HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1⃣
Reference: Ch. 1 — Community and Public Health
Question Stem:
A county health department receives data showing a steady rise
in type 2 diabetes prevalence across multiple neighborhoods.
As a community/public health nurse, which first action best
aligns with public health practice to address this population
trend?
A. Start a free clinic offering individual diabetes care for
uninsured residents.
B. Conduct a community assessment to identify risk factors and
,affected subpopulations.
C. Lobby state legislators to pass a law mandating diabetes
screenings in all clinics.
D. Provide a single large diabetes education seminar at the
county courthouse.
Correct Answer: B
Rationales:
Correct: Conducting a community assessment identifies
determinants, at-risk groups, and resource gaps — the
foundation for population-level interventions. (Aligns with
community/public health practice emphasis on assessment.)
A (incorrect): Important, but establishing a clinic addresses
individual care rather than identifying population determinants.
C (incorrect): Policy advocacy can be effective, but it is
premature without assessment data to guide policy needs.
D (incorrect): Education is useful but one seminar is unlikely to
reach or affect the highest-risk subpopulations without targeted
planning.
Teaching Point:
Begin with a community assessment to guide targeted,
equitable public-health interventions.
Citation:
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
,2️⃣
Reference: Ch. 1 — The Concept of Community
Question Stem:
A nurse is designing a community program to reduce childhood
lead exposure. Which statement best reflects a community-
focused definition of "community" when planning
interventions?
A. Community equals people living within the same municipal
boundaries.
B. Community includes residents who share geographic space,
social networks, and common interests.
C. Community is only the population that receives services at
the local clinic.
D. Community is defined solely by demographic characteristics
like age and income.
Correct Answer: B
Rationales:
Correct: Community encompasses geography plus social
interactions, norms, and shared interests — essential for
planning interventions that leverage social networks.
A (incorrect): Geography alone ignores social ties and shared
values important for program acceptance.
C (incorrect): Clinic attendees are a subset, not the whole
community.
, D (incorrect): Demographics matter, but community is broader
than simple characteristics.
Teaching Point:
Community = people + place + social relationships;
interventions must reflect all three.
Citation:
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
3️⃣
Reference: Ch. 1 — The Concept of Health
Question Stem:
During a neighborhood health forum, community members
emphasize mental wellness, safe housing, and job security as
health priorities. Which public-health interpretation of "health"
should the nurse use when planning services?
A. Health is the absence of disease in individuals.
B. Health is a state of complete physical, mental, and social
well-being at the population level.
C. Health is determined only by access to medical care.
D. Health means achieving maximum lifespan for all.
Correct Answer: B
Rationales:
Correct: Modern public-health definitions view health broadly