Test Bank-
Public Health Nursing
: Population-Centered Health Care in
the Community
by Marcia Stanhope and Jeanette Lancaster
11th Edition
,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 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
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 causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto co 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 safety health care
programs. Because funds are diverted it is possible that community-based programs would be
eliminated, the health care system could experience changes, and that there woul 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
CORRECT ANSWER: C
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
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 planningN UitsRSheaNIlthT pG rogBra.mOCminMg.
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 Prevention in
Atlanta
CORRECT ANSWER: A
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
, 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, 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
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
CORRECT ANSWER: A
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 NofRclarIifyiGng tBhe.gCoveMrnment’s role. U S N T
ODIF: 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
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 in safety, sanitation,
and food safety.
d. Reform of the medical insurance system is the single change needed to improve
the health of Americans.
CORRECT ANSWER: 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
: Population-Centered Health Care in
the Community
by Marcia Stanhope and Jeanette Lancaster
11th Edition
,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 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
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 causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto co 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 safety health care
programs. Because funds are diverted it is possible that community-based programs would be
eliminated, the health care system could experience changes, and that there woul 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
CORRECT ANSWER: C
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
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 planningN UitsRSheaNIlthT pG rogBra.mOCminMg.
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 Prevention in
Atlanta
CORRECT ANSWER: A
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
, 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, 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
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
CORRECT ANSWER: A
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 NofRclarIifyiGng tBhe.gCoveMrnment’s role. U S N T
ODIF: 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
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 in safety, sanitation,
and food safety.
d. Reform of the medical insurance system is the single change needed to improve
the health of Americans.
CORRECT ANSWER: 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
