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 (Introduction)
Question stem: A public health nurse is designing a health
promotion campaign for adults in a city to reduce sedentary
behavior. Which approach most clearly reflects
community/public health nursing principles?
A. Offer individualized exercise prescriptions during clinic visits.
B. Partner with city planners to improve sidewalks, parks, and
safe walking routes.
C. Provide a one-time health lecture at the hospital for hospital
employees.
,D. Distribute free pedometers to patients discharged from the
clinic.
Correct answer: B
Rationales:
• Correct: B — Improving built environment through
partnerships addresses population-level determinants and
enables healthier behavior across the community, aligning
with community/public health nursing emphasis on
upstream, population-focused interventions.
• A incorrect: Focuses on individual clinical care rather than
population-level change; it misses structural determinants.
• C incorrect: A one-time hospital lecture targets a limited
group (employees) and lacks broader community reach
and sustainability.
• D incorrect: Giving pedometers to discharged patients is
an individual-level strategy with limited community impact
and no system change.
Teaching point: Address upstream determinants and
collaborate with community sectors for population-level
impact.
Citation (simplified APA):
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 define the community’s boundaries. Which combination
best captures the textbook definition of a community?
A. Demographic characteristics only.
B. Geographic place and a single health facility.
C. People who interact, a place, and a social system.
D. A group of patients who share the same diagnosis.
Correct answer: C
Rationales:
• Correct: C — Rector’s text defines community as
composed of people, place, and social systems (interacting
relationships), which guides scope for assessment and
interventions.
• A incorrect: Demographics are important but alone don’t
capture place or social relationships.
• B incorrect: A health facility is not sufficient; community
includes broader social systems and interactions.
• D incorrect: A diagnostic group is an aggregate but lacks
the full community elements of place and social system.
Teaching point: Communities are people + place + social
systems; use all three in assessments.
, Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Public Health
(11th ed.). Ch. 1.
3
Reference: Ch. 1 — The Concept of Health
Question stem: During a community meeting, residents say
they want “health” programs that address more than disease.
Which nurse response best reflects the chapter’s holistic
concept of health?
A. “We’ll only offer blood-pressure screenings; disease control
is most cost-effective.”
B. “Let’s include physical, mental, social well-being goals and
opportunities for community engagement.”
C. “Health means absence of disease, so we’ll focus on
vaccinations.”
D. “We should refer everyone to their primary care provider for
medical care.”
Correct answer: B
Rationales:
• Correct: B — The chapter emphasizes health as a holistic
state—physical, mental, social well-being—and supports
community engagement and broader promotion
strategies.