Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care in
the Community, 11th 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
PR
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
O
2. A community is concerned about the threat of bioterrorism. Which of the following
best describes the basis for this concern? FD
a. Bioterrorism has the potential to dissolve community-based
programs. b. This threat could cause the health care system to
collapse.
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
O
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
C
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
, 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 PR
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
O
MSC: NCLEX: Health Promotion and Maintenance
5. A public health department is using the mission of public health as described by the Institute
FD
of Medicine when planning its health programming. Which of the following activities will
most likely be implemented?
a. Tracking avian flu outbreaks 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
O
ANS: A C
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
, Public Health Nursing 10th Edition Stanhope Test Bank
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
PR
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 O
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 clarifying the government’s role.
FD
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
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
O
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
C
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
, Public Health Nursing 10th Edition Stanhope Test Bank
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
9. A public health nurse (PHN) collects data and monitors the health status of the population.
Which of the following core public health functions is the nurse addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: A
Assessment consists of systematic data collection and monitoring health status.
Prevention is not a core function, assurance is making sure essential services are available,
and policy development is needed to provide leadership in developing policies.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
10. The public health nurse (PHN) compares the rate of teenage pregnancy in various areas of
PR
the city. Which of the core functions of public health is the nurse addressing?
a. Assurance
b. Assessment
c. Prevention
d. Policy development
ANS: B
O
Assessment refers to systematic data collection, which this nurse is doing for teenage
pregnancy. Prevention is not a core function, assurance is making sure essential services are
FD
available, and policy development is needed to provide leadership in developing policies.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
11. A public health nurse (PHN) develops and implements local public health policies through
O
partnerships with agencies, organizations, and consumers within the community. Which of
the following core public health functions is the nurse addressing?
a. Assessment C
b. Prevention
c. Assurance
d. Policy development
ANS: D
Policy development deals with developing and implementing health policies. Prevention is
not a core function, assurance is making sure essential services are available, and
assessment refers to systematic data collection.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
Stanhope: Public Health Nursing: Population-Centered Health Care in
the Community, 11th 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
PR
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
O
2. A community is concerned about the threat of bioterrorism. Which of the following
best describes the basis for this concern? FD
a. Bioterrorism has the potential to dissolve community-based
programs. b. This threat could cause the health care system to
collapse.
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
O
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
C
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
, 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 PR
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
O
MSC: NCLEX: Health Promotion and Maintenance
5. A public health department is using the mission of public health as described by the Institute
FD
of Medicine when planning its health programming. Which of the following activities will
most likely be implemented?
a. Tracking avian flu outbreaks 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
O
ANS: A C
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
, Public Health Nursing 10th Edition Stanhope Test Bank
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
PR
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 O
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 clarifying the government’s role.
FD
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
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
O
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
C
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
, Public Health Nursing 10th Edition Stanhope Test Bank
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
9. A public health nurse (PHN) collects data and monitors the health status of the population.
Which of the following core public health functions is the nurse addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: A
Assessment consists of systematic data collection and monitoring health status.
Prevention is not a core function, assurance is making sure essential services are available,
and policy development is needed to provide leadership in developing policies.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
10. The public health nurse (PHN) compares the rate of teenage pregnancy in various areas of
PR
the city. Which of the core functions of public health is the nurse addressing?
a. Assurance
b. Assessment
c. Prevention
d. Policy development
ANS: B
O
Assessment refers to systematic data collection, which this nurse is doing for teenage
pregnancy. Prevention is not a core function, assurance is making sure essential services are
FD
available, and policy development is needed to provide leadership in developing policies.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
11. A public health nurse (PHN) develops and implements local public health policies through
O
partnerships with agencies, organizations, and consumers within the community. Which of
the following core public health functions is the nurse addressing?
a. Assessment C
b. Prevention
c. Assurance
d. Policy development
ANS: D
Policy development deals with developing and implementing health policies. Prevention is
not a core function, assurance is making sure essential services are available, and
assessment refers to systematic data collection.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
