Public Health Science and Nursing Practice: Caring for Populations 1st Edition Test Bank
Chapter 1: Public Health and Nursing Practice
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The public health nurse (PHN) knows that he must approach a public
health problem with an understanding of the related underlying risk
factors in order to develop effective nursing interventions. He must also
consider that these risk factors can be either ____ based or ____ based.
1. Disease; individual
2. Intervention; government
3. Epidemic; population
4. Individual; population
____ 2. A nursing student is studying public health. She learns that, according to C.E.A. Winslow’s definition,
some of the goals of public health are disease prevention, promoting health, control of communicable
infections, and ____.
1. Risk assessment for disease
2. Birth control
3. Education on personal hygiene
4. Governmental safety regulations
____ 3. If the international medical community was working to contain several worldwide pandemics, they
would look to the World Health Organization (WHO), which is:
1. The public health arm of the United Nations.
2. Working to improve health and well-being for the global population.
3. Working with nurses to promote public health interventions.
4. All of the above.
____ 4. The Institute of Medicine (IOM) stated in their report, The Future of the Public’s Health, that there are
three core functions that society carries out to collectively support the optimum conditions for public
health. Which one of the following is not one of these functions?
1. Prevention
2. Assessment
3. Policy development
4. Assurance
____ 5. With aging, there is an increase in noncommunicable (chronic) illness. The PHN recognizes that an
example of a noncommunicable illness is:
1. Heart disease
2. Human immunodeficiency virus (HIV)
3. Hepatitis
4. Severe acute respiratory syndrome (SARS)
____ 6. A PHN would like to use the Dahlgren-Whitehead model to help herself and other local practitioners
understand health in populations. She understands that the Dahlgren-Whitehead ecological model
assumes that:
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, Public Health Science and Nursing Practice: Caring for Populations 1st Edition Test Bank
1. There are multiple determinants of health and thus, multiple strategies are needed.
2. A population and environmental approach is essential.
3. Linkages and relationships are crucial.
4. All of the above.
____ 7. The obesity rate in a local neighborhood is partially the product of a limited access to full service
grocery stores and a lack of dedicated safe venues for exercise. This is an example of issues related to
the “upstream” determinants of public health that contribute to the ecology of a community’s health
“downstream.” The PHN understands that upstream determinants include social relations,
neighborhoods and communities, institutions, and ____.
1. Social and economic policies
2. Availability of medicine to treat disease
3. Tertiary nursing interventions
4. Increasing the number of primary care providers
____ 8. A nursing instructor is giving a lecture on community participation in an ecological public health
system. She teaches that the benefits of this collaboration for participants in the community’s public
health are that their efforts increase effectiveness and productivity, empower the participants,
strengthen social engagement, and ____.
1. Decrease disease rates
2. Ensure accountability
3. Increase the number of medical facilities
4. Monitor childhood illnesses
____ 9. Which one of the following scenarios is not an example of community collaboration?
1. Local service groups working to organize disaster relief for tornado victims
2. A city council passing an ordinance to stop smoking in restaurants
3. An advocacy group working with the local churches to improve health care for the
indigent with mental health disorders
4. A school working with the local health department to start a school clinic
____ 10. Which layer of government is responsible for issuing quarantines during a communicable disease
outbreak?
1. Federal
2. State
3. Local
4. All of the above
____ 11. The nursing student is taught correctly that local health departments do not oversee which of the
following?
1. The surveillance of disease
2. Investigation of disease outbreaks
3. Licensing of local hospitals
4. Public sanitation and water supply
____ 12. The PHN recognizes that environmental science, epidemiology, biostatistics, biomedical sciences, and
____ form the foundational subjects of public health.
1. Economics
2. The humanities
3. Social and behavioral sciences
4. Anthropology
____ 13. As defined by the WHO, an example of a health promotion intervention is ____ whereas a risk
reduction/health protection intervention is ____.
1. Conducting a health fair; funding a school exercise program
2. Giving a free exercise class; conducting a flu vaccine outreach program
Copyright © 2016 F. A. Davis Company
, Public Health Science and Nursing Practice: Caring for Populations 1st Edition Test Bank
3. Providing flu medication free to older adults; a diet class for teenagers
4. Offering a tour of a hospital; a relaxation technique class
____ 14. According to O’Donnell’s definition of health promotion, how could a public health nurse advise a
company to encourage its employees to work toward good health?
1. Lower insurance premiums for employees who demonstrate good health habits
2. Have employee exercise classes or discounted health club memberships
3. Have incentives for healthy eating
4. All of the above
____ 15. According to Issel diversity refers to all but which of these concepts?
1. Race
2. Culture
3. Ethnicity
4. Environment
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 16. Globalization, which is a new challenge for public health, includes which of the following problems?
Select all that apply.
1. Greater disparities between rich and poor
2. Environmental degradation
3. Greater need for newer technology
4. Greater distribution of tobacco and alcohol
5. Emergence or re-emergence of communicable diseases
____ 17. Several nurses who work in the emergency room of an urban hospital notice that a sizable number of
children in a certain ethnic population have come in with an illness, all presenting with similar
symptoms. The nurses, who are not public health specialists, can intervene in the health of a
community through their work with individuals by doing which of the following?
Select all that apply.
1. Increasing antibiotic therapy availability
2. Identifying characteristics of the disease
3. Grouping patients by diagnosis
4. Giving classes on how to avoid infections
5. Assessing the environment of the patients
____ 18. The regulatory activities of public health nursing include which of the following?
Select all that apply.
1. Interpreting public health laws, regulations, and policies
2. Monitoring regulated entities such as nursing homes
3. Writing new regulations for health care and legislating them
4. Taking part in health policy debates
5. Educating the public
____ 19. If a PHN meets the PHN Core Competencies, he or she should be able to do which of the following?
Select all that apply.
1. Develop policy for handling a local quarantine.
2. Understand the dietary restrictions of new immigrants.
3. Create a financial plan for a clinic and manage the budget.
4. Function as a medical doctor at a clinic if there is none.
5. Work with corporations to create an emergency response program to bioterrorism.
Copyright © 2016 F. A. Davis Company
, Public Health Science and Nursing Practice: Caring for Populations 1st Edition Test Bank
Chapter 1: Public Health and Nursing Practice
Answer Section
MULTIPLE CHOICE
1. ANS: 4
Objective: 6. Identify the key roles and responsibilities of public health nurses (PHNs).
Page: 1-2
Heading: Introduction to Public Health
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Comprehension [Understanding]
Concept: Assessment; Promoting Health; Critical Thinking
Difficulty: Easy
Feedback
1 His approach cannot be disease based, as diseases can affect populations in multiple
locations but the risk factors can be different.
2 Interventions occur after the public health event, and governments can only follow the
evidence of public health studies.
3 An epidemic is an occurrence of a disease and has the same limitations as a
disease-based approach.
4 Nurses may work with patients to assess risk and intervene on a one-to-one, situational
basis or as part of a larger health problem within a population.
PTS: 1 CON: Assessment | Promoting Health | Critical Thinking
2. ANS: 3
Objective: 1. Describe public health in terms of current frameworks and organization from a local to a
global perspective.
Page: 2
Heading: Introduction to Public Health > What Is Public Health?
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Infection; Nursing Roles; Promoting Health
Difficulty: Easy
Feedback
1 Risk assessment is considered a part of disease prevention.
2 Birth control is not considered to be one of the goals of public health.
3 Health education and the promotion of healthy lifestyles are essential parts of public
health.
4 The goal of public health is to guide governmental policy but not to create regulations.
PTS: 1 CON: Infection | Nursing Roles | Promoting Health
3. ANS: 4
Objective: 1. Describe public health in terms of current frameworks and organization from a local to a
global perspective.
Page: 1-2
Heading: Introduction to Public Health
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Promoting Health; Health-Care System; Management; Safety
Copyright © 2016 F. A. Davis Company
