FOUNDATIONS FOR POPULATION
HEALTH IN COMMUNITY/PUBLIC
HEALTH NURSING
6TH EDITION
• AUTHOR(S)MARCIA STANHOPE;
JEANETTE LANCASTER
TEST BANK
1. Public health nursing purpose
Reference: Ch. 1 — Public Health Nursing and Population
Health — Public health practice: foundation for healthy
populations and communities
Question stem:
A county health department reports rising rates of uncontrolled
,hypertension, food insecurity, and missed clinic appointments
among adults in three low-income neighborhoods. A public
health nurse is asked to propose the most population-focused
response. Which action best reflects public health practice?
Options:
A. Develop an individualized medication adherence plan for
each hypertensive client seen in clinic
B. Organize a community coalition to address food access,
screening, and referral patterns across neighborhoods
C. Increase referral volume to cardiology specialists for adults
with blood pressure above target
D. Assign nurses to follow up only with clients who have the
highest blood pressure readings
Correct answer: B
Rationale — Correct Answer:
This option addresses a population-level pattern rather than
isolated individual cases. It combines assessment, collaboration,
and upstream action on social conditions affecting disease
control. That aligns with public health practice because it
targets a community problem with broad impact.
Rationale — Incorrect Options:
A focuses on individual care planning, which is important but
not the best public health response to a neighborhood pattern.
C expands specialty referral without addressing root causes or
population reach.
,D narrows attention to the sickest individuals and misses
broader prevention opportunities.
Teaching point: Population health practice targets upstream
determinants and community-wide outcomes.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
2. Public health core functions
Reference: Ch. 1 — Public Health Practice — Public health core
functions
Question stem:
After a cluster of foodborne illness cases, a health department
reviews case reports, inspects food vendors, and revises local
food safety rules. Which core public health function is most
represented by the activity of using case reports to identify the
problem pattern?
Options:
A. Assurance
B. Assessment
C. Policy enforcement
D. Rehabilitation
Correct answer: B
, Rationale — Correct Answer:
Assessment includes collecting and analyzing data to define the
community’s health problem. Case reports used to identify a
cluster are a classic assessment activity. This step supports later
decisions about control and prevention.
Rationale — Incorrect Options:
A is broader and includes service delivery and ensuring access,
but the stem focuses on identifying the problem.
C is related to action after identification, not the initial data-
driven pattern recognition.
D is unrelated to outbreak surveillance and response.
Teaching point: Assessment begins with data that define the
community health problem.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
3. Population health definition
Reference: Ch. 1 — Population Health — Population health
Question stem:
A community clinic sees fewer emergency visits after a year of
improved housing referrals, school nutrition changes, and
diabetes education. A nurse asks whether these results should
be interpreted only as fewer acute episodes among enrolled
patients. What is the best population-health interpretation?
HEALTH IN COMMUNITY/PUBLIC
HEALTH NURSING
6TH EDITION
• AUTHOR(S)MARCIA STANHOPE;
JEANETTE LANCASTER
TEST BANK
1. Public health nursing purpose
Reference: Ch. 1 — Public Health Nursing and Population
Health — Public health practice: foundation for healthy
populations and communities
Question stem:
A county health department reports rising rates of uncontrolled
,hypertension, food insecurity, and missed clinic appointments
among adults in three low-income neighborhoods. A public
health nurse is asked to propose the most population-focused
response. Which action best reflects public health practice?
Options:
A. Develop an individualized medication adherence plan for
each hypertensive client seen in clinic
B. Organize a community coalition to address food access,
screening, and referral patterns across neighborhoods
C. Increase referral volume to cardiology specialists for adults
with blood pressure above target
D. Assign nurses to follow up only with clients who have the
highest blood pressure readings
Correct answer: B
Rationale — Correct Answer:
This option addresses a population-level pattern rather than
isolated individual cases. It combines assessment, collaboration,
and upstream action on social conditions affecting disease
control. That aligns with public health practice because it
targets a community problem with broad impact.
Rationale — Incorrect Options:
A focuses on individual care planning, which is important but
not the best public health response to a neighborhood pattern.
C expands specialty referral without addressing root causes or
population reach.
,D narrows attention to the sickest individuals and misses
broader prevention opportunities.
Teaching point: Population health practice targets upstream
determinants and community-wide outcomes.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
2. Public health core functions
Reference: Ch. 1 — Public Health Practice — Public health core
functions
Question stem:
After a cluster of foodborne illness cases, a health department
reviews case reports, inspects food vendors, and revises local
food safety rules. Which core public health function is most
represented by the activity of using case reports to identify the
problem pattern?
Options:
A. Assurance
B. Assessment
C. Policy enforcement
D. Rehabilitation
Correct answer: B
, Rationale — Correct Answer:
Assessment includes collecting and analyzing data to define the
community’s health problem. Case reports used to identify a
cluster are a classic assessment activity. This step supports later
decisions about control and prevention.
Rationale — Incorrect Options:
A is broader and includes service delivery and ensuring access,
but the stem focuses on identifying the problem.
C is related to action after identification, not the initial data-
driven pattern recognition.
D is unrelated to outbreak surveillance and response.
Teaching point: Assessment begins with data that define the
community health problem.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
3. Population health definition
Reference: Ch. 1 — Population Health — Population health
Question stem:
A community clinic sees fewer emergency visits after a year of
improved housing referrals, school nutrition changes, and
diabetes education. A nurse asks whether these results should
be interpreted only as fewer acute episodes among enrolled
patients. What is the best population-health interpretation?
