aligned to Public Health Nursing: Population-Centered
Health Care in the Community, latest published edition
(11th Edition, 2025), authored by Marcia Stanhope and
Jeanette Lancaster, published by Elsevier, with emphasis
on concepts consistently tested across recent editions.
## PART 1: Chapters 1–8 — Questions 1–65
### Chapter 1: Public Health Foundations, Population Health, and
Public Health Nursing — Questions 1–10
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**Q1.** Which term best describes the health outcomes of a defined
group of people along with the distribution of health outcomes within
that group?
A. Public health.
B. Community health.
C. Population health.
D. Health equity.
**Correct Answer: C**
**Rationale:** Population health refers to the health outcomes of a
defined group of people and the distribution of those outcomes within
,the group. Public health is the organized effort to protect and improve
health. Community health focuses on a specific geographic or social
group. Health equity refers to fair distribution of health resources.
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**Q2.** What is the primary difference between public health
nursing and community health nursing?
A. Public health nurses work with at-risk populations to prevent
disease, whereas community health nurses focus on health promotion.
B. Community health nursing focuses on primary prevention, whereas
public health focuses on tertiary prevention.
C. Public health nurses work for a recognized public unit and are
legally responsible for ensuring the public's health, whereas
community health nurses work for community or faith-based agencies
not affiliated with a government unit.
D. Public health nursing focuses on assessment and policy
development, whereas community health nursing focuses on assuring
the population's health needs are met.
**Correct Answer: C**
**Rationale:** Public health nurses are employed by official
government public health units and have legal responsibility for
population health. Community health nurses may work in various
settings not tied to government. The other options mischaracterize the
roles.
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**Q3.** Which nursing intervention best illustrates a population
health activity at the community level of practice?
A. Revises the training requirements for school health aides.
B. Presents a petition to Congress for healthcare coverage for migrant
workers.
C. Counsels an older adult about treatment of sexually transmitted
infections.
D. Works with a coalition to develop a teen crisis hotline.
**Correct Answer: D**
**Rationale:** Working with a coalition to develop a teen crisis
hotline is a community-level intervention targeting a population.
Revising training requirements is systems-level. Petitions to Congress
are national-level. Counseling an individual is individual-level.
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**Q4.** Which factors are considered social determinants of health?
Select all that apply.
A. Age.
B. Income.
C. Discrimination.
, D. Education.
E. Sex.
F. Family history of heart disease.
**Correct Answer: B, C, D**
**Rationale:** Social determinants of health include income,
discrimination, and education. Age, sex, and family history of heart
disease are biological or genetic factors, not social determinants.
---
**Q5.** A community health nurse is working in a clinic with a focus
on asthma and allergies. What is the primary focus of the community
health nurse in this clinic setting? Select all that apply.
A. Decrease the incidence of asthma attacks in the community.
B. Increase patients' ability to self-manage their asthma.
C. Provide asthma education programs for the teachers in the local
schools.
D. Provide scheduled immunizations to people who come to the
clinic.
**Correct Answer: A, B, C**
**Rationale:** The primary focus includes decreasing asthma
incidence, increasing self-management, and providing education to