West Coast University NURS 340 Public Health Nursing:
Midterm Exam (Units 1-7) - Questions with Correct Answers
100 questions
1. Disease and health event investigation, outreach and screening belong to which Intervention
Wheel wedge?
A. The blue wedge (social marketing)
B. The green wedge (counseling)
C. The orange wedge (policy)
D. The red wedge (surveillance, disease investigation, outreach, screening, case finding)
Correct Answer: D. The red wedge (surveillance, disease investigation, outreach, screening,
case finding)
Rationale: Wedge groupings.
2. Health disparities are:
A. Random differences
B. Preventable differences in health outcomes between groups
C. Genetic differences only
D. Always caused by personal choices
Correct Answer: B. Preventable differences in health outcomes between groups
Rationale: Linked to social disadvantage.
3. Ethical principle 'beneficence' means:
A. Doing no harm
B. Respecting autonomy
C. Fair distribution
D. Doing good for others
Correct Answer: D. Doing good for others
Rationale: Bioethics.
4. An aggregate is:
A. A city government
B. A single client
C. A disease
D. A subgroup of a population with shared characteristics, such as teen mothers
Correct Answer: D. A subgroup of a population with shared characteristics, such as teen
mothers
Rationale: Subpopulation.
5. Cultural humility involves:
A. Mastering facts about every culture
B. Avoiding discussion of culture
C. Lifelong self-reflection and recognizing power imbalances in interactions
D. Assuming all members of a group are alike
Correct Answer: C. Lifelong self-reflection and recognizing power imbalances in interactions
Rationale: Ongoing process.
,6. Primordial prevention focuses on:
A. Preventing risk factors from emerging, often through social and environmental conditions
B. Screening for disease
C. Treating acute illness
D. Rehabilitation
Correct Answer: A. Preventing risk factors from emerging, often through social and
environmental conditions
Rationale: e.g., walkable neighborhoods.
7. Isolation refers to:
A. Restricting movement of exposed but not ill persons
B. Closing schools
C. Separating ill persons with a contagious disease from healthy people
D. Vaccinating contacts
Correct Answer: C. Separating ill persons with a contagious disease from healthy people
Rationale: Ill persons.
8. Ethnocentrism is:
A. Respecting all cultures equally
B. Learning a new language
C. Cultural humility
D. Believing one's own culture is superior to others
Correct Answer: D. Believing one's own culture is superior to others
Rationale: Barrier to care.
9. Advocating for a city ordinance banning smoking in parks is an example of:
A. Assessment
B. Policy development
C. Assurance
D. Tertiary prevention
Correct Answer: B. Policy development
Rationale: Policy development.
10. The National CLAS Standards address:
A. Clinical lab accuracy
B. Child labor
C. Clean air
D. Culturally and linguistically appropriate services in health care
Correct Answer: D. Culturally and linguistically appropriate services in health care
Rationale: Office of Minority Health.
11. Social determinants of health (SDOH) are:
A. Genetic traits only
B. Conditions where people are born, live, learn, work, play, worship and age
C. Hospital policies
D. Prescription drugs
Correct Answer: B. Conditions where people are born, live, learn, work, play, worship and age
Rationale: Healthy People 2030.
, 12. Quarantine refers to:
A. Separating sick people
B. Treating disease
C. Restricting movement of persons exposed to a contagious disease who are not yet ill
D. Testing water
Correct Answer: C. Restricting movement of persons exposed to a contagious disease who
are not yet ill
Rationale: Exposed persons.
13. Secondary prevention aims to:
A. Prevent disease from occurring
B. Detect and treat disease early
C. Restore function after disease
D. Change laws
Correct Answer: B. Detect and treat disease early
Rationale: Screening.
14. Public health nursing is best defined as:
A. The practice of promoting and protecting the health of populations using knowledge from nursing,
social and public health sciences
B. Nursing care provided only in hospitals
C. Care of individual patients in intensive care
D. Home care paid by private insurance only
Correct Answer: A. The practice of promoting and protecting the health of populations using
knowledge from nursing, social and public health sciences
Rationale: APHA PHN Section definition.
15. The Quad Council Coalition competencies are used for:
A. Public health nursing practice across tiers
B. Hospital staffing ratios
C. Physician licensing
D. Drug approval
Correct Answer: A. Public health nursing practice across tiers
Rationale: Community/PHN competencies.
16. A cross-sectional study:
A. Measures exposure and outcome at a single point in time
B. Follows people over decades
C. Randomizes participants
D. Starts with cases
Correct Answer: A. Measures exposure and outcome at a single point in time
Rationale: Prevalence study.
17. Of 900 people without a disease, 810 test negative. Specificity is:
A. 90%
B. 81%
C. 10%
D. 99%
Correct Answer: A. 90%
Rationale: 810/900.
Midterm Exam (Units 1-7) - Questions with Correct Answers
100 questions
1. Disease and health event investigation, outreach and screening belong to which Intervention
Wheel wedge?
A. The blue wedge (social marketing)
B. The green wedge (counseling)
C. The orange wedge (policy)
D. The red wedge (surveillance, disease investigation, outreach, screening, case finding)
Correct Answer: D. The red wedge (surveillance, disease investigation, outreach, screening,
case finding)
Rationale: Wedge groupings.
2. Health disparities are:
A. Random differences
B. Preventable differences in health outcomes between groups
C. Genetic differences only
D. Always caused by personal choices
Correct Answer: B. Preventable differences in health outcomes between groups
Rationale: Linked to social disadvantage.
3. Ethical principle 'beneficence' means:
A. Doing no harm
B. Respecting autonomy
C. Fair distribution
D. Doing good for others
Correct Answer: D. Doing good for others
Rationale: Bioethics.
4. An aggregate is:
A. A city government
B. A single client
C. A disease
D. A subgroup of a population with shared characteristics, such as teen mothers
Correct Answer: D. A subgroup of a population with shared characteristics, such as teen
mothers
Rationale: Subpopulation.
5. Cultural humility involves:
A. Mastering facts about every culture
B. Avoiding discussion of culture
C. Lifelong self-reflection and recognizing power imbalances in interactions
D. Assuming all members of a group are alike
Correct Answer: C. Lifelong self-reflection and recognizing power imbalances in interactions
Rationale: Ongoing process.
,6. Primordial prevention focuses on:
A. Preventing risk factors from emerging, often through social and environmental conditions
B. Screening for disease
C. Treating acute illness
D. Rehabilitation
Correct Answer: A. Preventing risk factors from emerging, often through social and
environmental conditions
Rationale: e.g., walkable neighborhoods.
7. Isolation refers to:
A. Restricting movement of exposed but not ill persons
B. Closing schools
C. Separating ill persons with a contagious disease from healthy people
D. Vaccinating contacts
Correct Answer: C. Separating ill persons with a contagious disease from healthy people
Rationale: Ill persons.
8. Ethnocentrism is:
A. Respecting all cultures equally
B. Learning a new language
C. Cultural humility
D. Believing one's own culture is superior to others
Correct Answer: D. Believing one's own culture is superior to others
Rationale: Barrier to care.
9. Advocating for a city ordinance banning smoking in parks is an example of:
A. Assessment
B. Policy development
C. Assurance
D. Tertiary prevention
Correct Answer: B. Policy development
Rationale: Policy development.
10. The National CLAS Standards address:
A. Clinical lab accuracy
B. Child labor
C. Clean air
D. Culturally and linguistically appropriate services in health care
Correct Answer: D. Culturally and linguistically appropriate services in health care
Rationale: Office of Minority Health.
11. Social determinants of health (SDOH) are:
A. Genetic traits only
B. Conditions where people are born, live, learn, work, play, worship and age
C. Hospital policies
D. Prescription drugs
Correct Answer: B. Conditions where people are born, live, learn, work, play, worship and age
Rationale: Healthy People 2030.
, 12. Quarantine refers to:
A. Separating sick people
B. Treating disease
C. Restricting movement of persons exposed to a contagious disease who are not yet ill
D. Testing water
Correct Answer: C. Restricting movement of persons exposed to a contagious disease who
are not yet ill
Rationale: Exposed persons.
13. Secondary prevention aims to:
A. Prevent disease from occurring
B. Detect and treat disease early
C. Restore function after disease
D. Change laws
Correct Answer: B. Detect and treat disease early
Rationale: Screening.
14. Public health nursing is best defined as:
A. The practice of promoting and protecting the health of populations using knowledge from nursing,
social and public health sciences
B. Nursing care provided only in hospitals
C. Care of individual patients in intensive care
D. Home care paid by private insurance only
Correct Answer: A. The practice of promoting and protecting the health of populations using
knowledge from nursing, social and public health sciences
Rationale: APHA PHN Section definition.
15. The Quad Council Coalition competencies are used for:
A. Public health nursing practice across tiers
B. Hospital staffing ratios
C. Physician licensing
D. Drug approval
Correct Answer: A. Public health nursing practice across tiers
Rationale: Community/PHN competencies.
16. A cross-sectional study:
A. Measures exposure and outcome at a single point in time
B. Follows people over decades
C. Randomizes participants
D. Starts with cases
Correct Answer: A. Measures exposure and outcome at a single point in time
Rationale: Prevalence study.
17. Of 900 people without a disease, 810 test negative. Specificity is:
A. 90%
B. 81%
C. 10%
D. 99%
Correct Answer: A. 90%
Rationale: 810/900.
