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Exam (elaborations)

Community & Public Health Nursing (3rd Edition, DeMarco & Walsh) – Complete Test Bank with Chapter-Based Questions and Answers

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This document is the complete test bank for Community and Public Health Nursing (3rd Edition) by DeMarco and Walsh. It contains a comprehensive collection of multiple-choice questions with answers and rationales, organized by chapter. Key areas include public health principles, community assessment, epidemiology, health promotion, healthcare systems, health policy, and global health. Designed for nursing students, this resource supports exam preparation and curriculum-aligned review.

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Community & Public Health Nursing 3rd Edition
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Community & Public Health Nursing 3rd Edition















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Institution
Community & Public Health Nursing 3rd Edition
Course
Community & Public Health Nursing 3rd Edition

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Uploaded on
May 2, 2025
Number of pages
310
Written in
2024/2025
Type
Exam (elaborations)
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Test Bank




https://www.stuvia.com/user/angelinas

, Chapter 1- Public Health Nursing, 1
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then
reviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical
techniques, which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the
hospital
Ans: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values,
families, and lifestyles. Clients become active participants in their own care, and
monitoring health becomes the client's responsibility. To help clients and their
healthcare providers make better decisions, the Agency for Healthcare Research and
Quality (AHRQ) has developed a series of tools that empower clients and assist
providers in achieving desired outcomes, including client-reported functional status
indicators. Computer-assisted robotic surgical techniques, electronic health records, and
continuous glucose monitoring in the hospital are all technological advances in
healthcare, but they do not help the client become a more active participant in his or her
care, and thus are not good examples of patient-centered care.


Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health?
(Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Ans: A, B, D, E
Feedback:
The social conditions in which people live, their income, social status, education,
literacy, home and work environment, support networks, gender, culture, and
availability of health services are the social determinants of health. These conditions
have an impact on the extent to which a person or community possesses the physical,
social, and personal resources necessary to attain and maintain health. A medical error
on the part of the client's primary care provider or nurse would not constitute a social
determinant of the client's health.




https://www.stuvia.com/user/angelinas

,3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
using a digital scale and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
Ans: C
Feedback:
Personal responsibility for health involves active participation in one's own health
through education and lifestyle changes. In this case, the client makes a positive change
in lifestyle by monitoring body weight weekly. Telehealth is the use of electronic
information and telecommunications technologies to support long-distance clinical
healthcare, client and professional health-related education, public health, and health
administration. Health information technology (HIT) is defined as the comprehensive
management of health information and its exchange between consumers, providers,
government, and insurers in a secure manner. Evidence-based nursing is the integration
of the best evidence available with clinical expertise and the values of the client to
increase the quality of care.


Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily
practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the
year
Ans: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
people can be healthy. A community-wide smoking cessation program is a great
example of a public health intervention, in that it involves the collective effort of society
to improve the health of its members. Reading and applying the latest nursing research
is an example of evidence-based nursing. Instructing a client on how to best care for a
suture site at home is an example of personal responsibility for health, but it is not
focused on the health of the greater community. Participating in a videoconference call
with a client who lives in a remote area is an example of patient-centered care and of an
effective implementation of technology, but it is not particularly related to public health.




Page 3

, Origin: Chapter 1- Public Health Nursing, 5
5. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
Ans: A
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public
health nursing interventions but are not domains of public health nursing practice.


Origin: Chapter 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills
Ans: C
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.

, Origin: Chapter 1- Public Health Nursing, 7
7. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which are domains of public health nursing practice? (Select all that apply.)
A) Intuitive assessment skills
B) Community organization skills
C) Communication skills
D) Cultural competency skills
E) Product marketing skills
Ans: C, D
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.


Origin: Chapter 1- Public Health Nursing, 8
8. Which was a duty performed by district nurses in Liverpool, England, in 1865?
A) Use epidemiologic knowledge and methods
B) Encourage community organization
C) Report facts to and ask questions of physicians
D) Assist physicians with surgery in the newly constructed hospitals
Ans: C
Feedback:
Duties of district nurses in Liverpool, England, in 1865 included the following:
Investigate new referrals as soon as possible; report to the superintendent situations in
which additional food or relief would improve recovery; report neglect of clients by
family or friends to the superintendent; assist physicians with surgery in the home;
maintain a clean, uncluttered home environment and tend fires for heat; teach the client
and family about cleanliness, ventilation, giving of food and medications, and obedience
to the physician's orders; set an example for “neatness, order, sobriety, and obedience”;
hold family matters in confidence; avoid interference with the religious opinions and
beliefs of clients and others; report facts to and ask questions of physicians; and refer
the acutely ill to hospitals and the chronically ill, poor without family to infirmaries.
Using epidemiologic knowledge and methods and encouraging community organization
are principles of public health today, not duties of district nurses in England in 1865.
Nurses at that time assisted physicians with surgery in the home, not in newly
constructed hospitals.




Page 4

, Origin: Chapter 1- Public Health Nursing, 9
9. Which is a Healthy People 2020 goal?
A) Decrease the incidence of preventable disease, disability, injury, and premature
death
B) Reduce health inequity, decrease disparities, and improve the health of certain
groups
C) Create social and physical environments that promote good health for all
D) Promote healthy development and healthy behaviors for the geriatric stage of life
Ans: C
Feedback:
The Healthy People 2020 goals are as follows: attain high-quality, longer lives free of
preventable disease, disability, injury, and premature death (not just to decrease the
incidence of these); achieve health equity, eliminate disparities, and improve the health
of all groups; create social and physical environments that promote good health for all;
and promote healthy development and healthy behaviors across every stage of life, not
just older adults.


Origin: Chapter 1- Public Health Nursing, 10
10. A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural
community that currently lacks access to them. This is an example of which public
health intervention?
A) Surveillance
B) Outreach
C) Screening
D) Case management
Ans: D
Feedback:
In the intervention of case management, the nurse coordinates a plan or process to bring
health services and the self-care capabilities of the client together as a common whole in
a cost-effective way. In the intervention of surveillance, the nurse monitors health
events through ongoing, systematic collection, analysis, and interpretation of health data
for planning, implementing, and evaluating public health interventions. In the
intervention of outreach, the nurse locates populations at risk, provides information,
identifies possible actions, and identifies access to services. In the intervention of
screening, the nurse identifies individuals with unrecognized risk factors or
asymptomatic conditions.




Page 5

, Origin: Chapter 1- Public Health Nursing, 11
11. The mnurse mis mlocating mpopulations min mher mregion mwho mare mexposed mto mlead-based
mpaint mand mproviding mthem mwith minformation mregarding mthe mdangers mof mlead
mpoisoning. mThis mis man mexample mof mwhich mpublic mhealth mintervention?
A) Surveillance
B) Outreach
C) Screening
D) Case
mmanagement mAns: mB
Feedback:
In mthe mintervention mof moutreach, mthe mnurse mlocates mpopulations mat mrisk, mprovides
minformation, midentifies mpossible mactions, mand midentifies maccess mto mservices, mwhich
mis mwhat mthe mnurse mis mdoing min mthis msituation. mIn mthe mintervention mof msurveillance,
mthe mnurse mmonitors mhealth mevents mthrough mongoing, msystematic mcollection, manalysis,
mand minterpretation mof mhealth mdata mfor mplanning, mimplementing, mand mevaluating
mpublic mhealth minterventions. mIn m the mintervention mof mscreening, mthe mnurse midentifies
mindividuals mwith munrecognized mrisk mfactors mor masymptomatic mconditions. mIn mthe
mintervention mof mcase mmanagement, mthe mnurse mcoordinates ma mplan mor mprocess mto
mbring mhealth mservices mand mthe mself-care mcapabilities mof mthe mclient mtogether mas ma
mcommon mwhole min ma mcost-effective mway.



Origin: m Chapter m1- mPublic mHealth mNursing, m12
12. Select mthe mgreat mpublic mhealth machievements min mthe mUnited mStates min mthe m20th
mcentury. m(Select mall mthat mapply.)
A) Elimination mof mcommon minfectious mdiseases
B) Recognition mof mtobacco mas ma mhealth mhazard
C) Fluoridation mof mdrinking mwater
D) Healthier mmothers mand mbabies
E) Decline min mthe mpercentage mof mobese mand moverweight
mpeople mAns: mB, mC, mD
Feedback:
Great mpublic mhealth machievements min mthe mUnited mStates min mthe m20th mcentury
minclude mthe mfollowing: mcontrol m(not melimination) mof mcommon minfectious mdiseases;
mrecognition mof mtobacco mas ma mhealth mhazard; mfluoridation mof mdrinking mwater; mand
mhealthier mmothers mand mbabies. mThe mpercentage mof moverweight mand mobese mpeople
mincreased mover mthe mcourse mof mthe m20th mcentury mand mcontinues mto mincrease mtoday.




Page 6

, Origin: Chapter 1- Public Health Nursing, 13
13. Demographic mcharacteristics mindicate mthat mpeople min mdeveloped mcountries mare
mliving mlonger, mhealthier mlives, myet mtremendous mhealth mand msocial mdisparities
mexist. mWhich mdescribes msocial mdeterminants mof mhealth?
A) What msociety mdoes mcollectively mto mensure mthe mconditions mexist min mwhich
mpeople mcan mbe mhealthy
B) Social mconditions min mwhich mpeople mlive mand mwork
C) Context mof mpreventing mdisease mand mdisability mand mpromoting mand
mprotecting mthe mhealth mof mthe mentire mcommunity
D) Comprehensive mmanagement mof mhealth minformation mand mits msecure
mexchange mbetween mconsumers, mproviders, mgovernment mand mquality
mentities, mand minsurers
Ans: m B
Feedback:
Social mdeterminants mof mhealth mare mthe msocial mconditions min mwhich mpeople mlive mand
mwork. mHealth minformation mtechnology mis mthe mcomprehensive mmanagement mof
mhealth minformation mand mits msecure mexchange mbetween mconsumers, mproviders,
mgovernment mand mquality mentities, mand minsurers. mPublic mhealth mis mwhat msociety mdoes
mcollectively mto mensure mthe mconditions mexist min mwhich mpeople mcan mbe mhealthy.
mPublic mhealth mnursing mis ma mpopulation-based mpractice, mdefined mas ma msynthesis mof
mnursing mand mpublic mhealth mwithin mthe mcontext mof mpreventing mdisease mand
mdisability mand mpromoting mand mprotecting mthe mhealth mof mthe mentire mcommunity.



Origin: m Chapter m1- mPublic mHealth mNursing, m14
14. Why mis mthere man mincreasing muse mof mhome mmonitoring mdevices? m(Select mall mthat mapply.)
A) Rising mnumber mof mpeople mwith macute mconditions
B) Increased mneed mto mdeliver mhealthcare mto mmedically munderserved mpopulations
C) Advances min mtechnology mto massess mclients' mconditions min mtheir mhome
D) Performing massessments min mreal mtime musing mInternet mvideo msystems
E) Decline min mthe mnumber mof molder
madults mAns: mB, mC, mD
Feedback:
Home mmonitoring mdevices mare mbecoming mnecessities, mdue min mpart mto mthe maging
mpopulation, mthe mrising mnumber mof mpeople mwith mchronic m(not macute) mconditions, mand
mthe mneed mto mincrease mhealthcare mdelivery mto mmedically munderserved mpopulations.
mAdvances min mtechnology, mspecifically mmedical mdevices, msensors, mand mhigh-speed
mtelecommunication mnetworks, mhave mmade mit mpossible mto massess mclients' mconditions
mremotely min mtheir mhomes, meither mby mstoring minformation mfor mlater maccess mor mby
mperforming massessments min mreal mtime musing mInternet mvideo msystems. mThe mnumber
mof molder madults min mthe mUnited mStates mis mincreasing, mnot mdeclining.




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