Contents
Chapter 01: Public Health Foundations and Population Health ........................... 3
Chapter 02: History of Public Health and Public and Community Health
Nursing ................................................................................................................ 22
Chapter 03: Public Health, Primary Care, and Primary Health ........................... 36
Chapter 04: Perspectives in Global Health Care ................................................. 49
Chapter 05: Economics of Health Care Delivery ................................................ 64
Chapter 06: Environmental Health ..................................................................... 81
Chapter 07: Application of Ethics in the Community ......................................... 94
Chapter 08: Achieving Cultural Competence in Community Health Nursing . 107
Chapter 09: Public Health Policy ...................................................................... 127
Chapter 10: Evidence-Based Practice................................................................ 144
Chapter 11: Population-Based Public Health Nursing Practice: The Intervention
Wheel ................................................................................................................ 152
Chapter 12: Genomics in Public Health Nursing .............................................. 165
Chapter 13: Epidemiology ................................................................................ 179
Chapter 14: Infectious Disease Prevention and Control.................................... 195
Chapter 15: Communicable and Infectious Disease Risks ................................ 209
Chapter 16: Promoting Healthy Communities .................................................. 222
Chapter 17: Community as Client: Assessment and Analysis .......................... 232
Chapter 18: Building a Culture of Health to Influence Health Equity Within
Communities ..................................................................................................... 250
Chapter 19: Health Education Principles Applied in Communities, Groups,
,Families, and Individuals for Healthy Change ................................................. 262
Chapter 20: The Nurse Managed Health Center: A Model for Public Health
Nursing Practice ................................................................................................ 279
Chapter 21: Public Health Nursing Practice and the Disaster Management Cycle
........................................................................................................................... 294
Chapter 22: Public Health Surveillance and Outbreak Investigation ............... 306
Chapter 23: Program Management.................................................................... 318
Chapter 24: Quality Management ..................................................................... 335
Chapter 25: Case Management .......................................................................... 349
Chapter 26: Working With Families in the Community for Healthy Outcomes
........................................................................................................................... 366
Chapter 27: Family Health Risks....................................................................... 380
Chapter 28: Child and Adolescent Health ......................................................... 394
Chapter 29: Major Health Issues and Chronic Disease Management of Adults
across the Life Span .......................................................................................... 405
Chapter 30: Disability Health Care across the Lifespan.................................... 419
Chapter 31: Vulnerability and Vulnerable Populations ..................................... 432
Chapter 32: Rural Health Issues ........................................................................ 445
Chapter 33: Poverty and Homelessness............................................................. 456
Chapter 34: Migrant Health Issues .................................................................... 467
Chapter 35: Teen Pregnancy ............................................................................. 478
Chapter 36: Mental Health Issues...................................................................... 489
Chapter 37: Alcohol, Tobacco and Other Drug Problems................................. 504
Chapter 38: Violence and Human Abuse .......................................................... 520
Chapter 39: The Advanced Practice Nurse in the Community ......................... 532
Chapter 40: The Nurse Leader in the Community ............................................ 545
Chapter 41: The Nurse in Public Health, Home Health, Hospice, and Palliative
Care ................................................................................................................... 558
Chapter 42: The Nurse in the Schools ............................................................... 569
Chapter 43: The Nurse in Occupational Health ................................................ 579
Chapter 44: Forensic Nursing in the Community.............................................. 593
Chapter 45: The Nurse in the Faith Community ............................................... 606
Chapter 46: Public Health Nursing at Local, State, and National Levels ........ 620
, Chapter 01: Public Health
Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health
Care in the Community, 10th Edition
MULTIPLE CHOICE
1. The public health workforce should demonstrate competency in which of the
following competency categories?
a. Financial planning and management
b. Workforce needs assessment
c. Acute care services
d. Curriculum development
ANS: A
Workforce needs assessment, acute care services, and curriculum
developments are not considered categories of core competencies of
public health. Rather there are eight categories of competency, which
include:
(1) analytic/assessment,
(2) policy development/program planning,
(3) communication,
(4) cultural competence,
(5) community dimensions of practice,
(6) basic public health sciences,
(7) financial planning and management, and
(8) leadership and systems thinking.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
2. The nurse is investigating environmental health problems caused by
contaminated ground water. Which type of nursing practice is being
implemented?
a. Community-oriented
b. Community-based
c. Policy development
, d. Tertiary care
ANS: A
Community-oriented nursing emphasizes the prevention of disease and
disability. Community-based nursing practice is a setting-specific practice
whereby care is provided for clients and families where they live, work,
and attend school. Policy development seeks to build constituencies that
can help bring about change in public policy. Tertiary care focuses on
highly specialized medical care.
DIF: Cognitive level: Understanding TOP: Nursing process:
Implementation MSC: NCLEX: Health Promotion and Maintenance
3. A public health staff nurse (PHN) who has a clear understanding of
population-focused practice, would most likely engage in what activity?
a. Volunteering for a local community action coalition
b. Performing interventions with individuals in the community
c. Improving the effectiveness of care provided
d. Considering earning a PHN certification
ANS: C
Public health staff nurses who have a clear understanding of population-
focused care improve their effectiveness and efficiency of practice; have
professional satisfaction by seeing how individual care contributes to
health at the population level; and appreciate the practice of others who
are population-focused specialists. PHN specialists are prepared at the
master’s level and function in an administrative role.
DIF: Cognitive level: Applying TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
4. Public health nurse (PHNs) are looking to improve population-focused care
in the community. Which activity best describes a key opportunity for the
nurses to accomplish this goal?
a. Assuming traditional nursing roles
b. Influencing public health policy
c. Conducting community assessments
d. Specializing in community-based nursing practice
ANS: B
PHNs must move into positions in which they can influence policy
Chapter 01: Public Health Foundations and Population Health ........................... 3
Chapter 02: History of Public Health and Public and Community Health
Nursing ................................................................................................................ 22
Chapter 03: Public Health, Primary Care, and Primary Health ........................... 36
Chapter 04: Perspectives in Global Health Care ................................................. 49
Chapter 05: Economics of Health Care Delivery ................................................ 64
Chapter 06: Environmental Health ..................................................................... 81
Chapter 07: Application of Ethics in the Community ......................................... 94
Chapter 08: Achieving Cultural Competence in Community Health Nursing . 107
Chapter 09: Public Health Policy ...................................................................... 127
Chapter 10: Evidence-Based Practice................................................................ 144
Chapter 11: Population-Based Public Health Nursing Practice: The Intervention
Wheel ................................................................................................................ 152
Chapter 12: Genomics in Public Health Nursing .............................................. 165
Chapter 13: Epidemiology ................................................................................ 179
Chapter 14: Infectious Disease Prevention and Control.................................... 195
Chapter 15: Communicable and Infectious Disease Risks ................................ 209
Chapter 16: Promoting Healthy Communities .................................................. 222
Chapter 17: Community as Client: Assessment and Analysis .......................... 232
Chapter 18: Building a Culture of Health to Influence Health Equity Within
Communities ..................................................................................................... 250
Chapter 19: Health Education Principles Applied in Communities, Groups,
,Families, and Individuals for Healthy Change ................................................. 262
Chapter 20: The Nurse Managed Health Center: A Model for Public Health
Nursing Practice ................................................................................................ 279
Chapter 21: Public Health Nursing Practice and the Disaster Management Cycle
........................................................................................................................... 294
Chapter 22: Public Health Surveillance and Outbreak Investigation ............... 306
Chapter 23: Program Management.................................................................... 318
Chapter 24: Quality Management ..................................................................... 335
Chapter 25: Case Management .......................................................................... 349
Chapter 26: Working With Families in the Community for Healthy Outcomes
........................................................................................................................... 366
Chapter 27: Family Health Risks....................................................................... 380
Chapter 28: Child and Adolescent Health ......................................................... 394
Chapter 29: Major Health Issues and Chronic Disease Management of Adults
across the Life Span .......................................................................................... 405
Chapter 30: Disability Health Care across the Lifespan.................................... 419
Chapter 31: Vulnerability and Vulnerable Populations ..................................... 432
Chapter 32: Rural Health Issues ........................................................................ 445
Chapter 33: Poverty and Homelessness............................................................. 456
Chapter 34: Migrant Health Issues .................................................................... 467
Chapter 35: Teen Pregnancy ............................................................................. 478
Chapter 36: Mental Health Issues...................................................................... 489
Chapter 37: Alcohol, Tobacco and Other Drug Problems................................. 504
Chapter 38: Violence and Human Abuse .......................................................... 520
Chapter 39: The Advanced Practice Nurse in the Community ......................... 532
Chapter 40: The Nurse Leader in the Community ............................................ 545
Chapter 41: The Nurse in Public Health, Home Health, Hospice, and Palliative
Care ................................................................................................................... 558
Chapter 42: The Nurse in the Schools ............................................................... 569
Chapter 43: The Nurse in Occupational Health ................................................ 579
Chapter 44: Forensic Nursing in the Community.............................................. 593
Chapter 45: The Nurse in the Faith Community ............................................... 606
Chapter 46: Public Health Nursing at Local, State, and National Levels ........ 620
, Chapter 01: Public Health
Foundations and Population Health
Stanhope: Public Health Nursing: Population-Centered Health
Care in the Community, 10th Edition
MULTIPLE CHOICE
1. The public health workforce should demonstrate competency in which of the
following competency categories?
a. Financial planning and management
b. Workforce needs assessment
c. Acute care services
d. Curriculum development
ANS: A
Workforce needs assessment, acute care services, and curriculum
developments are not considered categories of core competencies of
public health. Rather there are eight categories of competency, which
include:
(1) analytic/assessment,
(2) policy development/program planning,
(3) communication,
(4) cultural competence,
(5) community dimensions of practice,
(6) basic public health sciences,
(7) financial planning and management, and
(8) leadership and systems thinking.
DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
2. The nurse is investigating environmental health problems caused by
contaminated ground water. Which type of nursing practice is being
implemented?
a. Community-oriented
b. Community-based
c. Policy development
, d. Tertiary care
ANS: A
Community-oriented nursing emphasizes the prevention of disease and
disability. Community-based nursing practice is a setting-specific practice
whereby care is provided for clients and families where they live, work,
and attend school. Policy development seeks to build constituencies that
can help bring about change in public policy. Tertiary care focuses on
highly specialized medical care.
DIF: Cognitive level: Understanding TOP: Nursing process:
Implementation MSC: NCLEX: Health Promotion and Maintenance
3. A public health staff nurse (PHN) who has a clear understanding of
population-focused practice, would most likely engage in what activity?
a. Volunteering for a local community action coalition
b. Performing interventions with individuals in the community
c. Improving the effectiveness of care provided
d. Considering earning a PHN certification
ANS: C
Public health staff nurses who have a clear understanding of population-
focused care improve their effectiveness and efficiency of practice; have
professional satisfaction by seeing how individual care contributes to
health at the population level; and appreciate the practice of others who
are population-focused specialists. PHN specialists are prepared at the
master’s level and function in an administrative role.
DIF: Cognitive level: Applying TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
4. Public health nurse (PHNs) are looking to improve population-focused care
in the community. Which activity best describes a key opportunity for the
nurses to accomplish this goal?
a. Assuming traditional nursing roles
b. Influencing public health policy
c. Conducting community assessments
d. Specializing in community-based nursing practice
ANS: B
PHNs must move into positions in which they can influence policy
