Chapter 01: Public Health Foundations and Population Health
z z z z z z z
Stanhope: Public Health Nursing: Population-
z z z z
Centered Health Care in theCommunity, 10th Edition
z z z z z z z
MULTIPLEzCHOICE
1. WhatziszthezprimaryzfocusztozbezaddressedzconcerningzthezimprovementzofzthezhealthzofzthezA
mericanzpeoplezinztheztwenty-firstzcentury?
a. Bioterrorismzandzglobalzhealthzthreats
b. Deliveryzofzindividualzcarezandzhygiene
c. Thezneedzforzincreasedzhospitalzandzacutezcare
d. Chroniczdiseasezandzdisabilityzmanagement
ANS:z A
Therezareznewzconcerns,zandzofzthezmostzseriouszarezbioterrorismzandzgloballyzinducedzinfec
tions,zsuchzaszthezavianzflu.zThesezthreatszwillzdivertzhealthzcarezfundszandzresourceszfromzot
herzhealthzcarezprogramsztozbezspentzforzpubliczsafety.zThezotherszareznotzrelatedztozpubliczhe
althzorzarezconcernszthatzhavezbeenzpresentzforzmanyzyears.
DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zPlanningzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
2. Azcommunityziszconcernedzaboutzthezthreatzofzbioterrorism.zWhichzofzthezfollowingzbestzd
escribeszthezbasiszforzthiszconcern?
a. Bioterrorismzhaszthezpotentialztozdissolvezcommunity-basedzprograms.
b. ThiszthreatzcouldzcauseN thUeReaI
hS lthNcGaT
reBs.
ysC mMtozcollapse.
teO
c. Thezthreatzmayzdivertzfundszfromzotherzpubliczsafetyzhealthzcarezprograms.
d. Fearzofzbioterrorismzwillzincreasezthezneedzforzshelters.
ANS:z C
Bioterrorismzmayzhavezanzimpactzonzthezavailabilityzofzresourceszforzpubliczsafetyzhealthzcarez
programs.zBecausezfundszarezdivertedzitziszpossiblezthatzcommunity-
basedzprogramszwouldzbezeliminated,zthezhealthzcarezsystemzcouldzexperiencezchanges,zandzth
atztherezwouldzbezanzincreasezinzthezneedzforzshelter.zHowever,zallzthezremainingzoptionszwould
zhappenzbecausezofzthezdiversionz ofzfunds.
DIF: Cognitivezlevel:zAnalyzing TOP:
Nursingzprocess:zDiagnosiszMSC:z NCLEX:zPhysiologicalzIntegrity
3. Whichzstatementzdescribeszthezconsequencezofzthezsuccessfulzimplementationzofzthez
AffordablezCarezAct?
a. Americanszwillzpayzcloserzattentionztoztheirzhealthzstatus.
b. Mostzofzthezpopulationzwillzbezcoveredzbyzhealthzinsurance.
c. Publiczhealthzdepartmentszwillzneedztozincreaseztheznumberzofznursingzpositions.
d. Thezprevalencezofzobesityzwillzdecrease.z
ANS:z B
NURSINGTB.COM
, PubliczHealthzNursingz10thzEditionzStanhopezTestzBank
OnezconsequencezofzsuccessfulzimplementationzofzthezAffordablezCarezActzmightzbezthatzthezm
ajorityzofzthezpopulationzwouldzbezcoveredzbyzinsurancezandzpubliczhealthzagencieszwillznotzne
edztozprovidezdirectzclinicalzserviceszinzorderztozassurezthatzthosezwhozneedzthemzcanzreceivezth
em.zThezAffordablezCarezActzwillznotzdirectlyzcausezAmericansztozpayzcloserzattentionztoztheirz
healthzstatuszorzdecreasezthezprevalencezofzobesity.
DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
4. Thezpubliczhealthznursez(PHN)zmustzparticipatezinzthezessentialzserviceszofzpubliczhealth.z
Whatziszonezofzthezessentialzserviceszofzpubliczhealthznursing?
a. Monitoringzhealthzstatuszbyzcompletingzazcommunityzassessment
b. Diagnosingzandzinvestigatingzhealthzproblemszinzthezworld
c. Informing,zeducating,zandzempoweringzpeoplezaboutzhealthzissues
d. Workingzinzlawzenforcementztozregulatezhealthzandzensurezsafety
ANS:z C
ThezPHNzmonitorszhealthzstatuszinzseveralzways,zcompletingzazcommunityzassessmentziszonlyz
onezwayzthatzhealthzstatusziszmonitored.zThezPHNzwouldznotzdiagnosezorzsolvez“world”zproble
ms,zorzworkzinzlawzenforcement.zRather,zthezPHNzwouldzparticipatezwithzlocalzregulatorsztozpr
otectzcommunitieszandzempowerzpeopleztozaddresszhealthzissues.
DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zImplementationzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
5. AzpubliczhealthzdepartmentziszusingzthezmissionzofzpubliczhealthzaszdescribedzbyzthezInstitutezof
zMedicinezwhenzplanning NitsRhea
U IlthzpGrogBra.mCminMg.
zSzNzT O zWhichzofzthezfollowingzactivitiesz willzmostz
likelyzbezimplemented?
a. TrackingzavianzfluzoutbreakszandzdoingzsurveillancezinzthezUnitedzStates
b. Providingzazfluzshotzforzanzelderlyzpersonzatzthezhealthzdepartment
c. KeepingztrackzofzalternativeztherapieszinzusezinzthezUnitedzStates
d. KeepingzsnakezantivenomzatzthezCenterszforzDiseasezControlzandzPreventionzinzA
tlanta
ANS:z A
ThezInstitutezofzMedicine’szstatedzmissionzonzpubliczhealthzisz“tozgeneratezorganizedzcommuni
tyzandztechnicalzknowledgeztozpreventzdiseasezandzpromotezhealth.”zTrackingzavianzfluzoutbrea
kszandzdoingzsurveillancezapplieszthiszconceptzatzazpopulationzlevel.zProvidingzazfluzshotzforzanz
elderlyzpersonzonlyzaddresseszindividualzcare.zKeepingztrackzofzthezusezofzalternativeztherapiesz
doesznothingztozpreventzdiseasezorzpromotezhealthzofzthezpopulation.
Keepingzsnakezantivenomziszaimedzatzdiseasezcarezforzanzindividual,znotzhealthzpromotionzorzdi
seasezprevention.
DIF: Cognitivezlevel:zAnalyzing TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
6. Azpubliczhealthz departmentzmakesz surezthatz thezessentialz community-
orientedzhealthzserviceszarezavailablezinzthezcommunity.zWhichzofzthezfollowingzcorezpubliczhe
althzfunctionsziszbeingzimplemented?
a. Policyzdevelopment
NURSINGTB.COM
, PubliczHealthzNursingz10thzEditionzStanhopezTestzBank
b. Assessment
c. Assurance
d. Scientificzknowledge-basedzcare
ANS:z C
Assurancezfocuseszonzthezresponsibilityzofzpubliczhealthzagenciesztozensurezcertainzactivitieszha
vezbeenzappropriatelyzcarriedzoutztozmeetzpubliczhealthzgoalszandzplans.zPolicyzdevelopmentzse
eksztozbuildzconstituencieszthatzcanzhelpzbringzaboutzchangezinzpubliczpolicy.zAssessmentzinclu
deszactivitieszthatzinvolvezcollecting,zanalyzing,zandzdisseminatingzinformationzonzbothzthezhea
lthzstatuszandzthezhealth-
relatedzaspectszofzazcommunityzorzazspecificzpopulation.zPubliczhealthziszbasedzonzscientificzkn
owledgezbutzisznotzazcorezfunction.
DIF: Cognitivezlevel:zApplying TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
7. Whatziszthezpurposezofzpubliczhealthzcorezfunctions?
a. Clarifyingzthezrolezofzthezgovernmentzinzfulfillingzthezmissionzofzpubliczhealth
b. Ensuringzthezsafetyzofzpopulationszinzreceivingzqualityzhealthzcare
c. Providingzcommunity-
basedzindividualizedzcareztozeveryzpersonzinzthezUnitedzStates
d. Unitingzpubliczandzprivatezproviderszofzcarezinzazcomprehensivezapproachztozp
rovidingzhealthzcare
ANS:z A
AszdefinedzbyzthezInstitutezofzMedicinezinzitsz1988zreportzThezFuturezofzPubliczHealth,zas
sessment,zpolicyzdevelopment,zandzassurancezarezcorezfunctionszatzallzlevelszofzgovernm
entzforzthezpurpose of clarifyingzthe government’szrole.
N R I G B.C M
USNT z z z O
DIF: Cognitivezlevel:zUnderstanding TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
8. Whichzofzthezfollowingzstatementszaboutzpubliczhealthziszaccurate?
a. Preventionzofzearlyzdeathszcanzbezmorezeffectivelyzaccomplishedzbyzmedicalztr
eatmentzthanzbyzpubliczhealthzapproaches.
b. Expenditureszandzresourceszforzpubliczhealthzhavezincreasedzinzrecentzyears.
c. Historically,zgainszinzthezhealthzofzpopulationszhavezbeenzrelatedzlargelyztozchangeszin
zsafety,zsanitation,zandz foodzsafety.
d. Reformzofzthezmedicalzinsurancezsystemziszthezsinglezchangezneededztozimprovezth
ezhealthzofzAmericans.
ANS:z C
FieldingzandzTilsonzhavezassertedzthatzmostzofzthezincreasezinzlifezspanzhaszbeenzmadezthroug
hzimprovementszinzsanitation,zcleanzwaterzsupplies,zmakingzworkplaceszsafer,zimprovingzfoo
dzandzdrugzsafety,zimmunizingzchildren,zandzimprovingznutrition,zhygiene,zandzhousing.zMed
icalztreatmentzhasznotzmadezaszsignificantzofzanzimpactzonzthezlifezspanzaszpubliczhealthzmeasu
res.zFundingzforzpubliczhealthzinzrecentzyearszhaszbeenzonzazgradualzdecline.zAlthoughzreformz
ofzthezmedicalzinsurancezsystemzmayzhelpzimprovezthezhealthzofzAmericans,ztherezarezmanyzo
therzfactorszthatzwillzneedztozbezaddressed.
DIF: Cognitivezlevel:zUnderstanding TOP: Nursingzprocess:zAssessment
NURSINGTB.COM
, PubliczHealthzNursingz10thzEditionzStanhopezTestzBank
MSC:z NCLEX:zSafezandzEffectivezCarezEnvironment:zManagementzofzCare
9. Azpubliczhealthznursez(PHN)zcollectszdatazandzmonitorszthezhealthzstatuszofzthezpopulation.zW
hichzofzthezfollowingzcorezpubliczhealthzfunctionszisztheznursezaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policyzdevelopment
ANS:z A
Assessmentzconsistszofzsystematiczdatazcollectionzandzmonitoringzhealthzstatus.
Preventionzisznotzazcorezfunction,zassuranceziszmakingzsurezessentialzserviceszarezavailable,za
ndzpolicyzdevelopmentziszneededztozprovidezleadershipzinzdevelopingzpolicies.
DIF: Cognitivezlevel:zApplying TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
10. Thezpubliczhealthznursez(PHN)zcompareszthezratezofzteenagezpregnancyzinzvariouszareaszofzth
ezcity.zWhichzofzthezcorezfunctionszofzpubliczhealthzisztheznursezaddressing?
a. Assurance
b. Assessment
c. Prevention
d. Policyzdevelopment
ANS:z B
Assessmentzrefersztozsystematiczdatazcollection,zwhichzthisznurseziszdoingzforzteenagezpregnan
cy.zPreventionzisznotzazcorezfunction,zassuranceziszmakingzsurezessentialzserviceszare
Nzmen
available,zandzpolicyzdevelopU
RzIStzG zB.CzM
zisNneeTdedztozO
providezleadershipzinzdevelopingzpolicies.
DIF: Cognitivezlevel:zApplying TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
11. Azpubliczhealthznursez(PHN)zdevelopszandzimplementszlocalzpubliczhealthzpolicieszthroughzp
artnershipszwithzagencies,zorganizations,zandzconsumerszwithinzthezcommunity.zWhichzofzth
ezfollowingzcorezpubliczhealthzfunctionszisztheznursezaddressing?
a. Assessment
b. Prevention
c. Assurance
d. Policyzdevelopment
ANS:z D
Policyzdevelopmentzdealszwithzdevelopingzandzimplementingzhealthzpolicies.zPreventionziszn
otzazcorezfunction,zassuranceziszmakingzsurezessentialzserviceszarezavailable,zandzassessmentzr
efersztozsystematiczdatazcollection.
DIF: Cognitivezlevel:zApplying TOP:
Nursingzprocess:zAssessmentzMSC:z NCLEX:zHealthzPromotionzandzMaint
enance
NURSINGTB.COM