RECTOR'S COMMUNITY AND PUBLIC
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1⃣
Reference
Ch. 1 — Community and Public Health: Population-focused
practice and public health approaches
Question stem
A county public health nurse must choose between (1)
expanding immunization clinics at community centers and (2)
giving extra one-on-one vaccine counseling at a single clinic.
Which action best reflects a public health approach focused on
population health?
,Options
A. Provide one-on-one vaccine counseling at the clinic.
B. Expand immunization clinics at community centers across the
county.
C. Publish a vaccine fact sheet in a medical journal.
D. Offer vaccine counseling only to clinic patients with chronic
disease.
Correct answer
B
Rationales
Correct: Expanding community immunization clinics increases
access for the whole population and addresses prevention at a
population level, which is central to public health practice.
A: One-on-one counseling is valuable but is individual-level
clinical care rather than population-level intervention.
C: Publishing in a medical journal reaches clinicians, not the
broader community; it’s indirect for population impact.
D: Targeting only patients with chronic disease ignores broader
community exposure and misses population prevention
opportunities.
Teaching point
Population-focused actions increase health impact by reaching
many people simultaneously.
Citation (simplified APA)
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
,2️⃣
Reference
Ch. 1 — The Concept of Community: Boundaries, shared values,
and social systems
Question stem
During a community assessment for a neighborhood health
initiative, which method best identifies informal community
boundaries and social networks important for program
planning?
Options
A. Reviewing county census tract maps only.
B. Conducting key informant interviews with neighborhood
leaders.
C. Counting clinic visits from local postal codes.
D. Measuring air quality indices for the ZIP code.
Correct answer
B
Rationales
Correct: Key informant interviews reveal local perceptions,
informal boundaries, and social networks essential for culturally
appropriate planning.
A: Census maps give formal boundaries but don’t capture lived
community ties or social cohesion.
C: Clinic visit counts show service use but not social structure or
, community identity.
D: Environmental measures are useful for exposures but don’t
define social boundaries or networks.
Teaching point
Key informants reveal community norms and networks critical
for tailored interventions.
Citation (simplified APA)
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
3️⃣
Reference
Ch. 1 — The Concept of Health: Wellness-illness continuum and
determinants of health
Question stem
A public health nurse designing a hypertension prevention
program emphasizes neighborhood walkability, food access,
and stress reduction. Which rationale best supports focusing on
these factors?
Options
A. They are individual behavioral choices unrelated to
community design.
B. They are social determinants that influence the population
distribution of blood pressure.
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1⃣
Reference
Ch. 1 — Community and Public Health: Population-focused
practice and public health approaches
Question stem
A county public health nurse must choose between (1)
expanding immunization clinics at community centers and (2)
giving extra one-on-one vaccine counseling at a single clinic.
Which action best reflects a public health approach focused on
population health?
,Options
A. Provide one-on-one vaccine counseling at the clinic.
B. Expand immunization clinics at community centers across the
county.
C. Publish a vaccine fact sheet in a medical journal.
D. Offer vaccine counseling only to clinic patients with chronic
disease.
Correct answer
B
Rationales
Correct: Expanding community immunization clinics increases
access for the whole population and addresses prevention at a
population level, which is central to public health practice.
A: One-on-one counseling is valuable but is individual-level
clinical care rather than population-level intervention.
C: Publishing in a medical journal reaches clinicians, not the
broader community; it’s indirect for population impact.
D: Targeting only patients with chronic disease ignores broader
community exposure and misses population prevention
opportunities.
Teaching point
Population-focused actions increase health impact by reaching
many people simultaneously.
Citation (simplified APA)
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
,2️⃣
Reference
Ch. 1 — The Concept of Community: Boundaries, shared values,
and social systems
Question stem
During a community assessment for a neighborhood health
initiative, which method best identifies informal community
boundaries and social networks important for program
planning?
Options
A. Reviewing county census tract maps only.
B. Conducting key informant interviews with neighborhood
leaders.
C. Counting clinic visits from local postal codes.
D. Measuring air quality indices for the ZIP code.
Correct answer
B
Rationales
Correct: Key informant interviews reveal local perceptions,
informal boundaries, and social networks essential for culturally
appropriate planning.
A: Census maps give formal boundaries but don’t capture lived
community ties or social cohesion.
C: Clinic visit counts show service use but not social structure or
, community identity.
D: Environmental measures are useful for exposures but don’t
define social boundaries or networks.
Teaching point
Key informants reveal community norms and networks critical
for tailored interventions.
Citation (simplified APA)
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
3️⃣
Reference
Ch. 1 — The Concept of Health: Wellness-illness continuum and
determinants of health
Question stem
A public health nurse designing a hypertension prevention
program emphasizes neighborhood walkability, food access,
and stress reduction. Which rationale best supports focusing on
these factors?
Options
A. They are individual behavioral choices unrelated to
community design.
B. They are social determinants that influence the population
distribution of blood pressure.
