Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
Chapter 01: Public Health Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th
Edition
MULTIPLE CHOICE
1.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 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
- 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 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 - Which statement describes the consequence of the successful implementation of the Affordable Care
Act?
Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
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
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
- 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 - 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
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 TOP: Nursing process: Assessment
Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
MSC: NCLEX: Health Promotion and Maintenance
- 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
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. Public health is based on scientific knowledge
but is not a core function.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance - 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 United
States
d. Uniting public and private providers of care in a comprehensive approach to
providing health care
ANS: 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 of government for the purpose of
clarifying the government’s role.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance - Which of the following statements about public health is accurate?
a. Prevention of early deaths can be more effectively accomplished by medical
treatment 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 changes
in safety, sanitation, and food safety.
d. Reform of the medical insurance system is the single change needed to improve
the health of Americans.
ANS: C
Public Health Nursing 10th Edition by Marcia Stanhope Test Bank
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 as public 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.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
- A public health nurse (PHN) collects data and monitors the health status of the population. Which of
the following core public health functions is the nurse addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: A
Assessment consists of systematic data collection and monitoring health status.
Prevention is not a core function, assurance is making sure essential services are available, and policy
development is needed to provide leadership in developing policies.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance - The public health nurse (PHN) compares the rate of teenage pregnancy in various areas of the city.
Which of the core functions of public health is the nurse addressing?
a. Assurance
b. Assessment
c. Prevention
d. Policy development
ANS: B
Assessment refers to systematic data collection, which this nurse is doing for teenage pregnancy.
Prevention is not a core function, assurance is making sure essential services are available, and policy
development is needed to provide leadership in developing policies.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance - A public health nurse (PHN) develops and implements local public health policies through
partnerships with agencies, organizations, and consumers within the community. Which of the
following core public health functions is the nurse addressing?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: D
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