FOUNDATIONS OF COMMUNITY/PUBLIC
HEALTH NURSING AND PREVENTION
ORIENTED PRACTICE EXAM
**1. Which statement best describes community-based nursing?**
A) A practice in which care is provided for individuals and families
B) Providing care with a focus on the group's needs
C) Giving care with a focus on the aggregate's needs
D) A value system in which all clients receive optimal care
**Answer: A**
**Rationale:** Community-based nursing is a setting-specific
practice in which care is provided for "sick" individuals and families
where they live, work, and attend school. The emphasis is on acute
and chronic care and the provision of comprehensive, coordinated,
and continuous care. This differs from community-oriented nursing,
which focuses on populations and aggregates .
---
**2. Which statement best describes the goal of community-oriented
nursing?**
A) Focusing on the provision of care to individuals and families
,B) Providing care to manage acute or chronic conditions
C) Giving direct care to ill individuals within their family setting
D) Preserving, protecting, or maintaining health and preventing
disease
**Answer: D**
**Rationale:** By definition, community-oriented nursing has the
goal of preserving, protecting, or maintaining health and preventing
disease to promote the quality of life. The focus is on health
promotion and disease prevention for populations rather than illness
care for individuals .
---
**3. Which of the following is the primary focus of public health
nursing?**
A) Families and groups
B) Illness-oriented care
C) Individuals within the family unit
D) Health care of communities and populations
**Answer: D**
**Rationale:** In public health nursing, the primary focus is on the
health care of communities and populations rather than on
individuals, groups, and families. The goal is to prevent disease and
preserve, promote, restore, and protect health for the community
and the population within it .
,---
**4. Which of the following is responsible for the dramatic increase
in life expectancy during the 20th century?**
A) Technology increases in medical laboratory research
B) Advances in surgical techniques and procedures
C) Sanitation and other population-based prevention programs
D) Use of antibiotics to fight infections
**Answer: C**
**Rationale:** Improvements in control of infectious diseases
through immunizations, sanitation, and other population-based
prevention programs led to the increase in life expectancy from less
than 50 years in 1900 to more than 78 years. Population-based public
health accomplishments have contributed more to longevity than
individual medical interventions .
---
**5. A nurse is developing a plan to decrease premature deaths in
the community. Which intervention would most likely be
implemented?**
A) Increase the community's knowledge about hospice care
B) Promote healthy lifestyle behavior choices among community
members
, C) Encourage employers to have wellness centers at each industrial
site
D) Ensure timely and effective medical intervention for community
members
**Answer: B**
**Rationale:** Public health approaches help prevent premature
deaths by influencing how people eat, drink, drive, engage in
exercise, and treat the environment. Health promotion strategies
addressing lifestyle behaviors are the primary method suggested to
decrease premature death .
---
**6. Which is a basic assumption of public health efforts?**
A) Health disparities among any groups are morally and legally wrong
B) Health care is the most important priority in government planning
C) The health of individuals cannot be separated from the health of
the community
D) The government is responsible for lengthening the life span of
Americans
**Answer: C**
**Rationale:** Public health practice focuses on the community as a
whole, and the effect of the community's health status on the health
of individuals, families, and groups. The goal is to prevent disease
HEALTH NURSING AND PREVENTION
ORIENTED PRACTICE EXAM
**1. Which statement best describes community-based nursing?**
A) A practice in which care is provided for individuals and families
B) Providing care with a focus on the group's needs
C) Giving care with a focus on the aggregate's needs
D) A value system in which all clients receive optimal care
**Answer: A**
**Rationale:** Community-based nursing is a setting-specific
practice in which care is provided for "sick" individuals and families
where they live, work, and attend school. The emphasis is on acute
and chronic care and the provision of comprehensive, coordinated,
and continuous care. This differs from community-oriented nursing,
which focuses on populations and aggregates .
---
**2. Which statement best describes the goal of community-oriented
nursing?**
A) Focusing on the provision of care to individuals and families
,B) Providing care to manage acute or chronic conditions
C) Giving direct care to ill individuals within their family setting
D) Preserving, protecting, or maintaining health and preventing
disease
**Answer: D**
**Rationale:** By definition, community-oriented nursing has the
goal of preserving, protecting, or maintaining health and preventing
disease to promote the quality of life. The focus is on health
promotion and disease prevention for populations rather than illness
care for individuals .
---
**3. Which of the following is the primary focus of public health
nursing?**
A) Families and groups
B) Illness-oriented care
C) Individuals within the family unit
D) Health care of communities and populations
**Answer: D**
**Rationale:** In public health nursing, the primary focus is on the
health care of communities and populations rather than on
individuals, groups, and families. The goal is to prevent disease and
preserve, promote, restore, and protect health for the community
and the population within it .
,---
**4. Which of the following is responsible for the dramatic increase
in life expectancy during the 20th century?**
A) Technology increases in medical laboratory research
B) Advances in surgical techniques and procedures
C) Sanitation and other population-based prevention programs
D) Use of antibiotics to fight infections
**Answer: C**
**Rationale:** Improvements in control of infectious diseases
through immunizations, sanitation, and other population-based
prevention programs led to the increase in life expectancy from less
than 50 years in 1900 to more than 78 years. Population-based public
health accomplishments have contributed more to longevity than
individual medical interventions .
---
**5. A nurse is developing a plan to decrease premature deaths in
the community. Which intervention would most likely be
implemented?**
A) Increase the community's knowledge about hospice care
B) Promote healthy lifestyle behavior choices among community
members
, C) Encourage employers to have wellness centers at each industrial
site
D) Ensure timely and effective medical intervention for community
members
**Answer: B**
**Rationale:** Public health approaches help prevent premature
deaths by influencing how people eat, drink, drive, engage in
exercise, and treat the environment. Health promotion strategies
addressing lifestyle behaviors are the primary method suggested to
decrease premature death .
---
**6. Which is a basic assumption of public health efforts?**
A) Health disparities among any groups are morally and legally wrong
B) Health care is the most important priority in government planning
C) The health of individuals cannot be separated from the health of
the community
D) The government is responsible for lengthening the life span of
Americans
**Answer: C**
**Rationale:** Public health practice focuses on the community as a
whole, and the effect of the community's health status on the health
of individuals, families, and groups. The goal is to prevent disease
