FOUNDATIONS FOR POPULATION
HEALTH IN COMMUNITY/PUBLIC
HEALTH NURSING
6TH EDITION
• AUTHOR(S)MARCIA STANHOPE;
JEANETTE LANCASTER
TEST BANK
1. Public health practice and healthy populations
Reference: Ch. 1 — Public health practice: The foundation for
healthy populations and communities
Question stem: A county health department notices rising
diabetes rates in several low-income neighborhoods, but clinic
use is also increasing for unrelated acute conditions. The public
health nurse is asked to recommend the most appropriate
,population-focused action. Which response best reflects public
health practice?
A. Increase one-to-one counseling for residents already
diagnosed with diabetes
B. Expand screening only for patients who request it during
clinic visits
C. Identify neighborhood-level risk patterns and coordinate
prevention strategies for the whole population
D. Refer every resident with elevated glucose to specialist care
Correct answer: C
Rationale — Correct: Public health practice focuses on the
health of populations, not only on individuals already in care.
The best response is to assess patterns across the community
and implement strategies that affect a broader group. This
approach aligns with prevention and population-level
improvement.
Rationale — A: Individual counseling may help some people,
but it does not address the population pattern or the upstream
drivers.
Rationale — B: Screening only those who request it is too
limited and misses higher-risk groups who may not seek care.
Rationale — D: Specialist referral is tertiary-level care for
individuals, not the best first response to a community-wide
issue.
Teaching point: Population health action targets patterns, not
isolated cases.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
,Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
2. Definitions in public health
Reference: Ch. 1 — Definitions in public health
Question stem: A new nurse says “public health” means
providing care in the community instead of in a hospital. The
preceptor wants to correct this misunderstanding using the
most accurate interpretation. Which statement is best?
A. Public health is primarily treatment delivered outside
hospitals
B. Public health aims to protect and improve the health of
populations through organized community efforts
C. Public health is the same as home health nursing
D. Public health refers only to disease outbreak control
Correct answer: B
Rationale — Correct: Public health is broader than location or
setting. It focuses on organized efforts to prevent disease,
promote health, and protect communities and populations.
Rationale — A: Public health is not defined by being outside the
hospital or by treatment alone.
Rationale — C: Home health is a setting of care, not the
definition of public health.
Rationale — D: Outbreak control is one public health function,
but not the full definition.
Teaching point: Public health is population protection and
, health promotion.
Citation: Stanhope & Lancaster. (2023). Ch. 1.
3. Core functions
Reference: Ch. 1 — Public health core functions
Question stem: A city health department reviews local asthma
hospitalizations, runs a school education campaign, and then
evaluates whether the campaign reduced symptoms. Which
sequence of public health core functions is being
demonstrated?
A. Assessment, assurance, and policy enforcement
B. Assessment, policy development, and assurance
C. Screening, diagnosis, and referral
D. Surveillance, treatment, and rehabilitation
Correct answer: B
Rationale — Correct: Reviewing hospitalization data reflects
assessment, designing the school campaign reflects policy
development, and evaluating outcomes reflects assurance.
Together, these are the core functions of public health practice.
Rationale — A: Policy enforcement is not one of the three core
functions as stated here.
Rationale — C: These are clinical actions, not the public health
core functions.
Rationale — D: Surveillance is part of assessment, but
treatment and rehabilitation are not core functions.
Teaching point: Assessment, policy development, and
HEALTH IN COMMUNITY/PUBLIC
HEALTH NURSING
6TH EDITION
• AUTHOR(S)MARCIA STANHOPE;
JEANETTE LANCASTER
TEST BANK
1. Public health practice and healthy populations
Reference: Ch. 1 — Public health practice: The foundation for
healthy populations and communities
Question stem: A county health department notices rising
diabetes rates in several low-income neighborhoods, but clinic
use is also increasing for unrelated acute conditions. The public
health nurse is asked to recommend the most appropriate
,population-focused action. Which response best reflects public
health practice?
A. Increase one-to-one counseling for residents already
diagnosed with diabetes
B. Expand screening only for patients who request it during
clinic visits
C. Identify neighborhood-level risk patterns and coordinate
prevention strategies for the whole population
D. Refer every resident with elevated glucose to specialist care
Correct answer: C
Rationale — Correct: Public health practice focuses on the
health of populations, not only on individuals already in care.
The best response is to assess patterns across the community
and implement strategies that affect a broader group. This
approach aligns with prevention and population-level
improvement.
Rationale — A: Individual counseling may help some people,
but it does not address the population pattern or the upstream
drivers.
Rationale — B: Screening only those who request it is too
limited and misses higher-risk groups who may not seek care.
Rationale — D: Specialist referral is tertiary-level care for
individuals, not the best first response to a community-wide
issue.
Teaching point: Population health action targets patterns, not
isolated cases.
Citation: Stanhope, M., & Lancaster, J. (2023). Foundations for
,Population Health in Community/Public Health Nursing (6th
ed.). Ch. 1.
2. Definitions in public health
Reference: Ch. 1 — Definitions in public health
Question stem: A new nurse says “public health” means
providing care in the community instead of in a hospital. The
preceptor wants to correct this misunderstanding using the
most accurate interpretation. Which statement is best?
A. Public health is primarily treatment delivered outside
hospitals
B. Public health aims to protect and improve the health of
populations through organized community efforts
C. Public health is the same as home health nursing
D. Public health refers only to disease outbreak control
Correct answer: B
Rationale — Correct: Public health is broader than location or
setting. It focuses on organized efforts to prevent disease,
promote health, and protect communities and populations.
Rationale — A: Public health is not defined by being outside the
hospital or by treatment alone.
Rationale — C: Home health is a setting of care, not the
definition of public health.
Rationale — D: Outbreak control is one public health function,
but not the full definition.
Teaching point: Public health is population protection and
, health promotion.
Citation: Stanhope & Lancaster. (2023). Ch. 1.
3. Core functions
Reference: Ch. 1 — Public health core functions
Question stem: A city health department reviews local asthma
hospitalizations, runs a school education campaign, and then
evaluates whether the campaign reduced symptoms. Which
sequence of public health core functions is being
demonstrated?
A. Assessment, assurance, and policy enforcement
B. Assessment, policy development, and assurance
C. Screening, diagnosis, and referral
D. Surveillance, treatment, and rehabilitation
Correct answer: B
Rationale — Correct: Reviewing hospitalization data reflects
assessment, designing the school campaign reflects policy
development, and evaluating outcomes reflects assurance.
Together, these are the core functions of public health practice.
Rationale — A: Policy enforcement is not one of the three core
functions as stated here.
Rationale — C: These are clinical actions, not the public health
core functions.
Rationale — D: Surveillance is part of assessment, but
treatment and rehabilitation are not core functions.
Teaching point: Assessment, policy development, and
