TEST BANK FOR COMMUNITY AND PUBLIC HEALTH NURSING 10TH EDITION BY RECTOR ALL CHAPTERS
GRADED A+
,Contents
Chapter 1 The Journey Begins: Introduction ....................................................................... 3
Chapter 2 Public Health Nursing in the Community ........................................................... 14
Chapter 3 History and Evolution of Public Health Nursing ................................................. 27
Chapter 4 Evidence-Based Practice and Ethics in Community/Public Health ...................... 37
Chapter 5 Transcultural Nursing ....................................................................................... 52
Chapter 6 Structure and Economics of Community/Public Health Services ........................ 67
Chapter 7 Epidemiology in the Community ....................................................................... 82
Chapter 8 Communicable Disease..................................................................................... 96
Chapter 9 Environmental Health & Safety ...................................................................... 111
Chapter 10 Communication, Collaboration, and Technology ........................................... 120
Chapter 11 Health Promotion Through Education ........................................................... 134
Chapter 12 Planning, Implementing, and Evaluating Community/Public Health Programs 152
Chapter 13 Policy Making and Advocacy ......................................................................... 167
Chapter 14 Family as Client ............................................................................................ 182
Chapter 15 Community as Client .................................................................................... 195
Chapter 16 Global Health Nursing .................................................................................. 207
Chapter 17 Disasters and Their Impact ........................................................................... 222
Chapter 18 Violence & Abuse ......................................................................................... 237
Chapter 19 Maternal-Child Health .................................................................................. 250
Chapter 20 School-Age Children and Adolescents ........................................................... 265
Chapter 21 Adult Health ................................................................................................. 277
Chapter 22 Older Adults ................................................................................................. 290
Chapter 23 Working with Vulnerable Populations .......................................................... 304
Chapter 24 Clients with Disabilities ................................................................................ 316
Chapter 25 Behavioural Health in the Community .......................................................... 331
Chapter 26 Homeless Populations .................................................................................. 346
Chapter 27 Rural, Migrant, and Urban Health Care ......................................................... 358
Chapter 28 Public Settings .............................................................................................. 371
Chapter 29 Private Settings ............................................................................................ 386
Chapter 30 Home Health and Hospice Care..................................................................... 401
,Chapter 1 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 differences between public health and community health?
A) “Community health nursing is defined as
nursing care that is provided in a community setting, rather than an institutional setting.
B) “Public health nursing is defined as nursing care that is provided in an institutional setting.”
C) “Public health nursing is focused on the health of individuals.”
D) “Community health nursing can shape the quality of community health services and improve the
health of the general public.”
ANS:D Feedback:
Operating within an environment of rapid change and increasingly complex challenges, this nursing
specialty holds the potential to shape the quality of community health services and 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 focused on the public aspects of
health.
B) In our textbook, the term community health practice refers to a focus on specific, designated
communities and is a part 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 exclusively 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
necessarily share a sense of belonging
to that group.
ANS: A
Feedback:
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
community or a community of solution. A population is made up of people who do not necessarily
interact with one another and do not necessarily share a sense of belonging to that group.
4. A group of students are reviewing material for a test on populations, communities, and
aggregates. Which of the following indicates
that the students understand these concepts?
,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
necessarily share a sense of belonging to the group. A community is a collection of people who chose to
interact with one another because of common interests, characteristics, or goals, which form the basis
for a sense of unity 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 addressing water pollution ANS: 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 community and a small
rural town in a northern state would be examples of a geographic community. Counties addressing a
water pollution problem would be an example
of a community of solution.
6. The nurse is working with a community of solution. Which of the following would the nurse
expect to find?
A) A health problem affecting the group
B) Common goal binding members together
C) Sharing of a similar goal
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 community is one
defined by its geographical or locational
boundaries.
7. Which one of the following statements made by a student would the nurse educator recognize
as evidence that a student
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 current focus of health care.
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 disability or 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 shifting to focus on the wellness
end.
8. When discussing the concept of the health continuum with a class, the nurse educator would be
certain to include which statement
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 static throughout 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 only to individuals but
also to families and communities.
9. After discussing the leading health indicators with a class, which condition if stated by the class
as one of these indicators suggests that
the class has understood the information?
A) Cardiac disease
B) Mental health
C) Sedentary lifestyle
D) Maternal health care ANS: B
Feedback:
Mental health is a leading health indicator. Other leading health indicators include physical activity,
overweight and obesity, tobacco use, substance use, responsible sexual behavior, injury and violence,
environmental quality, immunization, and access to health care.
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-being or higher levels
of wellness.
B) Disease prevention differs from health promotion in that disease prevention is targeted toward
a specific disease or diseases.
C) Health promotion can be described in terms of primary, secondary, and tertiary prevention.
GRADED A+
,Contents
Chapter 1 The Journey Begins: Introduction ....................................................................... 3
Chapter 2 Public Health Nursing in the Community ........................................................... 14
Chapter 3 History and Evolution of Public Health Nursing ................................................. 27
Chapter 4 Evidence-Based Practice and Ethics in Community/Public Health ...................... 37
Chapter 5 Transcultural Nursing ....................................................................................... 52
Chapter 6 Structure and Economics of Community/Public Health Services ........................ 67
Chapter 7 Epidemiology in the Community ....................................................................... 82
Chapter 8 Communicable Disease..................................................................................... 96
Chapter 9 Environmental Health & Safety ...................................................................... 111
Chapter 10 Communication, Collaboration, and Technology ........................................... 120
Chapter 11 Health Promotion Through Education ........................................................... 134
Chapter 12 Planning, Implementing, and Evaluating Community/Public Health Programs 152
Chapter 13 Policy Making and Advocacy ......................................................................... 167
Chapter 14 Family as Client ............................................................................................ 182
Chapter 15 Community as Client .................................................................................... 195
Chapter 16 Global Health Nursing .................................................................................. 207
Chapter 17 Disasters and Their Impact ........................................................................... 222
Chapter 18 Violence & Abuse ......................................................................................... 237
Chapter 19 Maternal-Child Health .................................................................................. 250
Chapter 20 School-Age Children and Adolescents ........................................................... 265
Chapter 21 Adult Health ................................................................................................. 277
Chapter 22 Older Adults ................................................................................................. 290
Chapter 23 Working with Vulnerable Populations .......................................................... 304
Chapter 24 Clients with Disabilities ................................................................................ 316
Chapter 25 Behavioural Health in the Community .......................................................... 331
Chapter 26 Homeless Populations .................................................................................. 346
Chapter 27 Rural, Migrant, and Urban Health Care ......................................................... 358
Chapter 28 Public Settings .............................................................................................. 371
Chapter 29 Private Settings ............................................................................................ 386
Chapter 30 Home Health and Hospice Care..................................................................... 401
,Chapter 1 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 differences between public health and community health?
A) “Community health nursing is defined as
nursing care that is provided in a community setting, rather than an institutional setting.
B) “Public health nursing is defined as nursing care that is provided in an institutional setting.”
C) “Public health nursing is focused on the health of individuals.”
D) “Community health nursing can shape the quality of community health services and improve the
health of the general public.”
ANS:D Feedback:
Operating within an environment of rapid change and increasingly complex challenges, this nursing
specialty holds the potential to shape the quality of community health services and 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 focused on the public aspects of
health.
B) In our textbook, the term community health practice refers to a focus on specific, designated
communities and is a part 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 exclusively 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
necessarily share a sense of belonging
to that group.
ANS: A
Feedback:
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
community or a community of solution. A population is made up of people who do not necessarily
interact with one another and do not necessarily share a sense of belonging to that group.
4. A group of students are reviewing material for a test on populations, communities, and
aggregates. Which of the following indicates
that the students understand these concepts?
,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
necessarily share a sense of belonging to the group. A community is a collection of people who chose to
interact with one another because of common interests, characteristics, or goals, which form the basis
for a sense of unity 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 addressing water pollution ANS: 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 community and a small
rural town in a northern state would be examples of a geographic community. Counties addressing a
water pollution problem would be an example
of a community of solution.
6. The nurse is working with a community of solution. Which of the following would the nurse
expect to find?
A) A health problem affecting the group
B) Common goal binding members together
C) Sharing of a similar goal
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 community is one
defined by its geographical or locational
boundaries.
7. Which one of the following statements made by a student would the nurse educator recognize
as evidence that a student
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 current focus of health care.
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 disability or 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 shifting to focus on the wellness
end.
8. When discussing the concept of the health continuum with a class, the nurse educator would be
certain to include which statement
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 static throughout 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 only to individuals but
also to families and communities.
9. After discussing the leading health indicators with a class, which condition if stated by the class
as one of these indicators suggests that
the class has understood the information?
A) Cardiac disease
B) Mental health
C) Sedentary lifestyle
D) Maternal health care ANS: B
Feedback:
Mental health is a leading health indicator. Other leading health indicators include physical activity,
overweight and obesity, tobacco use, substance use, responsible sexual behavior, injury and violence,
environmental quality, immunization, and access to health care.
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-being or higher levels
of wellness.
B) Disease prevention differs from health promotion in that disease prevention is targeted toward
a specific disease or diseases.
C) Health promotion can be described in terms of primary, secondary, and tertiary prevention.
