RECTOR'S COMMUNITY AND PUBLIC
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1⃣ Question 1
Reference: Ch. 1 — Community and Public Health
Question stem: A city’s public health nurse reviews data
showing a steady increase in emergency department visits for
uncontrolled asthma during spring. Which community-level
action best exemplifies the public health core function of
assurance?
A. Lobbying the state legislature to pass stricter air-quality laws.
B. Organizing free community asthma education clinics and
connecting families to primary care.
C. Conducting an epidemiologic study to identify triggers for the
,seasonal spikes.
D. Publishing a peer-reviewed article describing the asthma
trend.
Correct answer: B
Rationales:
• Correct (B): Assurance involves ensuring that necessary
health services are available and accessible; organizing
education clinics and linking families to primary care
directly provides services and builds capacity in the
community (Stanley & Niemi, Ch. 1).
• A: Advocacy and policy change support public health but
are actions of policy development rather than the
assurance of services.
• C: Conducting an epidemiologic study is primarily
assessment—important, but does not by itself assure
services.
• D: Publishing adds to knowledge (assessment/analysis) but
does not ensure community access to needed services.
Teaching point: Assurance ensures services are available and
accessible to meet community health needs.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
,2️⃣ Question 2️
Reference: Ch. 1 — The Concept of Community
Question stem: During a windshield survey, a public health
nurse notes few grocery stores, many fast-food outlets, and no
sidewalks in a neighborhood. Which community health
assessment conclusion is most evidence-based?
A. The community’s primary health problems are infectious
diseases due to poor sanitation.
B. The neighborhood likely has environmental and built-
environment determinants that increase chronic disease risk.
C. Residents probably have excellent access to health-
promoting resources.
D. The area is well suited for increasing walking-based physical
activity programs without modification.
Correct answer: B
Rationales:
• Correct (B): Built environment factors (food deserts, lack of
walkability) are social determinants that elevate chronic
disease risk; windshield surveys identify these
determinants for planning interventions.
• A: Infectious disease from sanitation cannot be concluded
solely from observed food outlets and sidewalks.
• C: Observations indicate poor, not excellent, access to
health-promoting resources.
, • D: Lack of sidewalks suggests walking programs would
require environmental modification before success.
Teaching point: Windshield surveys identify built-environment
determinants that shape population health risks.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
3️⃣ Question 3️
Reference: Ch. 1 — The Concept of Health
Question stem: A community health nurse is designing an
intervention to improve overall wellbeing in a low-income
neighborhood. Using a population health perspective, which
objective best aligns with a broad definition of health?
A. Decrease the neighborhood’s BMI average by 2 points within
3 months.
B. Increase residents’ self-reported social connectedness and
access to resources over 12 months.
C. Provide cholesterol screening to 50 residents next week.
D. Teach three classroom sessions on healthy eating to school-
aged children.
Correct answer: B
Rationales:
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1⃣ Question 1
Reference: Ch. 1 — Community and Public Health
Question stem: A city’s public health nurse reviews data
showing a steady increase in emergency department visits for
uncontrolled asthma during spring. Which community-level
action best exemplifies the public health core function of
assurance?
A. Lobbying the state legislature to pass stricter air-quality laws.
B. Organizing free community asthma education clinics and
connecting families to primary care.
C. Conducting an epidemiologic study to identify triggers for the
,seasonal spikes.
D. Publishing a peer-reviewed article describing the asthma
trend.
Correct answer: B
Rationales:
• Correct (B): Assurance involves ensuring that necessary
health services are available and accessible; organizing
education clinics and linking families to primary care
directly provides services and builds capacity in the
community (Stanley & Niemi, Ch. 1).
• A: Advocacy and policy change support public health but
are actions of policy development rather than the
assurance of services.
• C: Conducting an epidemiologic study is primarily
assessment—important, but does not by itself assure
services.
• D: Publishing adds to knowledge (assessment/analysis) but
does not ensure community access to needed services.
Teaching point: Assurance ensures services are available and
accessible to meet community health needs.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
,2️⃣ Question 2️
Reference: Ch. 1 — The Concept of Community
Question stem: During a windshield survey, a public health
nurse notes few grocery stores, many fast-food outlets, and no
sidewalks in a neighborhood. Which community health
assessment conclusion is most evidence-based?
A. The community’s primary health problems are infectious
diseases due to poor sanitation.
B. The neighborhood likely has environmental and built-
environment determinants that increase chronic disease risk.
C. Residents probably have excellent access to health-
promoting resources.
D. The area is well suited for increasing walking-based physical
activity programs without modification.
Correct answer: B
Rationales:
• Correct (B): Built environment factors (food deserts, lack of
walkability) are social determinants that elevate chronic
disease risk; windshield surveys identify these
determinants for planning interventions.
• A: Infectious disease from sanitation cannot be concluded
solely from observed food outlets and sidewalks.
• C: Observations indicate poor, not excellent, access to
health-promoting resources.
, • D: Lack of sidewalks suggests walking programs would
require environmental modification before success.
Teaching point: Windshield surveys identify built-environment
determinants that shape population health risks.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
3️⃣ Question 3️
Reference: Ch. 1 — The Concept of Health
Question stem: A community health nurse is designing an
intervention to improve overall wellbeing in a low-income
neighborhood. Using a population health perspective, which
objective best aligns with a broad definition of health?
A. Decrease the neighborhood’s BMI average by 2 points within
3 months.
B. Increase residents’ self-reported social connectedness and
access to resources over 12 months.
C. Provide cholesterol screening to 50 residents next week.
D. Teach three classroom sessions on healthy eating to school-
aged children.
Correct answer: B
Rationales:
