Community Test 1 - Test Bank
Questions with 100% Correct Answers
11. Making sure that essential community-oriented health services are available
defines which of the core public health functions?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care - Answer-ANS: C
Public health is based on scientific knowledge but is not a core function. The
definition does not fit the terms assessment or policy development.
12. When talking to a womens group at the senior citizens center, the nurse
reminded them that the only way the center would be able to afford to provide
transportation services for them would be for them to continue to write letters to their
local city council representatives requesting funding for such a service. What was the
nurse trying to accomplish through this action?
a. Ensure that the women did not expect the nurse to solve their problem
b. Demonstrate that the nurse understood the womens concerns and needs
c. Express empathy, support, and concern
d. Help the women engage in political action - Answer-ANS: D
Public health nurses engage themselves and others in policy development and
encourage and assist persons to communicate their needs to those with the power to
take action.
13. The public health nurse has a clear vision of what needs to be done and where
to begin to improve the health of the community. Why would the nurse spend time
meeting with community groups to discuss the most important task to be addressed
first?
a. To increase the groups self-esteem
b. To maintain communication links with the groups
c. To make the groups feel good about their contribution
,d. To work with the groups, not for the groups - Answer-ANS: D
Historically, health care providers have been accused of providing care for or to
people without actually involving the recipients in the decisions. Public health nursing
is a with the peoplenot a to the people or for the peopleapproach to planning.
14. The nurse often has to make resource allocation decisions. Which of the
following best describes the criterion the nurse should use in such cases?
a. The specific moral or ethical principle related to the situation
b. The cheapest, most economical approach
c. The most rational probable outcome
d. The needs of the aggregate rather than a few individuals - Answer-ANS: D
Although all of the choices represent components of a decision that the nurse might
consider, the dominant needs of the population outweigh the expressed needs of
one or a few people.
15. Which of the following actions best represents public health nursing?
a. Assessing the effectiveness of the large high school health clinic
b. Caring for clients in their home following their outpatient surgeries
c. Providing care to children and their families at the school clinic
d. Administering follow-up care for pediatric clients at an outpatient clinic - Answer-
ANS: A
A public health or population-focused approach would look at the entire group of
children being served to determine whether available services are effective in
achieving the goal of improving the health of the school population.
16. Two nurses plan to walk under a huge downtown bridge where various homeless
persons live. Why would the nurses go to such an unsafe area?
a. To assess the needs of the homeless who live there
b. To demonstrate their courage and commitment
c. To distribute some of their own surplus clothes to those who can use them
d. To share with various churches and other charities what is needed - Answer-ANS:
A
,In most nursing practices, the client seeks out and requests assistance. In public
health nursing, the nurse often reaches out to those who might benefit from a service
or intervention, beginning with assessment of needs.
1. Which of the following variables have led to a stronger commitment to population-
focused services? (Select all that apply.)
a. Economic turmoil and demand for high-technology care
b. Emergence of new or drug-resistant infectious diseases
c. Emphasis on overall health care needs rather than only on acute care treatment
d. Threat of bioterrorism - Answer-ANS: B, C, D
As overall health needs become the focus of care in the United States, a stronger
commitment to population-focused services is emerging. Threats of bioterrorism,
anthrax scares, and the emergence of modern-day epidemics have drawn attention
to population-focused safety and services.
2. Which of the following actions demonstrate(s) effective public health nursing
practice in the community? (Select all that apply.)
a. Epidemiologic investigations examine the environment for health hazards.
b. New services are organized where particular vulnerable populations live.
c. Partnerships are established with community coalitions.
d. Staff members at the public health agency continue to increase in number. -
Answer-ANS: A, B, C
Evidence that public health nurses are practicing effectively in the community would
include these: organizing services where people live, work, play, and learn; working
in partnerships and with coalitions; and participating in epidemiologic studies.
3. Why are nurses increasingly providing care in clients homes rather than in
hospitals? (Select all that apply.)
a. Home care is less expensive.
b. It is much more efficient to give care in the home.
c. Nurses prefer to give home care with individual attention.
d. People prefer to receive care in their homes rather than in hospitals. - Answer-
ANS: A, D
An increasing number of clients are receiving care in the home because it is less
expensive and clients prefer to receive care in familiar and comfortable settings. It is
, not more efficient nor more convenient, since travel time has to be considered.
Nurses differ as to their preferred employment setting.
1. A nurse is using analytic epidemiology when conducting a research project. Which
of the following projects is the nurse most likely completing?
a. Reviewing communicable disease statistics
b. Determining factors contributing to childhood obesity
c. Analyzing locations where family violence is increasing
d. Documenting population characteristics for healthy older citizens - Answer-ANS: B
Epidemiology refers not only to infectious epidemics but also to other health-related
events. Analytic epidemiology looks at the etiology (origins or causes) of disease.
2. A nurse is employed as a nurse epidemiologist. Which of the following activities
would most likely be completed by the nurse?
a. Eliciting the health history of a client presenting with an illness
b. Evaluating the number of clients presenting with similar diseases
c. Performing a physical examination of an ill client
d. Providing treatment and health education to a client with a disease - Answer-ANS:
B
Epidemiology differs from clinical medicine, which focuses on the diagnosis and
treatment of disease in individuals. Epidemiology monitors the health of the
population.
3. Which of the following actions by Florence Nightingale demonstrates her role as
an epidemiologist?
a. She convinced other women to join her in giving nursing care to all the soldiers.
b. She demonstrated that a safer environment resulted in decreased mortality rate.
c. She obtained safe water and better food supplies and fought the lice and rats.
d. She met with each soldier each evening to say goodnight, thereby giving
psychological support. - Answer-ANS: B
Nightingale examined the relationship between the environment and the recovery of
the soldiers. Using simple epidemiological measures, she was able to show that
improving environmental conditions and adding nursing care decreased the mortality
rates of the soldiers. Nightingale used statistics to document decreased mortality
rates when the environmental factors were improved.
Questions with 100% Correct Answers
11. Making sure that essential community-oriented health services are available
defines which of the core public health functions?
a. Policy development
b. Assessment
c. Assurance
d. Scientific knowledge-based care - Answer-ANS: C
Public health is based on scientific knowledge but is not a core function. The
definition does not fit the terms assessment or policy development.
12. When talking to a womens group at the senior citizens center, the nurse
reminded them that the only way the center would be able to afford to provide
transportation services for them would be for them to continue to write letters to their
local city council representatives requesting funding for such a service. What was the
nurse trying to accomplish through this action?
a. Ensure that the women did not expect the nurse to solve their problem
b. Demonstrate that the nurse understood the womens concerns and needs
c. Express empathy, support, and concern
d. Help the women engage in political action - Answer-ANS: D
Public health nurses engage themselves and others in policy development and
encourage and assist persons to communicate their needs to those with the power to
take action.
13. The public health nurse has a clear vision of what needs to be done and where
to begin to improve the health of the community. Why would the nurse spend time
meeting with community groups to discuss the most important task to be addressed
first?
a. To increase the groups self-esteem
b. To maintain communication links with the groups
c. To make the groups feel good about their contribution
,d. To work with the groups, not for the groups - Answer-ANS: D
Historically, health care providers have been accused of providing care for or to
people without actually involving the recipients in the decisions. Public health nursing
is a with the peoplenot a to the people or for the peopleapproach to planning.
14. The nurse often has to make resource allocation decisions. Which of the
following best describes the criterion the nurse should use in such cases?
a. The specific moral or ethical principle related to the situation
b. The cheapest, most economical approach
c. The most rational probable outcome
d. The needs of the aggregate rather than a few individuals - Answer-ANS: D
Although all of the choices represent components of a decision that the nurse might
consider, the dominant needs of the population outweigh the expressed needs of
one or a few people.
15. Which of the following actions best represents public health nursing?
a. Assessing the effectiveness of the large high school health clinic
b. Caring for clients in their home following their outpatient surgeries
c. Providing care to children and their families at the school clinic
d. Administering follow-up care for pediatric clients at an outpatient clinic - Answer-
ANS: A
A public health or population-focused approach would look at the entire group of
children being served to determine whether available services are effective in
achieving the goal of improving the health of the school population.
16. Two nurses plan to walk under a huge downtown bridge where various homeless
persons live. Why would the nurses go to such an unsafe area?
a. To assess the needs of the homeless who live there
b. To demonstrate their courage and commitment
c. To distribute some of their own surplus clothes to those who can use them
d. To share with various churches and other charities what is needed - Answer-ANS:
A
,In most nursing practices, the client seeks out and requests assistance. In public
health nursing, the nurse often reaches out to those who might benefit from a service
or intervention, beginning with assessment of needs.
1. Which of the following variables have led to a stronger commitment to population-
focused services? (Select all that apply.)
a. Economic turmoil and demand for high-technology care
b. Emergence of new or drug-resistant infectious diseases
c. Emphasis on overall health care needs rather than only on acute care treatment
d. Threat of bioterrorism - Answer-ANS: B, C, D
As overall health needs become the focus of care in the United States, a stronger
commitment to population-focused services is emerging. Threats of bioterrorism,
anthrax scares, and the emergence of modern-day epidemics have drawn attention
to population-focused safety and services.
2. Which of the following actions demonstrate(s) effective public health nursing
practice in the community? (Select all that apply.)
a. Epidemiologic investigations examine the environment for health hazards.
b. New services are organized where particular vulnerable populations live.
c. Partnerships are established with community coalitions.
d. Staff members at the public health agency continue to increase in number. -
Answer-ANS: A, B, C
Evidence that public health nurses are practicing effectively in the community would
include these: organizing services where people live, work, play, and learn; working
in partnerships and with coalitions; and participating in epidemiologic studies.
3. Why are nurses increasingly providing care in clients homes rather than in
hospitals? (Select all that apply.)
a. Home care is less expensive.
b. It is much more efficient to give care in the home.
c. Nurses prefer to give home care with individual attention.
d. People prefer to receive care in their homes rather than in hospitals. - Answer-
ANS: A, D
An increasing number of clients are receiving care in the home because it is less
expensive and clients prefer to receive care in familiar and comfortable settings. It is
, not more efficient nor more convenient, since travel time has to be considered.
Nurses differ as to their preferred employment setting.
1. A nurse is using analytic epidemiology when conducting a research project. Which
of the following projects is the nurse most likely completing?
a. Reviewing communicable disease statistics
b. Determining factors contributing to childhood obesity
c. Analyzing locations where family violence is increasing
d. Documenting population characteristics for healthy older citizens - Answer-ANS: B
Epidemiology refers not only to infectious epidemics but also to other health-related
events. Analytic epidemiology looks at the etiology (origins or causes) of disease.
2. A nurse is employed as a nurse epidemiologist. Which of the following activities
would most likely be completed by the nurse?
a. Eliciting the health history of a client presenting with an illness
b. Evaluating the number of clients presenting with similar diseases
c. Performing a physical examination of an ill client
d. Providing treatment and health education to a client with a disease - Answer-ANS:
B
Epidemiology differs from clinical medicine, which focuses on the diagnosis and
treatment of disease in individuals. Epidemiology monitors the health of the
population.
3. Which of the following actions by Florence Nightingale demonstrates her role as
an epidemiologist?
a. She convinced other women to join her in giving nursing care to all the soldiers.
b. She demonstrated that a safer environment resulted in decreased mortality rate.
c. She obtained safe water and better food supplies and fought the lice and rats.
d. She met with each soldier each evening to say goodnight, thereby giving
psychological support. - Answer-ANS: B
Nightingale examined the relationship between the environment and the recovery of
the soldiers. Using simple epidemiological measures, she was able to show that
improving environmental conditions and adding nursing care decreased the mortality
rates of the soldiers. Nightingale used statistics to document decreased mortality
rates when the environmental factors were improved.
