Test Bank for
Community and Public Health Nursing 3rd
Edition
Author: Rosanna DeMarco; Judith Healey-Walsh
Table of Contents
Chapter 1: Public Health Nursing: Present, Past, and Future
Chapter 2: Public Health Systems
Chapter 3: Health Policy, Politics, and Reform
Chapter 4: Global Health: A Community Perspective
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
Chapter 6: Epidemiology: The Science of Prevention
Chapter 7: Describing Health Conditions: Understanding and Using Rates
Chapter 8: Gathering Evidence for Public Health Practice
Chapter 9: Planning for Community Change
Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
Chapter 11: Community Assessment
Chapter 12: Care Management, Case Management, and Home Healthcare
Chapter 13: Family Assessment
Chapter 14: Risk of Infectious and Communicable Diseases
Chapter 15: Emerging Infectious Diseases
Chapter 16: Violence and Abuse
Chapter 17: Substance Use
Chapter 18: Underserved Populations
Chapter 19: Environmental Health
Chapter 20: Community Preparedness: Disaster and Terrorism
Chapter 21: Community Mental Health
Chapter 22: School Health
Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
Chapter 24: Palliative and End-of-Life Care
Chapter 25: Occupational Health Nursing
,Chapter 1: Public Health Nursing: Present, Past, and Future
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then reviewing it
with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical techniques, which
the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the hospital
Ans: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, and
lifestyles. Clients become active participants in their own care, and monitoring health becomes
the client's responsibility. To help clients and their healthcare providers make better decisions,
the Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that
empower clients and assist providers in achieving desired outcomes, including client-reported
functional status indicators. Computer-assisted robotic surgical techniques, electronic health
records, and continuous glucose monitoring in the hospital are all technological advances in
healthcare, but they do not help the client become a more active participant in his or her care, and
thus are not good examples of patient-centered care.
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health? (Select all
that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Ans: A, B, D, E Feedback:
The social conditions in which people live, their income, social status, education, literacy, home
and work environment, support networks, gender, culture, and availability of health services are
the social determinants of health. These conditions have an impact on the extent to which a
person or community possesses the physical, social, and personal resources necessary to attain
and maintain health. A medical error on the part of the client's primary care provider or nurse
would not constitute a social determinant of the client's health.
3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
using a digital scale and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
Ans: C
Feedback:
,Personal responsibility for health involves active participation in one's own health through
education and lifestyle changes. In this case, the client makes a positive change in lifestyle by
monitoring body weight weekly. Telehealth is the use of electronic information and
telecommunications technologies to support long-distance clinical healthcare, client and
professional health-related education, public health, and health administration. Health
information technology (HIT) is defined as the comprehensive management of health
information and its exchange between consumers, providers, government, and insurers in a
secure manner. Evidence-based nursing is the integration of the best evidence available with
clinical expertise and the values of the client to increase the quality of care.
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the year
Ans: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which people can
be healthy. A community-wide smoking cessation program is a great example of a public health
intervention, in that it involves the collective effort of society to improve the health of its
members. Reading and applying the latest nursing research is an example of evidence-based
nursing. Instructing a client on how to best care for a suture site at home is an example of
personal responsibility for health, but it is not focused on the health of the greater community.
Participating in a videoconference call with a client who lives in a remote area is an example of
patient-centered care and of an effective implementation of technology, but it is not particularly
related to public health.
5. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
Ans: A
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
policy development and program planning skills, communication skills, cultural competency
skills, community dimensions of practice skills, public health science skills, financial planning
and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public health
nursing interventions but are not domains of public health nursing practice.
6. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
, A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills
Ans: C
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
policy development and program planning skills, communication skills, cultural competency
skills, community dimensions of practice skills, public health science skills, financial planning
and management skills, and leadership and systems thinking skills.
7. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which are domains of public health nursing practice? (Select all that apply.)
A) Intuitive assessment skills
B) Community organization skills
C) Communication skills
D) Cultural competency skills
E) Product marketing skills
Ans: C, D
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
policy development and program planning skills, communication skills, cultural competency
skills, community dimensions of practice skills, public health science skills, financial planning
and management skills, and leadership and systems thinking skills.
8. Which was a duty performed by district nurses in Liverpool, England, in 1865?
A) Use epidemiologic knowledge and methods
B) Encourage community organization
C) Report facts to and ask questions of physicians
D) Assist physicians with surgery in the newly constructed hospitals
Ans: C
Feedback:
Duties of district nurses in Liverpool, England, in 1865 included the following: Investigate new
referrals as soon as possible; report to the superintendent situations in which additional food or
relief would improve recovery; report neglect of clients by family or friends to the
superintendent; assist physicians with surgery in the home; maintain a clean, uncluttered home
environment and tend fires for heat; teach the client and family about cleanliness, ventilation,
giving of food and medications, and obedience to the physician's orders; set an example for
“neatness, order, sobriety, and obedience”; hold family matters in confidence; avoid interference
with the religious opinions and beliefs of clients and others; report facts to and ask questions of
physicians; and refer the acutely ill to hospitals and the chronically ill, poor without family to
infirmaries.
Using epidemiologic knowledge and methods and encouraging community organization are
principles of public health today, not duties of district nurses in England in 1865.
Nurses at that time assisted physicians with surgery in the home, not in newly constructed
hospitals.
Community and Public Health Nursing 3rd
Edition
Author: Rosanna DeMarco; Judith Healey-Walsh
Table of Contents
Chapter 1: Public Health Nursing: Present, Past, and Future
Chapter 2: Public Health Systems
Chapter 3: Health Policy, Politics, and Reform
Chapter 4: Global Health: A Community Perspective
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
Chapter 6: Epidemiology: The Science of Prevention
Chapter 7: Describing Health Conditions: Understanding and Using Rates
Chapter 8: Gathering Evidence for Public Health Practice
Chapter 9: Planning for Community Change
Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
Chapter 11: Community Assessment
Chapter 12: Care Management, Case Management, and Home Healthcare
Chapter 13: Family Assessment
Chapter 14: Risk of Infectious and Communicable Diseases
Chapter 15: Emerging Infectious Diseases
Chapter 16: Violence and Abuse
Chapter 17: Substance Use
Chapter 18: Underserved Populations
Chapter 19: Environmental Health
Chapter 20: Community Preparedness: Disaster and Terrorism
Chapter 21: Community Mental Health
Chapter 22: School Health
Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
Chapter 24: Palliative and End-of-Life Care
Chapter 25: Occupational Health Nursing
,Chapter 1: Public Health Nursing: Present, Past, and Future
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then reviewing it
with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical techniques, which
the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the hospital
Ans: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, and
lifestyles. Clients become active participants in their own care, and monitoring health becomes
the client's responsibility. To help clients and their healthcare providers make better decisions,
the Agency for Healthcare Research and Quality (AHRQ) has developed a series of tools that
empower clients and assist providers in achieving desired outcomes, including client-reported
functional status indicators. Computer-assisted robotic surgical techniques, electronic health
records, and continuous glucose monitoring in the hospital are all technological advances in
healthcare, but they do not help the client become a more active participant in his or her care, and
thus are not good examples of patient-centered care.
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health? (Select all
that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Ans: A, B, D, E Feedback:
The social conditions in which people live, their income, social status, education, literacy, home
and work environment, support networks, gender, culture, and availability of health services are
the social determinants of health. These conditions have an impact on the extent to which a
person or community possesses the physical, social, and personal resources necessary to attain
and maintain health. A medical error on the part of the client's primary care provider or nurse
would not constitute a social determinant of the client's health.
3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
using a digital scale and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
Ans: C
Feedback:
,Personal responsibility for health involves active participation in one's own health through
education and lifestyle changes. In this case, the client makes a positive change in lifestyle by
monitoring body weight weekly. Telehealth is the use of electronic information and
telecommunications technologies to support long-distance clinical healthcare, client and
professional health-related education, public health, and health administration. Health
information technology (HIT) is defined as the comprehensive management of health
information and its exchange between consumers, providers, government, and insurers in a
secure manner. Evidence-based nursing is the integration of the best evidence available with
clinical expertise and the values of the client to increase the quality of care.
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the year
Ans: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which people can
be healthy. A community-wide smoking cessation program is a great example of a public health
intervention, in that it involves the collective effort of society to improve the health of its
members. Reading and applying the latest nursing research is an example of evidence-based
nursing. Instructing a client on how to best care for a suture site at home is an example of
personal responsibility for health, but it is not focused on the health of the greater community.
Participating in a videoconference call with a client who lives in a remote area is an example of
patient-centered care and of an effective implementation of technology, but it is not particularly
related to public health.
5. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
Ans: A
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
policy development and program planning skills, communication skills, cultural competency
skills, community dimensions of practice skills, public health science skills, financial planning
and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public health
nursing interventions but are not domains of public health nursing practice.
6. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
, A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills
Ans: C
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
policy development and program planning skills, communication skills, cultural competency
skills, community dimensions of practice skills, public health science skills, financial planning
and management skills, and leadership and systems thinking skills.
7. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which are domains of public health nursing practice? (Select all that apply.)
A) Intuitive assessment skills
B) Community organization skills
C) Communication skills
D) Cultural competency skills
E) Product marketing skills
Ans: C, D
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills,
policy development and program planning skills, communication skills, cultural competency
skills, community dimensions of practice skills, public health science skills, financial planning
and management skills, and leadership and systems thinking skills.
8. Which was a duty performed by district nurses in Liverpool, England, in 1865?
A) Use epidemiologic knowledge and methods
B) Encourage community organization
C) Report facts to and ask questions of physicians
D) Assist physicians with surgery in the newly constructed hospitals
Ans: C
Feedback:
Duties of district nurses in Liverpool, England, in 1865 included the following: Investigate new
referrals as soon as possible; report to the superintendent situations in which additional food or
relief would improve recovery; report neglect of clients by family or friends to the
superintendent; assist physicians with surgery in the home; maintain a clean, uncluttered home
environment and tend fires for heat; teach the client and family about cleanliness, ventilation,
giving of food and medications, and obedience to the physician's orders; set an example for
“neatness, order, sobriety, and obedience”; hold family matters in confidence; avoid interference
with the religious opinions and beliefs of clients and others; report facts to and ask questions of
physicians; and refer the acutely ill to hospitals and the chronically ill, poor without family to
infirmaries.
Using epidemiologic knowledge and methods and encouraging community organization are
principles of public health today, not duties of district nurses in England in 1865.
Nurses at that time assisted physicians with surgery in the home, not in newly constructed
hospitals.
