Stanhope: Public Health Nursing:
Population-Centered Health Care in
the Community, 9th Edition
TEST BANK
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1
Chapter 01:
... [Show More] 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:
delivery of individual care and hygiene.
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?
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.
DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis MSC: NCLEX:
Psychosocial Integrity
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3. Which of the following describes the consequence of the successful implementation of the
Affordable Care Act?
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?
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?
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Tracking avian flu outbreaks and doing
Disease Control and Prevention in Atlanta
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 avian
flu 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 or disease prevention.
DIF: Cognitive level: Analyzing REF: p. 6
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 functions is being
implemented?
Policy development
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 healthrelated aspects of a community or a specific population [Show Less]