COMMUNITY HEALTH EXAM REVIEW
QUESTIONS WITH COMPLETE
ANSWERS
In 1988, the Institute of Medicine (IOM) published a report on the future of public health
and its mission that defined public health as:
a. what public-private partnerships do to treat vulnerable populations.
b. what the government does to ensure that vital programs are in place.
c. what the U.S. Public Health Service does to prevent disease, promote health, and
deliver services.
d. what society does collectively to ensure the conditions in which people can be
healthy. - Answer-ANS: D
In 1988, the IOM's report stated that public health is "what we, as a society, do
collectively to assure the conditions in which people can be healthy." Consequently, the
mission of public health is "to generate organized community effort to address the
public's interest in health by applying scientific and technical knowledge to prevent
disease and promote health." This clearly places the emphasis on the desire of the
population and community to ensure access to services that foster the health status of
the overall community through the equitable distribution of resources addressed to
community problems that affect health.
A registered nurse is seeking a position as a public health nurse. In reviewing the job
description, the nurse would expect to find a description of a position that focused on
functions such as:
a. monitoring pregnant teenagers for symptoms of complications of pregnancy.
b. offering free hypertension screening and treatment referral at local health fairs to low-
income, uninsured, community members.
c. partnering with local seasonal farmworkers to design a program aimed at preventing
illness and injury, and advocating for this population with local political and community
leaders.
d. preventing injury among a population of elderly residents in an assisted living facility
and treating residents' chronic illnesses. - Answer-ANS: C
A public health nurse leader is encountering barriers when trying to shift the public
health agency's efforts to a population-focused practice. The reasons peers are not
supportive of the proposed shift to a population focus are most likely related to:
a. agency colleagues' push for nurses to focus on population initiatives.
b. costs associated with staff training and revision of documents.
, c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct client care and services.
- Answer-ANS: D
4. The role and goals of the community health nursing practice can best be described
as:
a. community-based interventions aimed at promoting, preserving, and maintaining the
health of populations residing in institutional facilities such as nursing homes.
b. education of nurses and other staff working in community-based and community-
oriented settings to improve the overall effectiveness of their programs to meet client
needs.
c. population-level strategies aimed at promoting, preserving, and maintaining the
health of populations through the delivery of personal health care services to
individuals, families, and groups in an effort to improve the health of the community as a
whole.
d. activities targeted at improving the health status of clients served by community-
based health service agencies such as hospice and home health agencies. - Answer-
ANS: C
A community-oriented nurse has identified obesity as a problem in the middle school.
The next step in a population-focused practice is to make information available about
the health of the middle school students. This describes the core public health function
of:
a. assessment.
b. assurance.
c. policy development.
d. research. - Answer-ANS: A
The state public health agency has received multiple complaints regarding the
availability of elder transportation services to a specific county senior center. The state
agency assigns a public health nurse to work with the community to evaluate its
program for elder transportation services to publicly sponsored eldercare programs. The
public health core function applied is:
a. assurance.
b. policy development.
c. primary prevention.
d. public transportation. - Answer-ANS: A
A nurse planning a smoking cessation clinic for adolescents in the local middle schools
and high schools is providing:
a. community-oriented care.
b. community-based care.
c. secondary care.
QUESTIONS WITH COMPLETE
ANSWERS
In 1988, the Institute of Medicine (IOM) published a report on the future of public health
and its mission that defined public health as:
a. what public-private partnerships do to treat vulnerable populations.
b. what the government does to ensure that vital programs are in place.
c. what the U.S. Public Health Service does to prevent disease, promote health, and
deliver services.
d. what society does collectively to ensure the conditions in which people can be
healthy. - Answer-ANS: D
In 1988, the IOM's report stated that public health is "what we, as a society, do
collectively to assure the conditions in which people can be healthy." Consequently, the
mission of public health is "to generate organized community effort to address the
public's interest in health by applying scientific and technical knowledge to prevent
disease and promote health." This clearly places the emphasis on the desire of the
population and community to ensure access to services that foster the health status of
the overall community through the equitable distribution of resources addressed to
community problems that affect health.
A registered nurse is seeking a position as a public health nurse. In reviewing the job
description, the nurse would expect to find a description of a position that focused on
functions such as:
a. monitoring pregnant teenagers for symptoms of complications of pregnancy.
b. offering free hypertension screening and treatment referral at local health fairs to low-
income, uninsured, community members.
c. partnering with local seasonal farmworkers to design a program aimed at preventing
illness and injury, and advocating for this population with local political and community
leaders.
d. preventing injury among a population of elderly residents in an assisted living facility
and treating residents' chronic illnesses. - Answer-ANS: C
A public health nurse leader is encountering barriers when trying to shift the public
health agency's efforts to a population-focused practice. The reasons peers are not
supportive of the proposed shift to a population focus are most likely related to:
a. agency colleagues' push for nurses to focus on population initiatives.
b. costs associated with staff training and revision of documents.
, c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct client care and services.
- Answer-ANS: D
4. The role and goals of the community health nursing practice can best be described
as:
a. community-based interventions aimed at promoting, preserving, and maintaining the
health of populations residing in institutional facilities such as nursing homes.
b. education of nurses and other staff working in community-based and community-
oriented settings to improve the overall effectiveness of their programs to meet client
needs.
c. population-level strategies aimed at promoting, preserving, and maintaining the
health of populations through the delivery of personal health care services to
individuals, families, and groups in an effort to improve the health of the community as a
whole.
d. activities targeted at improving the health status of clients served by community-
based health service agencies such as hospice and home health agencies. - Answer-
ANS: C
A community-oriented nurse has identified obesity as a problem in the middle school.
The next step in a population-focused practice is to make information available about
the health of the middle school students. This describes the core public health function
of:
a. assessment.
b. assurance.
c. policy development.
d. research. - Answer-ANS: A
The state public health agency has received multiple complaints regarding the
availability of elder transportation services to a specific county senior center. The state
agency assigns a public health nurse to work with the community to evaluate its
program for elder transportation services to publicly sponsored eldercare programs. The
public health core function applied is:
a. assurance.
b. policy development.
c. primary prevention.
d. public transportation. - Answer-ANS: A
A nurse planning a smoking cessation clinic for adolescents in the local middle schools
and high schools is providing:
a. community-oriented care.
b. community-based care.
c. secondary care.
