HEALTH IN COMMUNITY/PUBLIC
HEALTH NURSING
6TH EDITION
• AUTHOR(S)MARCIA STANHOPE;
JEANETTE LANCASTER
TEST BANK
Reference: Ch. 1 — Public health nursing and population health
— Public health practice and population health
Question stem: A county health department reviews data
showing rising asthma-related school absences among children
living near a major highway corridor. The nurse notes that most
affected families rent older apartments with mold and poor
,ventilation. Which action best reflects a population health
approach?
A. Refer each child with symptoms to a pediatric clinic for
individual follow-up
B. Educate families on inhaler technique and ask them to return
if symptoms worsen
C. Map the highest-burden neighborhoods and coordinate with
housing, schools, and air-quality partners
D. Prioritize treatment for the child with the most frequent
emergency department visits
Correct answer: C
Rationale — Correct: Population health practice targets patterns
of risk affecting groups, not only individual episodes of illness.
Mapping the burden by neighborhood supports assessment of
community-level exposure and guides policy and environmental
interventions with the greatest population impact. Coordinating
sectors fits a public health nursing role in advocacy and systems
action.
Rationale — A: Referral helps individuals but does not address
the community pattern or upstream causes. It is a downstream
response.
Rationale — B: Teaching self-management is useful, but it is not
sufficient when the main drivers are environmental and
housing-related.
,Rationale — D: Prioritizing the sickest child is clinically
understandable, but public health prioritizes population-level
risk reduction.
Teaching point: Population health targets shared causes and
community patterns, not only individual disease episodes.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
Reference: Ch. 1 — Public health nursing and population health
— Definitions in public health
Question stem: A nurse in a rural county is asked to “do public
health” after a measles exposure is reported at a community
center. The county has low vaccination coverage, long travel
distances, and limited primary care access. Which
interpretation best fits public health practice?
A. Focus only on treating exposed individuals after symptoms
develop
B. Coordinate contact tracing, immunization review, and
community-wide exposure control
C. Wait until the outbreak ends, then provide health education
at the next town meeting
D. Refer all exposed persons to the emergency department for
assessment
, Correct answer: B
Rationale — Correct: Public health practice emphasizes
prevention, surveillance, and community-wide control of
communicable disease. Contact tracing and immunization
review address exposure risk at the population level and help
interrupt transmission.
Rationale — A: Waiting for disease to occur is reactive and
misses prevention opportunities.
Rationale — C: Delayed education alone does not control
transmission during an active exposure event.
Rationale — D: Emergency department referral is not the best
population-level response and can overuse scarce resources.
Teaching point: Public health acts early to interrupt
transmission and protect the community.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
Reference: Ch. 1 — Public health nursing and population health
— Public health core functions
Question stem: A city health department is deciding whether to
expand lead screening, lobby for housing code enforcement, or
open another treatment clinic for children with elevated lead