Health Nursing
Test Bank for Rector's Community and Public Health
Nursing: Promoting the Public's Health 11th Edition by
Mary Jo Stanley and Charlene Niemi| COMPLETE TEST
BANK ALL CHAPTERS | QUESTIONS, ANSWERS &
RATIONALES
P 1
, • Community and Public 09/25/2026
Health Nursing
Why would a public health nurse want to know about morbidity and mortality statistics on the
local, state, and national level?
a. To be able to share current trends in health problems with the community
b. To be able to observe the community's statistics over time and compare the community
with other communities
c. To justify local budgets and the need for increased income from citizens
d. To publicize current health issues and suggest appropriate actions to citizens –
Correct Answer :ANS: B
Although being informed and being able to educate the public is always preferred and nurses
often do have to justify budgets, data are needed to compare the local community with itself
over time and with other communities so that problems may be recognized and action taken
to confront health issues. The first step is always to recognize problems as they develop.
DIF: Cognitive Level: Apply (Application) REF: p. 5
How do public health efforts differ from medical efforts in improving the health of our
citizens?
a. Medical care providers autonomously choose appropriate interventions, whereas public
health care providers must engage in whatever actions legislation requires.
b. Medical care providers are self-employed or agency employed, whereas public health care
providers are employed by and paid through the government.
c. Medical care providers focus only on individuals, whereas public health care providers focus
only on aggregates.
d. Medical care providers focus on disease diagnosis and management, whereas public health
care providers focus on health promotion and disease prevention. - Correct Answer :ANS: D
P 2
, • Community and Public 09/25/2026
Health Nursing
Medical care providers are restricted by insurance and government regulations. Providers may
also be employed in government facilities, such as Veterans Administration facilities.
However, medical care providers primarily focus on diagnosis and treatment of disease,
whereas public health care providers try to promote health and prevent disease. Although
medical care providers primarily focus on individuals and public health care providers primarily
focus on aggregates, their practice is not limited to only individuals or only aggregates.
DIF: Cognitive Level: Apply (Application) REF: p. 7
Which primary prevention would the school nurse choose to address the school's number of
unwed pregnancies?
a. Create a class on parenting for both the moms-to-be and the dads-to-be
b. Convince the school board to allow sex education classes to include birth control measures
c. Employ the moms-to-be as 1-hour-a-day employees in the school day care center for
children born to school students
d. Establish a class where all the unwed moms-to-be can learn infant care –
Correct Answer :ANS: B
Although all choices would be appropriate actions in a school, only education regarding
sexuality and birth control would help prevent future pregnancies.
DIF: Cognitive Level: Apply (Application) REF: p. 7
What would be the proper term for the action of the school health nurse arranging for all the
students in the elementary school to receive H1N1 immunizations?
a. Health education
b. Secondary prevention
c. Specific protection
P 3
, • Community and Public 09/25/2026
Health Nursing
d. Tertiary prevention - Correct Answer :ANS: C
Immunizations are a specific protection effort as part of primary prevention.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 7
Which action would probably result in the largest change in health care outcomes for
Americans?
a. Establish large numbers of scholarships for education of nurses, physicians, and other
health care providers
b. Fund a one-time extremely large stimulus to allow all health care providers and agencies to
create and integrate computer network systems for client health care records
c. Increase funding for hospitals and medical centers to expand their neighborhood clinics
d. Redirect a large portion of federal funding from acute care to health promotion activities -
Correct Answer :ANS: D
Of the choices given, health promotion activities would make the largest difference.
Increased expenditures on acute care will not notably change the health of the population,
whereas funding that addresses health promotion such as education and safe environments
would improve the health of the aggregate.
DIF: Cognitive Level: Apply (Application) REF: p. 8
Which task will be most helpful in meeting the public health agency's goals?
a. Complete staff evaluations in preparation for individual meetings to plan their agency and
individual goals for the next year
b. Actively participate in community agencies' collaborative action plan to meet the
community's health goals for the year
c. Meet with the college of nursing faculty to finalize student objectives and schedules for the
next semester
P 4