TEST BANK For COMMUNITY AND PUBLIC HEALTH NURSING
10TH EDITION BY CHERIE RECTOR, MARY JO STANLEY
3
, TEST BANK For
COMMUNITY AND
PUBLIC HEALTH
NURSING 10TH EDITION
BY CHERIE RECTOR,
MARY JO STANLEY
COMMUNITY ANDPUBLIC HEALTH NURSING10TH EDITIONRECTOR TESTBANK
Chapter1 The Journey Begins: Introduction
1. After teaching a group of nursing students about the similarities and differences between public health and
community health, which of the following statements by a nursing student would indicate knowledge of the similarities
and differencesbetweenpublichealth andcommunity health?
4
,A) “Community health nursing is defined as
nursing care that is provided in a community setting, rather than an institutionalsetting.”
B) “Publichealth nursing is defined as nursing care that is provided in an institutional setting.” C) “Public health
nursing is focused on the
healthof individuals.”
D) “Community health nursing can shape the quality of community health services and improve the
healthofthe general public.” Ans: D Feedback:
Operating within an environment of rapid change and increasingly complex challenges, this nursing
specialtyholdsthe potential toshape the quality of community healthservicesand improve the health of the general
public.
2. Which of the following statements would best describe 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 focusedonthe
publicaspects of
health.
B) In our textbook, the term community health practice refers to a focus on specific, designated
communitiesandisapart 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.
Ans: B Feedback:
In this textbook, community health practice refers to a focus on specific, designated communities. It is a part of the
larger public health effort and recognizes the fundamental concepts and principles of public health as its birthright
and foundation for practice. Public health nursing is focused on the public aspects of health. Public health nursing
and community health nursing have distinctive types of services and perspectives. Neither public health nursing nor
community health nursing is practiced excl usively within institutions.
3. Which of the following is most accurate about the concept of community?
A) A community is a collection of people who share some important features of their lives.
B) Community members live in the same geographic location.
C) Community members are biologically related.
D) A community is made up of people who do not necessarily interact with one another and do not
necessarilyshare asenseof belonging to that group. Ans: A Feedback:
5
, The broad definition of a community is a collection of people who share some important features of their lives.
Community members may not live in the same geographic location as in a common-interest communityora
communityof solution. Apopulationismade up of people who do not necessarily interact with one another and do not
necessarily share a sense of belongingtothatgroup.
4. A group of students are reviewing material for a test on populations, communities, and
aggregates.Whichofthe followingindicates that the students understand theseconcepts?
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. Ans: B Feedback:
An aggregate refers to a mass of 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 with one another and do not necessarilyshare asense of belongingtothe group.A
communityisa
collection of people who chose to interact with one another because of common interests,
characteristics,orgoals,whichformthe basisfor a sense ofunity or belonging.
5. Which of the following would a community health nurse identify as a community of common interest?
A) The global community
B) Small rural town in a northern state C) National professional organization D) Counties
addressingwaterpollutionAns: C
Feedback:
A common-interest community shares a common interest or goal that binds the members together. Membership in a
national professional organization is one example. The global communityand a small rural town in a northern state
would be examples of a geographic community. Counties addressingawaterpollutionproblemwouldbe anexample of a
community of solution.
6. The nurse is working with a community of solution. Which of the following would the nurse expecttofind?
A) A health problem affecting the group
B) Common goal binding members together
C) Sharing of a similargoal
D) Locational boundaries
Ans: A
Feedback:
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 the members together. A geographical communityisone definedby
itsgeographicalorlocational boundaries.
6
,7. Which one of the following statements made by a student would the nurse educator recognize as evidence
thatastudent understands the health continuum?
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
currentfocus ofhealthcare. Ans: B
Feedback:
Although society typically depicts an absolute line of difference between being either well or ill, health is considered
a relative term. Thus, illness is viewed as a state of being relatively unhealthy. Health is typically described as a
continuum that involves a range of degrees from optimal health at one end to total disabilityor death at the other.
The line of demarcation is not clear. Health applies to individuals, families, and communities. Traditionally, most
health care has focused on the treatment of acute and chronic conditions at the illness end of the continuum, but
this emphasis is shiftingtofocusonthe wellness end.
8. After discussing the leading health indicators with a class, which condition if stated by the class as oneof these
indicatorssuggeststhat
the class has understood the information? A) Cardiacdisease
B) Mental health
C) Sedentary lifestyle
D) Maternal health care
Ans: B
Feedback:
Mental health is a leading health indicator. Otherleading health indicators include physical activity, overweight
and obesity, tobacco use, substance use, responsible sexual behavior, injuryandviolence, environmental
quality,immunization, andaccesstohealthcare.
9. When discussing the concept of the health continuum with a class, the nurse educator would be certainto include
whichstatement in the description?
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 staticthroughout time.
C) Health is best described as cyclic.
D) The health continuum can only be applied to
individuals.Ans: A Feedback:
Wellness is a relative concept, not an absolute, and illness is a state of being relatively unhealthy. The continuum can
change. Because health involves a range of degrees from optimal health at one end to total disability or death at the
other, it is often described as a continuum. The health continuum applies not onlytoindividualsbut also to families and
communities.
7
, 10. Which of the following statements about health promotion and
disease prevention is the most accurate?
A) Health promotion and disease prevention include all efforts that seek to move people closer to optimal well-
beingorhigherlevels of wellness.
B) Disease prevention differs from health promotion in that disease prevention is targeted toward a
specificdiseaseordiseases.
C) Health promotion can be described in terms of primary, secondary, and tertiary prevention.
D) The goal of disease prevention is to raise levels of wellness for individuals, families, populations, and
communities.
Ans: B Feedback:
Health promotion includes all efforts that seek to move people closer to optimal well- being or higher
levelsofwellness.The goal of healthpromotionisto raise levelsof wellnessfor individuals, families, populations, and
communities. Disease prevention is targeted toward a specific disease ordiseasesandconsistsof
primary,secondary,andtertiary prevention.
11. A group of community health nursing students design a health education program for a group of pregnant
teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and
discussingtheirconcerns.Thisisanexample of which of the following?
A) Health promotion
B) Treatment of disorders
C) Rehabilitation D) Evaluation Ans: A
Feedback:
The student nurses are engaging in health promotion activities. Health promotion incorporates all efforts that seek to
move people closer to optimal well-being or to higher levels of wellness. Treatment of disorders would include direct
care for issues involving the group, such as complications that might arise inthispopulation.
Rehabilitation would involve activities to minimize disability or restore or preserve function. Evaluation
wouldinvolveananalysisof the effectivenessofthese activities.
12. plan of primary prevention activities. Which of the following might the nurse include? Select all that apply.
A) Teaching about safe-sex practices to high
school students
B) Encouraging older adults to install safety devicesinthe
bathroom
C) Providing regular immunization programs for communicable
diseases
D) Participating in cholesterol screening programsat healthfairs
8
,E) Providing skin testing for tuberculosis for childrenover1 yearof
age
F) Working with a group testing water samples for contamination
Ans: A, B, C Feedback:
Primary prevention activities are those taken to keep illness or injuries from occurring.
These include teaching about safe-sex practices, encouraging older adults to use safety devices in the bathroom,
and providing regular immunization programs for communicable diseases. Cholesterol screening programs, skin
tests for tuberculosis, and working with a group testing water samples for contaminationare examplesof
secondarypreventionactivities.
13. A community health nurse is preparing a presentation for a group of nursing students about community health
nursing. Which of the following descriptions about community health nursing would the nursemost likely include in
the presentation?
A) Focusing on addressing continuous needs
B) Working with the client as an equal partner
C) Engaging in tertiary prevention as the priority
D) Encouraging clients to reach out to the nurse
Ans: B
Feedback:
The community health nurse works with the client as an equal partner, encouraging autonomy. At any time, the
nurse deals with continuous and episodic needs simultaneously. Primary prevention is the priority for community
health nurses. The community health nurse engages in primary prevention as the priority, having the obligation to
actively reach out to all who might benefit from a specific activity or service.
14. A community health nurse is working with other members of a team that will be implementing a citywide
immunization program. The nurse is coordinating the services and addressing the needs of the
populationgroupstoensure whichofthe following?
A) Involvement of the community
B) Client participation
C) Continuity of service D) Plan for follow-up Ans: C Feedback:
Working in cooperation with other team members and coordinating services and addressing the needs of population
groups are essential to interprofessionalcollaboration. In doing so, the community heal th nurse is preventing
fragmentation and gaps thereby ensuring continuity of service. Involvement of the
communityandclientparticipationare importantbut these help to ensure that the clients are viewed as equal partners
of the health care team. A plan for follow-up may or may not be appropriate. In addition, it is the only aspect that may
be addressed with the program.
15. A community health nurse works to ensure the greatest good for the greatest number of people by
applyingwhichofthe following?
A) Secondary prevention activities
9
, B) Autonomy
C) Justice D) Utilitarianism Ans: D Feedback:
The ethical theory of utilitarianism promotes the greatest good for the greatest number. Primary prevention
activities, not secondary prevention, are the priority. Autonomy refers to the freedomof choice.Justice
involvestreatingpeople fairly.
16. When working in the community, the community health nurse adopts the teaching plan to ensure
thatthe populationunderstands the basicinformationprovidedtoaddress which of the following? A) Self-care
B) Health disparities
C) Health literacy D) Episodicneeds Ans: C Feedback:
Consumers are often intimated by health professionals and are uninformed about health and health care affectingthe
qualityofcare.
Adopting a teaching plan to ensure that the population understands the basicinformation addresses health literacy,
the ability to read, understand, and use health care information appropriately. Doing so helps to ensure that the
teaching plan will be effective. Self-care refers to the process of taking responsibility for developing one's own health
potential by actively parti cipating in promoting one's own health. Health disparities reflect differences in all aspects of
health care related to vulnerable populations.Episodicneedsare one-time specificnegativehealth events that arise and
are not an expected part of life.
17. Which of the following would be crucial forthe community health nurse to address as the priority
whendealingwithpolicymakersaboutthe developmentof community health programs?
A) Research-based best practices
B) Population's make up
C) Amount of services to be provided D) Scarcity of the available resources Ans: A Feedback:
Decisions for programs or services are often made on the basis of cost -effectiveness or cost–benefit. Therefore,
community health nurses must provide policy makers with information about best practices, grounded in research.
Although population make up, amount of services to be provided, and scarcity of resourcesare factors thatmay
needto be considered,the communityhealthnurse must demonstrate evidence-based practice.
18. After a class that described the differences between acute care nursing and community health nursing, which
statement by the class about community health nurses indicates successful teaching? A) Use a reactive approach.
B) Seek out potential health problems.
C) Concentrate on the illness end of the continuum.
D) Emphasize curative care. Ans: B Feedback:
Community health nurses, in contrast to acute care nurses, seek out potentialhealth problems, identifying high-risk
groups and instituting preventive programs; use a proactive approach; concentrateonthe wellnessendof the
healthcontinuum;andput less emphasis on curative care.
19. Which of the following activities would be associated with a community health nurse?
Selectall thatapply.
A) Examining infants in a city well-baby clinic
B) Caring for elderly stroke victims in their homes
10
,C) Providing emergency care in an acute care facility
D) Carrying out epidemiologic research E) Participating in health policy analysis Ans: A, B, D, E Feedback:
Community health nurses work in every conceivable kind of community agency, from a state public
healthdepartmenttoacommunity-basedadvocacy group.Theirdutiesrangfrom examining infants in a well- baby
clinicor teaching elderly stroke victims in theirhomes to
carrying out epidemiologic research or engaging in health policy analysis and decision making. Providing care inan
acute care facilitywouldnotbe anactivity associated with a community health nurse.
20. The term health can be described in many different ways. A community health nurse would view healthaswhichof
the following?
A) The absence of disease
B) The potential to lead a productive life
C) An environment free of toxins D) A holisticstate of well-being Ans: D
Feedback:
Community health nurses view health as a holistic state of well-being, which includes soundness of mind, body, and
spirit. Along with this foundationalview is the emphasis on wellness, which includes the definition of health as well as
the capacity to develop a person's potential to lead a fulfilling and productive life. Healthismore thanjust the absence
of disease oranenvironmentfreeof toxins.
21. While interviewing a client, which of the following statements would a nurse identify as reflecting an objective
dimensionof health?
A) “I'm feeling better since I started taking that medication.”
B) “Life is pretty good right now, except for an occasional upset stomach.”
C) “I'm able to wash myself in the mornings with just a bit of help.” D)
“Sometimes when I wake up, I don't even wantto face the day.” Ans: C
Feedback:
The objective dimension of health involves one's ability to function in daily activities. The statement about being able
to care for one's self is an example. The statements of feeling better with medication, life being pretty good, and not
wanting to face the day are examples of the subjective dimension of health,whichinvolveshowpeoplefeel.
22. When employing a population-oriented focus, the community health nurse would do which of the following?
A) Assess the groups' relationships looking for a commonneed.
B) Considerthe members individually for
similarities.
C) Focus on the geographical areaof the population.
D) Promote the groups' dependency for improvinghealth.Ans: A
Feedback:
11
, A population-oriented focus requires the assessment of relationships, considering the groups or communities in
relationship to the rest of the community to discover common needs or risks for a common health problem. The nurse
does not consider the groups or communities separately but rather incontext.The populationmay ormaynot be
delineatedby the geographical area. The community health nurse encourages individuals'participation to promote
their autonomy rather than
permitting dependency.
23. A community health nurse is involved in a project to evaluate the health of a city. Which of the followingfindings
wouldsuggest that the city would mostlikely needadditional programs?
A) Citizens are actively involved in the city's department of recreation and after-school programs.
B) The construction of affordable organized housing developments and communities is nearing completion.
C) Approximately one third of the people are recently unemployed due to closure of the automotive factory.
D) Several new recreational facilities for adults and children have been created at several locations. Ans: C
Feedback:
A healthy city is one in which there is continual creation and improvement the physical and social environments with
expansion of community resources so that people can mutually support one another. It is characterized by the meeting
of basic needs for all of the city's people. This would include food, water, shelter, income, safety, and work. Loss of
employment of one third of the city's workforce would be athreat to the health of the city and necessitate intervention.
Active involvement in the city's functioning,affordable housing,andrecreational facilities are suggestive of a healthy
city.
Chapter 2 PublicHealth Nursing in the Community
1. A community health nurse is engaging in assurance activities. Which of the following would best
explaintheseactivities?
A) Gathering and analyzing information that willaffect the health of the people to be served
B) Providing leadership in facilitating communitygroups toward meeting their needs, often involving changesinand
additions to existing laws
C) Being involved in activities to make certain that necessary services are being provided to the community
D) Accessing relevant data that enable identification of strengths, weaknesses, and needs within the community
Ans: C Feedback:
12
10TH EDITION BY CHERIE RECTOR, MARY JO STANLEY
3
, TEST BANK For
COMMUNITY AND
PUBLIC HEALTH
NURSING 10TH EDITION
BY CHERIE RECTOR,
MARY JO STANLEY
COMMUNITY ANDPUBLIC HEALTH NURSING10TH EDITIONRECTOR TESTBANK
Chapter1 The Journey Begins: Introduction
1. After teaching a group of nursing students about the similarities and differences between public health and
community health, which of the following statements by a nursing student would indicate knowledge of the similarities
and differencesbetweenpublichealth andcommunity health?
4
,A) “Community health nursing is defined as
nursing care that is provided in a community setting, rather than an institutionalsetting.”
B) “Publichealth nursing is defined as nursing care that is provided in an institutional setting.” C) “Public health
nursing is focused on the
healthof individuals.”
D) “Community health nursing can shape the quality of community health services and improve the
healthofthe general public.” Ans: D Feedback:
Operating within an environment of rapid change and increasingly complex challenges, this nursing
specialtyholdsthe potential toshape the quality of community healthservicesand improve the health of the general
public.
2. Which of the following statements would best describe 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 focusedonthe
publicaspects of
health.
B) In our textbook, the term community health practice refers to a focus on specific, designated
communitiesandisapart 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.
Ans: B Feedback:
In this textbook, community health practice refers to a focus on specific, designated communities. It is a part of the
larger public health effort and recognizes the fundamental concepts and principles of public health as its birthright
and foundation for practice. Public health nursing is focused on the public aspects of health. Public health nursing
and community health nursing have distinctive types of services and perspectives. Neither public health nursing nor
community health nursing is practiced excl usively within institutions.
3. Which of the following is most accurate about the concept of community?
A) A community is a collection of people who share some important features of their lives.
B) Community members live in the same geographic location.
C) Community members are biologically related.
D) A community is made up of people who do not necessarily interact with one another and do not
necessarilyshare asenseof belonging to that group. Ans: A Feedback:
5
, The broad definition of a community is a collection of people who share some important features of their lives.
Community members may not live in the same geographic location as in a common-interest communityora
communityof solution. Apopulationismade up of people who do not necessarily interact with one another and do not
necessarily share a sense of belongingtothatgroup.
4. A group of students are reviewing material for a test on populations, communities, and
aggregates.Whichofthe followingindicates that the students understand theseconcepts?
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. Ans: B Feedback:
An aggregate refers to a mass of 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 with one another and do not necessarilyshare asense of belongingtothe group.A
communityisa
collection of people who chose to interact with one another because of common interests,
characteristics,orgoals,whichformthe basisfor a sense ofunity or belonging.
5. Which of the following would a community health nurse identify as a community of common interest?
A) The global community
B) Small rural town in a northern state C) National professional organization D) Counties
addressingwaterpollutionAns: C
Feedback:
A common-interest community shares a common interest or goal that binds the members together. Membership in a
national professional organization is one example. The global communityand a small rural town in a northern state
would be examples of a geographic community. Counties addressingawaterpollutionproblemwouldbe anexample of a
community of solution.
6. The nurse is working with a community of solution. Which of the following would the nurse expecttofind?
A) A health problem affecting the group
B) Common goal binding members together
C) Sharing of a similargoal
D) Locational boundaries
Ans: A
Feedback:
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 the members together. A geographical communityisone definedby
itsgeographicalorlocational boundaries.
6
,7. Which one of the following statements made by a student would the nurse educator recognize as evidence
thatastudent understands the health continuum?
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
currentfocus ofhealthcare. Ans: B
Feedback:
Although society typically depicts an absolute line of difference between being either well or ill, health is considered
a relative term. Thus, illness is viewed as a state of being relatively unhealthy. Health is typically described as a
continuum that involves a range of degrees from optimal health at one end to total disabilityor death at the other.
The line of demarcation is not clear. Health applies to individuals, families, and communities. Traditionally, most
health care has focused on the treatment of acute and chronic conditions at the illness end of the continuum, but
this emphasis is shiftingtofocusonthe wellness end.
8. After discussing the leading health indicators with a class, which condition if stated by the class as oneof these
indicatorssuggeststhat
the class has understood the information? A) Cardiacdisease
B) Mental health
C) Sedentary lifestyle
D) Maternal health care
Ans: B
Feedback:
Mental health is a leading health indicator. Otherleading health indicators include physical activity, overweight
and obesity, tobacco use, substance use, responsible sexual behavior, injuryandviolence, environmental
quality,immunization, andaccesstohealthcare.
9. When discussing the concept of the health continuum with a class, the nurse educator would be certainto include
whichstatement in the description?
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 staticthroughout time.
C) Health is best described as cyclic.
D) The health continuum can only be applied to
individuals.Ans: A Feedback:
Wellness is a relative concept, not an absolute, and illness is a state of being relatively unhealthy. The continuum can
change. Because health involves a range of degrees from optimal health at one end to total disability or death at the
other, it is often described as a continuum. The health continuum applies not onlytoindividualsbut also to families and
communities.
7
, 10. Which of the following statements about health promotion and
disease prevention is the most accurate?
A) Health promotion and disease prevention include all efforts that seek to move people closer to optimal well-
beingorhigherlevels of wellness.
B) Disease prevention differs from health promotion in that disease prevention is targeted toward a
specificdiseaseordiseases.
C) Health promotion can be described in terms of primary, secondary, and tertiary prevention.
D) The goal of disease prevention is to raise levels of wellness for individuals, families, populations, and
communities.
Ans: B Feedback:
Health promotion includes all efforts that seek to move people closer to optimal well- being or higher
levelsofwellness.The goal of healthpromotionisto raise levelsof wellnessfor individuals, families, populations, and
communities. Disease prevention is targeted toward a specific disease ordiseasesandconsistsof
primary,secondary,andtertiary prevention.
11. A group of community health nursing students design a health education program for a group of pregnant
teens that includes teaching nutrition during pregnancy, demonstrating helpful exercises, and
discussingtheirconcerns.Thisisanexample of which of the following?
A) Health promotion
B) Treatment of disorders
C) Rehabilitation D) Evaluation Ans: A
Feedback:
The student nurses are engaging in health promotion activities. Health promotion incorporates all efforts that seek to
move people closer to optimal well-being or to higher levels of wellness. Treatment of disorders would include direct
care for issues involving the group, such as complications that might arise inthispopulation.
Rehabilitation would involve activities to minimize disability or restore or preserve function. Evaluation
wouldinvolveananalysisof the effectivenessofthese activities.
12. plan of primary prevention activities. Which of the following might the nurse include? Select all that apply.
A) Teaching about safe-sex practices to high
school students
B) Encouraging older adults to install safety devicesinthe
bathroom
C) Providing regular immunization programs for communicable
diseases
D) Participating in cholesterol screening programsat healthfairs
8
,E) Providing skin testing for tuberculosis for childrenover1 yearof
age
F) Working with a group testing water samples for contamination
Ans: A, B, C Feedback:
Primary prevention activities are those taken to keep illness or injuries from occurring.
These include teaching about safe-sex practices, encouraging older adults to use safety devices in the bathroom,
and providing regular immunization programs for communicable diseases. Cholesterol screening programs, skin
tests for tuberculosis, and working with a group testing water samples for contaminationare examplesof
secondarypreventionactivities.
13. A community health nurse is preparing a presentation for a group of nursing students about community health
nursing. Which of the following descriptions about community health nursing would the nursemost likely include in
the presentation?
A) Focusing on addressing continuous needs
B) Working with the client as an equal partner
C) Engaging in tertiary prevention as the priority
D) Encouraging clients to reach out to the nurse
Ans: B
Feedback:
The community health nurse works with the client as an equal partner, encouraging autonomy. At any time, the
nurse deals with continuous and episodic needs simultaneously. Primary prevention is the priority for community
health nurses. The community health nurse engages in primary prevention as the priority, having the obligation to
actively reach out to all who might benefit from a specific activity or service.
14. A community health nurse is working with other members of a team that will be implementing a citywide
immunization program. The nurse is coordinating the services and addressing the needs of the
populationgroupstoensure whichofthe following?
A) Involvement of the community
B) Client participation
C) Continuity of service D) Plan for follow-up Ans: C Feedback:
Working in cooperation with other team members and coordinating services and addressing the needs of population
groups are essential to interprofessionalcollaboration. In doing so, the community heal th nurse is preventing
fragmentation and gaps thereby ensuring continuity of service. Involvement of the
communityandclientparticipationare importantbut these help to ensure that the clients are viewed as equal partners
of the health care team. A plan for follow-up may or may not be appropriate. In addition, it is the only aspect that may
be addressed with the program.
15. A community health nurse works to ensure the greatest good for the greatest number of people by
applyingwhichofthe following?
A) Secondary prevention activities
9
, B) Autonomy
C) Justice D) Utilitarianism Ans: D Feedback:
The ethical theory of utilitarianism promotes the greatest good for the greatest number. Primary prevention
activities, not secondary prevention, are the priority. Autonomy refers to the freedomof choice.Justice
involvestreatingpeople fairly.
16. When working in the community, the community health nurse adopts the teaching plan to ensure
thatthe populationunderstands the basicinformationprovidedtoaddress which of the following? A) Self-care
B) Health disparities
C) Health literacy D) Episodicneeds Ans: C Feedback:
Consumers are often intimated by health professionals and are uninformed about health and health care affectingthe
qualityofcare.
Adopting a teaching plan to ensure that the population understands the basicinformation addresses health literacy,
the ability to read, understand, and use health care information appropriately. Doing so helps to ensure that the
teaching plan will be effective. Self-care refers to the process of taking responsibility for developing one's own health
potential by actively parti cipating in promoting one's own health. Health disparities reflect differences in all aspects of
health care related to vulnerable populations.Episodicneedsare one-time specificnegativehealth events that arise and
are not an expected part of life.
17. Which of the following would be crucial forthe community health nurse to address as the priority
whendealingwithpolicymakersaboutthe developmentof community health programs?
A) Research-based best practices
B) Population's make up
C) Amount of services to be provided D) Scarcity of the available resources Ans: A Feedback:
Decisions for programs or services are often made on the basis of cost -effectiveness or cost–benefit. Therefore,
community health nurses must provide policy makers with information about best practices, grounded in research.
Although population make up, amount of services to be provided, and scarcity of resourcesare factors thatmay
needto be considered,the communityhealthnurse must demonstrate evidence-based practice.
18. After a class that described the differences between acute care nursing and community health nursing, which
statement by the class about community health nurses indicates successful teaching? A) Use a reactive approach.
B) Seek out potential health problems.
C) Concentrate on the illness end of the continuum.
D) Emphasize curative care. Ans: B Feedback:
Community health nurses, in contrast to acute care nurses, seek out potentialhealth problems, identifying high-risk
groups and instituting preventive programs; use a proactive approach; concentrateonthe wellnessendof the
healthcontinuum;andput less emphasis on curative care.
19. Which of the following activities would be associated with a community health nurse?
Selectall thatapply.
A) Examining infants in a city well-baby clinic
B) Caring for elderly stroke victims in their homes
10
,C) Providing emergency care in an acute care facility
D) Carrying out epidemiologic research E) Participating in health policy analysis Ans: A, B, D, E Feedback:
Community health nurses work in every conceivable kind of community agency, from a state public
healthdepartmenttoacommunity-basedadvocacy group.Theirdutiesrangfrom examining infants in a well- baby
clinicor teaching elderly stroke victims in theirhomes to
carrying out epidemiologic research or engaging in health policy analysis and decision making. Providing care inan
acute care facilitywouldnotbe anactivity associated with a community health nurse.
20. The term health can be described in many different ways. A community health nurse would view healthaswhichof
the following?
A) The absence of disease
B) The potential to lead a productive life
C) An environment free of toxins D) A holisticstate of well-being Ans: D
Feedback:
Community health nurses view health as a holistic state of well-being, which includes soundness of mind, body, and
spirit. Along with this foundationalview is the emphasis on wellness, which includes the definition of health as well as
the capacity to develop a person's potential to lead a fulfilling and productive life. Healthismore thanjust the absence
of disease oranenvironmentfreeof toxins.
21. While interviewing a client, which of the following statements would a nurse identify as reflecting an objective
dimensionof health?
A) “I'm feeling better since I started taking that medication.”
B) “Life is pretty good right now, except for an occasional upset stomach.”
C) “I'm able to wash myself in the mornings with just a bit of help.” D)
“Sometimes when I wake up, I don't even wantto face the day.” Ans: C
Feedback:
The objective dimension of health involves one's ability to function in daily activities. The statement about being able
to care for one's self is an example. The statements of feeling better with medication, life being pretty good, and not
wanting to face the day are examples of the subjective dimension of health,whichinvolveshowpeoplefeel.
22. When employing a population-oriented focus, the community health nurse would do which of the following?
A) Assess the groups' relationships looking for a commonneed.
B) Considerthe members individually for
similarities.
C) Focus on the geographical areaof the population.
D) Promote the groups' dependency for improvinghealth.Ans: A
Feedback:
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, A population-oriented focus requires the assessment of relationships, considering the groups or communities in
relationship to the rest of the community to discover common needs or risks for a common health problem. The nurse
does not consider the groups or communities separately but rather incontext.The populationmay ormaynot be
delineatedby the geographical area. The community health nurse encourages individuals'participation to promote
their autonomy rather than
permitting dependency.
23. A community health nurse is involved in a project to evaluate the health of a city. Which of the followingfindings
wouldsuggest that the city would mostlikely needadditional programs?
A) Citizens are actively involved in the city's department of recreation and after-school programs.
B) The construction of affordable organized housing developments and communities is nearing completion.
C) Approximately one third of the people are recently unemployed due to closure of the automotive factory.
D) Several new recreational facilities for adults and children have been created at several locations. Ans: C
Feedback:
A healthy city is one in which there is continual creation and improvement the physical and social environments with
expansion of community resources so that people can mutually support one another. It is characterized by the meeting
of basic needs for all of the city's people. This would include food, water, shelter, income, safety, and work. Loss of
employment of one third of the city's workforce would be athreat to the health of the city and necessitate intervention.
Active involvement in the city's functioning,affordable housing,andrecreational facilities are suggestive of a healthy
city.
Chapter 2 PublicHealth Nursing in the Community
1. A community health nurse is engaging in assurance activities. Which of the following would best
explaintheseactivities?
A) Gathering and analyzing information that willaffect the health of the people to be served
B) Providing leadership in facilitating communitygroups toward meeting their needs, often involving changesinand
additions to existing laws
C) Being involved in activities to make certain that necessary services are being provided to the community
D) Accessing relevant data that enable identification of strengths, weaknesses, and needs within the community
Ans: C Feedback:
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