Test Bank for Public Health

Test Bank for Public Health Nursing Population-Centered Health Care in the Community 10 th Edition By Marcia Stanhope, Jeanette Lancaster (All Chapters 1-46, 100% Original Verified, A+ Grade)

All Chapters Arranged Reverse: 46-1

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Chapter 46: Public Health Nursing at Local, State, and National Levels

Stanhope: Public Health Nursing: Population-Centered Health Care in the Community, 10th Edition

MULTIPLE CHOICE

1.What is the goal of local public health departments?a.Monitoring communicable diseases b.Improving the health status of communities c.Offering services for the uninsured d.Enforcing environmental codes and laws

ANS:B

The goal of local public health departments is to safeguard the public’s health and improve the health status of communities. The federal and state levels monitor communicable diseases, offer services for the uninsured, and enforce environmental codes and laws.DIF:Cognitive level: UnderstandingTOP:Nursing process: Evaluation MSC:NCLEX: Safe and Effective Care Environment: Management of Care 2.Which agency delegates the authority of the local health department?a.The federal government b.The state c.Local authorities d.Regional governing boards

ANS:B

The authority of the local health department is delegated by the state. The federal government, local authorities, and regional governing boards are not involved with delegating authority of the local health department.DIF:Cognitive level: UnderstandingTOP:Nursing process: Evaluation MSC:NCLEX: Safe and Effective Care Environment: Management of Care 3.A nurse is working in a public health department. Which of the following would most likely be the focus of the care that is provided?a.Home visiting and hospice care b.Care of communicable diseases c.Health promotion d.Illness prevention

ANS:C

Public health nurses (PHNs) employed in local, state, and federal agencies work together to identify, develop, and implement interventions that will improve and maintain the nation’s health.DIF:Cognitive level: Applying TOP:Nursing process: Implementation MSC:NCLEX: Safe and Effective Care Environment: Management of Care 2 / 4

4.Which event has the potential to weaken existing public health programs?a.The shift in funding to support bioterrorism response efforts b.The outbreaks of H1N1 influenza c.The number of citizens with human immunodeficiency virus (HIV) d.The lack of PHNs

ANS:A

The events of the twenty-first century have shifted funding to bioterrorism programs. This shift of funding has the potential to weaken existing important public health programs.DIF:Cognitive level: UnderstandingTOP:Nursing process: Evaluation MSC:NCLEX: Safe and Effective Care Environment: Management of Care 5.A public health nurse (PHN) discusses with a client which services are appropriate to meet her needs. Which of the following best describes the role that the nurse is using?a.Case manager b.Advocate c.Counselor d.Role model

ANS:B

As an advocate, the PHN collects, monitors, and analyzes data and works with the client to identify and prioritize needed services, whether the client is an individual, a family, a community, or a population. A PHN discusses with a client which services are appropriate to meet her needs. In this case, the nurse’s public health function is that of an advocate. Case managers assist clients in identifying services they need the most at the least cost. As a counselor, the nurse is a person for the client to talk with to discuss feelings and concerns. A nurse serves as a role model for the client by being a person for the client to look up to.DIF:Cognitive level: Applying TOP:Nursing process: Evaluation MSC:NCLEX: Safe and Effective Care Environment: Management of Care 6.A public health nurse (PHN) assists a client in identifying the services needed the most at the least cost. Which of the following best describes the role that the nurse is using?a.Role model b.Advocate c.Counselor d.Case manager

ANS:D

The public health function of a nurse who assists a client in identifying the services needed the most at the least cost is a case manager. As an advocate, the PHN collects, monitors, and analyzes data and works with the client to identify and prioritize needed services, whether the client is an individual, a family, a community, or a population. A PHN discusses with a client which services are appropriate to meet her needs. As a counselor, the nurse is a person for the client to talk with to discuss feelings and concerns. A nurse serves as a role model for the client by being a person for the client to look up to.DIF:Cognitive level: Applying TOP:Nursing process: Implementation MSC:NCLEX: Safe and Effective Care Environment: Management of Care 3 / 4

7.A public health nurse (PHN) aims to change behaviors such as poor hand washing skills and unsafe sex practices. Which of the following best describes the role that the nurse is using?a.Case manager b.Advocate c.Educator d.Role model

ANS:C

The PHN works as an educator, teaching to the level of the client so that information received is information that can be used. The PHN who aims to change behaviors, such as poor hand washing skills and unsafe sex practices, is acting in the role of educator. The public health function of a nurse who assists a client in identifying the services needed the most at the least cost is a case manager. As an advocate, the PHN collects, monitors, and analyzes data and works with the client to identify and prioritize needed services, whether the client is an individual, a family, a community, or a population. A PHN discusses with a client which services are appropriate to meet her needs. A nurse serves as a role model for the client by being a person for the client to look up to.DIF:Cognitive level: Applying TOP:Nursing process: Implementation MSC:NCLEX: Safe and Effective Care Environment: Management of Care 8.A nurse is providing services for uninsured women. Which of the following best describes the role that the nurse is using?a.Role model b.Primary caregiver c.Outreach worker d.Case manager

ANS:B

A nurse providing services for uninsured women is acting in the role of primary caregiver.The public health function of a nurse who assists a client in identifying the services needed the most at the least cost is a case manager. A nurse serves as a role model for the client by being a person for the client to look up to. As an outreach worker, the nurse is able to gain acceptance with the population served.DIF:Cognitive level: Applying TOP:Nursing process: Implementation MSC:NCLEX: Safe and Effective Care Environment: Management of Care 9.A nurse is providing information about safe sex practices. Which of the following levels of prevention is being implemented?a.Primary prevention b.Secondary prevention c.Tertiary prevention d.Assessment

ANS:A

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