RECTOR'S COMMUNITY AND PUBLIC
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
2️⃣ Question Stem
A public health nurse (PHN) is designing a community-wide
program to reduce childhood asthma exacerbations. Before
planning interventions, the PHN asks: “Which measure best
describes the burden of asthma in this neighborhood at a single
point in time?” Which measure should the nurse use to guide
initial planning?
3️⃣ Options (A–D)
,A. Incidence rate of new asthma diagnoses this year
B. Prevalence of asthma cases currently in the neighborhood
C. Mortality rate from asthma over the past 5 years
D. Case-fatality rate for hospitalized asthma patients
4️⃣ Correct Answer
B
5️⃣ Rationales
Correct answer rationale: Prevalence reflects the proportion of
people with asthma at a specific point and indicates current
burden for resource planning and program targeting, consistent
with community health assessment principles.
Incorrect options rationales:
A — Incidence measures new cases over time and is less useful
for estimating current service needs.
C — Mortality over five years informs severity and outcomes
but not current burden for service planning.
D — Case-fatality applies to those with disease and indicates
lethality, not overall community burden.
6️⃣ Teaching Point
Prevalence shows current disease burden—essential for
planning services and resource allocation.
7️⃣ Citation (simplified APA)
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
,1⃣ Reference
Ch. 1 — The Concept of Community
2️⃣ Question Stem
A PHN is conducting a community assessment. The community
leader emphasizes that “our neighborhood is more than
geography — it’s people who share values.” Which nursing
concept should the PHN prioritize when interpreting
assessment data?
3️⃣ Options (A–D)
A. Community as a collection of individuals with identical health
needs
B. Community as a client — an aggregate with shared
characteristics and relationships
C. Community only as the physical environment and
infrastructure
D. Community as an entity where health interventions are
identical for everyone
4️⃣ Correct Answer
B
5️⃣ Rationales
Correct answer rationale: Community-as-client views the
community as an aggregate with shared characteristics,
, relationships, and needs; this perspective guides population-
level assessment and interventions.
Incorrect options rationales:
A — Community members have diverse needs; treating them as
identical undermines tailored interventions.
C — The community includes social, cultural, and relational
dimensions beyond physical infrastructure.
D — One-size interventions ignore variation within aggregates
and reduce effectiveness.
6️⃣ Teaching Point
Treat communities as clients — assess aggregate needs,
relationships, and shared resources.
7️⃣ Citation (simplified APA)
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
1⃣ Reference
Ch. 1 — The Concept of Health
2️⃣ Question Stem
An urban clinic’s outreach team must prioritize health
promotion activities. Applying a population health perspective
from Rector’s definition of health, which approach best aligns
with that concept?
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
2️⃣ Question Stem
A public health nurse (PHN) is designing a community-wide
program to reduce childhood asthma exacerbations. Before
planning interventions, the PHN asks: “Which measure best
describes the burden of asthma in this neighborhood at a single
point in time?” Which measure should the nurse use to guide
initial planning?
3️⃣ Options (A–D)
,A. Incidence rate of new asthma diagnoses this year
B. Prevalence of asthma cases currently in the neighborhood
C. Mortality rate from asthma over the past 5 years
D. Case-fatality rate for hospitalized asthma patients
4️⃣ Correct Answer
B
5️⃣ Rationales
Correct answer rationale: Prevalence reflects the proportion of
people with asthma at a specific point and indicates current
burden for resource planning and program targeting, consistent
with community health assessment principles.
Incorrect options rationales:
A — Incidence measures new cases over time and is less useful
for estimating current service needs.
C — Mortality over five years informs severity and outcomes
but not current burden for service planning.
D — Case-fatality applies to those with disease and indicates
lethality, not overall community burden.
6️⃣ Teaching Point
Prevalence shows current disease burden—essential for
planning services and resource allocation.
7️⃣ Citation (simplified APA)
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
,1⃣ Reference
Ch. 1 — The Concept of Community
2️⃣ Question Stem
A PHN is conducting a community assessment. The community
leader emphasizes that “our neighborhood is more than
geography — it’s people who share values.” Which nursing
concept should the PHN prioritize when interpreting
assessment data?
3️⃣ Options (A–D)
A. Community as a collection of individuals with identical health
needs
B. Community as a client — an aggregate with shared
characteristics and relationships
C. Community only as the physical environment and
infrastructure
D. Community as an entity where health interventions are
identical for everyone
4️⃣ Correct Answer
B
5️⃣ Rationales
Correct answer rationale: Community-as-client views the
community as an aggregate with shared characteristics,
, relationships, and needs; this perspective guides population-
level assessment and interventions.
Incorrect options rationales:
A — Community members have diverse needs; treating them as
identical undermines tailored interventions.
C — The community includes social, cultural, and relational
dimensions beyond physical infrastructure.
D — One-size interventions ignore variation within aggregates
and reduce effectiveness.
6️⃣ Teaching Point
Treat communities as clients — assess aggregate needs,
relationships, and shared resources.
7️⃣ Citation (simplified APA)
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
1⃣ Reference
Ch. 1 — The Concept of Health
2️⃣ Question Stem
An urban clinic’s outreach team must prioritize health
promotion activities. Applying a population health perspective
from Rector’s definition of health, which approach best aligns
with that concept?
