Public Health Nursing: Population-Centered Health Care in
the Community
by Marcia Stanhope and Jeanette
Lancaster 11th Edition
,Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the
Community, 11th Edition
MULTIPLE CHOICE
1. What is the primary focus to be addressed concerning the improvement of the health of
theAmerican 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
CORRECT: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 TOPIC: Nursing process:
PlanningMSC: 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 causeN thUeReaI
hS lthNcGaT
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.
CORRECT: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.
3. Which statement describes the consequence of the successful implementation of
theAffordable 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.
SOLUTION:B
, 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 TOPIC: Nursing process:
AssessmentMSC: NCLEX: Health Promotion and Maintenance
4. The public health NURSE (PHN) must participate in the essential services of
publichealth. 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
CORRECT: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 TOPIC: Nursing process:
ImplementationMSC: 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 planningNits RheaI lth pGrogBra.mCminMg. Which of the following
U S N T
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
CORRECT: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 TOPIC: Nursing process:
AssessmentMSC: 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
CORRECT: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 TOPIC: Nursing process:
AssessmentMSC: 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
toproviding health care
CORRECT: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
ofgovernment for the purposeNof R
clarI
ifyiG
ng tB
he.gCoveMrnment’s role.
U S N T O
DIF: Cognitive level: Understanding TOPIC: Nursing process:
AssessmentMSC: 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
medicaltreatment 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 improve
the health of Americans.
CORRECT: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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