community and public health nursing complete 250-
question exam bank and solutions
DOMAIN 1: FOUNDATIONS OF COMMUNITY/PUBLIC HEALTH NURSING (50 Questions)
Q1. After teaching a group of nursing students about the similarities and differences
between public health and community health, which statement by a student would
indicate a correct understanding?
A) "Community health nursing is defined as nursing care provided in a community setting,
rather than an institutional setting."
B) "Public health nursing is defined as nursing care provided in an institutional setting."
C) "Public health nursing is focused on the health of individuals."
D) "Community health nursing can shape the quality of community health services and
improve the health of the general public."
ANSWER: D
Rationale: Community health nursing holds the potential to shape the quality of
community health services and improve the health of the general public. Community
health nursing is not defined solely by setting (A). Public health nursing is not focused on
individuals in an institutional setting (B, C); it is population-focused.
,Q2. Which statement best describes the difference between public health nursing and
community health nursing?
A) Public health nursing is focused on the private aspects of health, and community health
nursing is focused on the public aspects of health.
B) The term "community health practice" refers to a focus on specific, designated
communities and is a part of the larger public health effort.
C) Public health nursing and community health nursing relate to the very same types of
services and perspectives.
D) Both public health nursing and community health nursing are practiced exclusively
within institutions.
ANSWER: B
Rationale: Community health practice refers to a focus on specific, designated
communities and is a part of the larger public health effort. This distinction recognizes the
principles of public health as the foundation for community practice.
Q3. Which is the most accurate description of a "community"?
A) A collection of people who share some important features of their lives.
B) A group of people living in the same geographic location.
C) People who are biologically related.
D) People who do not necessarily interact with one another and do not share a sense of
belonging.
ANSWER: A
Rationale: The broad definition of a community is a collection of people who share some
important features of their lives. A community may not be defined by location (B),
biological relation (C), or a lack of interaction (D). A population is a group that may not
interact or share a sense of belonging (D).
,Q4. Which of the following would a community health nurse identify as a community of
common interest?
A) The global community
B) A small rural town in a northern state
C) A national professional organization
D) Counties addressing water pollution
ANSWER: C
Rationale: A common-interest community shares a common interest or goal that binds
members together, such as membership in a national professional organization. A global
community or a small town are geographic communities (A, B), and counties addressing a
problem are a community of solution (D).
Q5. The nurse is working with a community of solution. What would the nurse expect to
find?
A) A health problem affecting the group
B) A common goal binding members together
C) Sharing of a similar goal
D) Locational boundaries
ANSWER: A
Rationale: A community of solution involves a group of people coming together to solve a
problem that affects them. A common-interest community involves a collection of people
widely scattered geographically who have an interest or goal that binds members together
(B, C). A geographical community is defined by its boundaries (D).
Q6. A group of students are reviewing material on populations, communities, and
aggregates. Which statement indicates that the students understand these concepts?
A) Members of a population share a sense of belonging.
, B) Communities and populations are types of aggregates.
C) Individuals of a community are loosely connected.
D) Members of an aggregate share a strong bond.
ANSWER: B
Rationale: An aggregate refers to a grouping of distinct individuals who are considered as a
whole and who are loosely associated with one another. Communities and populations are
types of aggregates. A population is made up of people who do not necessarily interact or
share a sense of belonging (A). A community is a collection of people who choose to
interact, forming a sense of unity (C, D).
Q7. A nurse educator would recognize that a student understands the health continuum
when the student states:
A) "The distinction between health and illness is well demarcated."
B) "Illness refers to a state of being relatively unhealthy."
C) "The term health is limited to reflect an individual's state."
D) "Treatment of acute conditions reflects the current focus of health care."
ANSWER: B
Rationale: Health is considered a relative term. Thus, illness is viewed as a state of being
relatively unhealthy on a continuum. The line of demarcation between health and illness is
not clear (A). Health applies to individuals, families, and communities (C). The focus of
healthcare is shifting away from just acute treatment (D).
Q8. When discussing the concept of the health continuum with a class, the nurse educator
should include which statement?
A) Wellness is a relative concept, not an absolute, and illness is a state of being relatively
unhealthy.
B) A client's placement on the health continuum is static throughout time.
question exam bank and solutions
DOMAIN 1: FOUNDATIONS OF COMMUNITY/PUBLIC HEALTH NURSING (50 Questions)
Q1. After teaching a group of nursing students about the similarities and differences
between public health and community health, which statement by a student would
indicate a correct understanding?
A) "Community health nursing is defined as nursing care provided in a community setting,
rather than an institutional setting."
B) "Public health nursing is defined as nursing care provided in an institutional setting."
C) "Public health nursing is focused on the health of individuals."
D) "Community health nursing can shape the quality of community health services and
improve the health of the general public."
ANSWER: D
Rationale: Community health nursing holds the potential to shape the quality of
community health services and improve the health of the general public. Community
health nursing is not defined solely by setting (A). Public health nursing is not focused on
individuals in an institutional setting (B, C); it is population-focused.
,Q2. Which statement best describes the difference between public health nursing and
community health nursing?
A) Public health nursing is focused on the private aspects of health, and community health
nursing is focused on the public aspects of health.
B) The term "community health practice" refers to a focus on specific, designated
communities and is a part of the larger public health effort.
C) Public health nursing and community health nursing relate to the very same types of
services and perspectives.
D) Both public health nursing and community health nursing are practiced exclusively
within institutions.
ANSWER: B
Rationale: Community health practice refers to a focus on specific, designated
communities and is a part of the larger public health effort. This distinction recognizes the
principles of public health as the foundation for community practice.
Q3. Which is the most accurate description of a "community"?
A) A collection of people who share some important features of their lives.
B) A group of people living in the same geographic location.
C) People who are biologically related.
D) People who do not necessarily interact with one another and do not share a sense of
belonging.
ANSWER: A
Rationale: The broad definition of a community is a collection of people who share some
important features of their lives. A community may not be defined by location (B),
biological relation (C), or a lack of interaction (D). A population is a group that may not
interact or share a sense of belonging (D).
,Q4. Which of the following would a community health nurse identify as a community of
common interest?
A) The global community
B) A small rural town in a northern state
C) A national professional organization
D) Counties addressing water pollution
ANSWER: C
Rationale: A common-interest community shares a common interest or goal that binds
members together, such as membership in a national professional organization. A global
community or a small town are geographic communities (A, B), and counties addressing a
problem are a community of solution (D).
Q5. The nurse is working with a community of solution. What would the nurse expect to
find?
A) A health problem affecting the group
B) A common goal binding members together
C) Sharing of a similar goal
D) Locational boundaries
ANSWER: A
Rationale: A community of solution involves a group of people coming together to solve a
problem that affects them. A common-interest community involves a collection of people
widely scattered geographically who have an interest or goal that binds members together
(B, C). A geographical community is defined by its boundaries (D).
Q6. A group of students are reviewing material on populations, communities, and
aggregates. Which statement indicates that the students understand these concepts?
A) Members of a population share a sense of belonging.
, B) Communities and populations are types of aggregates.
C) Individuals of a community are loosely connected.
D) Members of an aggregate share a strong bond.
ANSWER: B
Rationale: An aggregate refers to a grouping of distinct individuals who are considered as a
whole and who are loosely associated with one another. Communities and populations are
types of aggregates. A population is made up of people who do not necessarily interact or
share a sense of belonging (A). A community is a collection of people who choose to
interact, forming a sense of unity (C, D).
Q7. A nurse educator would recognize that a student understands the health continuum
when the student states:
A) "The distinction between health and illness is well demarcated."
B) "Illness refers to a state of being relatively unhealthy."
C) "The term health is limited to reflect an individual's state."
D) "Treatment of acute conditions reflects the current focus of health care."
ANSWER: B
Rationale: Health is considered a relative term. Thus, illness is viewed as a state of being
relatively unhealthy on a continuum. The line of demarcation between health and illness is
not clear (A). Health applies to individuals, families, and communities (C). The focus of
healthcare is shifting away from just acute treatment (D).
Q8. When discussing the concept of the health continuum with a class, the nurse educator
should include which statement?
A) Wellness is a relative concept, not an absolute, and illness is a state of being relatively
unhealthy.
B) A client's placement on the health continuum is static throughout time.
