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TEST BANK FOR PUBLIC HEALTH NURSING POPULATION CENTERED HEALTH CARE IN THE COMMUNITY 10TH EDITION STANHOPE
TEST BANK FOR PUBLIC HEALTH NURSING POPULATION CENTERED HEALTH CARE IN THE COMMUNITY 10TH EDITION STANHOPE
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TEST BANK FOR PUBLIC HEALTH NURSING II II II II IIPOPULATION CENTERED HEALTH CARE IN
II II II II II II
THE COMMUNITY 10TH EDITION STANHOPE
II II II II
Chapter 01: Public Health Foundations and Population Health
II II II II II II II
Stanhope: Public Health Nursing: Population-Centered Health Care in
II II II II II II II
theCommunity, 10th Edition
II I II II
MULTIPLE CHOICE II
1. What is the primary focus to be addressed concerning the improvement of the health of
II II II II II II II II II II II II II II
the American people in the twenty-first century?
II I II II II II II
a. Bioterrorism and global health threats II II II II
b. Delivery of individual care and hygiene II II II II II
c. The need for increased hospital and acute care II II II II II II II
d. Chronic disease and disability management II II II II
ANS: A I I
There are new concerns, and of the most serious are bioterrorism and globally induced
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infections, such as the avian flu. These threats will divert health care funds and resources
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from other health care programs to be spent for public safety. The others are not related
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topublic health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP: Nursing process: II II II
Planning MSC: NCLEX: Health Promotion and Maintenance
II I I I II II II II
2. A community is concerned about the threat of bioterrorism. Which of the following
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bestdescribes the basis for this concern?
II I II II II II II
a. Bioterrorism has the potential to dissolve community-based programs. II II II II II II II
b. This threat could causeN eR
thU eaI
hS lthNcGaT
r eBsy.sC mMto collapse.
teO II II II II
c. The threat may divert funds from other public safety health care programs.
II II II II II II II II II II II
d. Fear of bioterrorism will increase the need for shelters. II II II II II II II II
ANS: C I I
Bioterrorism may have an impact on the availability of resources for public safety health II II II II II II II II II II II II II
care programs. Because funds are diverted it is possible that community-based programs
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would be eliminated, the health care system could experience changes, and that there
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wouldbe an increase in the need for shelter. However, all the remaining options would
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happen because of the diversion of funds.
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DIF: Cognitive level: Analyzing TOP: Nursing process: II II II
DiagnosisMSC: NCLEX: Physiological Integrity
II I I I II II
3. Which statement describes the consequence of the successful implementation of
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the Affordable Care Act?
II I II II
a. Americans will pay closer attention to their health status. II II II II II II II II
b. Most of the population will be covered by health insurance. II II II II II II II II II
c. Public health departments will need to increase the number of nursing positions.
II II II II II II II II II II II
100% TOP II
,d. The prevalence of obesity will
II II II II
II decrease.ANS: B
I I I
100% TOP
II
, One consequence of successful implementation of the Affordable Care Act might be that
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themajority of the population would be covered by insurance and public health agencies will
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not need to provide direct clinical services in order to assure that those who need them can
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receive them. The Affordable Care Act will not directly cause Americans to pay closer
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attention to their health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP: Nursing process: II II II
Assessment MSC: NCLEX: Health Promotion and Maintenance
II I I I II II II II
4. The public health nurse (PHN) must participate in the essential services of public
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health. What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment II II II II II II II
b. Diagnosing and investigating health problems in the world II II II II II II II
c. Informing, educating, and empowering people about health issues II II II II II II II
d. Working in law enforcement to regulate health and ensure safety II II II II II II II II II
ANS: C I I
The PHN monitors health status in several ways, completing a community assessment is
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only one way that health status is monitored. The PHN would not diagnose or solve
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“world”problems, or work in law enforcement. Rather, the PHN would participate with
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local regulators to protect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP: Nursing process: II II II
Implementation MSC: NCLEX: Health Promotion and Maintenance
II I I I II II II II
5. A public health department is using the mission of public health as described by the
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Institute of Medicine when planningNitsRheaI
lth pGrogB
ra.mCminMg. Which of the following
II
U S N T
activities will most likely be implemented?
II
I
II
II
II II
II
II
II
II
II II II
II II II II II
a. Tracking avian flu outbreaks and doing surveillance in the United States II II II II II II II II II II
b. Providing a flu shot for an elderly person at the health department II II II II II II II II II II II
c. Keeping track of alternative therapies in use in the United States II II II II II II II II II II
d. Keeping snake antivenom at the Centers for Disease Control and Prevention II II II II II II II II II II
inAtlanta II I
ANS: A I I
The Institute of Medicine’s stated mission on public health is “to generate organized
II II II II II II II II II II II II
community and technical knowledge to prevent disease and promote health.” Tracking
II II II II II II II II II II II
avianflu outbreaks and doing surveillance applies this concept at a population level.
II I II II II II II II II II II II II
Providing a flu shot for an elderly person only addresses individual care. Keeping track of
II II II II II II II II II II II II II II II
the use of alternative therapies does nothing to prevent disease or promote health of the
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population.
II
Keeping snake antivenom is aimed at disease care for an individual, not health promotion
II II II II II II II II II II II II II
ordisease prevention.
II I II
DIF: Cognitive level: Analyzing TOP: Nursing process: II II II
AssessmentMSC: NCLEX: Health Promotion and Maintenance
II I I I II II II II
6. A public health department makes sure that the essential community-oriented health
II II II II II II II II II II
services are available in the community. Which of the following core public health
II II II II II II II II II II II II II
functions is being implemented?
II I II II
a. Policy development II
100% TOP II
, b. Assessment
c. Assurance
d. Scientific knowledge-based care II II
ANS: C I I
Assurance focuses on the responsibility of public health agencies to ensure certain activities
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have been appropriately carried out to meet public health goals and plans. Policy
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development seeks to build constituencies that can help bring about change in public
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policy.Assessment includes activities that involve collecting, analyzing, and disseminating
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information on both the health status and the health-related aspects of a community or a
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specific population. Public health is based on scientific knowledge but is not a core function.
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DIF: Cognitive level: Applying TOP: Nursing process: II II II
Assessment MSC: NCLEX: Health Promotion and Maintenance
II I I I II II II II
7. What is the purpose of public health core functions?
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a. Clarifying the role of the government in fulfilling the mission of public health II II II II II II II II II II II II
b. Ensuring the safety of populations in receiving quality health care II II II II II II II II II
c. Providing community-based individualized care to every person in the II II II II II II II II
United States
II I
d. Uniting public and private providers of care in a comprehensive approach
II II II II II II II II II II
toproviding health care
II I II II
ANS: A I I
As defined by the Institute of Medicine in its 1988 report The Future of Public
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Health,assessment, policy development, and assurance are core functions at all levels
II I II II II II II II II II II II
of government for the purposeNofR
II II clarI
ifyiG
ng tBhe.gC
oveM
rnment’s role. II II II II II
USNT II II II O
DIF: Cognitive level: Understanding TOP: Nursing process: II II II
Assessment MSC: NCLEX: Health Promotion and Maintenance
II I I I II II II II
8. Which of the following statements about public health is accurate?
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a. Prevention of early deaths can be more effectively accomplished by II II II II II II II II II
medicaltreatment than by public health approaches.
II I II II II II II
b. Expenditures and resources for public health have increased in recent years. II II II II II II II II II II
c. Historically, gains in the health of populations have been related largely to II II II II II II II II II II II
changes in safety, sanitation, and food safety.
II I II II II II II
d. Reform of the medical insurance system is the single change needed to
II II II II II II II II II II II
improvethe health of Americans.
II I II II II
ANS: C I I
Fielding and Tilson have asserted that most of the increase in life span has been made
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through improvements in sanitation, clean water supplies, making workplaces safer,
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improving food and drug safety, immunizing children, and improving nutrition, hygiene,
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and housing. Medical treatment has not made as significant of an impact on the life span
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aspublic health measures. Funding for public health in recent years has been on a gradual
II I II II II II II II II II II II II II II II
decline. Although reform of the medical insurance system may help improve the health of
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Americans, there are many other factors that will need to be addressed.
II II II II II II II II II II II II
DIF: Cognitive level: Understanding II II TOP: Nursing process: Assessment II II
100% TOP II
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