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: A public health nurse (PHN) is asked to advise a city
council planning committee about reducing seasonal influenza
spread. Which recommendation best aligns with a population-
level public health approach?
A. Advise clinic-based reminders to patients with chronic illness
to get vaccinated.
B. Implement a citywide school-based vaccination program with
mobile clinics.
C. Offer vaccine education brochures at ED triage for individual
visitors.
,D. Encourage individual primary care providers to order
additional vaccine stock.
Correct Answer: B
Rationale — Correct: A citywide, school-based vaccination
program with mobile clinics targets populations, increases
access, and addresses herd immunity—core public health
strategies.
Rationale — Incorrect:
A. Clinic reminders are useful but focus on individuals with
access to clinics, not broad population coverage.
C. Brochures at ED triage reach individuals episodically and do
not provide systematic access or coverage.
D. Encouraging providers increases supply but lacks organized
population outreach and equity measures.
Teaching Point: Population-level programs that increase access
achieve broader disease prevention.
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 — Community and Public Health
Question: During a community forum, residents ask why the
health department focuses on upstream determinants rather
than only treating sick individuals. What is the PHN’s best
evidence-based reply?
,A. Treating individuals is costly and unpopular with residents.
B. Upstream interventions reduce risk exposure and prevent
illness across populations.
C. Upstream approaches are easier to measure than clinical
treatments.
D. Clinical care cannot be improved by public health actions.
Correct Answer: B
Rationale — Correct: Public health emphasizes upstream
determinants (social, environmental) because addressing root
causes reduces population risk and prevents downstream
disease.
Rationale — Incorrect:
A. Cost and popularity are not the core rationale; prevention’s
value is health impact and equity.
C. Upstream interventions can be harder to measure but
provide broader population benefits.
D. Clinical care can be improved by public health; the statement
is false and overly dichotomous.
Teaching Point: Addressing upstream determinants prevents
disease and improves population health equity.
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 — Community and Public Health
Question: A local outbreak investigation shows clustering of
gastroenteritis at a summer camp. Which action best reflects
public health’s core function of assurance?
A. Publish the outbreak report in a national journal.
B. Ensure campers have access to potable water and sanitation
resources.
C. Advise each family to seek antibiotics for affected campers.
D. Wait for camp staff to resolve issues internally before
intervening.
Correct Answer: B
Rationale — Correct: Assurance includes ensuring necessary
services (safe water, sanitation) are available to protect and
maintain population health.
Rationale — Incorrect:
A. Publishing is part of surveillance/knowledge dissemination
but does not immediately assure needed services.
C. Antibiotics are not appropriate for all gastroenteritis and
represent individual treatment, not systemic assurance.
D. Waiting delays protective interventions and fails the PH
obligation to ensure community safety.
Teaching Point: Assurance ensures essential services (water,
sanitation) are available to protect public health.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
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: A public health nurse (PHN) is asked to advise a city
council planning committee about reducing seasonal influenza
spread. Which recommendation best aligns with a population-
level public health approach?
A. Advise clinic-based reminders to patients with chronic illness
to get vaccinated.
B. Implement a citywide school-based vaccination program with
mobile clinics.
C. Offer vaccine education brochures at ED triage for individual
visitors.
,D. Encourage individual primary care providers to order
additional vaccine stock.
Correct Answer: B
Rationale — Correct: A citywide, school-based vaccination
program with mobile clinics targets populations, increases
access, and addresses herd immunity—core public health
strategies.
Rationale — Incorrect:
A. Clinic reminders are useful but focus on individuals with
access to clinics, not broad population coverage.
C. Brochures at ED triage reach individuals episodically and do
not provide systematic access or coverage.
D. Encouraging providers increases supply but lacks organized
population outreach and equity measures.
Teaching Point: Population-level programs that increase access
achieve broader disease prevention.
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 — Community and Public Health
Question: During a community forum, residents ask why the
health department focuses on upstream determinants rather
than only treating sick individuals. What is the PHN’s best
evidence-based reply?
,A. Treating individuals is costly and unpopular with residents.
B. Upstream interventions reduce risk exposure and prevent
illness across populations.
C. Upstream approaches are easier to measure than clinical
treatments.
D. Clinical care cannot be improved by public health actions.
Correct Answer: B
Rationale — Correct: Public health emphasizes upstream
determinants (social, environmental) because addressing root
causes reduces population risk and prevents downstream
disease.
Rationale — Incorrect:
A. Cost and popularity are not the core rationale; prevention’s
value is health impact and equity.
C. Upstream interventions can be harder to measure but
provide broader population benefits.
D. Clinical care can be improved by public health; the statement
is false and overly dichotomous.
Teaching Point: Addressing upstream determinants prevents
disease and improves population health equity.
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 — Community and Public Health
Question: A local outbreak investigation shows clustering of
gastroenteritis at a summer camp. Which action best reflects
public health’s core function of assurance?
A. Publish the outbreak report in a national journal.
B. Ensure campers have access to potable water and sanitation
resources.
C. Advise each family to seek antibiotics for affected campers.
D. Wait for camp staff to resolve issues internally before
intervening.
Correct Answer: B
Rationale — Correct: Assurance includes ensuring necessary
services (safe water, sanitation) are available to protect and
maintain population health.
Rationale — Incorrect:
A. Publishing is part of surveillance/knowledge dissemination
but does not immediately assure needed services.
C. Antibiotics are not appropriate for all gastroenteritis and
represent individual treatment, not systemic assurance.
D. Waiting delays protective interventions and fails the PH
obligation to ensure community safety.
Teaching Point: Assurance ensures essential services (water,
sanitation) are available to protect public health.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
