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Chapter m01:mPublic mHealthmFoundations mandmPopulationmHealth
Stanhope:mPublic mHealthmNursing:mPopulation-
CenteredmHealthmCare minmthemCommunity,m10thmEdition
MULTIPLEmCHOICE
1. What mismthemprimarymfocusmtombemaddressed mconcerningmthemimprovement mof mthemhealthmof mt
hemAmericanmpeopleminmthemtwenty-first mcentury?
a. Bioterrorismmand mglobalmhealthmthreats
b. Deliverymof mindividualmcaremand mhygiene
c. Themneed mformincreased mhospitalmand macutemcare
d. Chronicmdiseasemand mdisabilitymmanagement
ANS:m m A
Theremaremnew mconcerns,mand mof mthemmost mseriousmarembioterrorism mand mglobally minduced mi
nfections,msuchmasmthemavianmflu.mThesemthreatsmwillmdivert mhealthmcaremfundsmand mresources
mfrommothermhealthmcaremprogramsmtombemspent mformpublicmsafety.mThemothersmaremnot mrelated m
tompublicmhealthmormaremconcernsmthat mhavembeenmpresent mformmanymyears.
DIF: Cognitivemlevel:mUnderstanding TOP:
Nursingmprocess:mPlanningmMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
2. Amcommunitymismconcerned mabout mthemthreat mof mbioterrorism.mWhichmof mthemfollowingmb
est mdescribesmthembasismformthismconcern?
a. Bioterrorismmhasmthempotentialmtomdissolvemcommunity-based mprograms.
b. Thismthreat mcould mcauseNthUeR eaI
hS lthNcGaT
reBsy.sC mMtomcollapse.
t eO
c. Themthreat mmaymdivert mfundsmfrommothermpublicmsafetymhealthmcaremprograms.
d. Fearmof mbioterrorismmwillmincreasemthemneed mformshelters.
ANS:m m C
Bioterrorismmmaymhavemanmimpact monmthemavailabilitymof mresourcesmformpublic msafetymhealthm
caremprograms.mBecausemfundsmaremdiverted mit mismpossiblemthat mcommunity-
based mprogramsmwould mbemeliminated,mthemhealthmcaremsystemmcould mexperiencemchanges,man
d mthat mtheremwould mbemanmincreaseminmthemneed mformshelter.mHowever,mallmthemremainingmoptio
nsmwould mhappenmbecausemof mthemdiversionmof mfunds.
DIF: Cognitivemlevel:mAnalyzing TOP:
Nursingmprocess:mDiagnosismMSC:m NCLEX:mPhysiologicalmIntegrity
3. Whichmstatement mdescribesmthemconsequencemof mthemsuccessfulmimplementationmof mt
hemAffordablemCaremAct?
a. Americansmwillmpaymclosermattentionmtomtheirmhealthmstatus.
b. Most mof mthempopulationmwillmbemcovered mbymhealthminsurance.
c. Publicmhealthmdepartmentsmwillmneed mtomincreasemthemnumbermof mnursingmpositions.
d. Themprevalencemof mobesitymwill mdecrease
.mANS:m B
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Onemconsequencemof msuccessfulmimplementationmof mthemAffordablemCaremAct mmight mbemthat mt
hemmajoritymof mthempopulationmwould mbemcovered mbyminsurancemand mpublicmhealthmagenciesm
willmnot mneed mtomprovidemdirect mclinicalmservicesminmordermtomassuremthat mthosemwhomneed mthe
mmcanmreceivemthem.mThemAffordablemCaremAct mwillmnot mdirectlymcausemAmericansmtompaymcl
osermattentionmtomtheirmhealthmstatusmormdecreasemthemprevalencemof mobesity.
DIF: Cognitivemlevel:mUnderstanding TOP:
Nursingmprocess:mAssessment mMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
4. Thempublicmhealthmnursem(PHN)mmust mparticipateminmthemessentialmservicesmof mpublicmheal
th.mWhat mismonemof mthemessentialmservicesmof mpublicmhealthmnursing?
a. Monitoringmhealthmstatusmbymcompletingmamcommunitymassessment
b. Diagnosingmand minvestigatingmhealthmproblemsminmthemworld
c. Informing,meducating,mand mempoweringmpeoplemabout mhealthmissues
d. Workingminmlaw menforcement mtomregulatemhealthmand mensuremsafety
ANS:m m C
ThemPHN mmonitorsmhealthmstatusminmseveralmways,mcompletingmamcommunitymassessment mism
onlymonemwaymthat mhealthmstatusmismmonitored.mThemPHN mwould mnot mdiagnosemormsolvem“worl
d”mproblems,mormworkminmlaw menforcement.mRather,mthemPHN mwould mparticipatemwithmlocalmr
egulatorsmtomprotect mcommunitiesmand mempowermpeoplemtomaddressmhealthmissues.
DIF: Cognitivemlevel:mUnderstanding TOP:
Nursingmprocess:mImplementationmMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
5. Ampublicmhealthmdepartment mismusingmthemmissionmof mpublicmhealthmasmdescribed mbymthemInstit
utemof mMedicinemwhenmplanningNits RheaI lth mpGrogBra.mCminMg.mWhichmofmthemfollowingmactivitie
U mS mN mT
smwillmmost mlikelymbemimplemented?
O
a. Trackingmavianmflumoutbreaksmand mdoingmsurveillanceminmthemUnited mStates
b. Providingmamflumshot mformanmelderlympersonmat mthemhealthmdepartment
c. Keepingmtrackmof malternativemtherapiesminmuseminmthemUnited mStates
d. Keepingmsnakemantivenommat mthemCentersmformDiseasemControlmand mPreventionm
inmAtlanta
ANS:m m A
ThemInstitutemof mMedicine’smstated mmissionmonmpublicmhealthmism“tomgeneratemorganized
communitymand mtechnicalmknowledgemtomprevent mdiseasemand mpromotemhealth.”mTrackingmavi
anmflumoutbreaksmand mdoingmsurveillancemappliesmthismconcept mat mampopulationmlevel.mProvidi
ngmamflumshot mformanmelderlympersonmonlymaddressesmindividualmcare.mKeepingmtrackmof mthemus
emof malternativemtherapiesmdoesmnothingmtomprevent mdiseasemormpromotemhealthmof mthempopulat
ion.
Keepingmsnakemantivenommismaimed mat mdiseasemcaremformanmindividual,mnot mhealthmpromotionmormd
iseasemprevention.
DIF: Cognitivemlevel:mAnalyzing TOP:
Nursingmprocess:mAssessment mMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
6. Ampublicmhealthmdepartment mmakesmsuremthat mthemessentialmcommunity-
oriented mhealthm servicesmaremavailableminmthemcommunity.mWhichmof mthemfollowingmcorempubl
icmhealthmfunctionsmismbeingmimplemented?
a. Policymdevelopment
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b. Assessment
c. Assurance
d. Scientificmknowledge-based mcare
ANS:m m C
Assurancemfocusesmonmthemresponsibilitymof mpublicmhealthmagencies mtomensuremcertainmactiviti
esmhavembeenmappropriatelymcarried mout mtommeet mpublicmhealthmgoals mand mplans.mPolicymdevel
opment mseeksmtombuild mconstituenciesmthat mcanmhelpmbringmabout mchangeminmpublicmpolicy.mAs
sessment mincludesmactivitiesmthat minvolvemcollecting,manalyzing, mand mdisseminatingminformati
onmonmbothmthemhealthmstatusmand mthemhealth-
related maspectsmof mamcommunitymormamspecificmpopulation.mPublicmhealthmismbased monmscientifi
cmknowledgembut mismnot mamcoremfunction.
DIF: Cognitivemlevel:mApplying TOP:
Nursingmprocess:mAssessment mMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
7. What mismthempurposemof mpublicmhealthmcoremfunctions?
a. Clarifyingmthemrolemof mthemgovernment minmfulfillingmthemmissionmof mpublicmhealth
b. Ensuringmthemsafetymof mpopulationsminmreceivingmqualitymhealthmcare
c. Providingmcommunity-
based mindividualized mcaremtomeverympersonminmthemUnited mStates
d. Unitingmpublicmand mprivatemprovidersmof mcareminmamcomprehensivemapproachm
tomprovidingmhealthmcare
ANS:m m A
Asmdefined mbymthemInstitutemof mMedicineminmitsm1988mreport mThemFuturemofmPublicmHealth,massess
ment,mpolicymdevelopment,mand massurancemaremcoremfunctionsmat mallmlevels mof
governmentm formthem purposeNof R
clarI
ifyiG
ngm tB
he.gCoveMrnment’s m role.
USNT
m m m O
DIF: Cognitivemlevel:mUnderstanding TOP:
Nursingmprocess:mAssessment mMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
8. Whichmof mthemfollowingmstatementsmabout mpublicmhealthmismaccurate?
a. Preventionmof mearlymdeathsmcanmbemmoremeffectivelymaccomplished mbymmedic
almtreatment mthanmbympublicmhealthmapproaches.
b. Expendituresmand mresourcesmformpublicmhealthmhavemincreased minmrecent myears.
c. Historically,mgainsminmthemhealthmof mpopulationsmhavembeenmrelated mlargelymtomchang
esminmsafety,msanitation,mand mfood msafety.
d. Reformmof mthemmedicalminsurancemsystemmismthemsinglemchangemneeded mtomimpro
vemthemhealthmof mAmericans.
ANS:m m C
Fieldingmand mTilsonmhavemasserted mthat mmost mof mthemincreaseminmlifemspanmhasmbeenm mademth
roughmimprovementsminmsanitation,mcleanmwatermsupplies,mmakingmworkplacesmsafer,m impro
vingmfood mand mdrugmsafety,mimmunizingmchildren,mand mimprovingmnutrition,mhygiene,mand mh
ousing.mMedicalmtreatment mhasmnot mmademasmsignificant mof manmimpact monmthemlifemspanmasmpu
blicmhealthmmeasures.mFundingmformpublicmhealthminmrecent myearsmhas mbeenmonmamgradualmde
cline.mAlthoughmreformmof mthemmedicalminsurancemsystemmmaymhelpm improvemthemhealthmof m
Americans,mtheremaremmanymothermfactorsmthat mwillmneed mtombemaddressed.
DIF: Cognitivemlevel:mUnderstanding TOP: Nursingmprocess:mAssessment
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, PublicmHealthmNursingm10thmEditionmStanhopemTest mBan
k
MSC:m NCLEX:mSafemand mEffectivemCaremEnvironment:mManagement mof mCare
9. Ampublicmhealthmnursem(PHN)mcollectsmdatamand mmonitorsmthemhealthmstatusmof mthempopulati
on.mWhichmof mthemfollowingmcorempublicmhealthmfunctionsmismthemnursemaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policymdevelopment
ANS:m m A
Assessment mconsistsmof msystematicmdatamcollectionmand mmonitoringmhealthmstatus.
Preventionmismnot mamcoremfunction,massurancemismmakingmsuremessentialmservicesm aremavailabl
e,mand mpolicymdevelopment mismneeded mtomprovidemleadershipminmdevelopingmpolicies.
DIF: Cognitivemlevel:mApplying TOP:
Nursingmprocess:mAssessment mMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
10. Thempublicmhealthmnursem(PHN)mcomparesmthemratemof mteenagempregnancyminmvariousmareas
mof mthemcity.mWhichmof mthemcoremfunctionsmof mpublicmhealthmismthemnursemaddressing?
a. Assurance
b. Assessment
c. Prevention
d. Policymdevelopment
ANS:m m B
Assessment mrefersmtomsystematicmdatamcollection,mwhichmthismnursemismdoingmformteenagempre
gnancy.mPreventionmismnot maNmcore mfunction,massurancemismmakingmsuremessentialmservicesmare
mR mI mG mB.C mM
available,mandmpolicymd eve lopUmenSt misNneeTd ed mtomO
p rovid e mleadershipminmdevelopingmpolicies.
DIF: Cognitivemlevel:mApplying TOP:
Nursingmprocess:mAssessment mMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
11. Ampublicmhealthmnursem (PHN)mdevelopsmand mimplementsmlocalmpublicmhealthmpoliciesmthrou
ghmpartnershipsmwithmagencies,morganizations,mand mconsumersmwithinmthemcommunity.mWhi
chmof mthemfollowingmcorempublicmhealthmfunctionsmismthemnursemaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policymdevelopment
ANS:m m D
Policymdevelopment mdealsmwithmdevelopingmand mimplementingmhealthmpolicies.mPreventionmi
smnot mamcoremfunction,massurancemismmakingmsuremessentialmservicesmaremavailable,mand masses
sment mrefersmtomsystematicmdatamcollection.
DIF: Cognitivemlevel:mApplying TOP:
Nursingmprocess:mAssessment mMSC:m NCLEX:mHealthmPromotionmand mM
aintenance
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