TEST BANK
Community & Public Health Nursing: Evidence for Practice
ROSANNA DEMARCO, JUDITH HEALEY-WALSH
3rd Edition
, Origin: Chapter 1- Public Health Nursing, 1
1. A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies
providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then reviewing it with
the client
B) Explaining to a client the benefits of computer-assisted robotic surgical techniques, which
the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the hospital
Ans: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, and lifestyles.
Clients become active participants in their own care, and monitoring health becomes the client's
responsibility. To help clients and their healthcare providers make better decisions, the Agency for
Healthcare Research and Quality (AHRQ) has developed a series of tools that empower clients and assist
providers in achieving desired outcomes, including client-reported functional status indicators. Computer-
assisted robotic surgical techniques, electronic health records, and continuous glucose monitoring in the
hospital are all technological advances in healthcare, but they do not help the client become a more active
participant in his or her care, and thus are not good examples of patient-centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse
should recognize which social determinants of this client's health? (Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area Ans: A, B, D, E
Feedback:
The social conditions in which people live, their income, social status, education, literacy, home and work
environment, support networks, gender, culture, and availability of health services are the social
determinants of health. These conditions have an impact on the extent to which a person or community
possesses the physical, social, and personal resources necessary to attain and maintain health. A medical
error on the part of the client's primary care provider or nurse would not constitute a social determinant of
the client's health.
Page 1
,3. A nurse successfully persuades
Origin: Chapter an obese
1- Public clientNursing,
Health to perform
5 a weekly weigh-in at home using a digital scale
and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing Ans: C
Feedback:
Personal responsibility for health involves active participation in one's own health through education and
lifestyle changes. In this case, the client makes a positive change in lifestyle by monitoring body weight
weekly. Telehealth is the use of electronic information and telecommunications technologies to support long-
distance clinical healthcare, client and professional health-related education, public health, and health
administration. Health information technology (HIT) is defined as the comprehensive management of health
information and its exchange between consumers, providers, government, and insurers in a secure manner.
Evidence-based nursing is the integration of the best evidence available with clinical expertise and the values
of the client to increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best exemplifies
public health?
A) Reading current nursing journals and integrating the latest research into daily practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the year
Ans: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which people can be healthy.
A community-wide smoking cessation program is a great example of a public health intervention, in that it
involves the collective effort of society to improve the health of its members. Reading and applying the latest
nursing research is an example of evidence-based nursing. Instructing a client on how to best care for a
suture site at home is an example of personal responsibility for health, but it is not focused on the health of
the greater community. Participating in a videoconference call with a client who lives in a remote area is an
example of patient-centered care and of an effective implementation of technology, but it is not particularly
related to public health.
Page 2
, Origin: Chapter 1- Public Health Nursing, 5
5. Public health nursing is distinguished from other specialties by adherence to eight principles. Which is
one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management Ans: A
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills, policy
development and program planning skills, communication skills, cultural competency skills, community
dimensions of practice skills, public health science skills, financial planning and management skills, and
leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public health nursing
interventions but are not domains of public health nursing practice.
Origin: Chapter 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight principles. Which is
one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills Ans: C
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills, policy
development and program planning skills, communication skills, cultural competency skills, community
dimensions of practice skills, public health science skills, financial planning and management skills, and
leadership and systems thinking skills.
Page 3
Community & Public Health Nursing: Evidence for Practice
ROSANNA DEMARCO, JUDITH HEALEY-WALSH
3rd Edition
, Origin: Chapter 1- Public Health Nursing, 1
1. A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies
providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then reviewing it with
the client
B) Explaining to a client the benefits of computer-assisted robotic surgical techniques, which
the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the hospital
Ans: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families, and lifestyles.
Clients become active participants in their own care, and monitoring health becomes the client's
responsibility. To help clients and their healthcare providers make better decisions, the Agency for
Healthcare Research and Quality (AHRQ) has developed a series of tools that empower clients and assist
providers in achieving desired outcomes, including client-reported functional status indicators. Computer-
assisted robotic surgical techniques, electronic health records, and continuous glucose monitoring in the
hospital are all technological advances in healthcare, but they do not help the client become a more active
participant in his or her care, and thus are not good examples of patient-centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse
should recognize which social determinants of this client's health? (Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area Ans: A, B, D, E
Feedback:
The social conditions in which people live, their income, social status, education, literacy, home and work
environment, support networks, gender, culture, and availability of health services are the social
determinants of health. These conditions have an impact on the extent to which a person or community
possesses the physical, social, and personal resources necessary to attain and maintain health. A medical
error on the part of the client's primary care provider or nurse would not constitute a social determinant of
the client's health.
Page 1
,3. A nurse successfully persuades
Origin: Chapter an obese
1- Public clientNursing,
Health to perform
5 a weekly weigh-in at home using a digital scale
and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing Ans: C
Feedback:
Personal responsibility for health involves active participation in one's own health through education and
lifestyle changes. In this case, the client makes a positive change in lifestyle by monitoring body weight
weekly. Telehealth is the use of electronic information and telecommunications technologies to support long-
distance clinical healthcare, client and professional health-related education, public health, and health
administration. Health information technology (HIT) is defined as the comprehensive management of health
information and its exchange between consumers, providers, government, and insurers in a secure manner.
Evidence-based nursing is the integration of the best evidence available with clinical expertise and the values
of the client to increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best exemplifies
public health?
A) Reading current nursing journals and integrating the latest research into daily practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the year
Ans: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which people can be healthy.
A community-wide smoking cessation program is a great example of a public health intervention, in that it
involves the collective effort of society to improve the health of its members. Reading and applying the latest
nursing research is an example of evidence-based nursing. Instructing a client on how to best care for a
suture site at home is an example of personal responsibility for health, but it is not focused on the health of
the greater community. Participating in a videoconference call with a client who lives in a remote area is an
example of patient-centered care and of an effective implementation of technology, but it is not particularly
related to public health.
Page 2
, Origin: Chapter 1- Public Health Nursing, 5
5. Public health nursing is distinguished from other specialties by adherence to eight principles. Which is
one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management Ans: A
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills, policy
development and program planning skills, communication skills, cultural competency skills, community
dimensions of practice skills, public health science skills, financial planning and management skills, and
leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public health nursing
interventions but are not domains of public health nursing practice.
Origin: Chapter 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight principles. Which is
one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills Ans: C
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment skills, policy
development and program planning skills, communication skills, cultural competency skills, community
dimensions of practice skills, public health science skills, financial planning and management skills, and
leadership and systems thinking skills.
Page 3
