COMMUNITY HEALTH EXAM ACTUAL TEST PAPER QUESTIONS CORRECT ANSWERS
GRADED A PLUS
Question:
Which statement best describes the goal of community-oriented nursing? A. Providing care to
individuals and families b. Providing care to manage acute or chronic conditions c. Giving direct
care to ill individuals within their family setting d. To preserve, protect, promote, or maintain health
and prevent disease
Answer:
ANS: D By definition, community-oriented nursing has the goal of preserving, protecting, or
maintaining health and preventing disease to promote the quality of life. All nurses may focus on
individuals and families, give direct care to ill persons within their family setting, and help manage
acute or chronic conditions. These definitions are not specific to community-oriented nursing
Question:
Which of the following is the primary focus of public health nursing? A. Families and groups b.
Illness-oriented care c. Individuals within the family unit d. Health care of communities and
populations
Answer:
ANS: D In public health nursing, the primary focus is on the health care of communities and
populations rather than on individuals, groups, and families. The goal is to prevent disease and
preserve, promote, restore, and protect health for the community and the population within it.
Community-based nurses deal primarily with illness-oriented care of individuals and families across
the life span. The aim is to manage acute and chronic health conditions in the community, and the
focus of practice is on individual or family-centered illness care.
Question:
Which of the following is responsible for the dramatic increase in life expectancy during the 20th
century? a. Technology increases in the field of medical laboratory research b. Advances in surgical
techniques and procedures c. Sanitation and other population-based prevention programs d. Use of
antibiotics to fight infections
Answer:
,ANS: C There has to be indisputable evidence collected over time that public health policies and
programs were primarily responsible for increasing the average life span from 47 in 1900 to 78.6
years in 2017, an increase of approximately 60% in just over a century plus through improvements
in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improving food and drug
safety, (5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although
people are excited when a new drug is discovered that cures a disease or when a new way to
transplant organs is perfected, it is important to know about the significant gains in the health of
populations that have come largely from public health accomplishments
Question:
A nurse is developing a plan to decrease the number of premature deaths in the community. Which
of the following interventions would most likely be implemented by the nurse? a. Provide free
health care to all citizens b. To increase the number of individuals with access to effective health
care benefits c. Lower the cost of health care to the American population d. To lessen the
governmental burden of providing health care to Americans
Answer:
ANS: B The central feature in the Patient Protection and Affordable Care Act (ACA) of 2010 are the
mechanisms to increase the number of people with health insurance. The care provided is not
necessarily free. While the cost of health care and the burden it places on the American government
are serious concerns, they are not the primary focus of ACA
Question:
What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts? a.
Health disparities among any groups are morally and legally wrong. b. Health care is the most
important priority in government planning and funding. c. The health of individuals cannot be
separated from the health of the community. d. The government is responsible for lengthening the
life span of Americans
Answer:
ANS: C The major premise of Healthy People 2010 was that the health of the individual cannot be
entirely separate from the health of the larger community. Public health practice focuses on the
community as a whole, and the effect of the community's health status (resources) on the health of
individuals, families, and groups. The goal is to prevent disease and disability and promote and
protect the health of the community as a whole. Public health can be described as what society
collectively does to ensure that conditions exist in which people can be healthy. The basic
assumptions of public health do not judge the morality of health disparities. The focus is on
prevention of illness not on spending more on illness care. Additionally, individual responsibility for
,making healthy choices is the directive for lengthening life span not the role of the government
Question:
Which of the following actions would most likely be performed by a public health nurse? a. Asking
community leaders what interventions should be chosen b. Assessing the community and deciding
on appropriate interventions c. Using data from the main health care institutions in the community to
determine needed health services d. Working with community groups to create policies to improve
the environment
Answer:
ANS: D Although the public health nurse might engage in any of the tasks listed, he or she works
primarily with members of the community to carry out core public health functions, including
assessment of the population as a whole and engaging in promoting health and improving the
environment. The interventions of asking community leaders which interventions should be chosen,
assessing the community and deciding on appropriate interventions, and using data from health care
institutions do not demonstrate the engagement of the community when making decisions about
what the community actually wants and needs
Question:
Which public health nurse most clearly fulfills the responsibilities of this role? a. The nurse who met
with several groups to discuss community recreation issues b. The nurse who spent the day
attending meetings of various health agencies c. The nurse who talked to several people about their
particular health concerns d. The nurse who watched the city council meeting on local cable
television
Answer:
ANS: B Any of these descriptions might represent a nurse communicating, cooperating, or
collaborating with community residents or groups about health concerns. A major challenge for the
future is the need for public health nursing specialists to be more aggressive in working
collaboratively with various groups in the community as well as professional colleagues in
institutional settings to deal with barriers to health. However, the nurse who spent the day attending
meetings of various health agencies is the most representative, because in public health, concerns
are addressed from a broader perspective. In public health, broad concerns of the community should
be addressed. Concerns are broader than recreation, individual concerns are not as important as
aggregate priorities, and watching television (a one-way form of communication) is less effective
than interacting with others.
, Question:
Which of the following best defines aggregate? a. A large group of persons b. A collection of
individuals and families c. A collection of people who share one or more characteristics d. Another
name for demographic group
Answer:
ANS: C An aggregate is defined a collection of people who share one or more personal or
environmental characteristics. Members of a community can be defined in terms of either geography
(e.g., a county, a group of counties, or a state) or a special interest (e.g., children attending a
particular school). These members make up a population. The term population may be used
interchangeably with the term aggregate. A large group of persons, a collection of individuals and
families, and another name for demographic group are not accurate definitions of the term
aggregate.
Question:
Which question asked by a novice nurse would be the most reflective of an understanding of the role
of a public health nurse? a. "Which groups are at the greatest risk for problems?" b. "Which patients
should I see first as I begin my day?" c. "With which physicians will I be most closely
collaborating?" d. "With which nursing assistants will I partner the most?"
Answer:
ANS: A Asking which groups are at greatest risk reflects a community-oriented perspective. The
incorrect responses reflect a focus on individuals rather than a community-oriented perspecti
Question:
Making sure that essential community-oriented health services are available defines which of the
core public health functions? a. Policy development b. Assessment c. Assurance d. Scientific
knowledge-based care
Answer:
ANS: C Assurance includes making sure that essential community-oriented health services are
available in the community. The definition does not fit the terms assessment, policy development.
Scientific knowledge-based care is not a core function of public health. Assessment is systematic
data collection on the population, monitoring the population's health status, and making information
available about the health of the community. Policy development refers to efforts to develop policies
that support the health of the population, including using a scientific knowledge base to make policy
decisions
GRADED A PLUS
Question:
Which statement best describes the goal of community-oriented nursing? A. Providing care to
individuals and families b. Providing care to manage acute or chronic conditions c. Giving direct
care to ill individuals within their family setting d. To preserve, protect, promote, or maintain health
and prevent disease
Answer:
ANS: D By definition, community-oriented nursing has the goal of preserving, protecting, or
maintaining health and preventing disease to promote the quality of life. All nurses may focus on
individuals and families, give direct care to ill persons within their family setting, and help manage
acute or chronic conditions. These definitions are not specific to community-oriented nursing
Question:
Which of the following is the primary focus of public health nursing? A. Families and groups b.
Illness-oriented care c. Individuals within the family unit d. Health care of communities and
populations
Answer:
ANS: D In public health nursing, the primary focus is on the health care of communities and
populations rather than on individuals, groups, and families. The goal is to prevent disease and
preserve, promote, restore, and protect health for the community and the population within it.
Community-based nurses deal primarily with illness-oriented care of individuals and families across
the life span. The aim is to manage acute and chronic health conditions in the community, and the
focus of practice is on individual or family-centered illness care.
Question:
Which of the following is responsible for the dramatic increase in life expectancy during the 20th
century? a. Technology increases in the field of medical laboratory research b. Advances in surgical
techniques and procedures c. Sanitation and other population-based prevention programs d. Use of
antibiotics to fight infections
Answer:
,ANS: C There has to be indisputable evidence collected over time that public health policies and
programs were primarily responsible for increasing the average life span from 47 in 1900 to 78.6
years in 2017, an increase of approximately 60% in just over a century plus through improvements
in (1) sanitation, (2) clean water supplies, (3) making workplaces safer, (4) improving food and drug
safety, (5) immunizing children, and (6) improving nutrition, hygiene, and housing. Although
people are excited when a new drug is discovered that cures a disease or when a new way to
transplant organs is perfected, it is important to know about the significant gains in the health of
populations that have come largely from public health accomplishments
Question:
A nurse is developing a plan to decrease the number of premature deaths in the community. Which
of the following interventions would most likely be implemented by the nurse? a. Provide free
health care to all citizens b. To increase the number of individuals with access to effective health
care benefits c. Lower the cost of health care to the American population d. To lessen the
governmental burden of providing health care to Americans
Answer:
ANS: B The central feature in the Patient Protection and Affordable Care Act (ACA) of 2010 are the
mechanisms to increase the number of people with health insurance. The care provided is not
necessarily free. While the cost of health care and the burden it places on the American government
are serious concerns, they are not the primary focus of ACA
Question:
What is the basic assumption stated by Healthy People 2010 as it relates to public health efforts? a.
Health disparities among any groups are morally and legally wrong. b. Health care is the most
important priority in government planning and funding. c. The health of individuals cannot be
separated from the health of the community. d. The government is responsible for lengthening the
life span of Americans
Answer:
ANS: C The major premise of Healthy People 2010 was that the health of the individual cannot be
entirely separate from the health of the larger community. Public health practice focuses on the
community as a whole, and the effect of the community's health status (resources) on the health of
individuals, families, and groups. The goal is to prevent disease and disability and promote and
protect the health of the community as a whole. Public health can be described as what society
collectively does to ensure that conditions exist in which people can be healthy. The basic
assumptions of public health do not judge the morality of health disparities. The focus is on
prevention of illness not on spending more on illness care. Additionally, individual responsibility for
,making healthy choices is the directive for lengthening life span not the role of the government
Question:
Which of the following actions would most likely be performed by a public health nurse? a. Asking
community leaders what interventions should be chosen b. Assessing the community and deciding
on appropriate interventions c. Using data from the main health care institutions in the community to
determine needed health services d. Working with community groups to create policies to improve
the environment
Answer:
ANS: D Although the public health nurse might engage in any of the tasks listed, he or she works
primarily with members of the community to carry out core public health functions, including
assessment of the population as a whole and engaging in promoting health and improving the
environment. The interventions of asking community leaders which interventions should be chosen,
assessing the community and deciding on appropriate interventions, and using data from health care
institutions do not demonstrate the engagement of the community when making decisions about
what the community actually wants and needs
Question:
Which public health nurse most clearly fulfills the responsibilities of this role? a. The nurse who met
with several groups to discuss community recreation issues b. The nurse who spent the day
attending meetings of various health agencies c. The nurse who talked to several people about their
particular health concerns d. The nurse who watched the city council meeting on local cable
television
Answer:
ANS: B Any of these descriptions might represent a nurse communicating, cooperating, or
collaborating with community residents or groups about health concerns. A major challenge for the
future is the need for public health nursing specialists to be more aggressive in working
collaboratively with various groups in the community as well as professional colleagues in
institutional settings to deal with barriers to health. However, the nurse who spent the day attending
meetings of various health agencies is the most representative, because in public health, concerns
are addressed from a broader perspective. In public health, broad concerns of the community should
be addressed. Concerns are broader than recreation, individual concerns are not as important as
aggregate priorities, and watching television (a one-way form of communication) is less effective
than interacting with others.
, Question:
Which of the following best defines aggregate? a. A large group of persons b. A collection of
individuals and families c. A collection of people who share one or more characteristics d. Another
name for demographic group
Answer:
ANS: C An aggregate is defined a collection of people who share one or more personal or
environmental characteristics. Members of a community can be defined in terms of either geography
(e.g., a county, a group of counties, or a state) or a special interest (e.g., children attending a
particular school). These members make up a population. The term population may be used
interchangeably with the term aggregate. A large group of persons, a collection of individuals and
families, and another name for demographic group are not accurate definitions of the term
aggregate.
Question:
Which question asked by a novice nurse would be the most reflective of an understanding of the role
of a public health nurse? a. "Which groups are at the greatest risk for problems?" b. "Which patients
should I see first as I begin my day?" c. "With which physicians will I be most closely
collaborating?" d. "With which nursing assistants will I partner the most?"
Answer:
ANS: A Asking which groups are at greatest risk reflects a community-oriented perspective. The
incorrect responses reflect a focus on individuals rather than a community-oriented perspecti
Question:
Making sure that essential community-oriented health services are available defines which of the
core public health functions? a. Policy development b. Assessment c. Assurance d. Scientific
knowledge-based care
Answer:
ANS: C Assurance includes making sure that essential community-oriented health services are
available in the community. The definition does not fit the terms assessment, policy development.
Scientific knowledge-based care is not a core function of public health. Assessment is systematic
data collection on the population, monitoring the population's health status, and making information
available about the health of the community. Policy development refers to efforts to develop policies
that support the health of the population, including using a scientific knowledge base to make policy
decisions
