TEST BANK FOR PUBLIC HEALTH NURSING POPULATION CENTERED HEALTH CARE IN THE COMMUNITY 10TH EDITION STANHOPE

Chapter 01: Public Health Foundations and Population Health

Stanhope: Public Health Nursing: Population-Centered Health Care in the

Community, 10th 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

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 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 collapse.

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

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 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

U S N T O

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

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 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 planningNitsRheaIlth pGrogBra.mCminMg. 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 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 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 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

ANS: 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 purposeN

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rnment’s role.

U S N T O

DIF: 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.

ANS: 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