TestBank- b
Public Health Nursing
b b
: Population-Centered Health Care in
b b b b
the Community
b
by Marcia Stanhope and Jeanette Lancaster
b b b b b
11th Edition
b
,Chapterb01:bPublicbHealthbFoundationsbandbPopulationbHealth
Stanhope:bPublicbHealthbNursing:bPopulation-
Centered bHealthbCarebinbthebCommunity,b11thbEdition
MULTIPLEbCHOICE
1. Whatbisbthe bprimary bfocusbto bbe baddressedbconcerning bthe bimprovementbofbthe bhealthbofbthe bA
mericanbpeople binbthe btwenty-firstbcentury?
a. Bioterrorism bandbglobalbhealthbthreats
b. Delivery bof b indiv idua l bca re ba nd bhygiene
c. The bneedbforbincreasedbhospitalbandbacute bcare
d. Chronic bdisease bandbdisability bmanagement
CORRECT b ANSWER :b A
There bare bnewbconcerns,bandbofbthe bmostbseriousbare bbioterrorism bandbglobally binducedbinfect
ions,bsuchbasbthe bavianbflu.bThese bthreatsbwillbdivertbhealthbcare bfundsbandbresourcesbfromboth
erbhealthbcare bprogramsbto bbe bspentbforbpublic bsafety.bThe bothersbare bnotbrelatedbto bpublic bhealt
hborbare bconcernsbthatbhave bbeenbpresentbforbmany byears.
DIF: Cognitive blevel: bU nderstanding
TOP:bNursingbprocess:bPlanningbMSC:bNCLEX:bHealthbPromotion ba
ndbMaintenance
2. Abcommunity bisbconcernedbaboutbthe bthreatbofbbioterrorism.bWhichbofbthe bfollowingbbestbd
escribesbthebbasisbforbthisbconcern?
a. Bioterrorism bhasbthe bpotentialbto bdissolve bcommunity-basedbprograms.
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOm Mto c
b b b b
c. The bthreatb may bdive rtbfundsbfro mbo ther bpublic bsafe ty b hea lth bca re bprogra ms.
d. Fearbofbbioterrorism bwillbincrease bthe bneedbforbshelters.
CORRECT b ANSWER :b C
Bioterrorism bmay bhave banbimpactbonbthe bavailability bofbresources bfor bpublic bsafety bhealth bcare b
programs.bBecause bfundsbare bdivertedbitbisbpossible bthatbcommunity-
basedbprogramsbwouldbbe beliminated,bthe bhealthbcare bsystembcouldbexperience bchanges,bandbt
hatbthere bwoulbbe banbincrease binbthe bneedbforbshelter.bHowever,ballbthe bremainingboptionsbwoul
dbhappenbbecausebofbthebdiversionbofbfunds.
DIF: Cognitive blevel:bAnalyzing
TOP:bNursingbprocess:bDiagnosisbMSC:bNCLEX:bPhysiologicalbIntegr
ity
3. Whichbstatementbdescribesbthe bconsequence bofbthe bsuccessful bimplementation bof bthe bA
ffordable bCare bAct?
a. Americansbwillbpay bcloserbattentionbto btheirbhealthbstatus.
b. Mostbofbthe bpopulationbwillbbe bcoveredbby bhealthbinsurance.
c. Public bhealthbdepartmentsbwillbneedbto bincrease bthe bnumberbofbnursingbpositions.
d. The bprevalence bofbobesity bwillbdecrease.b
ANS:bB
, One bconsequence bofbsuccessfulbimplementationbofbthe bAffordable bCare bAct bmight bbe bthat bthe bm
ajority bofbthe bpopulationbwouldbbe bcoveredbby binsurance bandbpublic bhealthbagenciesbwillbnotbne
edbto bprovide bdirectbclinicalbservicesbinborderbto bassure bthatbthose bwho bneedbthembcanbreceive bt
hem.bThe bAffordable bCare bActbwillbnotbdirectly bcause bAmericansbto bpay bcloserbattentionbto btheir
bhealth bstatusborbdecrease bthe bprevalence bofbobesity.
DIF: Cognitive blevel: bU nderstanding
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX: bHealth bPromotion ba
ndbMaintenance
4. The bpublic bhealthbNURSEb(PHN)bmust bparticipate bin bthe bessentialbservicesbof bpublic bh
ealth.bWhatbisbone bofbthe bessentialbservicesbofbpublic bhealthbnursing?
a. Monitoringbhealthbstatusbby bcompletingba bcommunity bassessment
b. Diagnosing ba nd binve stigating bhea lth bproble ms binbthe bworld
c. Informing, be duca ting, band be mpo wering b people ba bo utbhe alth b issue s
d. Workingbinblawbenforcementbto bregulate bhealthbandbensure bsafety bC
ORRECTbANSWER:bC
The bPHN bmonitorsbhealthbstatusbinbseveralbways,bcompletingba bcommunity bassessmentbisbonly b
one bway bthatbhealthbstatus bis bmonitored. bThe bPHN bwouldbnot bdiagnose bor bsolve b“world” bproble
ms,borbwork binblawbenforcement.bRather,bthe bPHN bwouldbparticipate bwithblocalbregulators bto bpr
otectbcommunitiesbandbempowerbpeople bto baddressbhealthbissues.
DIF: Cognitive blevel: bU nderstanding
TOP:bNursingbprocess:bImplementationbMSC:bNCLEX:bHealthbPromotion ba
ndbMaintenance
5. Abpublic bhealthbdepartmentbisbusingbthe bmissionbofbpublic bhealthbasbdescribedbby bthe bInstitute
of Medicine when plUaintnsiRnS
b b b gNh eaNIlt hT pG rogBra.mO CminMg. Which
b b b b b b
mostblikely bbe bimplemented?
a. Tracking bavian bflubo utbreak sband bdo ing bsurveilla nce bin bthe bUnite d bSta tes
b. Providingba bflubshotbforbanbelderly bpersonbatbthe bhealthbdepartment
c. Keepingbtrack bofbalternative btherapiesbinbuse binbthe bUnitedbStates
d. Keepingbsnake bantivenom batbthe bCentersbforbDisease bControlbandbPreventionbinbA
tlanta
CORRECT b ANSWER :b A
The bInstitute bofbMedicine’sbstatedbmission bonbpublic bhealth bis b“to bgenerate borganizedbcommu
nity bandbtechnicalbknowledge bto bpreventbdisease bandbpromote bhealth.”bTrackingbavia bfluboutbr
eaksbandbdoingbsurveillance bappliesbthisbconceptbatba bpopulationblevel.bProvidingba bflubshotbforb
anbelderly bpersonbonly baddressesbindividualbcare.bKeepingbtrack bofbthe buse bofbalternative bthera
piesbdoesbnothingbto bpreventbdisease bor bpromote bhealth bof bthe bpopulation. bKeepingbsnake banti
venombisbaimedbatbdisease bcarebforbanbindividual,bnotbhealthbpromotionborbdisease bprevention.
DIF: Cognitive blevel:bAnalyzing
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX: bHealth bPromotion ba
ndbMaintenance
6. Abpublic bhealthbdepartmentbmakesbsure bthatbthe bessentialbcommunity-
orientedbhealthbservicesbare bavailable binbthe bcommunity.bWhichbofbthe bfollowingbcorebpublic bhe
althbfunctionsbisbbeingbimplemented?
a. Policy bdevelopment
, b. Assessment
c. Assurance
d. Scientific bknowledge-
basedbcare bCORRECTbANSWER:bC
Assurance bfocusesbonbthe bresponsibility bofbpublic bhealthbagenciesbto bensure bcertainbactivities
have bbeenbappropriately bcarriedboutbto bmeetbpublic bhealthbgoalsbandbplans.bPolicy bdevelopme
ntbseeksbto bbuildbconstituencies bthat bcanbhelp bbring babout bchange bin bpublic bpolicy bAssessment bi
ncludesbactivitiesbthatbinvolve bcollecting,banalyzing,bandbdisseminating binformationbon bbothbt
he bhealthbstatusbandbthe bhealth-
relatedbaspectsbofba bcommunity borba bspecific bpopulation.bPublic bhealthbisbbasedbonbscientific bkn
owledge bbutbisbnotba bcore bfunction
DIF: Cognitive blevel:bApplying
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX: bHealth bPromotion ba
ndbMaintenance
7. Whatbisbthe bpurpose bofbpublic bhealthbcore bfunctions?
a. Clarifying bthe brole bofbthe bgovernmentbinbfulfillingbthe bmissionbofbpublic bhealth
b. Ensuring bthe bsafety bof bpo pula tions binbrece iv ing bquality bhea lth bcare
c. Providingbcommunity-
basedbindividualized bcare bto bevery bpersonbinbthe bUnitedbStates
d. Unitingbpublic bandbprivate bprovidersbofbcarebinba bcomprehensive bapproachbto bp
rovidingbhealthbcare
CORRECT b ANSWER :b A
Asbdefinedbby bthe bInstitute bofbMedicine binbitsb1988 breport bThe bFuture bofbPublic bHealth, bassessme
nt,bpolicy bdevelopment,bandbassurance bare bcore bfunctionsbatballblevelsbofbgovernmentbforbthe bpuN
rpoofsRe cla rIi fyi G ng btBhe.gCoveMrnment’sbrole.
USNT
b b b b O
DIF: Cognitive blevel: bU nderstanding
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX: bHealth bPromotion ba
ndbMaintenance
8. Whichbofbthe bfollowingbstatementsbaboutbpublic bhealthbisbaccurate?
a. Preventionbofbearly bdeathsbcanbbe bmore beffectivelybaccomplished bby bmedicalbtr
eatmentbthanbby bpublic bhealthbapproaches.
b. Expendituresbandbresourcesbforbpublic bhealthbhave bincreasedbinbrecentbyears.
c. Historically,bgainsbinbthe bhealthbofbpopulationsbhavebbeenbrelatedblargelybto bchangesbinb
safety,bsanitation,bandbfoodbsafety.
d. Reform bofbthe bmedicalbinsurancebsystembisbthe bsingle bchange bneededbto bimprovebth
ebhealthbofbAmericans.
CORRECT b ANSWER :b C
FieldingbandbTilsonbhave bassertedbthat bmost bof bthe bincrease bin blife bspan bhas bbeenbmade b through b
improvementsbinbsanitation,bcleanbwater bsupplies, bmakingbworkplacesbsafer,b improv ing bfo od ba
nd bdrug b safety, b immunizing bc hildren, band b improv ing b nutrition, bhy giene,
andbhousing.bMedicalbtreatmentbhasbnotbmade basbsignificantbofbanbimpactbonbthe blife bspanbasbpu
blic bhealthbmeasures.bFundingbforbpublic bhealthbinbrecentbyearsbhasbbeenbonba bgradualbdecline.b
Althoughbreform bofbthe bmedicalbinsurance bsystembmay bhelpbimprove bthe bhealthbofbAmericans,
bthere bare bmany botherbfactorsbthatbwill bneed bto bbe baddressed.
DIF: Cognitive bleve l: bUnde rsta nding TOP:bNursing bproce ss: b Asse ssment
Public Health Nursing
b b
: Population-Centered Health Care in
b b b b
the Community
b
by Marcia Stanhope and Jeanette Lancaster
b b b b b
11th Edition
b
,Chapterb01:bPublicbHealthbFoundationsbandbPopulationbHealth
Stanhope:bPublicbHealthbNursing:bPopulation-
Centered bHealthbCarebinbthebCommunity,b11thbEdition
MULTIPLEbCHOICE
1. Whatbisbthe bprimary bfocusbto bbe baddressedbconcerning bthe bimprovementbofbthe bhealthbofbthe bA
mericanbpeople binbthe btwenty-firstbcentury?
a. Bioterrorism bandbglobalbhealthbthreats
b. Delivery bof b indiv idua l bca re ba nd bhygiene
c. The bneedbforbincreasedbhospitalbandbacute bcare
d. Chronic bdisease bandbdisability bmanagement
CORRECT b ANSWER :b A
There bare bnewbconcerns,bandbofbthe bmostbseriousbare bbioterrorism bandbglobally binducedbinfect
ions,bsuchbasbthe bavianbflu.bThese bthreatsbwillbdivertbhealthbcare bfundsbandbresourcesbfromboth
erbhealthbcare bprogramsbto bbe bspentbforbpublic bsafety.bThe bothersbare bnotbrelatedbto bpublic bhealt
hborbare bconcernsbthatbhave bbeenbpresentbforbmany byears.
DIF: Cognitive blevel: bU nderstanding
TOP:bNursingbprocess:bPlanningbMSC:bNCLEX:bHealthbPromotion ba
ndbMaintenance
2. Abcommunity bisbconcernedbaboutbthe bthreatbofbbioterrorism.bWhichbofbthe bfollowingbbestbd
escribesbthebbasisbforbthisbconcern?
a. Bioterrorism bhasbthe bpotentialbto bdissolve bcommunity-basedbprograms.
b. This threat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOm Mto c
b b b b
c. The bthreatb may bdive rtbfundsbfro mbo ther bpublic bsafe ty b hea lth bca re bprogra ms.
d. Fearbofbbioterrorism bwillbincrease bthe bneedbforbshelters.
CORRECT b ANSWER :b C
Bioterrorism bmay bhave banbimpactbonbthe bavailability bofbresources bfor bpublic bsafety bhealth bcare b
programs.bBecause bfundsbare bdivertedbitbisbpossible bthatbcommunity-
basedbprogramsbwouldbbe beliminated,bthe bhealthbcare bsystembcouldbexperience bchanges,bandbt
hatbthere bwoulbbe banbincrease binbthe bneedbforbshelter.bHowever,ballbthe bremainingboptionsbwoul
dbhappenbbecausebofbthebdiversionbofbfunds.
DIF: Cognitive blevel:bAnalyzing
TOP:bNursingbprocess:bDiagnosisbMSC:bNCLEX:bPhysiologicalbIntegr
ity
3. Whichbstatementbdescribesbthe bconsequence bofbthe bsuccessful bimplementation bof bthe bA
ffordable bCare bAct?
a. Americansbwillbpay bcloserbattentionbto btheirbhealthbstatus.
b. Mostbofbthe bpopulationbwillbbe bcoveredbby bhealthbinsurance.
c. Public bhealthbdepartmentsbwillbneedbto bincrease bthe bnumberbofbnursingbpositions.
d. The bprevalence bofbobesity bwillbdecrease.b
ANS:bB
, One bconsequence bofbsuccessfulbimplementationbofbthe bAffordable bCare bAct bmight bbe bthat bthe bm
ajority bofbthe bpopulationbwouldbbe bcoveredbby binsurance bandbpublic bhealthbagenciesbwillbnotbne
edbto bprovide bdirectbclinicalbservicesbinborderbto bassure bthatbthose bwho bneedbthembcanbreceive bt
hem.bThe bAffordable bCare bActbwillbnotbdirectly bcause bAmericansbto bpay bcloserbattentionbto btheir
bhealth bstatusborbdecrease bthe bprevalence bofbobesity.
DIF: Cognitive blevel: bU nderstanding
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX: bHealth bPromotion ba
ndbMaintenance
4. The bpublic bhealthbNURSEb(PHN)bmust bparticipate bin bthe bessentialbservicesbof bpublic bh
ealth.bWhatbisbone bofbthe bessentialbservicesbofbpublic bhealthbnursing?
a. Monitoringbhealthbstatusbby bcompletingba bcommunity bassessment
b. Diagnosing ba nd binve stigating bhea lth bproble ms binbthe bworld
c. Informing, be duca ting, band be mpo wering b people ba bo utbhe alth b issue s
d. Workingbinblawbenforcementbto bregulate bhealthbandbensure bsafety bC
ORRECTbANSWER:bC
The bPHN bmonitorsbhealthbstatusbinbseveralbways,bcompletingba bcommunity bassessmentbisbonly b
one bway bthatbhealthbstatus bis bmonitored. bThe bPHN bwouldbnot bdiagnose bor bsolve b“world” bproble
ms,borbwork binblawbenforcement.bRather,bthe bPHN bwouldbparticipate bwithblocalbregulators bto bpr
otectbcommunitiesbandbempowerbpeople bto baddressbhealthbissues.
DIF: Cognitive blevel: bU nderstanding
TOP:bNursingbprocess:bImplementationbMSC:bNCLEX:bHealthbPromotion ba
ndbMaintenance
5. Abpublic bhealthbdepartmentbisbusingbthe bmissionbofbpublic bhealthbasbdescribedbby bthe bInstitute
of Medicine when plUaintnsiRnS
b b b gNh eaNIlt hT pG rogBra.mO CminMg. Which
b b b b b b
mostblikely bbe bimplemented?
a. Tracking bavian bflubo utbreak sband bdo ing bsurveilla nce bin bthe bUnite d bSta tes
b. Providingba bflubshotbforbanbelderly bpersonbatbthe bhealthbdepartment
c. Keepingbtrack bofbalternative btherapiesbinbuse binbthe bUnitedbStates
d. Keepingbsnake bantivenom batbthe bCentersbforbDisease bControlbandbPreventionbinbA
tlanta
CORRECT b ANSWER :b A
The bInstitute bofbMedicine’sbstatedbmission bonbpublic bhealth bis b“to bgenerate borganizedbcommu
nity bandbtechnicalbknowledge bto bpreventbdisease bandbpromote bhealth.”bTrackingbavia bfluboutbr
eaksbandbdoingbsurveillance bappliesbthisbconceptbatba bpopulationblevel.bProvidingba bflubshotbforb
anbelderly bpersonbonly baddressesbindividualbcare.bKeepingbtrack bofbthe buse bofbalternative bthera
piesbdoesbnothingbto bpreventbdisease bor bpromote bhealth bof bthe bpopulation. bKeepingbsnake banti
venombisbaimedbatbdisease bcarebforbanbindividual,bnotbhealthbpromotionborbdisease bprevention.
DIF: Cognitive blevel:bAnalyzing
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX: bHealth bPromotion ba
ndbMaintenance
6. Abpublic bhealthbdepartmentbmakesbsure bthatbthe bessentialbcommunity-
orientedbhealthbservicesbare bavailable binbthe bcommunity.bWhichbofbthe bfollowingbcorebpublic bhe
althbfunctionsbisbbeingbimplemented?
a. Policy bdevelopment
, b. Assessment
c. Assurance
d. Scientific bknowledge-
basedbcare bCORRECTbANSWER:bC
Assurance bfocusesbonbthe bresponsibility bofbpublic bhealthbagenciesbto bensure bcertainbactivities
have bbeenbappropriately bcarriedboutbto bmeetbpublic bhealthbgoalsbandbplans.bPolicy bdevelopme
ntbseeksbto bbuildbconstituencies bthat bcanbhelp bbring babout bchange bin bpublic bpolicy bAssessment bi
ncludesbactivitiesbthatbinvolve bcollecting,banalyzing,bandbdisseminating binformationbon bbothbt
he bhealthbstatusbandbthe bhealth-
relatedbaspectsbofba bcommunity borba bspecific bpopulation.bPublic bhealthbisbbasedbonbscientific bkn
owledge bbutbisbnotba bcore bfunction
DIF: Cognitive blevel:bApplying
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX: bHealth bPromotion ba
ndbMaintenance
7. Whatbisbthe bpurpose bofbpublic bhealthbcore bfunctions?
a. Clarifying bthe brole bofbthe bgovernmentbinbfulfillingbthe bmissionbofbpublic bhealth
b. Ensuring bthe bsafety bof bpo pula tions binbrece iv ing bquality bhea lth bcare
c. Providingbcommunity-
basedbindividualized bcare bto bevery bpersonbinbthe bUnitedbStates
d. Unitingbpublic bandbprivate bprovidersbofbcarebinba bcomprehensive bapproachbto bp
rovidingbhealthbcare
CORRECT b ANSWER :b A
Asbdefinedbby bthe bInstitute bofbMedicine binbitsb1988 breport bThe bFuture bofbPublic bHealth, bassessme
nt,bpolicy bdevelopment,bandbassurance bare bcore bfunctionsbatballblevelsbofbgovernmentbforbthe bpuN
rpoofsRe cla rIi fyi G ng btBhe.gCoveMrnment’sbrole.
USNT
b b b b O
DIF: Cognitive blevel: bU nderstanding
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX: bHealth bPromotion ba
ndbMaintenance
8. Whichbofbthe bfollowingbstatementsbaboutbpublic bhealthbisbaccurate?
a. Preventionbofbearly bdeathsbcanbbe bmore beffectivelybaccomplished bby bmedicalbtr
eatmentbthanbby bpublic bhealthbapproaches.
b. Expendituresbandbresourcesbforbpublic bhealthbhave bincreasedbinbrecentbyears.
c. Historically,bgainsbinbthe bhealthbofbpopulationsbhavebbeenbrelatedblargelybto bchangesbinb
safety,bsanitation,bandbfoodbsafety.
d. Reform bofbthe bmedicalbinsurancebsystembisbthe bsingle bchange bneededbto bimprovebth
ebhealthbofbAmericans.
CORRECT b ANSWER :b C
FieldingbandbTilsonbhave bassertedbthat bmost bof bthe bincrease bin blife bspan bhas bbeenbmade b through b
improvementsbinbsanitation,bcleanbwater bsupplies, bmakingbworkplacesbsafer,b improv ing bfo od ba
nd bdrug b safety, b immunizing bc hildren, band b improv ing b nutrition, bhy giene,
andbhousing.bMedicalbtreatmentbhasbnotbmade basbsignificantbofbanbimpactbonbthe blife bspanbasbpu
blic bhealthbmeasures.bFundingbforbpublic bhealthbinbrecentbyearsbhasbbeenbonba bgradualbdecline.b
Althoughbreform bofbthe bmedicalbinsurance bsystembmay bhelpbimprove bthe bhealthbofbAmericans,
bthere bare bmany botherbfactorsbthatbwill bneed bto bbe baddressed.
DIF: Cognitive bleve l: bUnde rsta nding TOP:bNursing bproce ss: b Asse ssment