FOUNDATIONS FOR POPULATION
HEALTH IN COMMUNITY/PUBLIC
HEALTH NURSING
6TH EDITION
• AUTHOR(S)MARCIA STANHOPE;
JEANETTE LANCASTER
TEST BANK
1. Population-focused practice versus individual care
Reference: Ch. 1 — Population-focused practice versus
individual care
Question Stem:
A public health nurse is reviewing county-level data showing a
sharp rise in uncontrolled hypertension among adults living in
,low-income neighborhoods with limited grocery access and
poor transit options. Local leaders ask the nurse to recommend
the most appropriate next step. The nurse wants the
intervention to affect the largest number of residents rather
than only those already diagnosed. What is the best action?
A. Schedule follow-up blood pressure checks for residents
already enrolled in clinic care
B. Launch a neighborhood-based sodium reduction and food
access initiative
C. Refer residents with severe hypertension for medication
adjustment
D. Provide one-on-one counseling to residents who missed their
last clinic appointment
Correct Answer: B
Rationales:
B is correct. This is a population-focused primary
prevention action because it addresses a community-level
determinant affecting many residents. Improving food access
and reducing sodium exposure targets the upstream conditions
contributing to hypertension. Public health nursing prioritizes
interventions with the greatest potential impact on population
health.
A is less appropriate. It focuses on people already identified
with disease and does not change the broader community
conditions driving risk.
C is less appropriate. Medication adjustment is important
,clinical care, but it is individual-level tertiary management
rather than population-level prevention.
D is less appropriate. Individual counseling may help
selected residents, but it is a narrower strategy than a
community intervention with broader reach.
Teaching Point: Population health work targets upstream
causes affecting many people.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
2. Public health core functions
Reference: Ch. 1 — Public health core functions
Question Stem:
After a cluster of childhood lead exposures is identified, a
county health department wants to decide how to respond
beyond the initial case reports. The nurse is asked to
recommend the public health function that should guide follow-
up activities, including trends analysis and evaluation of
prevention efforts. Which function is most appropriate?
A. Assurance
B. Clinical treatment
C. Individual rehabilitation
D. Private health promotion
, Correct Answer: A
Rationales:
A is correct. Assurance includes evaluating whether services
are effective and ensuring needed public health actions are
available and functioning. Trend monitoring and prevention
evaluation fit this function. It supports a systems-level response
rather than an isolated clinical one.
B is less appropriate. Clinical treatment addresses
individual illness but does not represent a core public health
function.
C is less appropriate. Rehabilitation is a care service, not
the organizing public health function for this scenario.
D is less appropriate. Private health promotion is not a
public health core function and does not capture the county’s
responsibility.
Teaching Point: Assurance includes evaluating services and
protecting population health.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
3. Public health practice and healthy populations
Reference: Ch. 1 — Public health practice: The foundation for
healthy populations and communities
HEALTH IN COMMUNITY/PUBLIC
HEALTH NURSING
6TH EDITION
• AUTHOR(S)MARCIA STANHOPE;
JEANETTE LANCASTER
TEST BANK
1. Population-focused practice versus individual care
Reference: Ch. 1 — Population-focused practice versus
individual care
Question Stem:
A public health nurse is reviewing county-level data showing a
sharp rise in uncontrolled hypertension among adults living in
,low-income neighborhoods with limited grocery access and
poor transit options. Local leaders ask the nurse to recommend
the most appropriate next step. The nurse wants the
intervention to affect the largest number of residents rather
than only those already diagnosed. What is the best action?
A. Schedule follow-up blood pressure checks for residents
already enrolled in clinic care
B. Launch a neighborhood-based sodium reduction and food
access initiative
C. Refer residents with severe hypertension for medication
adjustment
D. Provide one-on-one counseling to residents who missed their
last clinic appointment
Correct Answer: B
Rationales:
B is correct. This is a population-focused primary
prevention action because it addresses a community-level
determinant affecting many residents. Improving food access
and reducing sodium exposure targets the upstream conditions
contributing to hypertension. Public health nursing prioritizes
interventions with the greatest potential impact on population
health.
A is less appropriate. It focuses on people already identified
with disease and does not change the broader community
conditions driving risk.
C is less appropriate. Medication adjustment is important
,clinical care, but it is individual-level tertiary management
rather than population-level prevention.
D is less appropriate. Individual counseling may help
selected residents, but it is a narrower strategy than a
community intervention with broader reach.
Teaching Point: Population health work targets upstream
causes affecting many people.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
2. Public health core functions
Reference: Ch. 1 — Public health core functions
Question Stem:
After a cluster of childhood lead exposures is identified, a
county health department wants to decide how to respond
beyond the initial case reports. The nurse is asked to
recommend the public health function that should guide follow-
up activities, including trends analysis and evaluation of
prevention efforts. Which function is most appropriate?
A. Assurance
B. Clinical treatment
C. Individual rehabilitation
D. Private health promotion
, Correct Answer: A
Rationales:
A is correct. Assurance includes evaluating whether services
are effective and ensuring needed public health actions are
available and functioning. Trend monitoring and prevention
evaluation fit this function. It supports a systems-level response
rather than an isolated clinical one.
B is less appropriate. Clinical treatment addresses
individual illness but does not represent a core public health
function.
C is less appropriate. Rehabilitation is a care service, not
the organizing public health function for this scenario.
D is less appropriate. Private health promotion is not a
public health core function and does not capture the county’s
responsibility.
Teaching Point: Assurance includes evaluating services and
protecting population health.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
3. Public health practice and healthy populations
Reference: Ch. 1 — Public health practice: The foundation for
healthy populations and communities
