RECTOR'S COMMUNITY AND PUBLIC
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1
Reference: Ch. 1 — Community and Public Health
Question Stem:
A public health nurse (PHN) is preparing a presentation for city
council to argue for a new community-wide immunization clinic.
Which statement best reflects a community/public health
approach the PHN should emphasize to convince policymakers?
A. “We should vaccinate only the highest-risk individuals first to
conserve resources.”
B. “Expanding clinic access reduces disease incidence across the
,whole population.”
C. “Individual clinicians should decide who gets vaccinated on a
case-by-case basis.”
D. “Vaccination programs are entirely the responsibility of
private providers.”
Correct Answer: B
Rationale — Correct:
Expanding access is a population-level intervention that lowers
community disease incidence and aligns with public health’s
prevention focus. Rector’s text stresses interventions that
benefit populations rather than only individuals.
Rationale — Incorrect:
A. Prioritizing only high-risk individuals ignores herd immunity
and broader population benefit.
C. Case-by-case clinical decision making neglects systematic
public health planning and equity.
D. Public health programs require governmental and
community responsibility, not solely private providers.
Teaching Point:
Population-level access reduces incidence and protects
community health.
Citation:
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
,2
Reference: Ch. 1 — The Concept of Community
Question Stem:
During a community assessment, a PHN identifies strong social
networks but limited transportation options. Which implication
should the nurse prioritize when planning interventions?
A. Social networks make transportation unnecessary for service
delivery.
B. Limited transportation is a social determinant that can
restrict access to care.
C. Transportation deficits only affect employment, not health
outcomes.
D. Transportation problems should be addressed last because
they are nonhealth issues.
Correct Answer: B
Rationale — Correct:
Rector’s chapter describes community as people, place, and
social interactions; transportation is a structural determinant
affecting access to services and health outcomes, so it must be
prioritized in planning.
Rationale — Incorrect:
A. Social networks help but cannot fully overcome physical
access barriers.
C. Transportation affects many health determinants (e.g., access
to clinics, healthy food).
, D. Structural barriers are central to health planning and should
not be deprioritized.
Teaching Point:
Structural determinants (like transport) shape access and must
inform intervention design.
Citation:
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
3
Reference: Ch. 1 — The Concept of Health
Question Stem:
A community’s health status report shows rising rates of
uncontrolled diabetes despite more clinics opening. Which
community-level explanation aligns best with the text’s concept
of health?
A. Health only depends on clinical services; more clinics should
suffice.
B. Health reflects broader determinants such as food access,
education, and housing.
C. Individual choices fully explain poor diabetes control.
D. Increased clinic numbers inevitably lead to improved health
metrics.
Correct Answer: B
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1
Reference: Ch. 1 — Community and Public Health
Question Stem:
A public health nurse (PHN) is preparing a presentation for city
council to argue for a new community-wide immunization clinic.
Which statement best reflects a community/public health
approach the PHN should emphasize to convince policymakers?
A. “We should vaccinate only the highest-risk individuals first to
conserve resources.”
B. “Expanding clinic access reduces disease incidence across the
,whole population.”
C. “Individual clinicians should decide who gets vaccinated on a
case-by-case basis.”
D. “Vaccination programs are entirely the responsibility of
private providers.”
Correct Answer: B
Rationale — Correct:
Expanding access is a population-level intervention that lowers
community disease incidence and aligns with public health’s
prevention focus. Rector’s text stresses interventions that
benefit populations rather than only individuals.
Rationale — Incorrect:
A. Prioritizing only high-risk individuals ignores herd immunity
and broader population benefit.
C. Case-by-case clinical decision making neglects systematic
public health planning and equity.
D. Public health programs require governmental and
community responsibility, not solely private providers.
Teaching Point:
Population-level access reduces incidence and protects
community health.
Citation:
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
,2
Reference: Ch. 1 — The Concept of Community
Question Stem:
During a community assessment, a PHN identifies strong social
networks but limited transportation options. Which implication
should the nurse prioritize when planning interventions?
A. Social networks make transportation unnecessary for service
delivery.
B. Limited transportation is a social determinant that can
restrict access to care.
C. Transportation deficits only affect employment, not health
outcomes.
D. Transportation problems should be addressed last because
they are nonhealth issues.
Correct Answer: B
Rationale — Correct:
Rector’s chapter describes community as people, place, and
social interactions; transportation is a structural determinant
affecting access to services and health outcomes, so it must be
prioritized in planning.
Rationale — Incorrect:
A. Social networks help but cannot fully overcome physical
access barriers.
C. Transportation affects many health determinants (e.g., access
to clinics, healthy food).
, D. Structural barriers are central to health planning and should
not be deprioritized.
Teaching Point:
Structural determinants (like transport) shape access and must
inform intervention design.
Citation:
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
3
Reference: Ch. 1 — The Concept of Health
Question Stem:
A community’s health status report shows rising rates of
uncontrolled diabetes despite more clinics opening. Which
community-level explanation aligns best with the text’s concept
of health?
A. Health only depends on clinical services; more clinics should
suffice.
B. Health reflects broader determinants such as food access,
education, and housing.
C. Individual choices fully explain poor diabetes control.
D. Increased clinic numbers inevitably lead to improved health
metrics.
Correct Answer: B
