FULL TEST BANK
COMMUNITY AND PUBLIC HEALTH NURSING 10TH
EDITION
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Complete Test bank, All Chapters are included.
, Table of content
Chapter 1: The Journey Begins: Introduction
Chapter 2: Public Health Nursing in the Community
Chapter 3: History and Evolution of Public Health Nursing
Chapter 4: Evidence-Based Practice and Ethics
Chapter 5: Transcultural Nursing
Chapter 6: Structure and Economics of Community/Public Health Services
Chapter 7: Epidemiology in the Community
Chapter 8: Communicable Disease
Chapter 9: Environmental Health and Safety
Chapter 10: Communication, Collaboration, and Technology
Chapter 11: Health Promotion Through Education
Chapter 12: Planning, Implementing, and Evaluating Community/Public Health Programs
Chapter 13: Policy Making and Advocacy
Chapter 14: Family as Client
Chapter 15: Community as Client
Chapter 16: Global Health Nursing
Chapter 17: Disasters and Their Impact
Chapter 18: Violence and Abuse
Chapter 19: Maternal–Child Health
Chapter 20: School-Age Children and Adolescents
Chapter 21: Adult Health
Chapter 22: Older Adults
Chapter 23: Working With Vulnerable People
Chapter 24: Clients With Disabilities
Chapter 25: Behavioral Health in the Community
Chapter 26: Working with the Homeless
Chapter 27: Rural, Migrant, and Urban Communities
Chapter 28: Public Settings
Chapter 29: Private Settings
Chapter 30: Home Health and Hospice Care
,Chapter 1 The Journey Begins: Introduction
1. After teaching a group of NURSING students about the similarities and differences
between public health and community health, which of the following statements by a
NURSING student would indicate knowledge of the similarities and differences between public
health and community health?
A) “Community health NURSING is defined as
NURSING care that is provided in a community setting, rather than an institutional setting.”
B) “Public health NURSING is defined as NURSING care that is provided in an
institutional setting.”
C) “Public health NURSING is focused on
the health of individuals.”
D) “Community health NURSING can shape the quality of community health services
and improve the health of the general public.”
ANSWER: D
Feedback:
Operating within an environment of rapid change and increasingly complex challenges,
this NURSING specialty holds the potential to shape the quality of community health services
and improve the health of the general
public.
2. Which of the following statements would best
describe the difference between public health NURSING and community health NURSING?
A) Public health NURSING is focused on the private aspects of health, and community
health NURSING is focused on the public aspects of
health.
B) In our textbook, the term community health practice refers to a focus on specific,
designated communities and is a part of the
larger public health effort.
C) Public health NURSING and community health NURSING relate to the very same
types of services and perspectives.
D) Both public health NURSING and community health NURSING are practiced
exclusively within institutions.
ANSWER: B
Feedback:
, In this textbook, community health practice refers to a focus on specific, designated
communities. It is a part of the larger public health effort and recognizes the fundamental
concepts and principles of public health as its birthright and foundation for practice. Public
health NURSING is focused on the public aspects of health. Public health NURSING and
community health NURSING have distinctive types of services and perspectives. Neither public
health NURSING nor community health NURSING is practiced exclusively within
institutions.
3. Which of the following is most accurate about
the concept of community?
A) A community is a collection of people who
share some important features of their lives.
B) Community members live in the same
geographic location.
C) Community members are biologically related.
D) A community is made up of people who do not necessarily interact with one another and
do not necessarily share a sense of belonging
to that group.
ANSWER:
A
Feedback:
The broad definition of a community is a collection of people who share some important
features of their lives. Community members may not live in the same geographic location as in a
common-interest community or a community of solution. A population is made up of people
who do not necessarily interact with one another and do not necessarily share a sense of
belonging to that
group.
4. A group of students are reviewing material for a test on populations, communities, and
aggregates. Which of the following indicates
that the students understand these concepts?
A) Members of a population share a sense of
belonging.
B) Communities and populations are types of
aggregates.
C) Individuals of a community are loosely
connected.
D) Members of an aggregate share a strong bond.
ANSWER: B
Feedback:
An aggregate refers to a mass of grouping of distinct individuals who are considered as a
whole and who are loosely associated with one another. Communities and populations are types
of aggregates. A population is made up of people who do not necessarily interact with one
another and do not necessarily share a sense of belonging to the group. A community is a
,collection of people who chose to interact with one another because of common interests,
characteristics, or goals, which form the basis for a sense of unity or
belonging.
5. Which of the following would a community health NURSE identify as a community
of common interest?
A) The global community
B) Small rural town in a northern state
C) National professional organization
D) Counties addressing water pollution
ANSWER: C
Feedback:
A common-interest community shares a common interest or goal that binds the members
together. Membership in a national professional organization is one example. The global
community and a small rural town in a northern state would be examples of a geographic
community. Counties addressing a water pollution problem would be an example
of a community of solution.
6. The NURSE is working with a community of solution. Which of the following would
the NURSE expect to find?
A) A health problem affecting the group
B) Common goal binding members together
C) Sharing of a similar goal
D) Locational boundaries
ANSWER: A
Feedback:
A community of solution involves a group of people coming together to solve a problem
that affects them. A common-interest community involves a collection of people widely
scattered geographically who have an interest or goal that binds the members together. A
geographical community is one defined by its geographical or locational
boundaries.
7. Which one of the following statements made by a student would the NURSE
educator recognize as evidence that a student
understands the health continuum?
A) The distinction between health and illness is
well demarcated.
B) Illness refers to a state of being relatively
unhealthy.
C) The term health is limited to reflect an
individual's state.
D) Treatment of acute conditions reflects the
current focus of health care.
ANSWER: B
, Feedback:
Although society typically depicts an absolute line of difference between being either
well or ill, health is considered a relative term. Thus, illness is viewed as a state of being
relatively unhealthy. Health is typically described as a continuum that involves a range of
degrees from optimal health at one end to total disability or death at the other. The line of
demarcation is not clear. Health applies to individuals, families, and communities.
Traditionally, most health care has focused on the treatment of acute and chronic conditions at
the illness end of the continuum, but this emphasis is shifting to focus on the wellness
end.
8. When discussing the concept of the health continuum with a class, the NURSE
educator would be certain to include which statement
in the description?
A) Wellness is a relative concept, not an absolute, and illness is a state of being
relatively unhealthy.
B) A client's placement on the health continuum
is static throughout time.
C) Health is best described as cyclic.
D) The health continuum can only be applied to
individuals.
ANSWER:
A
Feedback:
Wellness is a relative concept, not an absolute, and illness is a state of being relatively
unhealthy. The continuum can change. Because health involves a range of degrees from optimal
health at one end to total disability or death at the other, it is often described as a continuum. The
health continuum applies not only to individuals but
also to families and communities.
9. After discussing the leading health indicators with a class, which condition if stated by
the class as one of these indicators suggests that
the class has understood the information?
A) Cardiac disease
B) Mental health
C) Sedentary lifestyle
D) Maternal health care
ANSWER: B
Feedback:
Mental health is a leading health indicator. Other leading health indicators include
physical activity, overweight and obesity, tobacco use, substance use, responsible sexual
behavior, injury and violence, environmental quality, immunization, and access to health
care.
,10. Which of the following statements about
health promotion and disease prevention is the most accurate?
A) Health promotion and disease prevention include all efforts that seek to move people
closer to optimal well-being or higher levels
of wellness.
B) Disease prevention differs from health promotion in that disease prevention is
targeted toward a specific disease or diseases.
C) Health promotion can be described in terms of
primary, secondary, and tertiary prevention.
D) The goal of disease prevention is to raise levels of wellness for individuals, families,
populations, and communities.
ANSWER:
B
Feedback:
Health promotion includes all efforts that seek to move people closer to optimal well-
being or higher levels of wellness. The goal of health promotion is to raise levels of wellness for
individuals, families, populations, and communities. Disease prevention is targeted toward a
specific disease or diseases and consists of primary, secondary, and tertiary
prevention.
11. A group of community health NURSING students design a health education program for
a group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating
helpful exercises, and discussing their concerns. This is an example
of which of the following?
A) Health promotion
B) Treatment of disorders
C) Rehabilitation
D) Evaluation
ANSWER:
A
Feedback:
The student NURSEs are engaging in health promotion activities. Health promotion
incorporates all efforts that seek to move people closer to optimal well-being or to higher levels
of wellness. Treatment of disorders would include direct care for issues involving the group,
such as complications that might arise in this population.
Rehabilitation would involve activities to minimize disability or restore or preserve function.
Evaluation would involve an analysis of the effectiveness of these
activities.
12. plan of primary prevention activities. Which of the following might the NURSE
include? Select all that apply.
A) Teaching about safe-sex practices to high
,school students
B) Encouraging older adults to install safety
devices in the bathroom
C) Providing regular immunization programs for
communicable diseases
D) Participating in cholesterol screening
programs at health fairs
E) Providing skin testing for tuberculosis for
children over 1 year of age
F) Working with a group testing water samples
for contamination
ANSWER: A, B, C
Feedback:
Primary prevention activities are those taken to keep illness or injuries from occurring.
These include teaching about safe-sex practices, encouraging older adults to use safety devices in
the bathroom, and providing regular immunization programs for communicable diseases.
Cholesterol screening programs, skin tests for tuberculosis, and working with a group testing
water samples for contamination are examples of secondary prevention activities.
13. A community health NURSE is preparing a presentation for a group of NURSING
students about community health NURSING. Which of the following descriptions about
community health NURSING would the NURSE most likely
include in the presentation?
A) Focusing on addressing continuous needs
B) Working with the client as an equal partner
C) Engaging in tertiary prevention as the priority
D) Encouraging clients to reach out to the
NURSE ANSWER: B
Feedback:
The community health NURSE works with the client as an equal partner, encouraging
autonomy. At any time, the NURSE deals with continuous and episodic needs simultaneously.
Primary prevention is the priority for community health NURSEs. The community health
NURSE engages in primary prevention as the priority, having the obligation to actively reach
out to all who might benefit from a specific activity or
service.
14. A community health NURSE is working with other members of a team that will be
implementing a citywide immunization program. The NURSE is coordinating the services
and addressing the needs of the population groups to ensure which of the
following?
A) Involvement of the community
B) Client participation
C) Continuity of service
D) Plan for follow-up
ANSWER: C
Feedback:
, Working in cooperation with other team members and coordinating services and
addressing the needs of population groups are essential to interprofessional collaboration. In
doing so, the community health NURSE is preventing fragmentation and gaps thereby ensuring
continuity of service. Involvement of the community and client participation are important but
these help to ensure that the clients are viewed as equal partners of the health care team. A plan
for follow-up may or may not be appropriate. In addition, it is the only aspect that may be
addressed with the
program.
15. A community health NURSE works to ensure the greatest good for the greatest number
of people by applying which of the following?
A) Secondary prevention activities
B) Autonomy
C) Justice
D) Utilitarianism
ANSWER:
D
Feedback:
The ethical theory of utilitarianism promotes the greatest good for the greatest number.
Primary prevention activities, not secondary prevention, are the priority. Autonomy refers to the
freedom of choice. Justice involves
treating people fairly.
16. When working in the community, the community health NURSE adopts the teaching plan
to ensure that the population understands the basic information provided to address
which of the following?
A) Self-care
B) Health disparities
C) Health literacy
D) Episodic needs
ANSWER:
C
Feedback:
Consumers are often intimated by health professionals and are uninformed about health
and health care affecting the quality of care.
Adopting a teaching plan to ensure that the population understands the basic information
addresses health literacy, the ability to read, understand, and use health care information
appropriately. Doing so helps to ensure that the teaching plan will be effective. Self-care refers to
the process of taking responsibility for developing one's own health potential by actively
participating in promoting one's own health. Health disparities reflect differences in all aspects of
health care related to vulnerable populations. Episodic needs are one-time
specific negative health events that arise and are not an expected part of life.
, 17. Which of the following would be crucial for the community health NURSE to address as
the priority when dealing with policy makers about the development of community health
programs?
A) Research-based best practices
B) Population's make up
C) Amount of services to be provided
D) Scarcity of the available resources
ANSWER: A
Feedback:
Decisions for programs or services are often made on the basis of cost-effectiveness or
cost–benefit. Therefore, community health NURSEs must provide policy makers with
information about best practices, grounded in research. Although population make up, amount of
services to be provided, and scarcity of resources are factors that may need to be considered, the
community health NURSE
must demonstrate evidence-based practice.
18. After a class that described the differences between acute care NURSING and
community health NURSING, which statement by the class about community health
NURSEs indicates successful teaching?
A) Use a reactive approach.
B) Seek out potential health problems.
C) Concentrate on the illness end of the
continuum.
D) Emphasize curative care.
ANSWER: B
Feedback:
Community health NURSEs, in contrast to acute care NURSEs, seek out potential
health problems, identifying high-risk groups and instituting preventive programs; use a
proactive approach; concentrate on the wellness end of the health continuum; and put
less emphasis on curative care.
19. Which of the following activities would be associated with a community health
NURSE? Select all that apply.
A) Examining infants in a city well-baby clinic
B) Caring for elderly stroke victims in their
homes
C) Providing emergency care in an acute care
facility
D) Carrying out epidemiologic research
E) Participating in health policy analysis
ANSWER: A, B, D, E
Feedback:
Community health NURSEs work in every conceivable kind of community agency, from
a state public health department to a community-based advocacy group. Their duties rang from
examining infants in a well- baby clinic or teaching elderly stroke victims in their homes to
