PART 1 of 5: Foundations of Community Health Nursing
(Questions 1–70)
Chapter 1: Community Health Nursing: Past, Present, and Future — Questions
1–12
Q1. A nurse is reviewing the historical roots of community health nursing.
Which individual is credited with founding the Henry Street Settlement and
pioneering public health nursing in the United States?
A. Florence Nightingale
B. Lillian Wald
C. Mary Breckinridge
D. Dorothea Dix
Correct Answer: B
Rationale: Lillian Wald founded the Henry Street Settlement in New York
City in 1893, providing nursing care to impoverished communities and
establishing the foundation for public health nursing in the United States.
Q2. A nurse is reviewing the historical evolution of community health nursing.
Which event most directly contributed to the expansion of public health nursing
in the early 20th century?
A. The passage of Medicare and Medicaid
B. The establishment of the Frontier Nursing Service
C. The passage of the Social Security Act of 1935
D. The creation of the National Institute of Nursing Research
Correct Answer: B
,Rationale: Mary Breckinridge established the Frontier Nursing Service in
1925, bringing nurse-midwifery care to rural Appalachia and expanding the
scope of community health nursing.
Q3. A community health nurse is differentiating between community health
nursing and public health nursing. Which statement accurately describes public
health nursing?
A. It focuses exclusively on individual patient care.
B. It emphasizes population-level health promotion and disease prevention.
C. It is limited to hospital settings.
D. It requires physician supervision for all interventions.
Correct Answer: B
Rationale: Public health nursing emphasizes population-level health
promotion, disease prevention, and the health of communities, rather than
focusing solely on individual patient care.
Q4. A nurse is reviewing the core functions of public health. Which function
involves systematically collecting and analyzing health data to identify
community health problems?
A. Assessment
B. Policy development
C. Assurance
D. Evaluation
Correct Answer: A
Rationale: Assessment is the core public health function that involves
systematically collecting, analyzing, and monitoring health data to identify
community health problems.
,Q5. A community health nurse is reviewing the ten essential public health
services. Which service falls under the assurance core function?
A. Diagnosing and investigating health problems
B. Enforcing laws and regulations that protect health
C. Linking people to needed personal health services
D. Mobilizing community partnerships
Correct Answer: C
Rationale: Linking people to needed personal health services is an assurance
function. Diagnosing and investigating (A) is assessment, enforcing laws (B)
and mobilizing partnerships (D) are policy development.
Q6. A nurse is reviewing the role of the community health nurse as an advocate.
Which action best reflects this role?
A. Providing direct patient care only
B. Speaking up for policies that improve population health
C. Avoiding political involvement
D. Focusing solely on clinical tasks
Correct Answer: B
Rationale: Advocacy involves speaking up for policies and resources that
improve the health of populations and communities.
Q7. A community health nurse is reviewing the concept of community as client.
What does this concept emphasize?
A. Treating individual patients one at a time
B. Viewing the community as a whole system with its own health needs
C. Focusing only on hospital-based care
D. Limiting care to insured populations
, Correct Answer: B
Rationale: The community as client concept views the community as a whole
system, emphasizing the health of the population rather than only individual
patients.
Q8. A nurse is reviewing the different levels of community health nursing
practice. Which level focuses on the health of entire populations?
A. Individual level
B. Family level
C. Community level
D. Population level
Correct Answer: D
Rationale: The population level of community health nursing practice focuses
on the health of entire populations or aggregates.
Q9. A community health nurse is reviewing the determinants of health. Which
factor is considered a social determinant of health?
A. Genetic predisposition
B. Access to nutritious food
C. Blood type
D. Height
Correct Answer: B
Rationale: Social determinants of health include conditions such as access to
nutritious food, housing, education, and economic stability, which influence
health outcomes.
(Questions 1–70)
Chapter 1: Community Health Nursing: Past, Present, and Future — Questions
1–12
Q1. A nurse is reviewing the historical roots of community health nursing.
Which individual is credited with founding the Henry Street Settlement and
pioneering public health nursing in the United States?
A. Florence Nightingale
B. Lillian Wald
C. Mary Breckinridge
D. Dorothea Dix
Correct Answer: B
Rationale: Lillian Wald founded the Henry Street Settlement in New York
City in 1893, providing nursing care to impoverished communities and
establishing the foundation for public health nursing in the United States.
Q2. A nurse is reviewing the historical evolution of community health nursing.
Which event most directly contributed to the expansion of public health nursing
in the early 20th century?
A. The passage of Medicare and Medicaid
B. The establishment of the Frontier Nursing Service
C. The passage of the Social Security Act of 1935
D. The creation of the National Institute of Nursing Research
Correct Answer: B
,Rationale: Mary Breckinridge established the Frontier Nursing Service in
1925, bringing nurse-midwifery care to rural Appalachia and expanding the
scope of community health nursing.
Q3. A community health nurse is differentiating between community health
nursing and public health nursing. Which statement accurately describes public
health nursing?
A. It focuses exclusively on individual patient care.
B. It emphasizes population-level health promotion and disease prevention.
C. It is limited to hospital settings.
D. It requires physician supervision for all interventions.
Correct Answer: B
Rationale: Public health nursing emphasizes population-level health
promotion, disease prevention, and the health of communities, rather than
focusing solely on individual patient care.
Q4. A nurse is reviewing the core functions of public health. Which function
involves systematically collecting and analyzing health data to identify
community health problems?
A. Assessment
B. Policy development
C. Assurance
D. Evaluation
Correct Answer: A
Rationale: Assessment is the core public health function that involves
systematically collecting, analyzing, and monitoring health data to identify
community health problems.
,Q5. A community health nurse is reviewing the ten essential public health
services. Which service falls under the assurance core function?
A. Diagnosing and investigating health problems
B. Enforcing laws and regulations that protect health
C. Linking people to needed personal health services
D. Mobilizing community partnerships
Correct Answer: C
Rationale: Linking people to needed personal health services is an assurance
function. Diagnosing and investigating (A) is assessment, enforcing laws (B)
and mobilizing partnerships (D) are policy development.
Q6. A nurse is reviewing the role of the community health nurse as an advocate.
Which action best reflects this role?
A. Providing direct patient care only
B. Speaking up for policies that improve population health
C. Avoiding political involvement
D. Focusing solely on clinical tasks
Correct Answer: B
Rationale: Advocacy involves speaking up for policies and resources that
improve the health of populations and communities.
Q7. A community health nurse is reviewing the concept of community as client.
What does this concept emphasize?
A. Treating individual patients one at a time
B. Viewing the community as a whole system with its own health needs
C. Focusing only on hospital-based care
D. Limiting care to insured populations
, Correct Answer: B
Rationale: The community as client concept views the community as a whole
system, emphasizing the health of the population rather than only individual
patients.
Q8. A nurse is reviewing the different levels of community health nursing
practice. Which level focuses on the health of entire populations?
A. Individual level
B. Family level
C. Community level
D. Population level
Correct Answer: D
Rationale: The population level of community health nursing practice focuses
on the health of entire populations or aggregates.
Q9. A community health nurse is reviewing the determinants of health. Which
factor is considered a social determinant of health?
A. Genetic predisposition
B. Access to nutritious food
C. Blood type
D. Height
Correct Answer: B
Rationale: Social determinants of health include conditions such as access to
nutritious food, housing, education, and economic stability, which influence
health outcomes.
