HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1⃣ Question 1
Reference: Ch. 1 — Community and Public Health
Stem: A public health nurse (PHN) is planning a health
promotion initiative for a neighborhood with rising rates of
childhood asthma. Which initial step best reflects a population-
focused approach?
A. Offer free home air-purifier vouchers to families who request
them.
B. Conduct a community assessment to identify environmental
triggers and at-risk subgroups.
C. Provide individual education in the clinic to families of
,children with asthma.
D. Host a single community health fair focused on general
respiratory health.
Correct Answer: B
Rationales:
• Correct (B): A population-focused approach begins with
systematic community assessment to identify
environmental determinants, distribution of risk, and
vulnerable subgroups so interventions target the root
causes.
• A: Providing vouchers is an intervention but skips
assessment; it may not reach the highest-risk homes or
address causes.
• C: Individual education is important but is clinically focused
rather than population-level prevention.
• D: A one-time fair raises awareness but is insufficient
without prior assessment and targeted planning.
Teaching Point: Community assessment identifies root causes
and guides targeted population interventions.
Citation (simplified APA): Stanley, M. J., & Niemi, C. (2023).
Community and Public Health Nursing: Promoting the Public’s
Health (11th ed.). Ch. 1.
,2️⃣ Question 2️
Reference: Ch. 1 — The Concept of Community
Stem: During a community mapping exercise, a PHN documents
shared beliefs, local gathering sites, and informal leaders.
Which element of “community” is the nurse primarily
describing?
A. Geographic boundaries
B. Social system and culture
C. Epidemiologic data
D. Healthcare infrastructure
Correct Answer: B
Rationales:
• Correct (B): Shared beliefs, gathering places, and informal
leaders describe the community’s social system and
culture—key non-geographic attributes of a community.
• A: Geographic boundaries refer to physical location, not
cultural or social relationships.
• C: Epidemiologic data are measures of disease distribution,
not the social structures described.
• D: Healthcare infrastructure is one component of a
community’s resources but does not capture beliefs and
informal leadership.
, Teaching Point: Communities include social systems and
culture, not just geographic boundaries.
Citation (simplified APA): Stanley, M. J., & Niemi, C. (2023).
Community and Public Health Nursing: Promoting the Public’s
Health (11th ed.). Ch. 1.
3️⃣ Question 3️
Reference: Ch. 1 — The Concept of Health
Stem: A PHN is designing outcome measures for a wellness
program. Which measure best captures the textbook’s broad
concept of health (beyond absence of disease)?
A. Number of clinic visits for acute infections in the year.
B. Proportion of residents reporting ability to perform desired
daily activities.
C. Total number of vaccinations administered.
D. Rate of hospital admissions for one condition.
Correct Answer: B
Rationales:
• Correct (B): Health is a multidimensional concept including
functional ability and well-being; self-reported capacity to
perform daily activities reflects that broader definition.
• A: Clinic visits for infections measure morbidity but not
overall functional health or well-being.