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, Test Bank for
EPIDEMIOLOGY FOR THE
ADVANCED PRACTICE NURSE
A Population Health Approach
Demetrius J. Porche, DNS, PhD,
APRN, FNP, PCC, ANEF, FACHE,
FAANP, FAAN
,ISBN: 978-0-8261-8515-0
,Copyright © 2023 Springer Publishing Company, LLC
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ISBN: 978-0-8261-8515-0
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,CHAPTER 1: Population Health
1. The field of population health includes:
A. epidemiology and demography.
*B. health outcomes and health determinant patterns.
C. disease occurrence and etiology.
D. cohort and outcome surveillance.
Answer: B – Population health is defined as the health outcomes of a group of individuals, including the
distribution of such outcomes within the group. Population health includes health outcomes, patterns of
health determinants, and policies and interventions that link these two together.
2. A group of individuals that is observed to study disease causation and the impact of health problems
on population health is known as:
A. community.
B. public.
*C. cohort.
D. population.
Answer: C – A cohort is a group of individuals that is observed to study causes and the degree of health
problems that impact population health.
3. Which of the following is a definition of population?
*A. Number of individuals living in a geographic area
*B. A group with common characteristics or common risk factors
C. Only marginalized, vulnerable or high-risk groups
D. An existing geopolitical unit of demography
Answer: A & B – A population can be a group of people that can be characterized by common
characteristics, common risk factors, or geographical boundaries.
4. Drivers (determinants) of health consist of:
A. genetics and behavior.
B. physical environment and medical care.
C. social factors and policy making.
*D. all of the above.
Answer: D – Health is influenced by six broad categories – genetics, behavior, physical environment,
medical care, social factors, and policy making.
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,5. The analysis of conditions that shape distributions of health within and across populations and the
manner in which health benefits are manifested is:
*A. population health science.
B. epidemiology.
C. community health needs assessment.
D. public health analysis.
Answer: A – Population health science, uses the scientific process to examine the conditions that impact
health within and across various population groups.
6. A systematic examination of the health status indicators for a given population that is used to identify
community health problems and assets is:
A. population health science.
B. epidemiology.
*C. community health needs assessment.
D. public health analysis.
Answer: C – A community needs assessment is a systematic process to examine the structure, processes,
and outcomes within a community to support planning for population health interventions.
7. High disease burden health conditions and effective interventions to improve health and control costs
are:
A. preventing unintended pregnancy.
B. controlling hypertension and asthma.
C. reducing tobacco use.
*D. all of the above.
Answer: D – To improve health and control cost, the CDC recommends six high burden health conditions
– prevent unintended pregnancy, control high blood pressure, reduce tobacco use, control asthma,
improve antibiotic use, and prevent type 2 diabetes.
8. An overall measure of death experience of the population is:
A. mortality rate.
*B. life expectancy measure.
C. morbidity rate.
D. infant mortality rate.
Answer: B – Two measures are the standard for summarizing health status of a population in the 21st
century- infant mortality rate and life expectancy.
9. Factors associated with suboptimal outcomes are:
A. polypharmacy.
B. medical errors.
C. fragmentation of healthcare.
*D. all of the above.
Answer: D – Suboptimal health outcomes are associated with over prescribing of medications, medical
errors and fragmentation of the healthcare system.
2 © Springer Publishing Company, LLC
,10. The Triple Aim for health system optimization is:
A. cost of care, nursing services, preventive services.
B. experience of care, population health, policy making.
C. cost of care, population health, nursing services.
*D. experience of care, population health, per capita cost
Answer: D – The Triple Aim addresses three major problems facing the US healthcare system – high cost,
low quality, and poor health outcomes.
© Springer Publishing Company, LLC 3
,CHAPTER 2: Determinants of Health
1. Social and economic environment, physical environment, and person’s individual characteristics and
behaviors are known as:
A. risk factors.
B. protective factors.
*C. determinants of health.
D. agents of change.
Answer: C – WHO identified determinants of health as social and economic, physical
environment, and the persons individual characteristics and behaviors.
2. A factor that increases an individual or population’s likelihood of developing a disease or injury is
known as:
*A. risk factors.
B. protective factors.
C. determinants of health.
D. agents of change.
Answer: A – Risk factors increase a person’s likelihood of developing a disease or injury.
3. A major initiative designed to drive the nation’s health promotion and disease prevention efforts,
resulting in an improved healthy nation, is:
A. Centers for Disease Control and Prevention.
B. Office of Public Health and Disease Control.
*C. Healthy People.
D. Shattuck Report.
Answer: C – Healthy People initiative is designed to guide national health promotion and
disease prevention efforts to improve the nation’s health.
4. The focus of Healthy People 2030 consists of:
A. cost containment, population health, experience of care.
B. health equity, diversity, and inclusion.
*C. health equity, social determinants of health, health literacy.
D. medical errors, social determinants of health, health equity.
Answer: C – Healthy People 2030 launched in August 2020 focuses on health equity,
social determinants of health, and health literacy.
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, 5. Conditions in which people are born, grow, live, learn, work, and age that impacts their health and
quality of life are:
A. population health.
*B. social determinants of health.
C. behavioral determinants of health.
D. epidemiology.
Answer: B – Social determinants of health is defined as the conditions in which people are
born, grow, live, learn, work, worship, and age that affect an individual’s health and
quality of life.
6. Healthy People 2030 social determinant of health goal is to: create social, physical, and economic
environments that promote the attainment of full health potential and well-being for all.
*A. True
B. False
Answer: A – Healthy People 2030 has one goal focusing on social determinants of health
that strives to create an environment that support an individual attaining their full
potential for health and wellbeing.
7. Differences in morbidity and mortality data, disease burden, and other adverse conditions that exist
among different populations is:
A. health equity.
*B. health status disparity.
C. health status outcomes.
D. health status equity.
Answer: B – A disparity is a gap or discrepancy that exists within or between populations.
8. Health disparities are preventable.
*A. True
B. False
Answer: A – Health disparities are preventable by intervening to improve the determinants
of health.
9. Social determinant of health domains:
A. Economic stability.
B. Healthcare access and quality.
C. Social and community context.
*D. All of the above.
Answer: D – Social determinants of health consist of economic stability, healthcare
access and quality, and social and community context.
2 © Springer Publishing Company, LLC