What is the primary focus to be addressed concerning the improvement of the health of the American people in the
twenty-first century?
a. Bioterrorism
... [Show More] 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 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 causeNthUeRhSeaIlthNcGaTreBsy.sCteOmMto collapse.
c. The threat 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 the remaining options
would happen because of the diversion of funds.
DIF: Cognitive level: Analyzing TOP: Nursing process: Diagnosis MSC:
NCLEX: Physiological Integrity
3. Which statement describes the consequence of the successful implementation of the Affordable 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. ANS: B
U S N T O
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 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. 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
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 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 Instit [Show Less]