completing a community assessment bv bv bv bv bv bv bv
b. Diagnosing and investigating health problems in the world bv bv bv bv bv bv bv
c. Informing, educating, and empowering people about health issues bv bv bv bv bv bv bv
d. Working i nlawenforcementtoregulatehealth andensuresafety v
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bgCORRECT ANSWER: C bg bg
The PHN monitors health status in several ways, completing a community assessment is only
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bvoneway that healthstatusis monitored.ThePHNwouldnot diagnoseorsolve―world‖
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b problems,or work inlawenforcement.Rather,the PHN would participate with local
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bvregulators to protect communities and empower people to address health issues. bv bv bv bv bv bv bv bv bv bv
DIF: Cognitive level: Understanding b v bv bv
TOP:Nursingprocess:Implementation MSC: NCLEX: Health Promotion
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and Maintenance
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5. A publichealth departmentisusingthemissionofpublichealthas described bytheInstitute
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ofMedicinewhenplU
aintnsiR
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h eaNIlthTpGrogBra.mOCminMg.Which bg
mostlikelybeimplemented? v
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a. Tracking avian flu outbreaks and doing surveillance in the United States bv bv bv bv bv bv bv bv bv bv
b. Providingaflushot foranelderlypersonat the health department bg bg bg b v
c. Keeping track of alternative therapies in use in theUnited States bv bv bv bv bv bv bv bv bv bv
d. Keepingsnakeantivenoma t the Centers forDiseaseControlandPreventionin v
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Atlanta b v
CORRECT ANSWER: A v
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The Institute of Medicine‘s stated mission on public health is ―to generate organized
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community and technical knowledge to prevent disease and promote health.‖ Tracking avia
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flu outbreaks and doing surveillance applies this concept at a population level. Providing a flu
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shotforanelderlypersononlyaddressesindividualcare.Keepingtrackoftheuseof
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alternativetherapiesdoesnothingtopreventdiseaseorpromotehealthofthepopulation.
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Keepingsnake antivenom isaimedat disease care for an individual,not health promotion or
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diseaseprevention.
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DIF: Cognitive level: Analyzing TOP:Nursingprocess:Assessment
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MSC: NCLEX: Health Promotion and Maintenance
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6. Apublichealthdepartmentmakessurethattheessentialcommunity-orientedhealth services
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are available in the community. Which of the following core public health functions is
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bvbeingimplemented?
a. Policy development bv
, b. Assessment
c. Assurance
d. Scientific knowledge-based care bv bv
CORRECT ANSWER: C
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Assurance focuseson the responsibility ofpublic health agencies to ensure certain activities
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havebeenappropriatelycarriedouttomeetpublic healthgoalsandplans.Policy development
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seeksto buildconstituencies that can help bringabout changeinpublicpolicy
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b Assessmentincludesactivitiesthat involvecollecting,analyzing,anddisseminating
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informationonboththehealthstatus andthehealth-relatedaspectsofacommunityora
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specific population. Public health is based on scientific knowledge but is not a core function
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DIF: Cognitive level: Applying TOP:Nursingprocess:Assessment
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MSC: NCLEX: Health Promotion and Maintenance
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7. Whatisthepurpose of publichealthcore functions?
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a. Clarifyingthe role ofthe government infulfilling the missionof public health
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b. Ensuring the safety of populations in receiving quality health care bv bv bv bv bv bv bv bv bv
c. Providingcommunity-basedindividualized careto everypersonintheUnited v
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States bv
d. Uniting public and private providers of care in a comprehensive approach to
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providinghealthcarebv
CORRECT ANSWER: A v
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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,policydevelopment,andassurancearecorefunctionsatalllevelsof government
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for the puNrpoofsRe clarIifyiGng tBhe.gCoveMrnment‘srole.
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USNT v
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DIF: Cognitive level: Understanding TOP:Nursingprocess:Assessment
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MSC: NCLEX: Health Promotion and Maintenance
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8. Whichofthe followingstatements about public health isaccurate?
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a. Prevention of early deaths can be more effectively accomplished by medical bv bv bv bv bv bv bv bv bv bv
treatment than by public health approaches.
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b. Expenditures andresources forpublic healthhave increasedinrecentyears. bg vb bg bg vb v
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c. Historically,gains inthe healthofpopulations havebeenrelated largelytochanges in v
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safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve
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thehealthofAmericans.
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CORRECT ANSWER: C v
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Fielding andTilson have assertedthat mostoftheincrease in life span has been made
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improvements in sanitation, clean watersupplies, makingworkplacessafer,
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b food and drug safety, immunizing children, and improving nutrition, hygiene,
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and housing. Medical treatment has not made as significant of an impact on the life span as
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public healthmeasures.Fundingforpublichealthinr ecent yearshasbeenonagradual decline.
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Although reform of the medical insurance system may help improve the health of
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Americans,therearemanyotherfactorsthatwillneedtobeaddressed.
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DIF: b v Cognitivelevel:Understanding v
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b b v b v b v TOP: Nursing process: Assessment bv bv bv