Stanhope: Public Health
Nursing: Population-Centered
Health Care in the Community,
9th Edition
,Chapter 01: Community and Prevention-Oriented, Population-Focused Practice: The Foundation of
Specialization in Public Health Nursing
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 9th Edition
MULTIPLE CHOICE
1. One of the primary focuses of improving the health of the American people in the twenty-first
century is to address:
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 REF: p. 5 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 cause the health care system to collapse.
c. The threat of bioterrorism 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 of these things would happen because of the diversion of funds.
3. Which of the following describes the consequence of the successful implementation of the
Affordable Care Act?
a. Americans will pay closer attention to their health status.
b. The majority of the population will be covered by 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 actually 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: Remembering REF: p. 5
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. Which
of the following most accurately describes one of the essential services of public health?
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 REF: p. 8 (How to Box)
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 planning its health programming. 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
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