TEST
BANK FOR
PUBLIC HEALTH NURSING
:POPULATION CENTERED
HEALTH CARE IN THE
TH
COMMUNITY 9 EDITION
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Chapter 01: Community and Prevention-Oriented, Population-Focused Practice: The Foundation of
Specialization in Public Health Nursing
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 9th Edition
MULTIPLE CHOICE
1. One of the primary focuses of improving the health of the American people in the t𝑤enty-first century
is to address:
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 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 REF: p. 5 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 cause the health care system
to collapse.
c. The threat of bioterrorism 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 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 𝑤ould be an increase in the need for shelter.
Ho𝑤ever, all of these things 𝑤ould happen because of the diversion of funds.
DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis
MSC: NCLEX: Psychosocial Integrity
3. Which of the follo𝑤ing describes the consequence of the successful implementation of the
Affordable Care Act?
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a. Americans 𝑤ill pay closer attention to their
health status.
b. The majority of the population 𝑤ill be
covered by 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 actually 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: Remembering REF: p. 5
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. Which of
the follo𝑤ing most accurately describes one of the essential services of public health?
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
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 REF: p. 8 (Ho𝑤 to Box)
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 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
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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
ANS: 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 REF: p. 6
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
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 REF: p. 14
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
7. The purpose of public health core functions is to:
a. clarify the role of the government in
fulfilling the mission of public health.
b. ensure the safety of populations in receiving
quality health care.
c. provide community-based individualized care
to every person in the United States.
d. unite public and private providers of care in a
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