Test Bank For Public Health Nursing Population-
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Centered Health Care in the Community 1th Edition by
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Lancaster & Stanhope, Full Chapter 1-46,Version
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2024/2025 (A+).
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ISBN:9780323611114.
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ORIGINAL FILE
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VERSION 2024
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TESTBANK H
, Public Health Nursing 10th Edition Stanhope Test Bank
Chapter 01: Public Health Foundations and Population Health
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Stanhope: Public Health Nursing: Population-Centered Health Care in the Community,
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11th Edition
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MULTIPLE CHOICE H
1. What is the primary focus to be addressed concerning the improvement of the health of the
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American people in the twenty-first century?
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a. Bioterrorism and global health threats H H H H
b. Delivery of individual care and hygiene H H H H H
c. The need for increased hospital and acute care
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d. Chronic disease and disability management H H H H
ANS: A H
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 to
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public health or are concerns that have been present for many years.
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DIF: Cognitive level: Understanding TOP: Nursing process: Planning H H H H
MSC: NCLEX: Health Promotion and Maintenance
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2. A community is concerned about the threat of bioterrorism. Which of the following best
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describes the basis for this concern?
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a. Bioterrorism has the potential to dissolve community-based programs. H H H H H H H
b. This threat could causeN thUeR
heSaI
lthNcGaT
H reBs.
ysC mMto collapse.
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c. The threat may divert funds from other public safety health care programs.
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d. Fear of bioterrorism will increase the need for shelters.
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ANS: C H
Bioterrorism may have an impact on the availability of resources for public safety health care
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programs. Because funds are diverted it is possible that community-based programs would be
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eliminated, the health care system could experience changes, and that there would be an
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increase in the need for shelter. However, all the remaining options would happen because of
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the diversion of funds.
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DIF: Cognitive level: Analyzing H H TOP: Nursing process: Diagnosis H H
MSC: NCLEX: Physiological Integrity
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3. Which statement describes the consequence of the successful implementation of the
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Affordable Care Act?
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a. Americans will pay closer attention to their health status. H H H H H H H H
b. Most of the population will be covered by health insurance.
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c. Public health departments will need to increase the number of nursing positions.
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d. The prevalence of obesity will decrease.
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ANS: B
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NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
One consequence of successful implementation of the Affordable Care Act might be that the
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majority of the population would be covered by insurance and public health agencies will not
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need to provide direct clinical services in order to assure that those who need them can receive
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them. The Affordable Care Act will not directly cause Americans to pay closer attention to
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their health status or decrease the prevalence of obesity.
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DIF: Cognitive level: Understanding TOP: Nursing process: Assessment H H H H
MSC: NCLEX: Health Promotion and Maintenance
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4. The public health nurse (PHN) must participate in the essential services of public health.
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What is one of the essential services of public health nursing?
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a. Monitoring health status by completing a community assessment H H H H H H H
b. Diagnosing and investigating health problems in the world H H H H H H H
c. Informing, educating, and empowering people about health issues H H H H H H H
d. Working in law enforcement to regulate health and ensure safety H H H H H H H H H
ANS: C H
The PHN monitors health status in several ways, completing a community assessment is only
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one way that health status is monitored. The PHN would not diagnose or solve “world”
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problems, or work in law enforcement. Rather, the PHN would participate with local
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regulators to protect communities and empower people to address health issues.
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DIF: Cognitive level: Understanding TOP: Nursing process: Implementation H H H H
MSC: NCLEX: Health Promotion and Maintenance
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5. A public health department is using the mission of public health as described by the Institute of
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Medicine when planningNits RheaI lth pGrogBra.mCminMg. Which of the following activities will most
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likely be implemented?
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U S N T O H
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a. Tracking avian flu outbreaks and doing surveillance in the United States H H H H H H H H H H
b. Providing a flu shot for an elderly person at the health department H H H H H H H H H H H
c. Keeping track of alternative therapies in use in the United States H H H H H H H H H H
d. Keeping snake antivenom at the Centers for Disease Control and Prevention in
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Atlanta H
ANS: A H
The Institute of Medicine’s stated mission on public health is “to generate organized
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community and technical knowledge to prevent disease and promote health.” Tracking avian flu
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outbreaks and doing surveillance applies this concept at a population level. Providing a flu shot
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for an elderly person only addresses individual care. Keeping track of the use of alternative
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therapies does nothing to prevent disease or promote health of the population.
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Keeping snake antivenom is aimed at disease care for an individual, not health promotion or
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disease prevention.
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DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment H H H H
MSC: NCLEX: Health Promotion and Maintenance
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6. A public health department makes sure that the essential community-oriented health services
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are available in the community. Which of the following core public health functions is being
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implemented?
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a. Policy development H
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
b. Assessment
c. Assurance
d. Scientific knowledge-based care H H
ANS: C H
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 development
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seeks to build constituencies that can help bring about change in public policy. Assessment
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includes activities that involve collecting, analyzing, and disseminating information on both
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the health status and the health-related aspects of a community or a specific population. Public
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health is based on scientific knowledge but is not a core function.
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DIF: Cognitive level: Applying TOP: Nursing process: Assessment H H H H
MSC: NCLEX: Health Promotion and Maintenance
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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 H H H H H H H H H H H H
b. Ensuring the safety of populations in receiving quality health care H H H H H H H H H
c. Providing community-based individualized care to every person in the United H H H H H H H H H
States
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d. Uniting public and private providers of care in a comprehensive approach to
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providing health care
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ANS: A H
As defined by the Institute of Medicine in its 1988 report The Future of Public Health,
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assessment, policy development, and assurance are core functions at all levels of government
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for the purposeNof R
H H clarI
H ifyiG
ng tB
he.gCoveMrnment’s role. H H
U S N T O
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment H H H H
MSC: NCLEX: Health Promotion and Maintenance
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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 medical H H H H H H H H H H
treatment than by public health approaches.
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b. Expenditures and resources for public health have increased in recent years. H H H H H H H H H H
c. Historically, gains in the health of populations have been related largely to changes in H H H H H H H H H H H H H
safety, sanitation, and food safety.
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d. Reform of the medical insurance system is the single change needed to improve the
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health of Americans.
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ANS: C H
Fielding and Tilson have asserted that most of the increase in life span has been made through
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improvements in sanitation, clean water supplies, making workplaces safer, improving food
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and drug safety, immunizing children, and improving nutrition, hygiene, and housing.
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Medical treatment has not made as significant of an impact on the life span as public health
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measures. Funding for public health in recent years has been on a gradual decline. Although
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reform of the medical insurance system may help improve the health of Americans, there are
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many other factors that will need to be addressed.
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DIF: Cognitive level: Understanding H H TOP: Nursing process: Assessment H H
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