HEALTH IN COMMUNITY/PUBLIC
HEALTH NURSING
6TH EDITION
• AUTHOR(S)MARCIA STANHOPE;
JEANETTE LANCASTER
TEST BANK
1
Reference: Ch. 1 — Public health nursing and population health
— Definitions in public health
Question Stem:
A county health department sees a rise in emergency
department visits for uncontrolled hypertension among adults
,living in two low-income neighborhoods. The nurse leader is
asked to describe the most population-focused way to frame
the problem. Which statement is best?
A. “The priority is identifying which individual patients have the
highest blood pressure readings.”
B. “The priority is determining which hospital should treat these
patients more quickly.”
C. “The priority is examining patterns of risk, access, and
outcomes across the neighborhoods.”
D. “The priority is teaching each patient to schedule more
follow-up appointments.”
Correct Answer: C
Rationales:
C (Correct): Population health focuses on patterns across
groups, not only on individual cases. The nurse should examine
risk distribution, access barriers, and neighborhood-level
outcomes to guide action. This approach supports
communitywide planning and prevention.
A: This is important clinically, but it stays at the individual level
rather than the population level.
B: Hospital throughput does not address the underlying
community pattern or prevention needs.
D: Education may help individuals, but it is not the best
population-level framing of the problem.
Teaching Point: Population health looks for patterns, not
isolated cases.
,Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
2
Reference: Ch. 1 — Public health nursing and population health
— Public health core functions
Question Stem:
A community nurse reviews local school absenteeism, food
insecurity reports, and infant mortality trends before planning
interventions. Which core public health function is the nurse
primarily carrying out?
A. Assessment
B. Policy development
C. Assurance
D. Rehabilitation
Correct Answer: A
Rationales:
A (Correct): Assessment includes collecting and interpreting
data about community health status and needs. The nurse is
identifying the problem before planning action.
B: Policy development comes after the problem is understood
and involves creating strategies or rules to address it.
C: Assurance focuses on making sure services are available and
effective.
, D: Rehabilitation is a tertiary care activity, not a core public
health function.
Teaching Point: Assessment comes before action in public
health planning.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
3
Reference: Ch. 1 — Public health nursing and population health
— Sociodemographic characteristics
Question Stem:
A public health nurse is comparing two urban neighborhoods
with similar clinic access but very different rates of preventable
illness. One neighborhood has lower income, lower educational
attainment, and more unstable housing. Which conclusion is
most appropriate?
A. The differences are likely explained by genetics alone.
B. Sociodemographic characteristics may be contributing to the
health gap.
C. The neighborhood with lower income should be excluded
from comparison because of bias.
D. The rates are not useful because they do not reflect
individual diagnoses.