Test bank for Public Health Nursing: Population-Centered Health Care in the Community
10th Edition by Stanhope, Lancaster1. 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 thre...
Test bank for Public Health
Nursing: Population-Centered
Health Care in the Community
10th Edition by Stanhope,
Lancaster
,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 topublic 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 bestdescribes
the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could causeN thUeReaIlthNcGaT
hS reBs.ysC mMto collapse.
teO
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 wouldbe an increase in
the need for shelter. However, all the remaining options would happen because of the diversion of
funds.
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 themajority
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 Instituteof
Medicine when planningNitsR heaIlU
th pGrog
SBra.mNCminT
Mg. Which
O 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 inAtlanta
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 avianflu 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 ordisease
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 functionsis 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 UnitedStates
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 purposeNof R
clarifyi ng tB
he.gCoveM
rnment’s role.
I G USNT 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 changesin
safety, sanitation, and food safety.
d. Reform of the medical insurance system is the single change needed to improvethe
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 aspublic 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.
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