,
,
,
,b. Expenditures and resources for public health have increased in
recent years.
c. Historically, gains in the health of populations have been related
largely to changes in safety, sanitation, and personal behavior.
d. Reform of the medical insurance system is the single change
needed to improve the health of Americans.
ANS: C
Changes, such as immunizations, tobacco use, blood pressure
control, and automobile safety, have helped increase the health of
communities.
10. Collecting data and monitoring the health status of the population
defines which of the core public health functions?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: A
Prevention is not a core function, assurance is making sure essential
services are available, and policy development is needed to provide
leadership in developing policies. Assessment consists of systematic
data collection and monitoring health status.
11. The nurse who compares the rate of teenage pregnancy in
various areas of the city is practicing the public health core function
of:
a. Assurance
b. Assessment
c. Prevention
d. Policy development
ANS: B
Assessment refers to systematic data collection, which this nurse is
doing for teenage pregnancy.
12. Public health nurses who develop and implement local public
health policies through partnerships with agencies, organizations,
,and consumers within the community are using which core public
health function?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: D
Prevention is not a core function, assurance is making sure essential
services are available, and assessment refers to systematic data
collection. Policy development deals with developing and
implementing health policies.
13. Providing for the availability of essential personal health services
for people who would otherwise not receive health care defines which
public health core function?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: C
Assurance deals with the availability of health services. Prevention is
not a core function, assessment refers to systematic data collection,
and policy development refers to the need to provide leadership in
developing health policies.
14. The nurse manager who makes sure that the staff members who
work in a local clinic are competent is demonstrating the public health
core function of:
a. Assurance
b. Assessment
c. Prevention
d. Policy development
ANS: A
Assurance refers to making sure a competent health care workforce
is available.
,15. The public health nurse analyzes data related to the number and
type of United States Environmental Protection agency air quality
standards that a community failed to meet. This data is an example of
using which community health profile indicator?
a. Sociodemographic characteristics
b. Health status
c. Health risk factor
d. Functional status
ANS: C
Breathing air of poor quality is a risk to health.
16. Which is an example of the primary goal of public health?
a. Ensuring that a newly diagnosed 40-year-old hypertensive man
takes his medication
b. Finding home care for a 70-year-old client recuperating from a hip
replacement
c. Conducting an infant car seat safety check
d. Contacting a local hospice to admit a terminally ill 60-year-old
woman
ANS: C
The correct answer is concerned with the health of many people,
while the other answers address individual interventions.
17. 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
development are not considered categories of core competencies of
public health. Rather there are eight categories of competency, which
include: analytic/assessment, policy development/program planning,
communication, cultural competence, community dimensions of
,practice, basic public health sciences, financial planning and
management, and leadership and systems thinking.
18. Public health nursing is a specialty because:
a. It has a distinct focus and scope of practice.
b. It must be done by a registered nurse with a masters degree.
c. It is focused on disadvantaged citizens.
d. It performs interventions at the acute care level.
ANS: A
Public health nursing has a distinct focus and requires a special
knowledge base. The other answers are not characteristics of a
specialty.
19. The necessary basic preparation for public health nursing is a(n)
in nursing.
a. Associates degree
b. Baccalaureate degree
c. Masters degree
d. PhD
ANS: B
A BSN is the necessary basic preparation to function as a beginning
staff public health nurse.
20. Public health practitioners prepared at the graduate level should
be able to:
a. Teach public and community health nursing
b. Assess and intervene successfully at the aggregate level
c. Diagnose and treat disease and have prescriptive authority
d. Run for political office as experts in public health policy
ANS: B
According to the Consensus Conference, specialists should have
assessment skills that allow them to intervene at the aggregate level.
Public health practitioners have a broad range of practice areas
within public health and are not limited to only nursing and medicine.
,21. A public health nurse provides a clinic for HIV-positive citizens in
the community. This is an example of:
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Policy making
ANS: C
This clinic is for clients who already have a disease process;
therefore, it is tertiary prevention.
22. An example of a community health nursing practice is:
a. Administrating a flu shot to a client in a physicians office
b. Conducting a flu shot clinic at a community center
c. Performing a client assessment in a hospital
d. Providing supervision of staff in a rehabilitation center
ANS: A
Community health nursing practice focuses on providing individual
interventions in the community. Administrating a flu shot to an
individual is the only example that meets this criterion.
23. Which statement about community health nursing practice is
correct?
a. It focuses on the delivery of personal health services to individuals
and families.
b. It provides care to protect the health of the community as a whole.
c. It emphasizes the setting where care is provided for clients and
families.
d. It requires a baccalaureate preparation for practice.
ANS: A
By definition, the first option is correct. Public health nursing provides
care to protect the health of the community as a whole. Community-
based nursing practice emphasizes the setting where care is
provided for clients and families. It is generally assumed that a
graduate of any baccalaureate program has the necessary basic
preparation to function as a beginning staff public health nurse;
, however, this is not a requirement for public health nursing or
community health nursing practices.
24. The term community-based nursing care is applied when
implementing which nursing intervention?
a. Assessing the health needs of a defined community
b. Providing care to families in a community
c. Promoting the health of an entire community
d. Investigating environmental health problems in a community
ANS: B
Community-based nursing practice is a setting-specific practice
whereby care is provided for families where they live, work, and
attend school. The focus is on acute and chronic care and the
provision of services. Providing care to families is the only
intervention that accurately describes this definition.
25. The nurse who conducts vision screenings on children in the
school setting is practicing nursing practice.
a. Community-oriented
b. Public health
c. Community health
d. Community-based
ANS: D
This type of nursing is a setting-specific practice.
26. Which is an example of an aggregate or population?
a. Students in a county school system
b. Christians around the world
c. A patient in the intensive care unit at the local hospital
d. People who play cards together once a week at private homes
ANS: A
A population or aggregate is a collection of individuals who have one
or more personal or environmental characteristics in common. They
can be defined in terms of geography or a special interest. The
clients in the first option share a geographical characteristic.
,
,
,b. Expenditures and resources for public health have increased in
recent years.
c. Historically, gains in the health of populations have been related
largely to changes in safety, sanitation, and personal behavior.
d. Reform of the medical insurance system is the single change
needed to improve the health of Americans.
ANS: C
Changes, such as immunizations, tobacco use, blood pressure
control, and automobile safety, have helped increase the health of
communities.
10. Collecting data and monitoring the health status of the population
defines which of the core public health functions?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: A
Prevention is not a core function, assurance is making sure essential
services are available, and policy development is needed to provide
leadership in developing policies. Assessment consists of systematic
data collection and monitoring health status.
11. The nurse who compares the rate of teenage pregnancy in
various areas of the city is practicing the public health core function
of:
a. Assurance
b. Assessment
c. Prevention
d. Policy development
ANS: B
Assessment refers to systematic data collection, which this nurse is
doing for teenage pregnancy.
12. Public health nurses who develop and implement local public
health policies through partnerships with agencies, organizations,
,and consumers within the community are using which core public
health function?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: D
Prevention is not a core function, assurance is making sure essential
services are available, and assessment refers to systematic data
collection. Policy development deals with developing and
implementing health policies.
13. Providing for the availability of essential personal health services
for people who would otherwise not receive health care defines which
public health core function?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: C
Assurance deals with the availability of health services. Prevention is
not a core function, assessment refers to systematic data collection,
and policy development refers to the need to provide leadership in
developing health policies.
14. The nurse manager who makes sure that the staff members who
work in a local clinic are competent is demonstrating the public health
core function of:
a. Assurance
b. Assessment
c. Prevention
d. Policy development
ANS: A
Assurance refers to making sure a competent health care workforce
is available.
,15. The public health nurse analyzes data related to the number and
type of United States Environmental Protection agency air quality
standards that a community failed to meet. This data is an example of
using which community health profile indicator?
a. Sociodemographic characteristics
b. Health status
c. Health risk factor
d. Functional status
ANS: C
Breathing air of poor quality is a risk to health.
16. Which is an example of the primary goal of public health?
a. Ensuring that a newly diagnosed 40-year-old hypertensive man
takes his medication
b. Finding home care for a 70-year-old client recuperating from a hip
replacement
c. Conducting an infant car seat safety check
d. Contacting a local hospice to admit a terminally ill 60-year-old
woman
ANS: C
The correct answer is concerned with the health of many people,
while the other answers address individual interventions.
17. 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
development are not considered categories of core competencies of
public health. Rather there are eight categories of competency, which
include: analytic/assessment, policy development/program planning,
communication, cultural competence, community dimensions of
,practice, basic public health sciences, financial planning and
management, and leadership and systems thinking.
18. Public health nursing is a specialty because:
a. It has a distinct focus and scope of practice.
b. It must be done by a registered nurse with a masters degree.
c. It is focused on disadvantaged citizens.
d. It performs interventions at the acute care level.
ANS: A
Public health nursing has a distinct focus and requires a special
knowledge base. The other answers are not characteristics of a
specialty.
19. The necessary basic preparation for public health nursing is a(n)
in nursing.
a. Associates degree
b. Baccalaureate degree
c. Masters degree
d. PhD
ANS: B
A BSN is the necessary basic preparation to function as a beginning
staff public health nurse.
20. Public health practitioners prepared at the graduate level should
be able to:
a. Teach public and community health nursing
b. Assess and intervene successfully at the aggregate level
c. Diagnose and treat disease and have prescriptive authority
d. Run for political office as experts in public health policy
ANS: B
According to the Consensus Conference, specialists should have
assessment skills that allow them to intervene at the aggregate level.
Public health practitioners have a broad range of practice areas
within public health and are not limited to only nursing and medicine.
,21. A public health nurse provides a clinic for HIV-positive citizens in
the community. This is an example of:
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Policy making
ANS: C
This clinic is for clients who already have a disease process;
therefore, it is tertiary prevention.
22. An example of a community health nursing practice is:
a. Administrating a flu shot to a client in a physicians office
b. Conducting a flu shot clinic at a community center
c. Performing a client assessment in a hospital
d. Providing supervision of staff in a rehabilitation center
ANS: A
Community health nursing practice focuses on providing individual
interventions in the community. Administrating a flu shot to an
individual is the only example that meets this criterion.
23. Which statement about community health nursing practice is
correct?
a. It focuses on the delivery of personal health services to individuals
and families.
b. It provides care to protect the health of the community as a whole.
c. It emphasizes the setting where care is provided for clients and
families.
d. It requires a baccalaureate preparation for practice.
ANS: A
By definition, the first option is correct. Public health nursing provides
care to protect the health of the community as a whole. Community-
based nursing practice emphasizes the setting where care is
provided for clients and families. It is generally assumed that a
graduate of any baccalaureate program has the necessary basic
preparation to function as a beginning staff public health nurse;
, however, this is not a requirement for public health nursing or
community health nursing practices.
24. The term community-based nursing care is applied when
implementing which nursing intervention?
a. Assessing the health needs of a defined community
b. Providing care to families in a community
c. Promoting the health of an entire community
d. Investigating environmental health problems in a community
ANS: B
Community-based nursing practice is a setting-specific practice
whereby care is provided for families where they live, work, and
attend school. The focus is on acute and chronic care and the
provision of services. Providing care to families is the only
intervention that accurately describes this definition.
25. The nurse who conducts vision screenings on children in the
school setting is practicing nursing practice.
a. Community-oriented
b. Public health
c. Community health
d. Community-based
ANS: D
This type of nursing is a setting-specific practice.
26. Which is an example of an aggregate or population?
a. Students in a county school system
b. Christians around the world
c. A patient in the intensive care unit at the local hospital
d. People who play cards together once a week at private homes
ANS: A
A population or aggregate is a collection of individuals who have one
or more personal or environmental characteristics in common. They
can be defined in terms of geography or a special interest. The
clients in the first option share a geographical characteristic.
