24. A public health nurse (PHN) 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 {Ans: ANS: B The Healthy People documents propose national strategies to improve significantly the health of Americans by preventing or delaying the onset of major chronic illnesses, injuries, and infectious diseases. The other documents do not address health promotion topics.}15. Local health departments were formed in urban areas in the late 1800s to accomplish what goal? a. Targeting environmental hazards associated with crowded living conditions b. Facilitating interdisciplinary efforts and promoting "practical nursing" c. Providing immunizations and health care services to all citizens d. Offering public health education to nurses who had finished basic training {Ans: ANS: A Local health departments were formed to handle environmental issues in cities, including problems associated with crowded living conditions and dirty streets, and to regulate public baths, slaughterhouses, and pigsties. Because sanitation was such an issue, there was not a focus on interdisciplinary care,