What was the outcome of the Shattuck Report?

Question 1 of 5

A. Efforts to control alcohol and drug abuse, as well as tobacco use, were initiated. B. Environmental sanitation efforts became an immediate priority. C. Guidelines for modern public health organizations were eventually developed. D. Local and state governments established boards of health after its publication.

Correct Answer: C

Rationale: It took 19 years for the first of Shattuckâ€™s recommendations to be implemented, but his report was the first effort to create a modern public health organization. Changes were not immediate (D) and focused on long-term guidelines (C) rather than substance abuse (A) or sanitation alone (B).

Question 2 of 5

Why were nurses so unprepared for public health nursing in the early 20th century?

A. Public health nursing had not yet been created as a field. B. No one would teach the nurses how to engage in public health activities. C. Nightingaleâ€™s textbook did not include content on public health nursing. D. Nurses were educated in diploma schools, which focused on care of hospitalized clients.

Correct Answer: D

Rationale: Diploma schools emphasized hospital care, leaving nurses unprepared for home visiting. Public health nursing existed (A), teachers were available (B), and Nightingale didnâ€™t publish a textbook (C).

Question 3 of 5

Why did the Metropolitan Life Insurance Company establish and retain for several years the first community nursing health program for policyholders?

A. Creating such a service was the morally correct thing to do. B. Employing nurses directly was less expensive than paying taxes to the city for the same purpose. C. Having the companyâ€™s nurses make home visits increased worker morale. D. Having public health nurses visit policyholders and their families led to a decline in policyholder deaths, thus lowering costs for the insurance company.

Correct Answer: D

Rationale: Metropolitan Life saw a 7% decline in mortality and 20% in child deaths under 3, reducing costs due to visiting nurses. Funding was scarce (B), and morale (C) or morality (A) werenâ€™t primary drivers.

Question 4 of 5

A public health nurse is determining what type of programming should be developed for the community. Which of the following is the most crucial factor that will influence program development?

A. Comprehensive assessment and planning done in the community B. Documented needs of the local community C. Federal funding for priority diseases or groups D. Nursing staffâ€™s expertise and skills

Correct Answer: C

Rationale: Programs are designed to fit funding priorities; thus, federal support (C) determines focus areas. Assessments (A) and needs (B) inform but depend on funding, and staff expertise (D) is secondary.

Question 5 of 5

A public health nurse is compiling information about how to promote early detection of breast cancer in women. Which document would most likely provide useful information about this topic?

A. The Future of Public Health B. Healthy People 2020 C. Patient Protection and Affordable Care Act D. Scope and Standards of Public Health Nursing Practice

Correct Answer: B

Rationale: Healthy People 2020 sets goals for preventing chronic diseases like breast cancer via early detection. The Future of Public Health (A) discusses system issues, PPACA (C) focuses on insurance, and Scope/Standards (D) outlines nursing processes.

What was the outcome of the Shattuck Report?

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