TEST BANK FORc c
Community and Public Health Nursing 3rd
c c c c c
Edition
c
Author: Rosanna DeMarco; Judith Healey-Walsh
c c c c
Table of Contents
c c
Chapter c1: cPublic cHealth cNursing: cPresent, cPast, cand cFuture
Chapter c2: cPublic cHealth cSystems
c
Chapter c3: cHealth cPolicy, cPolitics, cand cReform
Chapter c4: cGlobal cHealth: cA cCommunity cPerspective
c
Chapter c5: cFrameworks cfor cHealth cPromotion, cDisease cPrevention, cand cRisk cReduction
Chapter c6: cEpidemiology: cThe cScience cof cPrevention
c
Chapter c7: cDescribing cHealth cConditions: cUnderstanding cand cUsing cRates
Chapter c8: cGathering cEvidence cfor cPublic cHealth cPractice
c
Chapter c9: cPlanning cfor cCommunity cChange
Chapter c10: cCultural cCompetence: cAwareness, cSensitivity, cand cRespect
Chapter c11: cCommunity cAssessment
c
Chapter c12: cCare cManagement, cCase cManagement, cand cHome cHealthcare
Chapter c13: cFamily cAssessment
c
Chapter c14: cRisk cof cInfectious cand cCommunicable cDiseases
Chapter c15: cEmerging cInfectious cDiseases
c
Chapter c16: cViolence cand cAbuse
Chapter c17: cSubstance cUse
c
Chapter c18: cUnderserved cPopulations
Chapter c19: cEnvironmental cHealth
c
Chapter c20: cCommunity cPreparedness: cDisaster cand cTerrorism
Chapter c21: cCommunity cMental cHealth
c
Chapter c22: cSchool cHealth
Chapter c23: cFaith-Oriented cCommunities cand cHealth cMinistries cin cFaith cCommunities
Chapter c24: cPalliative cand cEnd-of-Life cCare
c
Chapter c25: cOccupational cHealth cNursing
,Chapter c1: cPublic cHealth cNursing: cPresent, cPast, cand cFuture
1. A c nurse c is c striving c to c practice c patient-centered c care c at c a c hospital. c Which c action
c best cexemplifies cproviding cpatient-centered ccare?
A) Having ca cclient ccomplete ca cself-reported cfunctional cstatus cindicator cand cthen creviewing cit
cwith cthe cclient
B) Explaining cto ca cclient cthe cbenefits cof ccomputer-assisted crobotic csurgical ctechniques,
cwhich cthe chospital crecently cimplemented
C) Recording ca cclient's csigns cand csymptoms cin can celectronic chealth crecord
D) Performing ccontinuous cglucose cmonitoring cof ca cclient cwhile cthe cclient cis cin cthe chospital
Ans: cA
Feedback:
Patient-centered ccare cconsiders ccultural ctraditions, cpersonal cpreferences, cvalues, cfamilies, cand
clifestyles. cClients cbecome cactive cparticipants cin ctheir cown ccare, cand cmonitoring chealth cbecomes
cthe cclient's cresponsibility. cTo chelp cclients cand ctheir chealthcare cproviders cmake cbetter cdecisions,
cthe cAgency cfor cHealthcare cResearch cand cQuality c(AHRQ) chas cdeveloped ca cseries cof ctools cthat
cempower cclients cand cassist cproviders cin cachieving cdesired coutcomes, cincluding cclient-reported
cfunctional cstatus cindicators. cComputer-assisted crobotic csurgical ctechniques, celectronic chealth
crecords, cand ccontinuous cglucose cmonitoring cin cthe chospital care call ctechnological cadvances cin
chealthcare, cbut cthey cdo cnot chelp cthe cclient cbecome ca cmore cactive cparticipant cin chis cor cher ccare,
cand cthus care cnot cgood cexamples cof cpatient-centered ccare.
2. A cnurse cis ccaring cfor can colder cclient cwho cis cstruggling cto cmanage cher ctype c2 cdiabetes
cmellitus. cThe cnurse cshould crecognize cwhich csocial cdeterminants cof cthis cclient's chealth? c(Select
call cthat capply.)
A) Household cincome cof c$23,000 cper cyear
B) Reading clevel cof ca cthird cgrader
C) Medication cineffective cdue cto cerror cin cprescription
D) Originally cfrom cSudan
E) No cfamily cin cthe carea
Ans: cA, cB, cD, cE cFeedback:
The csocial cconditions cin cwhich cpeople clive, ctheir cincome, csocial cstatus, ceducation, cliteracy, chome
cand cwork cenvironment, csupport cnetworks, cgender, cculture, cand cavailability cof chealth cservices
care cthe csocial cdeterminants cof chealth. cThese cconditions chave can cimpact con cthe cextent cto cwhich ca
cperson cor ccommunity cpossesses cthe cphysical, csocial, cand cpersonal cresources cnecessary cto cattain
cand cmaintain chealth. cA cmedical cerror con cthe cpart cof cthe cclient's cprimary ccare cprovider cor cnurse
cwould cnot cconstitute ca csocial cdeterminant cof cthe cclient's chealth.
3. A c nurse c successfully c persuades c an c obese c client c to c perform c a c weekly c weigh-in c at
c home cusing ca cdigital cscale cand crecord cthe cweight cin ca clog. cThis cstrategy cis can cexample cof:
A) Telehealth
B) Health cinformation ctechnology
C) Personal cresponsibility cfor chealth
D) Evidence-based cnursing
Ans: cC
Feedback:
,Personal cresponsibility cfor chealth cinvolves cactive cparticipation cin cone's cown chealth cthrough
ceducation cand clifestyle cchanges. cIn cthis ccase, cthe cclient cmakes ca cpositive cchange cin clifestyle cby
cmonitoring cbody cweight cweekly. cTelehealth cis cthe cuse cof celectronic cinformation cand
ctelecommunications ctechnologies cto csupport clong-distance cclinical chealthcare, cclient cand
cprofessional chealth-related ceducation, cpublic chealth, cand chealth cadministration. cHealth
cinformation ctechnology c(HIT) cis cdefined cas cthe ccomprehensive cmanagement cof chealth
c information cand cits cexchange cbetween cconsumers, cproviders, cgovernment, cand cinsurers cin ca
csecure cmanner. cEvidence-based cnursing cis cthe cintegration cof cthe cbest cevidence cavailable cwith
cclinical cexpertise cand cthe cvalues cof cthe cclient cto cincrease cthe cquality cof ccare.
4. A c nurse c performs c a c variety c of c tasks c as c part c of c the c nurse's c position c at c a c hospital.
c Which ctask cbest cexemplifies cpublic chealth?
A) Reading ccurrent cnursing cjournals cand cintegrating cthe clatest cresearch cinto cdaily cpractice
B) Instructing ca cclient con chow cto cbest ccare cfor ca csuture csite cat chome
C) Participating cin ca cvideoconference ccall cwith ca cclient cwho clives cin ca cremote carea
D) Facilitating ca ccommunity-wide csmoking ccessation cprogram cone cmonth cout cof cthe cyear
Ans: cD
Feedback:
Public chealth cis cwhat csociety cdoes ccollectively cto censure cthe cconditions cexist cin cwhich cpeople
ccan cbe chealthy. cA ccommunity-wide csmoking ccessation cprogram cis ca cgreat cexample cof ca cpublic
chealth cintervention, cin cthat cit cinvolves cthe ccollective ceffort cof csociety cto cimprove cthe chealth cof
cits cmembers. cReading cand capplying cthe clatest cnursing cresearch cis can cexample cof cevidence-based
cnursing. cInstructing ca cclient con chow cto cbest ccare cfor ca csuture csite cat chome cis can cexample cof
cpersonal cresponsibility cfor chealth, cbut cit cis cnot cfocused con cthe chealth cof cthe cgreater ccommunity.
cParticipating cin ca cvideoconference ccall cwith ca cclient cwho clives cin ca cremote carea cis can cexample
cof cpatient-centered ccare cand cof can ceffective cimplementation cof ctechnology, cbut cit cis cnot
cparticularly crelated cto cpublic chealth.
5. Public c health c nursing c is c distinguished c from c other c specialties c by c adherence c to
c eight cprinciples. cWhich cis cone cof cthe ceight cdomains cof cpublic chealth cnursing cpractice?
A) Analytic cassessment cskills
B) Investigation cof cdisease
C) Referral cand cfollow-up
D) Case cmanagement
Ans: cA
Feedback:
The ceight cdomains cof cpublic chealth cnursing cpractice care cas cfollows: cAnalytic cassessment cskills,
cpolicy cdevelopment cand cprogram cplanning cskills, ccommunication cskills, ccultural ccompetency
cskills, ccommunity cdimensions cof cpractice cskills, cpublic chealth cscience cskills, cfinancial cplanning
cand cmanagement cskills, cand cleadership cand csystems cthinking cskills.
Investigation cof cdisease, creferral cand cfollow-up, cand ccase cmanagement care call cpublic chealth
cnursing cinterventions cbut care cnot cdomains cof cpublic chealth cnursing cpractice.
6. Public c health c nursing c is c distinguished c from c other c specialties c by c adherence c to
c eight cprinciples. cWhich cis cone cof cthe ceight cdomains cof cpublic chealth cnursing cpractice?
, A) Policy cdevelopment cand cindividual cplanning cskills
B) Individual cdimensions cof cpractice cskills
C) Financial cplanning cand cmanagement cskills
D) Leadership cand cindividual ccritical cthinking cskills
Ans: cC
Feedback:
The ceight cdomains cof cpublic chealth cnursing cpractice care cas cfollows: cAnalytic cassessment cskills,
cpolicy cdevelopment cand cprogram cplanning cskills, ccommunication cskills, ccultural ccompetency
cskills, ccommunity cdimensions cof cpractice cskills, cpublic chealth cscience cskills, cfinancial cplanning
cand cmanagement cskills, cand cleadership cand csystems cthinking cskills.
7. Public c health c nursing c is c distinguished c from c other c specialties c by c adherence c to
c eight cprinciples. cWhich care cdomains cof cpublic chealth cnursing cpractice? c(Select call cthat
capply.)
A) Intuitive cassessment cskills
B) Community corganization cskills
C) Communication cskills
D) Cultural ccompetency cskills
E) Product cmarketing cskills
Ans: cC, cD
Feedback:
The ceight cdomains cof cpublic chealth cnursing cpractice care cas cfollows: cAnalytic cassessment cskills,
cpolicy cdevelopment cand cprogram cplanning cskills, ccommunication cskills, ccultural ccompetency
cskills, ccommunity cdimensions cof cpractice cskills, cpublic chealth cscience cskills, cfinancial cplanning
cand cmanagement cskills, cand cleadership cand csystems cthinking cskills.
8. Which cwas ca cduty cperformed cby cdistrict cnurses cin cLiverpool, cEngland, cin c1865?
A) Use cepidemiologic cknowledge cand cmethods
B) Encourage ccommunity corganization
C) Report cfacts cto cand cask cquestions cof cphysicians
D) Assist cphysicians cwith csurgery cin cthe cnewly cconstructed chospitals
Ans: cC
Feedback:
Duties cof cdistrict cnurses cin cLiverpool, cEngland, cin c1865 cincluded cthe cfollowing: cInvestigate cnew
creferrals cas csoon cas cpossible; creport cto cthe csuperintendent csituations cin cwhich cadditional cfood cor
crelief cwould cimprove crecovery; creport cneglect cof cclients cby cfamily cor cfriends cto cthe
csuperintendent; cassist cphysicians cwith csurgery cin cthe chome; cmaintain ca cclean, cuncluttered chome
cenvironment cand ctend cfires cfor cheat; cteach cthe cclient cand cfamily cabout ccleanliness, cventilation,
cgiving cof cfood cand cmedications, cand cobedience cto cthe cphysician's corders; cset can cexample cfor
c“neatness, corder, csobriety, cand cobedience”; chold cfamily cmatters cin cconfidence; cavoid
cinterference cwith cthe creligious copinions cand cbeliefs cof cclients cand cothers; creport cfacts cto cand cask
cquestions cof cphysicians; cand crefer cthe cacutely cill cto chospitals cand cthe cchronically cill, cpoor
cwithout cfamily cto cinfirmaries.
Using cepidemiologic cknowledge cand cmethods cand cencouraging ccommunity corganization care
cprinciples cof cpublic chealth ctoday, cnot cduties cof cdistrict cnurses cin cEngland cin c1865.
Nurses cat cthat ctime cassisted cphysicians cwith csurgery cin cthe chome, cnot cin cnewly cconstructed
chospitals.
Community and Public Health Nursing 3rd
c c c c c
Edition
c
Author: Rosanna DeMarco; Judith Healey-Walsh
c c c c
Table of Contents
c c
Chapter c1: cPublic cHealth cNursing: cPresent, cPast, cand cFuture
Chapter c2: cPublic cHealth cSystems
c
Chapter c3: cHealth cPolicy, cPolitics, cand cReform
Chapter c4: cGlobal cHealth: cA cCommunity cPerspective
c
Chapter c5: cFrameworks cfor cHealth cPromotion, cDisease cPrevention, cand cRisk cReduction
Chapter c6: cEpidemiology: cThe cScience cof cPrevention
c
Chapter c7: cDescribing cHealth cConditions: cUnderstanding cand cUsing cRates
Chapter c8: cGathering cEvidence cfor cPublic cHealth cPractice
c
Chapter c9: cPlanning cfor cCommunity cChange
Chapter c10: cCultural cCompetence: cAwareness, cSensitivity, cand cRespect
Chapter c11: cCommunity cAssessment
c
Chapter c12: cCare cManagement, cCase cManagement, cand cHome cHealthcare
Chapter c13: cFamily cAssessment
c
Chapter c14: cRisk cof cInfectious cand cCommunicable cDiseases
Chapter c15: cEmerging cInfectious cDiseases
c
Chapter c16: cViolence cand cAbuse
Chapter c17: cSubstance cUse
c
Chapter c18: cUnderserved cPopulations
Chapter c19: cEnvironmental cHealth
c
Chapter c20: cCommunity cPreparedness: cDisaster cand cTerrorism
Chapter c21: cCommunity cMental cHealth
c
Chapter c22: cSchool cHealth
Chapter c23: cFaith-Oriented cCommunities cand cHealth cMinistries cin cFaith cCommunities
Chapter c24: cPalliative cand cEnd-of-Life cCare
c
Chapter c25: cOccupational cHealth cNursing
,Chapter c1: cPublic cHealth cNursing: cPresent, cPast, cand cFuture
1. A c nurse c is c striving c to c practice c patient-centered c care c at c a c hospital. c Which c action
c best cexemplifies cproviding cpatient-centered ccare?
A) Having ca cclient ccomplete ca cself-reported cfunctional cstatus cindicator cand cthen creviewing cit
cwith cthe cclient
B) Explaining cto ca cclient cthe cbenefits cof ccomputer-assisted crobotic csurgical ctechniques,
cwhich cthe chospital crecently cimplemented
C) Recording ca cclient's csigns cand csymptoms cin can celectronic chealth crecord
D) Performing ccontinuous cglucose cmonitoring cof ca cclient cwhile cthe cclient cis cin cthe chospital
Ans: cA
Feedback:
Patient-centered ccare cconsiders ccultural ctraditions, cpersonal cpreferences, cvalues, cfamilies, cand
clifestyles. cClients cbecome cactive cparticipants cin ctheir cown ccare, cand cmonitoring chealth cbecomes
cthe cclient's cresponsibility. cTo chelp cclients cand ctheir chealthcare cproviders cmake cbetter cdecisions,
cthe cAgency cfor cHealthcare cResearch cand cQuality c(AHRQ) chas cdeveloped ca cseries cof ctools cthat
cempower cclients cand cassist cproviders cin cachieving cdesired coutcomes, cincluding cclient-reported
cfunctional cstatus cindicators. cComputer-assisted crobotic csurgical ctechniques, celectronic chealth
crecords, cand ccontinuous cglucose cmonitoring cin cthe chospital care call ctechnological cadvances cin
chealthcare, cbut cthey cdo cnot chelp cthe cclient cbecome ca cmore cactive cparticipant cin chis cor cher ccare,
cand cthus care cnot cgood cexamples cof cpatient-centered ccare.
2. A cnurse cis ccaring cfor can colder cclient cwho cis cstruggling cto cmanage cher ctype c2 cdiabetes
cmellitus. cThe cnurse cshould crecognize cwhich csocial cdeterminants cof cthis cclient's chealth? c(Select
call cthat capply.)
A) Household cincome cof c$23,000 cper cyear
B) Reading clevel cof ca cthird cgrader
C) Medication cineffective cdue cto cerror cin cprescription
D) Originally cfrom cSudan
E) No cfamily cin cthe carea
Ans: cA, cB, cD, cE cFeedback:
The csocial cconditions cin cwhich cpeople clive, ctheir cincome, csocial cstatus, ceducation, cliteracy, chome
cand cwork cenvironment, csupport cnetworks, cgender, cculture, cand cavailability cof chealth cservices
care cthe csocial cdeterminants cof chealth. cThese cconditions chave can cimpact con cthe cextent cto cwhich ca
cperson cor ccommunity cpossesses cthe cphysical, csocial, cand cpersonal cresources cnecessary cto cattain
cand cmaintain chealth. cA cmedical cerror con cthe cpart cof cthe cclient's cprimary ccare cprovider cor cnurse
cwould cnot cconstitute ca csocial cdeterminant cof cthe cclient's chealth.
3. A c nurse c successfully c persuades c an c obese c client c to c perform c a c weekly c weigh-in c at
c home cusing ca cdigital cscale cand crecord cthe cweight cin ca clog. cThis cstrategy cis can cexample cof:
A) Telehealth
B) Health cinformation ctechnology
C) Personal cresponsibility cfor chealth
D) Evidence-based cnursing
Ans: cC
Feedback:
,Personal cresponsibility cfor chealth cinvolves cactive cparticipation cin cone's cown chealth cthrough
ceducation cand clifestyle cchanges. cIn cthis ccase, cthe cclient cmakes ca cpositive cchange cin clifestyle cby
cmonitoring cbody cweight cweekly. cTelehealth cis cthe cuse cof celectronic cinformation cand
ctelecommunications ctechnologies cto csupport clong-distance cclinical chealthcare, cclient cand
cprofessional chealth-related ceducation, cpublic chealth, cand chealth cadministration. cHealth
cinformation ctechnology c(HIT) cis cdefined cas cthe ccomprehensive cmanagement cof chealth
c information cand cits cexchange cbetween cconsumers, cproviders, cgovernment, cand cinsurers cin ca
csecure cmanner. cEvidence-based cnursing cis cthe cintegration cof cthe cbest cevidence cavailable cwith
cclinical cexpertise cand cthe cvalues cof cthe cclient cto cincrease cthe cquality cof ccare.
4. A c nurse c performs c a c variety c of c tasks c as c part c of c the c nurse's c position c at c a c hospital.
c Which ctask cbest cexemplifies cpublic chealth?
A) Reading ccurrent cnursing cjournals cand cintegrating cthe clatest cresearch cinto cdaily cpractice
B) Instructing ca cclient con chow cto cbest ccare cfor ca csuture csite cat chome
C) Participating cin ca cvideoconference ccall cwith ca cclient cwho clives cin ca cremote carea
D) Facilitating ca ccommunity-wide csmoking ccessation cprogram cone cmonth cout cof cthe cyear
Ans: cD
Feedback:
Public chealth cis cwhat csociety cdoes ccollectively cto censure cthe cconditions cexist cin cwhich cpeople
ccan cbe chealthy. cA ccommunity-wide csmoking ccessation cprogram cis ca cgreat cexample cof ca cpublic
chealth cintervention, cin cthat cit cinvolves cthe ccollective ceffort cof csociety cto cimprove cthe chealth cof
cits cmembers. cReading cand capplying cthe clatest cnursing cresearch cis can cexample cof cevidence-based
cnursing. cInstructing ca cclient con chow cto cbest ccare cfor ca csuture csite cat chome cis can cexample cof
cpersonal cresponsibility cfor chealth, cbut cit cis cnot cfocused con cthe chealth cof cthe cgreater ccommunity.
cParticipating cin ca cvideoconference ccall cwith ca cclient cwho clives cin ca cremote carea cis can cexample
cof cpatient-centered ccare cand cof can ceffective cimplementation cof ctechnology, cbut cit cis cnot
cparticularly crelated cto cpublic chealth.
5. Public c health c nursing c is c distinguished c from c other c specialties c by c adherence c to
c eight cprinciples. cWhich cis cone cof cthe ceight cdomains cof cpublic chealth cnursing cpractice?
A) Analytic cassessment cskills
B) Investigation cof cdisease
C) Referral cand cfollow-up
D) Case cmanagement
Ans: cA
Feedback:
The ceight cdomains cof cpublic chealth cnursing cpractice care cas cfollows: cAnalytic cassessment cskills,
cpolicy cdevelopment cand cprogram cplanning cskills, ccommunication cskills, ccultural ccompetency
cskills, ccommunity cdimensions cof cpractice cskills, cpublic chealth cscience cskills, cfinancial cplanning
cand cmanagement cskills, cand cleadership cand csystems cthinking cskills.
Investigation cof cdisease, creferral cand cfollow-up, cand ccase cmanagement care call cpublic chealth
cnursing cinterventions cbut care cnot cdomains cof cpublic chealth cnursing cpractice.
6. Public c health c nursing c is c distinguished c from c other c specialties c by c adherence c to
c eight cprinciples. cWhich cis cone cof cthe ceight cdomains cof cpublic chealth cnursing cpractice?
, A) Policy cdevelopment cand cindividual cplanning cskills
B) Individual cdimensions cof cpractice cskills
C) Financial cplanning cand cmanagement cskills
D) Leadership cand cindividual ccritical cthinking cskills
Ans: cC
Feedback:
The ceight cdomains cof cpublic chealth cnursing cpractice care cas cfollows: cAnalytic cassessment cskills,
cpolicy cdevelopment cand cprogram cplanning cskills, ccommunication cskills, ccultural ccompetency
cskills, ccommunity cdimensions cof cpractice cskills, cpublic chealth cscience cskills, cfinancial cplanning
cand cmanagement cskills, cand cleadership cand csystems cthinking cskills.
7. Public c health c nursing c is c distinguished c from c other c specialties c by c adherence c to
c eight cprinciples. cWhich care cdomains cof cpublic chealth cnursing cpractice? c(Select call cthat
capply.)
A) Intuitive cassessment cskills
B) Community corganization cskills
C) Communication cskills
D) Cultural ccompetency cskills
E) Product cmarketing cskills
Ans: cC, cD
Feedback:
The ceight cdomains cof cpublic chealth cnursing cpractice care cas cfollows: cAnalytic cassessment cskills,
cpolicy cdevelopment cand cprogram cplanning cskills, ccommunication cskills, ccultural ccompetency
cskills, ccommunity cdimensions cof cpractice cskills, cpublic chealth cscience cskills, cfinancial cplanning
cand cmanagement cskills, cand cleadership cand csystems cthinking cskills.
8. Which cwas ca cduty cperformed cby cdistrict cnurses cin cLiverpool, cEngland, cin c1865?
A) Use cepidemiologic cknowledge cand cmethods
B) Encourage ccommunity corganization
C) Report cfacts cto cand cask cquestions cof cphysicians
D) Assist cphysicians cwith csurgery cin cthe cnewly cconstructed chospitals
Ans: cC
Feedback:
Duties cof cdistrict cnurses cin cLiverpool, cEngland, cin c1865 cincluded cthe cfollowing: cInvestigate cnew
creferrals cas csoon cas cpossible; creport cto cthe csuperintendent csituations cin cwhich cadditional cfood cor
crelief cwould cimprove crecovery; creport cneglect cof cclients cby cfamily cor cfriends cto cthe
csuperintendent; cassist cphysicians cwith csurgery cin cthe chome; cmaintain ca cclean, cuncluttered chome
cenvironment cand ctend cfires cfor cheat; cteach cthe cclient cand cfamily cabout ccleanliness, cventilation,
cgiving cof cfood cand cmedications, cand cobedience cto cthe cphysician's corders; cset can cexample cfor
c“neatness, corder, csobriety, cand cobedience”; chold cfamily cmatters cin cconfidence; cavoid
cinterference cwith cthe creligious copinions cand cbeliefs cof cclients cand cothers; creport cfacts cto cand cask
cquestions cof cphysicians; cand crefer cthe cacutely cill cto chospitals cand cthe cchronically cill, cpoor
cwithout cfamily cto cinfirmaries.
Using cepidemiologic cknowledge cand cmethods cand cencouraging ccommunity corganization care
cprinciples cof cpublic chealth ctoday, cnot cduties cof cdistrict cnurses cin cEngland cin c1865.
Nurses cat cthat ctime cassisted cphysicians cwith csurgery cin cthe chome, cnot cin cnewly cconstructed
chospitals.
