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Public Health Nursing Test bank: 11th Edition by Stanhope

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Public Health Nursing Test bank: 11th Edition by Stanhope Chapter 01: Public Health Foundations and Population Health Stanhope: MULTIPLE CHOICE  A nurse is implementing community-based nursing care. Which intervention is the nurse most likely to complete? a. Assessing the health...

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  • September 17, 2023
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  • 2023/2024
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Public Health Nursing Test bank : 11th Edition by Stanhope Chapter 01: Public Health Foundations and Population Health Stanhope: MULTIPLE CHOICE  A nurse is implementin g community -based nursing care. Which intervention is the nurse most likely to complete? a. Assessing the health needs of a defined community b. Providing care to families in a community c. Promoting the health of an entire community d. Investigating environmental health problems in a community ANS: B Community -based nursing practice is a setting -specific practice whereby care is provided for families where they live, work, and attend school. The focus is on acute and chronic care and the provision of services. Providi ng care to families is the only intervention that accurately describes this definition. Assessing the health needs of a community, promoting the health needs of an entire community, and investigating environmental health problems in a community would be considered public health nursing practice. DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: NCLEX: Safe and Effective Care Environment: Management of Care  A nurse is conducting vision screenings on children in the school setting. Which type of nursing practice is the nurse performing? a. Community -oriented b. Public health c. Community health d. Community -based ANS: D Community -based nursing practice is a setting -specific practice whereby care is provided for clients and families w here they live, work, and attend school. Community -oriented nursing emphasizes the prevention of disease and disability. Public health nursing focuses on the care within the whole community. Community health nursing focuses on the health status of individu als and the effect of their health status on the whole community. DIF: Cognitive level: Understanding TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance  The nurse is investigating environmental health problems caused by contaminated ground water. Which type of nursing practice is being implemented? a. Community -oriented b. Community -based c. Policy development d. Tertiary care ANS: A Community -oriented nursing emphasizes the prevention of disease and disability. Community -based nursin g practice is a setting -specific practice whereby care is provided for clients and families where they live, work, and attend school. Policy development seeks to build constituencies that can help bring about change in public policy. Tertiary care focuses on highly specialized medical care. DIF: Cognitive level: Understanding TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance  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 ca re 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 diver t 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: P lanning 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 thr eat could causeNthUeRhSeaIlthNcGaTreBs.ysCteOmMto 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 r esources 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. Howe ver, 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? 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 t o 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 comm unity 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 empowe r 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 plann ingNitsRheaIlth pGrogBra.mCminMg. Whi ch of the followi ng 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 departme nt 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 communit y 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 th e 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: Nursin g process: Assessment 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 imp lemented? 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 pla ns. 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 aspect s 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 publ ic 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 State s 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 functi ons at all levels of government for the p urposeNofRclarIifyiGng tBhe.gCoveMrnment’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 Fielding and Tilson have asserted that most of the inc rease 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 signif icant 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 t hat will need to be addressed. DIF: Cognitive level: Understanding TOP: Nursing process: Assessment

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