with Correct Answers (Verified Update)
50 questions
1. A hospital system and a local health department both work on reducing diabetes in a county.
Which statement best describes their roles?
A. Only the health department is responsible for population health
B. Only the hospital is responsible
C. Both contribute to population health: the health system manages its patient population, and public
health addresses community-wide determinants
D. Neither has a role
Correct Answer: C. Both contribute to population health: the health system manages its
patient population, and public health addresses community-wide determinants
Rationale: Population health involves partnerships across sectors.
2. Why is global health relevant to nurses working in local communities?
A. It only matters to nurses abroad
B. Diseases, migration, trade and climate connect local and global health
C. Local health is unrelated to global events
D. Global health only concerns wealthy nations
Correct Answer: B. Diseases, migration, trade and climate connect local and global health
Rationale: COVID-19 showed how global events affect every community.
3. A program offers hepatitis B vaccine to adults with diabetes. Which sphere of care does this
best fit?
A. Hospice and palliative care
B. Disease prevention and promotion of health and well-being
C. Regenerative or restorative care
D. Emergency trauma care
Correct Answer: B. Disease prevention and promotion of health and well-being
Rationale: Vaccination prevents disease.
4. Which example shows assurance in action?
A. Conducting a community survey
B. Writing a new tobacco tax proposal
C. Analyzing death certificates
D. Licensing health professionals and inspecting restaurants to ensure safe services
Correct Answer: D. Licensing health professionals and inspecting restaurants to ensure safe
services
Rationale: Assurance ensures competent services and safe conditions.
5. Which essential public health service is reflected by a health department training a diverse
local workforce?
A. Build and support a diverse and skilled public health workforce
B. Assess and monitor population health
C. Utilize legal and regulatory actions
D. Investigate health hazards
Correct Answer: A. Build and support a diverse and skilled public health workforce
Rationale: Workforce development falls under assurance.
, 6. Why does Healthy People 2030 emphasize social determinants of health?
A. Because medical care has no effect on health
B. Because genetics explains all disease
C. Because most differences in health outcomes are driven by conditions outside clinical care
D. Because SDOH are easy to change
Correct Answer: C. Because most differences in health outcomes are driven by conditions
outside clinical care
Rationale: Clinical care accounts for a minority of health outcomes.
7. Two neighborhoods in the same city differ by 15 years in average life expectancy. The best
explanation is:
A. Random chance
B. Differences in blood type
C. Hospital architecture
D. Differences in social and economic conditions such as income, housing, education and
environment
Correct Answer: D. Differences in social and economic conditions such as income, housing,
education and environment
Rationale: Place-based inequities shape life expectancy.
8. Which intervention best addresses the root cause of food insecurity?
A. Prescribing vitamins
B. Treating malnutrition in the hospital
C. Giving one-time cooking classes
D. Policies that increase household income and access to affordable healthy food
Correct Answer: D. Policies that increase household income and access to affordable healthy
food
Rationale: Upstream approaches address economic and structural causes.
9. Structural racism affects health mainly by:
A. Changing people's genes
B. Reducing hospital numbers equally
C. Creating unequal access to housing, education, employment and health care through policies and
practices
D. Only affecting individual attitudes
Correct Answer: C. Creating unequal access to housing, education, employment and health
care through policies and practices
Rationale: Historical practices such as redlining continue to shape neighborhood conditions.
10. A nurse uses an interpreter rather than a patient's child to explain a diagnosis. This mainly
supports:
A. Faster appointments
B. Accurate communication and equitable care for patients with limited English proficiency
C. Lower costs
D. Avoiding cultural topics
Correct Answer: B. Accurate communication and equitable care for patients with limited
English proficiency
Rationale: Professional interpreters reduce errors and protect privacy.