Test Bank for Community and Public Health Nursing, 10th Edition (Chapters 1-30)

Name: Test Bank for Community and Public Health Nursing, 10th Edition (Chapters 1-30)
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Get ahead in your studies with Test Bank for Community and Public Health Nursing, 10th Edition (Chapters 1-30), featuring exam-focused questions and solutions.

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COMMUNITY AND PUBLIC HEALTH NURSING 10TH
EDITION RECTOR TEST BANK
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.=
Ans: 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.
Ans: 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.
Ans: 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.
Ans: 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
Ans: 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
Ans: 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.
Ans: 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.
Ans: 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
Ans: 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.
Ans: 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
Ans: 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

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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
Ans: 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
Ans: 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
Ans: C
Feedback:

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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
Ans: 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
Ans: 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.

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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
Ans: A
Feedback:
Decisions for programs or services are often made on the basis of cost-effectiveness or
cost3benefit. 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.
Ans: 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
Ans: 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

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carrying out epidemiologic research or engaging in health policy analysis and decision making.
Providing care in an acute care facility would not be an activity
associated with a community health nurse.
20. The term health can be described in many different ways. A community health nurse
would view health as which of the following?
A) The absence of disease
B) The potential to lead a productive life
C) An environment free of toxins
D) A holistic state of well-being
Ans: D
Feedback:
Community health nurses view health as a holistic state of well-being, which includes
soundness of mind, body, and spirit. Along with this foundational view is the emphasis on
wellness, which includes the definition of health as well as the capacity to develop a person's
potential to lead a fulfilling and productive life. Health is more than just the absence of disease or
an environment free of
toxins.
21. While interviewing a client, which of the following statements would a nurse identify as
reflecting an objective dimension of
health?
A) <I'm feeling better since I started taking that
medication.=
B) <Life is pretty good right now, except for an
occasional upset stomach.=
C) <I'm able to wash myself in the mornings with
just a bit of help.=
D) <Sometimes when I wake up, I don't even
want to face the day.=
Ans: C
Feedback:
The objective dimension of health involves one's ability to function in daily activities.
The statement about being able to care for one's self is an example. The statements of feeling
better with medication, life being pretty good, and not wanting to face the day are examples of
the subjective dimension of
health, which involves how people feel.
22. When employing a population-oriented focus, the community health nurse would do
which
of the following?
A) Assess the groups' relationships looking for a
common need.
B) Consider the members individually for

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similarities.
C) Focus on the geographical area of the
population.
D) Promote the groups' dependency for
improving health.
Ans: A
Feedback:
A population-oriented focus requires the assessment of relationships, considering the
groups or communities in relationship to the rest of the community to discover common needs or
risks for a common health problem. The nurse does not consider the groups or communities
separately but rather in context. The population may or may not be delineated by the
geographical area. The community health nurse encourages individuals' participation to promote
their autonomy rather
than permitting dependency.
23. A community health nurse is involved in a project to evaluate the health of a city. Which
of the following findings would suggest that the city would most likely need additional
programs?
A) Citizens are actively involved in the city's department of recreation and after-school
programs.
B) The construction of affordable organized
housing developments and communities is nearing completion.
C) Approximately one third of the people are recently unemployed due to closure of the
automotive factory.
D) Several new recreational facilities for adults and children have been created at several
locations.
Ans: C
Feedback:
A healthy city is one in which there is continual creation and improvement the physical
and social environments with expansion of community resources so that people can mutually
support one another. It is characterized by the meeting of basic needs for all of the city's people.
This would include food, water, shelter, income, safety, and work. Loss of employment of one
third of the city's workforce would be a threat to the health of the city and necessitate
intervention. Active involvement in the city's functioning, affordable housing, and recreational
facilities
are suggestive of a healthy city.
Chapter 2 Public Health Nursing in the Community
1. A community health nurse is engaging in assurance activities. Which of the following
would best explain these activities?

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A) Gathering and analyzing information that will
affect the health of the people to be served
B) Providing leadership in facilitating community groups toward meeting their needs, often
involving changes in and
additions to existing laws
C) Being involved in activities to make certain that necessary services are being provided to
the community
D) Accessing relevant data that enable identification of strengths, weaknesses, and
needs within the community
Ans: C
Feedback:
Assurance activities are those activities that make certain that services are provided and
include focusing on the availability of necessary health services throughout the community,
maintaining the ability of public health agencies and private providers to manage day-to-day
operations as well as the capacity to respond to critical situations and emergencies. Assessment
involves gathering and analyzing information that will affect the health of those to be served and
accessing relevant data to enable the nurse to identify strengths, weaknesses, and needs. Policy
development involves providing leadership in
facilitating community groups.
2. When fulfilling the function of assessment, which of the following would be most
important for the community health nurse to
do?
A) Secure the trust of the clients
B) Gather appropriate information
C) Interact with key community leaders
D) Use a variety of assessment tools
Ans: A
Feedback:
Although securing and maintaining the trust of others is pivotal to all nursing practice, it
is even more critical when working in the community. Trust can afford a nurse access to client
populations that are difficult to engage, to agencies, and to health care providers. As difficult as
it may be for the nurse to gain the trust and respect of the community, if it is ever lost, these
attributes can be difficult if not impossible to regain. Gathering information, interacting with key
community leaders, and using a variety of assessment tools are important, but they can only
occur
after trust is established.

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3. The community health nurse is engaging in the core function of policy development.
With which of the activities would the nurse most
likely be involved?
A) Monitoring health status to identify
community health problems
B) Empowering communities about important
health issues
C) Linking individuals to needed personal health
services
D) Ensuring a competent health care workforce
is available
Ans: B
Feedback:
With policy development, the community health nurse would be involved in informing,
educating, and empowering people about health issues. Monitoring health status is associated
with the assessment function.
Linking individuals to needed personal health services and ensuring a competent public health
and personal health care workforce are
associated with assurance.
4. A community health nurse is collaborating with local community leaders to prepare a
community disaster plan. Which function is
the nurse fulfilling?
A) Research
B) Assurance
C) Policy development
D) Assessment
Ans: B
Feedback:
Community health nurses perform the assurance function at the community level when
they collaborate with community leaders in the preparation of a community disaster plan.
Research is demonstrated by gaining new insights and innovative solutions to health problems.
Policy development would involve client information, education and empowerment,
mobilization of community partnerships, and the development of plans and policies to support
community health efforts. Assessment involves monitoring health status for community health
problems and diagnosing and investigating health problems and hazards in the
community.
5. A community health nurse has collected data for several months on the birth weights of
newborns to mothers who smoked throughout their pregnancy. This nurse is acting in which
role?
A) Collaborator
B) Manager
C) Researcher
D) Clinician

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Ans: C
Feedback:
The nurse is assuming the role of a researcher, that is, engaging in systematic
investigation that includes data collection. In the collaborator role, the nurse would work with
numerous members of the health team, working jointly with others in a common endeavor. In the
manager role, the nurse exercises administrative direction toward the accomplishment of
specified goals. In the clinician role, the nurse ensures the provision of health care services to
individuals,
families, groups, and populations.
6. A nurse in community health nursing setting works with police officers, social workers,
health educators, and other nurses to promote the health of clients. The nurse is acting in
which role?
A) Clinician
B) Educator
C) Researcher
D) Collaborator
Ans: D
Feedback:
The nurse is assuming the role of collaborator. In this role, the community health nurse
works jointly with many individuals to benefit client care. In the clinician role, the nurse ensures
the provision of health care services to individuals, families, groups, and populations. As an
educator, the nurse is the health teacher and provides information to community clients. In the
researcher role, the community health nurse engages in systematic investigation, collection, and
analysis of data for solving problems and
enhancing community health practice.
7. A community health nurse is interviewing for employment. The interviewer describes
some of the typical activities that the nurse would be involved in, such as making home visits to
families, holding immunization clinics for infants and children, and setting up flu-shot clinics for
elders. The interviewer is
describing which role?
A) Educator
B) Advocate
C) Clinician
D) Manager
Ans: C
Feedback:
The interviewer is describing direct care activities associated with the clinician role. As
an educator, the nurse is the health teacher and provides information to community clients. In the
advocate role, the nurse pleads for the clients' cause or acts on their behalf. In the manager role,
the nurse exercises administrative direction toward the
accomplishment of specified goals.

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8. A community health nurse is reviewing his or her schedule for the day. Included in his or
her activities are planning client care, leading a staff conference, and supervising a new staff
member. This nurse is fulfilling which role?
A) Advocate
B) Manager
C) Collaborator
D) Researcher
Ans: B
Feedback:
When functioning in the manager role, the nurse exercises administrative direction
toward the accomplishment of specified goals. Overseeing client care as a case manager,
supervising ancillary staff, managing caseloads, running clinics, or conducting community health
needs assessment projects are examples of activities associated with the manager role. In the
advocate role, the nurse pleads for the clients' cause or acts on their behalf. In the collaborator
role, the nurse would work with numerous members of the health team, working jointly with
others in a common endeavor. In the researcher role, the community health nurse engages in
systematic investigation, collection, and analysis of data for solving problems and enhancing
community health practice.
9. While providing care to a family at a local center, the community health nurse contacts
the local department of social services to help the family attain assistance with health insurance
coverage. The nurse also gives the family a list of pharmacies where they can get their
prescriptions filled. The nurse is acting
in which role?
A) Educator
B) Leader
C) Clinician
D) Advocate
Ans: D
Feedback:
The nurse is acting in the role of advocate, by pleading their cause and acting on their
behalf. The nurse acts as an advocate by showing clients what services are available, the ones to
which they are entitled, and how to obtain them. As an educator, the nurse is the health teacher
and provides information to community clients. As a leader, the nurse directs, influences, or
persuades others to effect change that will positively impact people's health and move them
toward a goal. In the clinician role, the nurse ensures the provision of health care services to
individuals, families, groups, and populations.

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