HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
Item 1
Reference: Ch. 1 — Community and Public Health (Introduction
to population-focused practice)
Question stem: A public health nurse (PHN) is planning a
community assessment in a town showing rising rates of Type 2
diabetes. Which approach best reflects a population-focused
community/public health nursing perspective?
A. Screen every individual who visits the clinic this week and
refer positives to primary care.
B. Analyze population data to identify high-risk groups,
determinants, and target interventions.
C. Provide diabetes education pamphlets to clinic patients on a
,first-come, first-served basis.
D. Offer community members free glucose meters to use at
home.
Correct answer: B
Rationales:
• Correct (B): Population-focused practice emphasizes
analyzing aggregate data to identify high-risk subgroups
and social determinants, then planning targeted
interventions—central concepts in Rector’s chapter.
• A: Screening only clinic visitors is opportunistic and misses
community-level surveillance and planning.
• C: Passive distribution of pamphlets is low-impact and not
targeted to populations with greatest need.
• D: Distributing devices without accompanying population
needs assessment or follow-up fails to address
determinants or ensure evaluation.
Teaching point: Population assessment guides targeted
interventions and addresses underlying determinants.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1. LWW Official Store+1
Item 2
,Reference: Ch. 1 — The Concept of Community (defining
community and aggregates)
Question stem: A nurse conducting a community needs
assessment must define the “community.” Which definition will
best help the nurse plan public health interventions?
A. A group of patients who come to the same clinic.
B. A collection of individuals who share a common geographic
area, social ties, and mutual interests.
C. A set of people who have the same disease diagnosis.
D. An online forum of people discussing health topics.
Correct answer: B
Rationales:
• Correct (B): Rector highlights that community includes
geographic, social, and functional dimensions—useful for
community assessment and program planning.
• A: Clinic catchment is a service delivery subset but may not
capture social ties or geographic factors.
• C: Disease-based groups are aggregates but lack broader
community context for public health interventions.
• D: Virtual groups can be important but do not substitute
for understanding local community structure when
planning place-based interventions.
Teaching point: A community integrates place, social
relationships, and shared interests for meaningful interventions.
, Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing (11th ed.). Ch. 1. LWW Official Store
Item 3
Reference: Ch. 1 — The Concept of Health (health as a
population concept; determinants)
Question stem: During strategic planning for a rural county,
which statement best reflects a population-level definition of
health the PHN should adopt?
A. Health equals absence of disease in each individual.
B. Health is a dynamic state influenced by social, economic,
environmental, and behavioral determinants across the
population.
C. Health is defined only by access to hospital services.
D. Health means people feel happy all the time.
Correct answer: B
Rationales:
• Correct (B): Rector describes health as broader than
disease absence and influenced by determinants at the
population level—key for community nursing.
• A: Individual disease absence is a biomedical perspective
but too narrow for public health planning.
• C: Access to hospitals is one factor but does not capture all
determinants of population health.