,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
CORRECT__ANSWER:__A
There__are__new__concerns,__and__of__the__most__serious__are__bioterrorism__and__globally
__induced__infections,__such__as__the__avian__flu.__These__threats__will__divert__health__care__f
unds__and__resources__from__other__health__care__programs__to__be__spent__for__public__safet
y.__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:__Pl
anning__MSC:__NCLEX:__Health__Promotion__and__Maintenance
2. A__community__is__concerned__about__the__threat__of__bioterrorism.__Which__of__the__foll
owing__best__describes__the__basis__for__this__concern?
a. Bioterrorism__has__the__potential__to__dissolve__community-based__programs.
b. This__threat__could__cause__the__health__care__system__to__c
c. The__threat__may__divert__funds__from__other__public__safety__health__care__programs.
d. Fear__of__bioterrorism__will__increase__the__need__for__shelters.
CORRECT__ANSWER:__C
Bioterrorism__may__have__an__impact__on__the__availability__of__resources__for__public__safe
ty__health__care__programs.__Because__funds__are__diverted__it__is__possible__that__communit
y-
based__programs_ _ would__be__eliminated,__the__health__care__system__could__experience__ch
anges,__and__that__there__woul__be__an__increase__in__the__need__for__shelter.__However,__al
l__the__remaining__options__would__happen__because__of__the__diversion__of__funds.
DIF:_ _ Cognitive__level:__Analyzing
TOP:__Nursing__process:__Diagno
sis__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__decre
ase.__ANS:__B
, One__consequence__of__successful__implementation__of__the__Affordable__Care__Act__might__b
e__that__the__majority__of__the__population__would__be__covered__by__insurance__and__publi
c__health__agencies__will__not__need__to__provide__direct__clinical__services__in__order__to__ass
ure__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:__Asse
ssment__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__heal
th__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__ensur
e__safety__CORRECT__ANSWER:__C
The__PHN__monitors__health__status__in__several__ways,__completing__a__community__asse
ssment__is__only__one__way__that__health__status__is__monitored.__The__PHN__would__not__dia
gnose__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:__Implementati
on__MSC:__NCLEX:__Health__Promotion__and__Maintenance
5. A__public__health__department__is__using__the__mission__of__public__health__as__described__by_
_the__Institute
of__Medicine__ when__ plU
aintnsiR
nS
gNhealth__ programming.__ Which
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__Pre
vention__in__Atlanta
CORRECT__ANSWER:__A
The__Institute__of__Medicine’s__stated__mission__on__public__health__is__“to__generate__org
anized__community__and__technical__knowledge__to__prevent__disease__and__promote__healt
h.”__Tracking__avia__flu__outbreaks__and__doing__surveillance__applies__this__concept__at__a__
population__level.__Providing__a_ _ flu__shot__for__an__elderly__person__only__addresses__indi
vidual__care.__Keeping__track__of__the__use__of__alternative__therapies__does__nothing__to__p
revent__disease__or__promote__health__of__the__population.__Keeping__snake__antivenom__is__
aimed__at__disease__care__for__an__individual,__not__health__promotion__or__disease__preve
ntion.
DIF:_ _ Cognitive__level:__Analyzing
TOP:__Nursing__process:__Assessm
ent__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
, b. Assessment
c. Assurance
d. Scientific_ _ knowledge-based_ _ care
CORRECT__ANSWER:__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,__a
nalyzing,__and__disseminating__information__on__both__the__health__status__and__the__healt
h-
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:__Assessm
ent__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
c. Providing__community-
based__individualized__care__to__every__person__in__the__United__States
d. Uniting__public__and__private__providers__of__care__in__a__comprehensive__ap
proach__to__providing__health__care
CORRECT__ANSWER:__A
As__defined__by__the__Institute__of__Medicine__in__its__1988__report__The__Future__of__Public__He
alth,__assessment,__policy__development,__and__assurance__are__core__functions__at__all__l
evels__of__government__for__the__p uNr poofsRe clarIifyiGng__tBhe.gCoveMrnment’s_
_role.
U__S__N__T_ _ _ _ O
DIF:_ _ Cognitive__level:__Understanding__TOP:__Nursing__process:__Asse
ssment__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__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__t
o__changes__in__safety,__sanitation,__and__food__safety.
d. Reform__of__the__medical__insurance__system__is__the__single__change__needed__t
o__improve__the__health__of__Americans.
CORRECT__ANSWER:__C
Fielding__and__Tilson__have__asserted__that__most__of__the__increase__in__life__span__has__bee
n__made__through__improvements__in__sanitation,__clean__water__supplies,__making__workpla
ces__safer,_ _ improving__food__and__drug__safety,__immunizing__children,__and__improving__n
utrition,__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
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
CORRECT__ANSWER:__A
There__are__new__concerns,__and__of__the__most__serious__are__bioterrorism__and__globally
__induced__infections,__such__as__the__avian__flu.__These__threats__will__divert__health__care__f
unds__and__resources__from__other__health__care__programs__to__be__spent__for__public__safet
y.__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:__Pl
anning__MSC:__NCLEX:__Health__Promotion__and__Maintenance
2. A__community__is__concerned__about__the__threat__of__bioterrorism.__Which__of__the__foll
owing__best__describes__the__basis__for__this__concern?
a. Bioterrorism__has__the__potential__to__dissolve__community-based__programs.
b. This__threat__could__cause__the__health__care__system__to__c
c. The__threat__may__divert__funds__from__other__public__safety__health__care__programs.
d. Fear__of__bioterrorism__will__increase__the__need__for__shelters.
CORRECT__ANSWER:__C
Bioterrorism__may__have__an__impact__on__the__availability__of__resources__for__public__safe
ty__health__care__programs.__Because__funds__are__diverted__it__is__possible__that__communit
y-
based__programs_ _ would__be__eliminated,__the__health__care__system__could__experience__ch
anges,__and__that__there__woul__be__an__increase__in__the__need__for__shelter.__However,__al
l__the__remaining__options__would__happen__because__of__the__diversion__of__funds.
DIF:_ _ Cognitive__level:__Analyzing
TOP:__Nursing__process:__Diagno
sis__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__decre
ase.__ANS:__B
, One__consequence__of__successful__implementation__of__the__Affordable__Care__Act__might__b
e__that__the__majority__of__the__population__would__be__covered__by__insurance__and__publi
c__health__agencies__will__not__need__to__provide__direct__clinical__services__in__order__to__ass
ure__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:__Asse
ssment__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__heal
th__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__ensur
e__safety__CORRECT__ANSWER:__C
The__PHN__monitors__health__status__in__several__ways,__completing__a__community__asse
ssment__is__only__one__way__that__health__status__is__monitored.__The__PHN__would__not__dia
gnose__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:__Implementati
on__MSC:__NCLEX:__Health__Promotion__and__Maintenance
5. A__public__health__department__is__using__the__mission__of__public__health__as__described__by_
_the__Institute
of__Medicine__ when__ plU
aintnsiR
nS
gNhealth__ programming.__ Which
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__Pre
vention__in__Atlanta
CORRECT__ANSWER:__A
The__Institute__of__Medicine’s__stated__mission__on__public__health__is__“to__generate__org
anized__community__and__technical__knowledge__to__prevent__disease__and__promote__healt
h.”__Tracking__avia__flu__outbreaks__and__doing__surveillance__applies__this__concept__at__a__
population__level.__Providing__a_ _ flu__shot__for__an__elderly__person__only__addresses__indi
vidual__care.__Keeping__track__of__the__use__of__alternative__therapies__does__nothing__to__p
revent__disease__or__promote__health__of__the__population.__Keeping__snake__antivenom__is__
aimed__at__disease__care__for__an__individual,__not__health__promotion__or__disease__preve
ntion.
DIF:_ _ Cognitive__level:__Analyzing
TOP:__Nursing__process:__Assessm
ent__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
, b. Assessment
c. Assurance
d. Scientific_ _ knowledge-based_ _ care
CORRECT__ANSWER:__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,__a
nalyzing,__and__disseminating__information__on__both__the__health__status__and__the__healt
h-
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:__Assessm
ent__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
c. Providing__community-
based__individualized__care__to__every__person__in__the__United__States
d. Uniting__public__and__private__providers__of__care__in__a__comprehensive__ap
proach__to__providing__health__care
CORRECT__ANSWER:__A
As__defined__by__the__Institute__of__Medicine__in__its__1988__report__The__Future__of__Public__He
alth,__assessment,__policy__development,__and__assurance__are__core__functions__at__all__l
evels__of__government__for__the__p uNr poofsRe clarIifyiGng__tBhe.gCoveMrnment’s_
_role.
U__S__N__T_ _ _ _ O
DIF:_ _ Cognitive__level:__Understanding__TOP:__Nursing__process:__Asse
ssment__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__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__t
o__changes__in__safety,__sanitation,__and__food__safety.
d. Reform__of__the__medical__insurance__system__is__the__single__change__needed__t
o__improve__the__health__of__Americans.
CORRECT__ANSWER:__C
Fielding__and__Tilson__have__asserted__that__most__of__the__increase__in__life__span__has__bee
n__made__through__improvements__in__sanitation,__clean__water__supplies,__making__workpla
ces__safer,_ _ improving__food__and__drug__safety,__immunizing__children,__and__improving__n
utrition,__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
