COMMUNITY HEALTH NURSING TEST BANK PRACTICE 180
QUESTIONS WITH CORRECT ANSWERS COVERING THE MOST
TESTED QUESTIONS GRADED A+
COMMUNITY TEST 1 FOCUSES ON FOUNDATIONAL CONCEPTS IN PUBLIC AND
COMMUNITY HEALTH NURSING, INCLUDING PREVENTION STRATEGIES,
EPIDEMIOLOGICAL PRINCIPLES, HEALTH PROMOTION, AND POPULATION-
BASED CARE. THESE QUESTIONS SUPPORT STUDENTS IN APPLYING THEORY
TO REAL-WORLD SCENARIOS, CRUCIAL FOR SUCCESS IN BOTH ACADEMIC AND
CLINICAL SETTINGS.
The key difference between community-based and community-oriented nursing is that community-
based nurses deal primarily with illness-oriented care, whereas community-oriented nursesor public
health nursesprovide health care to promote quality of life.
1. Which of the following best describes community-based nursing?
a. A philosophy that guides family-centered illness care
b. Providing care with a focus on the groups needs
c. Giving care with a focus on the aggregates needs
d. A value system in which all clients receive optimal care - CORRECT ANSWER-ANS: A
By definition, community-based nursing is nursing that focuses on family-centered illness care to
individuals and families in the community.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill individuals within their family setting
d. Having the goal of health promotion and disease prevention - CORRECT ANSWER-ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining
health to promote the quality of life. All nurses may focus on individuals and families, give direct
care to ill persons within their family setting, and help manage acute or chronic conditions.
4. Which of the following is responsible for the dramatic increase in life expectancy during the
twentieth century?
a. Technology increases in the field of medical laboratory research
,b. Advances in surgical techniques and procedures
c. Sanitation and other public health activities
d. Use of antibiotics to fight infections - CORRECT ANSWER-ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and other public
health activities led to the increase in life expectancy from less than 50 years in 1900 to more than
77 years in 2002.
5. A nurse is developing a plan to decrease the number of premature deaths in the community.
Which of the following interventions would most likely be implemented by the nurse?
a. Increase the communitys knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for community members. -
CORRECT ANSWER-ANS: B
Public health approaches could help prevent about 70% of early deaths by influencing the way
people eat, drink, drive, engage in exercise, and treat the environment.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans. - CORRECT
ANSWER-ANS: C
Public health can be described as what society collectively does to ensure that conditions exist in
which people can be healthy.
7. Which of the following actions would most likely be performed by a public health nurse?
a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine needed health
services
d. Working with community groups to create policies to improve the environment - CORRECT
ANSWER-ANS: D
,Although the public health nurse might engage in any of the tasks listed, he or she works primarily
with members of the community to carry out core public health functions, including assessment of
the population as a whole and engaging in promoting health and improving the environment.
8. Which of the following public health nurses most clearly fulfills the responsibilities of this role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television - CORRECT
ANSWER-ANS: B
Any of these descriptions might represent a nurse communicating, cooperating, or collaborating
with community residents or groups about health concerns. However, the nurse who spent the day
attending meetings of various health agencies is the most representative, because in public health,
concerns are broader than recreation, individual concerns are not as important as aggregate
priorities, and watching television (a one-way form of communication) is less effective than
interacting with others.
9. Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A group of persons who share one or more characteristics
d. Another name for demographic group - CORRECT ANSWER-ANS: C
An aggregate is defined as a collection of people who share one or more personal or environmental
characteristics, such as geography or special interest.
10. A registered nurse was just employed as a public health nurse. Which question would be the
most relevant for the nurse to ask?
a. Which groups are at the greatest risk for problems?
b. Which patients should I see first as I begin my day?
c. With which physicians will I be most closely collaborating?
d. With which nursing assistants will I partner the most? - CORRECT ANSWER-ANS: A
Asking which groups are at greatest risk reflects a community-oriented perspective. The other
possible responses reflect a focus on individuals.
, 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 - CORRECT 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 - CORRECT 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 - CORRECT 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
QUESTIONS WITH CORRECT ANSWERS COVERING THE MOST
TESTED QUESTIONS GRADED A+
COMMUNITY TEST 1 FOCUSES ON FOUNDATIONAL CONCEPTS IN PUBLIC AND
COMMUNITY HEALTH NURSING, INCLUDING PREVENTION STRATEGIES,
EPIDEMIOLOGICAL PRINCIPLES, HEALTH PROMOTION, AND POPULATION-
BASED CARE. THESE QUESTIONS SUPPORT STUDENTS IN APPLYING THEORY
TO REAL-WORLD SCENARIOS, CRUCIAL FOR SUCCESS IN BOTH ACADEMIC AND
CLINICAL SETTINGS.
The key difference between community-based and community-oriented nursing is that community-
based nurses deal primarily with illness-oriented care, whereas community-oriented nursesor public
health nursesprovide health care to promote quality of life.
1. Which of the following best describes community-based nursing?
a. A philosophy that guides family-centered illness care
b. Providing care with a focus on the groups needs
c. Giving care with a focus on the aggregates needs
d. A value system in which all clients receive optimal care - CORRECT ANSWER-ANS: A
By definition, community-based nursing is nursing that focuses on family-centered illness care to
individuals and families in the community.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
b. Providing care to manage acute or chronic conditions
c. Giving direct care to ill individuals within their family setting
d. Having the goal of health promotion and disease prevention - CORRECT ANSWER-ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or maintaining
health to promote the quality of life. All nurses may focus on individuals and families, give direct
care to ill persons within their family setting, and help manage acute or chronic conditions.
4. Which of the following is responsible for the dramatic increase in life expectancy during the
twentieth century?
a. Technology increases in the field of medical laboratory research
,b. Advances in surgical techniques and procedures
c. Sanitation and other public health activities
d. Use of antibiotics to fight infections - CORRECT ANSWER-ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and other public
health activities led to the increase in life expectancy from less than 50 years in 1900 to more than
77 years in 2002.
5. A nurse is developing a plan to decrease the number of premature deaths in the community.
Which of the following interventions would most likely be implemented by the nurse?
a. Increase the communitys knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for community members. -
CORRECT ANSWER-ANS: B
Public health approaches could help prevent about 70% of early deaths by influencing the way
people eat, drink, drive, engage in exercise, and treat the environment.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans. - CORRECT
ANSWER-ANS: C
Public health can be described as what society collectively does to ensure that conditions exist in
which people can be healthy.
7. Which of the following actions would most likely be performed by a public health nurse?
a. Asking community leaders what interventions should be chosen
b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine needed health
services
d. Working with community groups to create policies to improve the environment - CORRECT
ANSWER-ANS: D
,Although the public health nurse might engage in any of the tasks listed, he or she works primarily
with members of the community to carry out core public health functions, including assessment of
the population as a whole and engaging in promoting health and improving the environment.
8. Which of the following public health nurses most clearly fulfills the responsibilities of this role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television - CORRECT
ANSWER-ANS: B
Any of these descriptions might represent a nurse communicating, cooperating, or collaborating
with community residents or groups about health concerns. However, the nurse who spent the day
attending meetings of various health agencies is the most representative, because in public health,
concerns are broader than recreation, individual concerns are not as important as aggregate
priorities, and watching television (a one-way form of communication) is less effective than
interacting with others.
9. Which of the following best defines aggregate?
a. A large group of persons
b. A collection of individuals and families
c. A group of persons who share one or more characteristics
d. Another name for demographic group - CORRECT ANSWER-ANS: C
An aggregate is defined as a collection of people who share one or more personal or environmental
characteristics, such as geography or special interest.
10. A registered nurse was just employed as a public health nurse. Which question would be the
most relevant for the nurse to ask?
a. Which groups are at the greatest risk for problems?
b. Which patients should I see first as I begin my day?
c. With which physicians will I be most closely collaborating?
d. With which nursing assistants will I partner the most? - CORRECT ANSWER-ANS: A
Asking which groups are at greatest risk reflects a community-oriented perspective. The other
possible responses reflect a focus on individuals.
, 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 - CORRECT 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 - CORRECT 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 - CORRECT 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
