RECTOR'S COMMUNITY AND PUBLIC
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1
Reference: Ch. 1 — Community and Public Health
Question Stem: A public health nurse is asked to explain why
shifting services from individual clinical care to population-
based interventions can reduce disease burden most efficiently.
Which statement best justifies this shift?
A. Population-based interventions are cheaper per person than
individual treatments.
B. Population approaches change exposure distributions and
lower risk across the whole community.
C. Individual clinical treatment is unsustainable because
,clinicians are scarce.
D. Population interventions avoid ethical dilemmas that arise in
clinical care.
Correct Answer: B
Rationales:
• Correct (B): Population approaches (e.g., immunization,
water fluoridation) alter exposure distributions and risk
across many people, producing larger reductions in disease
incidence than treating individuals alone. This reasoning
aligns with public-health prevention principles in Rector’s
discussion of population impact.
• A (incorrect): While some population measures are cost-
effective, the central justification is reduction of risk across
populations, not simply per-person cost.
• C (incorrect): Workforce constraints may influence
planning but are not the primary epidemiologic rationale
for population interventions.
• D (incorrect): Population interventions can present ethical
issues (e.g., mandates); avoiding dilemmas is not the main
reason for their use.
Teaching Point: Population measures reduce risk by shifting
exposure across the entire community.
,Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
2
Reference: Ch. 1 — The Concept of Community
Question Stem: A nurse conducting a community assessment
must decide how to define the "community." Which definition
will best guide a population-focused nursing intervention for
childhood asthma?
A. A geographic neighborhood with the highest hospital
admission rates.
B. A group of children registered at one school.
C. A population sharing similar exposure to air pollution within
a defined area.
D. A set of households with similar income levels.
Correct Answer: C
Rationales:
• Correct (C): For asthma interventions, defining community
by shared exposure (air pollution) targets the
environmental determinant driving disease — consistent
with Rector’s emphasis on defining communities by shared
health risks.
, • A (incorrect): High admission rates indicate burden but do
not necessarily capture the shared exposure or risk factor
needed for targeted prevention.
• B (incorrect): School registration is a convenient sampling
frame but may miss children exposed outside school
boundaries.
• D (incorrect): Income is an important social determinant
but may not directly identify those with the same
environmental exposure causing asthma.
Teaching Point: Define communities by shared health risks to
design targeted public health interventions.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
3
Reference: Ch. 1 — The Concept of Health
Question Stem: During a community forum, residents argue
that "health" means more than absence of disease. As a
facilitator, which community health definition best encourages
collective action on social determinants?
A. Health is the absence of identified clinical disease in
community members.
B. Health is the ability of individuals to access clinical care when
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1
Reference: Ch. 1 — Community and Public Health
Question Stem: A public health nurse is asked to explain why
shifting services from individual clinical care to population-
based interventions can reduce disease burden most efficiently.
Which statement best justifies this shift?
A. Population-based interventions are cheaper per person than
individual treatments.
B. Population approaches change exposure distributions and
lower risk across the whole community.
C. Individual clinical treatment is unsustainable because
,clinicians are scarce.
D. Population interventions avoid ethical dilemmas that arise in
clinical care.
Correct Answer: B
Rationales:
• Correct (B): Population approaches (e.g., immunization,
water fluoridation) alter exposure distributions and risk
across many people, producing larger reductions in disease
incidence than treating individuals alone. This reasoning
aligns with public-health prevention principles in Rector’s
discussion of population impact.
• A (incorrect): While some population measures are cost-
effective, the central justification is reduction of risk across
populations, not simply per-person cost.
• C (incorrect): Workforce constraints may influence
planning but are not the primary epidemiologic rationale
for population interventions.
• D (incorrect): Population interventions can present ethical
issues (e.g., mandates); avoiding dilemmas is not the main
reason for their use.
Teaching Point: Population measures reduce risk by shifting
exposure across the entire community.
,Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
2
Reference: Ch. 1 — The Concept of Community
Question Stem: A nurse conducting a community assessment
must decide how to define the "community." Which definition
will best guide a population-focused nursing intervention for
childhood asthma?
A. A geographic neighborhood with the highest hospital
admission rates.
B. A group of children registered at one school.
C. A population sharing similar exposure to air pollution within
a defined area.
D. A set of households with similar income levels.
Correct Answer: C
Rationales:
• Correct (C): For asthma interventions, defining community
by shared exposure (air pollution) targets the
environmental determinant driving disease — consistent
with Rector’s emphasis on defining communities by shared
health risks.
, • A (incorrect): High admission rates indicate burden but do
not necessarily capture the shared exposure or risk factor
needed for targeted prevention.
• B (incorrect): School registration is a convenient sampling
frame but may miss children exposed outside school
boundaries.
• D (incorrect): Income is an important social determinant
but may not directly identify those with the same
environmental exposure causing asthma.
Teaching Point: Define communities by shared health risks to
design targeted public health interventions.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
3
Reference: Ch. 1 — The Concept of Health
Question Stem: During a community forum, residents argue
that "health" means more than absence of disease. As a
facilitator, which community health definition best encourages
collective action on social determinants?
A. Health is the absence of identified clinical disease in
community members.
B. Health is the ability of individuals to access clinical care when
