RECTOR'S COMMUNITY AND PUBLIC
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
CHAPTER 1 — Community and Public Health (Questions 1–4)
1⃣ Reference
Ch. 1 — Community and Public Health. LWW Official Store
Question Stem
A city health department receives routine surveillance data
showing a rising trend in emergency department visits for
asthma during the past three months. As a public health nurse
(PHN) responsible for population-level planning, what is the
best first step to respond?
A. Launch a citywide media campaign about asthma triggers.
B. Conduct an epidemiologic analysis to identify affected
,neighborhoods and temporal patterns.
C. Organize free community asthma clinics with nebulizer
treatments.
D. Advise clinicians to increase prescriptions for inhaled
corticosteroids.
Correct Answer: B
Rationales
• Correct answer rationale: Conducting an epidemiologic
analysis (assessment/core public health function) identifies
where and when problems occur, guiding targeted
interventions. This aligns with community/public health
practice principles emphasizing data-driven assessment.
Wolters Kluwer
• A (incorrect): A media campaign is an intervention but
premature without confirming who is affected and the
cause.
• C (incorrect): Clinics may be useful later but are a
resource-intensive secondary/tertiary response before
assessment.
• D (incorrect): Changing clinical prescribing is a clinical-level
action; population-level policy or guidance should follow
assessment.
Teaching Point: Start with assessment—data analysis directs
efficient, targeted public health actions.
,Citation (simplified APA):
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
2️⃣ Reference
Ch. 1 — Community and Public Health. LWW Official Store
Question Stem
A PHN is comparing two community health priorities: (1) high
rate of uncontrolled Type 2 diabetes in adults and (2) multiple
lead-poisoning cases among preschool children. Using
population health principles, which criterion most strongly
supports prioritizing lead-poisoning interventions?
A. Lead poisoning primarily affects individuals who already have
limited healthcare access.
B. Lead poisoning causes long-term, irreversible harm to
children’s development and is preventable through
environmental actions.
C. Diabetes has higher overall prevalence and requires more
resources.
D. Diabetes management reduces adult morbidity and mortality
more than lead-poisoning interventions.
Correct Answer: B
Rationales
, • Correct answer rationale: Prioritization in public health
uses severity, preventability, and impact; lead causes
irreversible developmental harm in children and
environmental prevention is effective, making it high
priority. Wolters Kluwer
• A (incorrect): While equity matters, this statement alone
doesn’t justify priority over other high-impact issues.
• C (incorrect): Prevalence alone does not outweigh severity
and preventability in prioritization frameworks.
• D (incorrect): While diabetes reduces adult morbidity, the
potential lifelong developmental impact of lead exposure
often takes precedence in population-level prioritization.
Teaching Point: Prioritize problems that are severe,
preventable, and disproportionately harm vulnerable groups.
Citation (simplified APA):
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
3️⃣ Reference
Ch. 1 — Community and Public Health. LWW Official Store
Question Stem
During a community forum, residents identify poor housing and
unemployment as major local contributors to poor health.
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
CHAPTER 1 — Community and Public Health (Questions 1–4)
1⃣ Reference
Ch. 1 — Community and Public Health. LWW Official Store
Question Stem
A city health department receives routine surveillance data
showing a rising trend in emergency department visits for
asthma during the past three months. As a public health nurse
(PHN) responsible for population-level planning, what is the
best first step to respond?
A. Launch a citywide media campaign about asthma triggers.
B. Conduct an epidemiologic analysis to identify affected
,neighborhoods and temporal patterns.
C. Organize free community asthma clinics with nebulizer
treatments.
D. Advise clinicians to increase prescriptions for inhaled
corticosteroids.
Correct Answer: B
Rationales
• Correct answer rationale: Conducting an epidemiologic
analysis (assessment/core public health function) identifies
where and when problems occur, guiding targeted
interventions. This aligns with community/public health
practice principles emphasizing data-driven assessment.
Wolters Kluwer
• A (incorrect): A media campaign is an intervention but
premature without confirming who is affected and the
cause.
• C (incorrect): Clinics may be useful later but are a
resource-intensive secondary/tertiary response before
assessment.
• D (incorrect): Changing clinical prescribing is a clinical-level
action; population-level policy or guidance should follow
assessment.
Teaching Point: Start with assessment—data analysis directs
efficient, targeted public health actions.
,Citation (simplified APA):
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
2️⃣ Reference
Ch. 1 — Community and Public Health. LWW Official Store
Question Stem
A PHN is comparing two community health priorities: (1) high
rate of uncontrolled Type 2 diabetes in adults and (2) multiple
lead-poisoning cases among preschool children. Using
population health principles, which criterion most strongly
supports prioritizing lead-poisoning interventions?
A. Lead poisoning primarily affects individuals who already have
limited healthcare access.
B. Lead poisoning causes long-term, irreversible harm to
children’s development and is preventable through
environmental actions.
C. Diabetes has higher overall prevalence and requires more
resources.
D. Diabetes management reduces adult morbidity and mortality
more than lead-poisoning interventions.
Correct Answer: B
Rationales
, • Correct answer rationale: Prioritization in public health
uses severity, preventability, and impact; lead causes
irreversible developmental harm in children and
environmental prevention is effective, making it high
priority. Wolters Kluwer
• A (incorrect): While equity matters, this statement alone
doesn’t justify priority over other high-impact issues.
• C (incorrect): Prevalence alone does not outweigh severity
and preventability in prioritization frameworks.
• D (incorrect): While diabetes reduces adult morbidity, the
potential lifelong developmental impact of lead exposure
often takes precedence in population-level prioritization.
Teaching Point: Prioritize problems that are severe,
preventable, and disproportionately harm vulnerable groups.
Citation (simplified APA):
Stanley, M. J., & Niemi, C. (2023). Community and Public Health
Nursing: Promoting the Public’s Health (11th ed.). Ch. 1.
3️⃣ Reference
Ch. 1 — Community and Public Health. LWW Official Store
Question Stem
During a community forum, residents identify poor housing and
unemployment as major local contributors to poor health.
