Test Bank for Community and Public Health Nursing 11th
Edition Rector
Chapter 1 The Journey Begins: Introduction
1. Which of the following statements about
health promotion and disease prevention is the most accurate?
A) Health promotion and disease prevention include all efforts that seek to move people
closer to optimal well-being or higher levels
of wellness.
B) Disease prevention differs from health promotion in that disease prevention is
targeted toward a specific disease or diseases.
C) Health promotion can be described in terms of
primary, secondary, and tertiary prevention.
D) The goal of disease prevention is to raise levels of wellness for individuals, families,
populations, and communities.
Ans: B
Feedback:
Health promotion includes all efforts that seek to move people closer to optimal well-
being or higher levels of wellness. The goal of health promotion is to raise levels of wellness for
individuals, families, populations, and communities. Disease prevention is targeted toward a
specific disease or diseases and consists of primary, secondary, and tertiary
prevention.
2. A group of community health nursing students design a health education program for a
group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful
exercises, and discussing their concerns. This is an example
of which of the following?
A) Health promotion
B) Treatment of disorders
C) Rehabilitation
D) Evaluation
Ans: A
Feedback:
The student nurses are engaging in health promotion activities. Health promotion
incorporates all efforts that seek to move people closer to optimal well-being or to higher levels
of wellness. Treatment of disorders would include direct care for issues involving the group,
such as complications that might arise in this population.
Rehabilitation would involve activities to minimize disability or restore or preserve function.
Evaluation would involve an analysis of the effectiveness of these
activities.
,3. plan of primary prevention activities. Which of the following might the nurse include?
Select all that apply.
A) Teaching about safe-sex practices to high
school students
B) Encouraging older adults to install safety
devices in the bathroom
C) Providing regular immunization programs for
communicable diseases
D) Participating in cholesterol screening
programs at health fairs
E) Providing skin testing for tuberculosis for
children over 1 year of age
F) Working with a group testing water samples
for contamination
Ans: A, B, C
Feedback:
Primary prevention activities are those taken to keep illness or injuries from occurring.
These include teaching about safe-sex practices, encouraging older adults to use safety devices in
the bathroom, and providing regular immunization programs for communicable diseases.
Cholesterol screening programs, skin tests for tuberculosis, and working with a group testing
water samples for contamination are examples of secondary prevention activities.
4. A community health nurse is preparing a presentation for a group of nursing students
about community health nursing. Which of the following descriptions about community health
nursing would the nurse most likely
include in the presentation?
A) Focusing on addressing continuous needs
B) Working with the client as an equal partner
C) Engaging in tertiary prevention as the priority
D) Encouraging clients to reach out to the nurse
Ans: B
Feedback:
The community health nurse works with the client as an equal partner, encouraging
autonomy. At any time, the nurse deals with continuous and episodic needs simultaneously.
Primary prevention is the priority for community health nurses. The community health nurse
engages in primary prevention as the priority, having the obligation to actively reach out to all
who might benefit from a specific activity or
service.
5. A community health nurse is working with other members of a team that will be
implementing a citywide immunization program. The nurse is coordinating the services and
addressing the needs of the population groups to ensure which of the
following?
A) Involvement of the community
B) Client participation
C) Continuity of service
D) Plan for follow-up
Ans: C
Feedback:
, Working in cooperation with other team members and coordinating services and
addressing the needs of population groups are essential to interprofessional collaboration. In
doing so, the community health nurse is preventing fragmentation and gaps thereby ensuring
continuity of service. Involvement of the community and client participation are important but
these help to ensure that the clients are viewed as equal partners of the health care team. A plan
for follow-up may or may not be appropriate. In addition, it is the only aspect that may be
addressed with the
program.
6. A community health nurse works to ensure the greatest good for the greatest number of
people by applying which of the following?
A) Secondary prevention activities
B) Autonomy
C) Justice
D) Utilitarianism
Ans: D
Feedback:
The ethical theory of utilitarianism promotes the greatest good for the greatest number.
Primary prevention activities, not secondary prevention, are the priority. Autonomy refers to the
freedom of choice. Justice involves
treating people fairly.
7. When working in the community, the community health nurse adopts the teaching plan to
ensure that the population understands the basic information provided to address
which of the following?
A) Self-care
B) Health disparities
C) Health literacy
D) Episodic needs
Ans: C
Feedback:
Consumers are often intimated by health professionals and are uninformed about health
and health care affecting the quality of care.
Adopting a teaching plan to ensure that the population understands the basic information
addresses health literacy, the ability to read, understand, and use health care information
appropriately. Doing so helps to ensure that the teaching plan will be effective. Self-care refers to
the process of taking responsibility for developing one's own health potential by actively
participating in promoting one's own health. Health disparities reflect differences in all aspects of
health care related to vulnerable populations. Episodic needs are one-time
specific negative health events that arise and are not an expected part of life.
, 8. Which of the following would be crucial for the community health nurse to address as the
priority when dealing with policy makers about the development of community health
programs?
A) Research-based best practices
B) Population's make up
C) Amount of services to be provided
D) Scarcity of the available resources
Ans: A
Feedback:
Decisions for programs or services are often made on the basis of cost-effectiveness or
cost–benefit. Therefore, community health nurses must provide policy makers with information
about best practices, grounded in research. Although population make up, amount of services to
be provided, and scarcity of resources are factors that may need to be considered, the community
health nurse
must demonstrate evidence-based practice.
9. After teaching a group of nursing students about the similarities and differences between
public health and community health, which of the following statements by a nursing student
would indicate knowledge of the similarities and differences between public health and
community health?
A) “Community health nursing is defined as
nursing care that is provided in a community setting, rather than an institutional setting.”
B) “Public health nursing is defined as nursing care that is provided in an institutional
setting.”
C) “Public health nursing is focused on the
health of individuals.”
D) “Community health nursing can shape the quality of community health services and
improve the health of the general public.”
Ans: D
Feedback:
Operating within an environment of rapid change and increasingly complex challenges,
this nursing specialty holds the potential to shape the quality of community health services and
improve the health of the general
public.
10. Which of the following statements would best
describe the difference between public health nursing and community health nursing?
A) Public health nursing is focused on the private aspects of health, and community health
nursing is focused on the public aspects of
health.
B) In our textbook, the term community health practice refers to a focus on specific,
designated communities and is a part of the
larger public health effort.
C) Public health nursing and community health nursing relate to the very same types of
Edition Rector
Chapter 1 The Journey Begins: Introduction
1. Which of the following statements about
health promotion and disease prevention is the most accurate?
A) Health promotion and disease prevention include all efforts that seek to move people
closer to optimal well-being or higher levels
of wellness.
B) Disease prevention differs from health promotion in that disease prevention is
targeted toward a specific disease or diseases.
C) Health promotion can be described in terms of
primary, secondary, and tertiary prevention.
D) The goal of disease prevention is to raise levels of wellness for individuals, families,
populations, and communities.
Ans: B
Feedback:
Health promotion includes all efforts that seek to move people closer to optimal well-
being or higher levels of wellness. The goal of health promotion is to raise levels of wellness for
individuals, families, populations, and communities. Disease prevention is targeted toward a
specific disease or diseases and consists of primary, secondary, and tertiary
prevention.
2. A group of community health nursing students design a health education program for a
group of pregnant teens that includes teaching nutrition during pregnancy, demonstrating helpful
exercises, and discussing their concerns. This is an example
of which of the following?
A) Health promotion
B) Treatment of disorders
C) Rehabilitation
D) Evaluation
Ans: A
Feedback:
The student nurses are engaging in health promotion activities. Health promotion
incorporates all efforts that seek to move people closer to optimal well-being or to higher levels
of wellness. Treatment of disorders would include direct care for issues involving the group,
such as complications that might arise in this population.
Rehabilitation would involve activities to minimize disability or restore or preserve function.
Evaluation would involve an analysis of the effectiveness of these
activities.
,3. plan of primary prevention activities. Which of the following might the nurse include?
Select all that apply.
A) Teaching about safe-sex practices to high
school students
B) Encouraging older adults to install safety
devices in the bathroom
C) Providing regular immunization programs for
communicable diseases
D) Participating in cholesterol screening
programs at health fairs
E) Providing skin testing for tuberculosis for
children over 1 year of age
F) Working with a group testing water samples
for contamination
Ans: A, B, C
Feedback:
Primary prevention activities are those taken to keep illness or injuries from occurring.
These include teaching about safe-sex practices, encouraging older adults to use safety devices in
the bathroom, and providing regular immunization programs for communicable diseases.
Cholesterol screening programs, skin tests for tuberculosis, and working with a group testing
water samples for contamination are examples of secondary prevention activities.
4. A community health nurse is preparing a presentation for a group of nursing students
about community health nursing. Which of the following descriptions about community health
nursing would the nurse most likely
include in the presentation?
A) Focusing on addressing continuous needs
B) Working with the client as an equal partner
C) Engaging in tertiary prevention as the priority
D) Encouraging clients to reach out to the nurse
Ans: B
Feedback:
The community health nurse works with the client as an equal partner, encouraging
autonomy. At any time, the nurse deals with continuous and episodic needs simultaneously.
Primary prevention is the priority for community health nurses. The community health nurse
engages in primary prevention as the priority, having the obligation to actively reach out to all
who might benefit from a specific activity or
service.
5. A community health nurse is working with other members of a team that will be
implementing a citywide immunization program. The nurse is coordinating the services and
addressing the needs of the population groups to ensure which of the
following?
A) Involvement of the community
B) Client participation
C) Continuity of service
D) Plan for follow-up
Ans: C
Feedback:
, Working in cooperation with other team members and coordinating services and
addressing the needs of population groups are essential to interprofessional collaboration. In
doing so, the community health nurse is preventing fragmentation and gaps thereby ensuring
continuity of service. Involvement of the community and client participation are important but
these help to ensure that the clients are viewed as equal partners of the health care team. A plan
for follow-up may or may not be appropriate. In addition, it is the only aspect that may be
addressed with the
program.
6. A community health nurse works to ensure the greatest good for the greatest number of
people by applying which of the following?
A) Secondary prevention activities
B) Autonomy
C) Justice
D) Utilitarianism
Ans: D
Feedback:
The ethical theory of utilitarianism promotes the greatest good for the greatest number.
Primary prevention activities, not secondary prevention, are the priority. Autonomy refers to the
freedom of choice. Justice involves
treating people fairly.
7. When working in the community, the community health nurse adopts the teaching plan to
ensure that the population understands the basic information provided to address
which of the following?
A) Self-care
B) Health disparities
C) Health literacy
D) Episodic needs
Ans: C
Feedback:
Consumers are often intimated by health professionals and are uninformed about health
and health care affecting the quality of care.
Adopting a teaching plan to ensure that the population understands the basic information
addresses health literacy, the ability to read, understand, and use health care information
appropriately. Doing so helps to ensure that the teaching plan will be effective. Self-care refers to
the process of taking responsibility for developing one's own health potential by actively
participating in promoting one's own health. Health disparities reflect differences in all aspects of
health care related to vulnerable populations. Episodic needs are one-time
specific negative health events that arise and are not an expected part of life.
, 8. Which of the following would be crucial for the community health nurse to address as the
priority when dealing with policy makers about the development of community health
programs?
A) Research-based best practices
B) Population's make up
C) Amount of services to be provided
D) Scarcity of the available resources
Ans: A
Feedback:
Decisions for programs or services are often made on the basis of cost-effectiveness or
cost–benefit. Therefore, community health nurses must provide policy makers with information
about best practices, grounded in research. Although population make up, amount of services to
be provided, and scarcity of resources are factors that may need to be considered, the community
health nurse
must demonstrate evidence-based practice.
9. After teaching a group of nursing students about the similarities and differences between
public health and community health, which of the following statements by a nursing student
would indicate knowledge of the similarities and differences between public health and
community health?
A) “Community health nursing is defined as
nursing care that is provided in a community setting, rather than an institutional setting.”
B) “Public health nursing is defined as nursing care that is provided in an institutional
setting.”
C) “Public health nursing is focused on the
health of individuals.”
D) “Community health nursing can shape the quality of community health services and
improve the health of the general public.”
Ans: D
Feedback:
Operating within an environment of rapid change and increasingly complex challenges,
this nursing specialty holds the potential to shape the quality of community health services and
improve the health of the general
public.
10. Which of the following statements would best
describe the difference between public health nursing and community health nursing?
A) Public health nursing is focused on the private aspects of health, and community health
nursing is focused on the public aspects of
health.
B) In our textbook, the term community health practice refers to a focus on specific,
designated communities and is a part of the
larger public health effort.
C) Public health nursing and community health nursing relate to the very same types of
