3RD EDITION — EXAM STUDY GUIDE 2026/2027
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Description: This revision set covers key concepts from Community and Public Health
Nursing: Evidence for Practice, 3rd Edition (DeMarco & Walsh). Questions span public
health nursing principles, epidemiology, health promotion, community assessment,
vulnerable populations, and environmental health. Each question includes the correct
answer marked with ✅ and a brief rationale.
Keywords: public health nursing, community health, epidemiology, health promotion,
social determinants, vulnerable populations, community assessment, DeMarco Walsh
Section 1: Foundations of Public Health Nursing (Q1–Q25)
Q1. A nurse is striving to practice patient-centered care at a hospital. Which action
best exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then
reviewing it with the client ✅
B) Explaining to a client the benefits of computer-assisted robotic surgical techniques
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the
hospital
,Answer: A. Patient-centered care considers cultural traditions, personal preferences,
values, families, and lifestyles. Clients become active participants in their own care
through tools like self-reported functional status indicators.
Q2. A nurse is caring for an older client who is struggling to manage her type 2
diabetes mellitus. The nurse should recognize which social determinants of this
client's health? (Select all that apply.)
A) Household income of $23,000 per year ✅
B) Reading level of a third grader ✅
C) Medication ineffective due to error in prescription
D) Originally from Sudan ✅
E) No family in the area ✅
Answer: A, B, D, E. Social determinants include income, education, literacy, culture, and
support networks. A medical error is not a social determinant.
Q3. A nurse successfully persuades an obese client to perform a weekly weigh-in at
home using a digital scale and record the weight in a log. This strategy is an
example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health ✅
D) Evidence-based nursing
Answer: C. Personal responsibility for health involves active participation in one's own
health through education and lifestyle changes.
,Q4. A nurse performs a variety of tasks as part of the nurse's position at a hospital.
Which task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily
practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the year
✅
Answer: D. Public health is what society does collectively to ensure conditions exist in
which people can be healthy.
Q5. Which organization sets the scope and standards for public health nursing
practice?
A) Association of Community Health Nurse Educators (ACHNE)
B) American Nurses Association (ANA) ✅
C) American Public Health Association (APHA)
D) Association of State and Territorial Directors of Nursing (ASTDN)
Answer: B. The ANA sets the scope and standards for all professional nursing practice,
including public health nursing.
, Q6. A high school graduate has decided to pursue a career in public health
nursing. Which represents the minimum educational credential needed for entry
into public health nursing practice?
A) Associate's
B) Baccalaureate ✅
C) Master's
D) Doctorate
Answer: B. The baccalaureate degree in nursing is the educational credential required
for entry into public health nursing practice.
Q7. Which was a duty performed by district nurses in Liverpool, England, in 1865?
A) Use epidemiologic knowledge and methods
B) Encourage community organization
C) Report facts to and ask questions of physicians ✅
D) Assist physicians with surgery in newly constructed hospitals
Answer: C. District nurses in 1865 reported facts to and asked questions of physicians.
They assisted with surgery in the home, not hospitals.
Q8. Lillian Wald is best known for founding which field?
A) Hospital administration
B) Public health nursing ✅
C) Surgical nursing
D) Psychiatric nursing