RECTOR'S COMMUNITY AND PUBLIC
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1
Reference: Ch. 1 — Community and Public Health
Question Stem: A local health department notices rising
emergency visits for adult asthma after several weeks of poor
air quality alerts. Which public health action best reflects the
population-level primary responsibility of community/public
health?
A. Provide individual inhalers free of charge at the ED.
B. Issue community-wide advisories and coordinate air-quality
mitigation strategies.
C. Refer each affected patient to a pulmonologist for follow-up.
,D. Offer school-based asthma education to affected students
only.
Correct Answer: B
Rationales:
• Correct: Issuing advisories and coordinating mitigation
addresses the population’s exposure and prevents new
cases—core public health functions of assessment, policy
development, and assurance.
• A: Providing inhalers is a clinical intervention for
individuals and does not address the environmental
exposure causing the increase.
• C: Referring individuals to specialists improves individual
care but does not reduce community-level risk or
incidence.
• D: School-based education is valuable but limited in scope;
it misses broader community exposures and adult
populations.
Teaching Point: Public health interventions focus on
community-level prevention and policy, not only individual
treatment.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
,2
Reference: Ch. 1 — The Concept of Community
Question Stem: During a community assessment, a public
health nurse maps resources and social networks in a
neighborhood with high rates of food insecurity. Which
interpretation best demonstrates use of the “community as
client” concept?
A. Listing individual households that lack food assistance.
B. Developing a neighborhood food-access plan with
community leaders.
C. Teaching a cooking class to a single family.
D. Prescribing multivitamins to malnourished individuals.
Correct Answer: B
Rationales:
• Correct: Developing a neighborhood plan treats the
community as the client, using collective assessment and
collaborative planning to address determinants of health.
• A: Listing households is descriptive but does not use
community-based intervention or treat the community as
the client.
• C: Teaching one family addresses an individual unit, not
the broader community system.
• D: Prescribing supplements is a clinical approach for
individuals, not a population-level solution.
, Teaching Point: Treat the community as the client by planning
collective interventions with local stakeholders.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
3
Reference: Ch. 1 — The Concept of Health
Question Stem: A rural county defines health goals that include
“increasing functional ability across the lifespan.” Which health
concept from community/public health best aligns with this
goal?
A. Health as absence of disease.
B. Health as a state of equilibrium only.
C. Health as a dynamic, multi-dimensional state.
D. Health as purely genetic destiny.
Correct Answer: C
Rationales:
• Correct: Viewing health as dynamic and multi-dimensional
captures functional ability, social determinants, and
adaptive capacity—core community health perspectives.
• A: Absence of disease is a narrow biomedical view and
ignores function and determinants.
HEALTH NURSING
PROMOTING THE PUBLIC'S HEALTH
11TH EDITION
• AUTHOR(S)MARY JO STANLEY;
CHARLENE NIEMI
TEST BANK
1
Reference: Ch. 1 — Community and Public Health
Question Stem: A local health department notices rising
emergency visits for adult asthma after several weeks of poor
air quality alerts. Which public health action best reflects the
population-level primary responsibility of community/public
health?
A. Provide individual inhalers free of charge at the ED.
B. Issue community-wide advisories and coordinate air-quality
mitigation strategies.
C. Refer each affected patient to a pulmonologist for follow-up.
,D. Offer school-based asthma education to affected students
only.
Correct Answer: B
Rationales:
• Correct: Issuing advisories and coordinating mitigation
addresses the population’s exposure and prevents new
cases—core public health functions of assessment, policy
development, and assurance.
• A: Providing inhalers is a clinical intervention for
individuals and does not address the environmental
exposure causing the increase.
• C: Referring individuals to specialists improves individual
care but does not reduce community-level risk or
incidence.
• D: School-based education is valuable but limited in scope;
it misses broader community exposures and adult
populations.
Teaching Point: Public health interventions focus on
community-level prevention and policy, not only individual
treatment.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
,2
Reference: Ch. 1 — The Concept of Community
Question Stem: During a community assessment, a public
health nurse maps resources and social networks in a
neighborhood with high rates of food insecurity. Which
interpretation best demonstrates use of the “community as
client” concept?
A. Listing individual households that lack food assistance.
B. Developing a neighborhood food-access plan with
community leaders.
C. Teaching a cooking class to a single family.
D. Prescribing multivitamins to malnourished individuals.
Correct Answer: B
Rationales:
• Correct: Developing a neighborhood plan treats the
community as the client, using collective assessment and
collaborative planning to address determinants of health.
• A: Listing households is descriptive but does not use
community-based intervention or treat the community as
the client.
• C: Teaching one family addresses an individual unit, not
the broader community system.
• D: Prescribing supplements is a clinical approach for
individuals, not a population-level solution.
, Teaching Point: Treat the community as the client by planning
collective interventions with local stakeholders.
Citation: Stanley, M. J., & Niemi, C. (2023). Community and
Public Health Nursing: Promoting the Public’s Health (11th ed.).
Ch. 1.
3
Reference: Ch. 1 — The Concept of Health
Question Stem: A rural county defines health goals that include
“increasing functional ability across the lifespan.” Which health
concept from community/public health best aligns with this
goal?
A. Health as absence of disease.
B. Health as a state of equilibrium only.
C. Health as a dynamic, multi-dimensional state.
D. Health as purely genetic destiny.
Correct Answer: C
Rationales:
• Correct: Viewing health as dynamic and multi-dimensional
captures functional ability, social determinants, and
adaptive capacity—core community health perspectives.
• A: Absence of disease is a narrow biomedical view and
ignores function and determinants.
