Test bank for Public Health Nursing Population-Centered
Health Care in the Community 11th Edition by Stanhope
NURSINGTB.COM
,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 9i
American people in the twenty- first century?
9i
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 infe 9i
ctions, such as the avian flu. These threats will divert health care funds and resources from
9i 9i 9i 9
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.
9i
DIF: Cognitive level: Understanding TOP:
Nursing process:Planning MSC: NCLEX: Health Promotion and Ma
9i 9
intenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could causeNthUeRheSaI
lthNcGaT
reBsy.sC mMto collapse.
teO
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
Bioterrorism may have an impact on the availability of resources for public safety health ca
9 9i
re programs. Because funds are diverted it is possible that community-
9i
based programs would be eliminated, the health care system could experience changes, and t
9i 9i
hat there would be an increase in the need for shelter. However, all the remaining options w
9i 9i 9i
ould happen because of the diversion of funds.
9i 9i
DIF: Cognitive level: Analyzing TOP:
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
9i 9i
3. Which statement describes the consequence of the successful implementation of the
9i 9i 9i 9i
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
9i 9i
c. Public health departments will need to increase the number of nursing positions.
9i
d. Theprevalence of obesity will decrease. 9i
ANS: B
NURSINGTB.COM
, One consequence of successful implementation of the Affordable Care Act might be that the
9i 9i
majority of the population would be covered by insurance and public health agencies will n
ot need to provide direct clinical services in order to assure that those who need them can re
9i 9i 9i
ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti 9i
on to their health status or decrease the prevalence of obesity.
9i 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
4. The public health nurse (PHN) must participate in the essential services of public health.
9i 9i 9i
What is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
9i 9i
b. Diagnosing and investigating health problems in the world 9i
c. Informing, educating, and empowering people about health issues 9i 9i
d. Working in law enforcement to regulate health and ensure safety
9i
ANS: C
The PHN monitors health status in several ways, completing a community assessment is onl 9i 9i
y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ pro
9i 9i
blems, or work in law enforcement. Rather, the PHN would participate with local regulators
9i 9i
to protect communities and empower people to address health issues. 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Implementation MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
5. A public health department is using the mission of public health as described by the Institute 9i 9i
of Medicine when pla nni ngNits RheaIlt h pGrogBra.mCminMg. Which of the following activities will
most likely be implemented?
US N T 9i 9i 9i 9i
a. Tracking avian flu outbreaks and doing surveillance in the United States
9i 9i 9i
b. Providing a flu shot for an elderly person at the health department
9i 9i 9i 9i 9i
c. Keeping track of alternative therapies in use in the United States
9i 9i
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
9i 9i 9i 9
Atlanta
ANS: A
The Institute of Medicine‘s stated mission on public health is ―to generate organized 9i 9i 9i
community and technical knowledge to prevent disease and promote health.‖ Tracking avian
9i 9i
flu outbreaks and doing surveillance applies this concept at a population level. Providing a f
9i 9i 9i 9i 9i
lu shot for an elderly person only addresses individual care. Keeping track of the use of alter 9i 9i
native therapies does nothing to prevent disease or promote health of the population.
9i 9i 9i
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or di
9i 9i
sease prevention.
DIF: Cognitive level: Analyzing TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
6. A public health department makes sure that the essential community-
9i 9i
oriented health services are available in the community. Which of the following core public 9i 9i
health functions is being implemented?
9i 9i
a. Policy development
NURSINGTB.COM
, b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance focuses on the responsibility of public health agencies to ensure certain activities
9i
have been appropriately carried out to meet public health goals and plans. Policy developm
9i 9i
ent seeks to build constituencies that can help bring about change in public policy. Assessm
9i 9i 9i
ent includes activities that involve collecting, analyzing, and disseminating information on b
9i 9i 9i 9i
oth the health status and the health-
9i
related aspects of a community or a specific population. Public health is based on scientific 9i
knowledge but is not a core function.
DIF: Cognitive level: Applying TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
7. What is the purpose of public health core functions? 9i 9i
a. Clarifying the role of the government in fulfilling the mission of public health 9i
b. Ensuring the safety of populations in receiving quality health care
9 9i 9i 9i
c. Providing community- 9i
based individualized care to every person in the United States
d. Uniting public and private providers of care in a comprehensive approach to 9i
providing health care
ANS: A
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assess
ment, policy development, and assurance are core functions at all levels of
government for the purposeNofR
9i clarIifyiG
ng tB
h e.gCo v eMr nment‘s role.
9i 9i
US N T O
DIF: Cognitive level: Understanding TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i
intenance
8. Which of the following statements about public health is accurate?
9i 9i 9i 9i
a. Prevention of early deaths can be more effectively accomplished by medical 9i
treatment than by public health approaches.
b. Expenditures and resources for public health have increased in recent years. 9i
c. Historically, gains in the health of populations have been related largely to changes
9i 9i
in safety, sanitation, and food safety.
9i
d. Reform of the medical insurance system is the single change needed to improve 9i
the health of Americans. 9i 9i
ANS: C
Fielding and Tilson have asserted that most of the increase in life span has been made thro
9i 9i 9i 9i
ugh improvements in sanitation, clean water supplies, making workplaces safer, improving
9i 9i 9i
food and drug safety, immunizing children, and improving nutrition, hygiene, and housing 9i
. Medical treatment has not made as significant of an impact on the life span as public healt 9i 9i 9i 9i 9i
h measures. Funding for public health in recent years has been on a gradual decline. Altho
9i
ugh reform of the medical insurance system may help improve the health of Americans, th
9i 9i
ere are many other factors that will need to be addressed.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
NURSINGTB.COM
Health Care in the Community 11th Edition by Stanhope
NURSINGTB.COM
,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 9i
American people in the twenty- first century?
9i
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 infe 9i
ctions, such as the avian flu. These threats will divert health care funds and resources from
9i 9i 9i 9
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.
9i
DIF: Cognitive level: Understanding TOP:
Nursing process:Planning MSC: NCLEX: Health Promotion and Ma
9i 9
intenance
2. A community is concerned about the threat of bioterrorism. Which of the following best
describes the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could causeNthUeRheSaI
lthNcGaT
reBsy.sC mMto collapse.
teO
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
Bioterrorism may have an impact on the availability of resources for public safety health ca
9 9i
re programs. Because funds are diverted it is possible that community-
9i
based programs would be eliminated, the health care system could experience changes, and t
9i 9i
hat there would be an increase in the need for shelter. However, all the remaining options w
9i 9i 9i
ould happen because of the diversion of funds.
9i 9i
DIF: Cognitive level: Analyzing TOP:
Nursing process: Diagnosis MSC: NCLEX: Physiological Integrity
9i 9i
3. Which statement describes the consequence of the successful implementation of the
9i 9i 9i 9i
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. Most of the population will be covered by health insurance.
9i 9i
c. Public health departments will need to increase the number of nursing positions.
9i
d. Theprevalence of obesity will decrease. 9i
ANS: B
NURSINGTB.COM
, One consequence of successful implementation of the Affordable Care Act might be that the
9i 9i
majority of the population would be covered by insurance and public health agencies will n
ot need to provide direct clinical services in order to assure that those who need them can re
9i 9i 9i
ceive them. The Affordable Care Act will not directly cause Americans to pay closer attenti 9i
on to their health status or decrease the prevalence of obesity.
9i 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
4. The public health nurse (PHN) must participate in the essential services of public health.
9i 9i 9i
What is one of the essential services of public health nursing?
a. Monitoring health status by completing a community assessment
9i 9i
b. Diagnosing and investigating health problems in the world 9i
c. Informing, educating, and empowering people about health issues 9i 9i
d. Working in law enforcement to regulate health and ensure safety
9i
ANS: C
The PHN monitors health status in several ways, completing a community assessment is onl 9i 9i
y one way that health status is monitored. The PHN would not diagnose or solve ―world‖ pro
9i 9i
blems, or work in law enforcement. Rather, the PHN would participate with local regulators
9i 9i
to protect communities and empower people to address health issues. 9i
DIF: Cognitive level: Understanding TOP:
Nursing process: Implementation MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
5. A public health department is using the mission of public health as described by the Institute 9i 9i
of Medicine when pla nni ngNits RheaIlt h pGrogBra.mCminMg. Which of the following activities will
most likely be implemented?
US N T 9i 9i 9i 9i
a. Tracking avian flu outbreaks and doing surveillance in the United States
9i 9i 9i
b. Providing a flu shot for an elderly person at the health department
9i 9i 9i 9i 9i
c. Keeping track of alternative therapies in use in the United States
9i 9i
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
9i 9i 9i 9
Atlanta
ANS: A
The Institute of Medicine‘s stated mission on public health is ―to generate organized 9i 9i 9i
community and technical knowledge to prevent disease and promote health.‖ Tracking avian
9i 9i
flu outbreaks and doing surveillance applies this concept at a population level. Providing a f
9i 9i 9i 9i 9i
lu shot for an elderly person only addresses individual care. Keeping track of the use of alter 9i 9i
native therapies does nothing to prevent disease or promote health of the population.
9i 9i 9i
Keeping snake antivenom is aimed at disease care for an individual, not health promotion or di
9i 9i
sease prevention.
DIF: Cognitive level: Analyzing TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
6. A public health department makes sure that the essential community-
9i 9i
oriented health services are available in the community. Which of the following core public 9i 9i
health functions is being implemented?
9i 9i
a. Policy development
NURSINGTB.COM
, b. Assessment
c. Assurance
d. Scientific knowledge-based care
ANS: C
Assurance focuses on the responsibility of public health agencies to ensure certain activities
9i
have been appropriately carried out to meet public health goals and plans. Policy developm
9i 9i
ent seeks to build constituencies that can help bring about change in public policy. Assessm
9i 9i 9i
ent includes activities that involve collecting, analyzing, and disseminating information on b
9i 9i 9i 9i
oth the health status and the health-
9i
related aspects of a community or a specific population. Public health is based on scientific 9i
knowledge but is not a core function.
DIF: Cognitive level: Applying TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i 9i 9i
intenance
7. What is the purpose of public health core functions? 9i 9i
a. Clarifying the role of the government in fulfilling the mission of public health 9i
b. Ensuring the safety of populations in receiving quality health care
9 9i 9i 9i
c. Providing community- 9i
based individualized care to every person in the United States
d. Uniting public and private providers of care in a comprehensive approach to 9i
providing health care
ANS: A
As defined by the Institute of Medicine in its 1988 report The Future of Public Health, assess
ment, policy development, and assurance are core functions at all levels of
government for the purposeNofR
9i clarIifyiG
ng tB
h e.gCo v eMr nment‘s role.
9i 9i
US N T O
DIF: Cognitive level: Understanding TOP:
Nursing process: Assessment MSC: NCLEX: Health Promotion and Ma
9i
intenance
8. Which of the following statements about public health is accurate?
9i 9i 9i 9i
a. Prevention of early deaths can be more effectively accomplished by medical 9i
treatment than by public health approaches.
b. Expenditures and resources for public health have increased in recent years. 9i
c. Historically, gains in the health of populations have been related largely to changes
9i 9i
in safety, sanitation, and food safety.
9i
d. Reform of the medical insurance system is the single change needed to improve 9i
the health of Americans. 9i 9i
ANS: C
Fielding and Tilson have asserted that most of the increase in life span has been made thro
9i 9i 9i 9i
ugh improvements in sanitation, clean water supplies, making workplaces safer, improving
9i 9i 9i
food and drug safety, immunizing children, and improving nutrition, hygiene, and housing 9i
. Medical treatment has not made as significant of an impact on the life span as public healt 9i 9i 9i 9i 9i
h measures. Funding for public health in recent years has been on a gradual decline. Altho
9i
ugh reform of the medical insurance system may help improve the health of Americans, th
9i 9i
ere are many other factors that will need to be addressed.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
NURSINGTB.COM
