TEST BANK
PUBLIC/COMMUNITY HEALTH AND NURSING PRACTICE
2ND EDITION
CHAPTER 1: PUBLIC HEALTH AND NURSING PRACTICE
MULTIPLE CHOICE
1. ANS: 4
Objective: 5. Identify the key roles and responsibilities of public health nurses (PHNs).
Page:
Heading: Introduction to Public Health
Integrated Processes: Nursing Process
Client Need: Physiological Integrity
Cognitive Level: Comprehension
Concept: Critical Thinking, Promoting Health
Difficulty: Easy
Feedback
1 The approach cannot be disease based because diseases can affect populations in
multiple locations, but the risk factors can be different.
2 Interventions occur after the public health event, and governments can only follow the
evidence of public health studies.
3 An epidemic is an occurrence of a disease and has the same limitations as a
disease-based approach.
4 PHNs assess risk for disease and other public health issues at both the individual level,
so that they can intervene on a one-to-one situational basis, as well as at the population
level to identify risk factors beyond the individual level and implement population-level
interventions.
PTS: 1 REF: 2 CON: Promoting Health | Critical Thinking
2. ANS: 3
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Public Health Science and Practice
Integrated Processes: Nursing Process
Client Needs: Health Promotion and Maintenance
Cognitive Level: Knowledge
Concept: Infection; Nursing Roles; Promoting Health
Difficulty: Easy
Feedback
1 Risk assessment is considered a part of disease prevention.
2 Promotion of primary care occurred through the Alma Ata World Health Organization
conference not Winslow’s definition.
3 Health-care providers are an essential component of public health.
4 The goal of public health is to guide governmental policy but not to create regulations.
, PTS: 1 REF: 3 CON: Infection | Nursing Roles | Promoting Health
3. ANS: 4
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Introduction to Public Health
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Difficulty: Easy
Concept: Promoting Health; Health-Care System; Management; Safety
Difficulty: Easy
Feedback
1 The World Health Organization (WHO) is the “directing and coordinating authority for
health within the United Nations system”.
2 The WHO has the capability to monitor global epidemiological situations.
3 The WHO brings resources and knowledge to nurses who are working directly with
patients for them to make informed decisions.
4 The WHO is the public health arm of the United Nations and works toward both of the
previously mentioned goals.
PTS: 1 REF: 15-17
CON: Promoting Health | Health-Care System | Management | Safety
4. ANS: 1
Objective: 4. Explore the connection between environment, resource availability, and health.
Page:
Heading: Public Health Science and Practice
Integrated Processes: N/A
Client Need: Health Promotion and Maintenance
Cognitive Level: Knowledge
Concept: Assessment; Promoting Health
Difficulty: Easy
Feedback
1 Prevention is not considered a core function of public health, as assessment, policy
development, and assurance have prevention as an implied goal of each function.
2 Assessment focuses on analysis and collection of data, as well as the monitoring of
health problems and needs.
3 Policy development uses the acquired knowledge from assessments to create useful
public health policies.
4 Assurance creates trust in health-care agencies to provide necessary services that are in
line with public health goals.
PTS: 1 REF: 3 CON: Assessment | Promoting Health
5. ANS: 1
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Nursing Process
, Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis
Concept: Immunity; Infection; Promoting Health
Difficulty: Easy
Feedback
1 As the percent of the population over the age of 65 increases, so does the prevalence of
chronic disease and the need for long-term care. From a population public health
perspective, decreased availability of care will result in increased morbidity and
mortality, and decreased quality of life.
2 An increased need for further research is important but is not the most pressing issue.
3 Further exploration of developmental stages related to aging might help in
understanding response to disease but is not the most pressing issue.
4 Decreased cost of medications will assist in access to treatment but is only one aspect
of long-term care needs.
PTS: 1 REF: 4 CON: Immunity | Infection | Promoting Health
6. ANS: 4
Objective: 4. Explore the connection between environment, resource availability, and health.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Evidence-Based Practice; Promoting Health
Difficulty: Moderate
Feedback
1 Location and social systems are two of many determinants in the ecology of a public
health problem.
2 This model asserts that the environment of the affected population is a key component
in assessing risk factors.
3 Social systems, families, and communities play a role in the health or lack of health for
an individual or a population.
4 The Dahlgren-Whitehead model is key to understanding the layers of influence and
relationships regarding population health and how important environment is to said
health. Thus, all of the answer choices together are correct.
PTS: 1 REF: 5 CON: Evidence-Based Practice | Promoting Health
7. ANS: 1
Objective: 3. Investigate determinants of health within the context of culture.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis
Concept: Promoting Health; Economics
Difficulty: Moderate
Feedback
1 Upstream refers to determinants of health that include the physical as well as conditions
in the social environment creating poor health,
2 Downstream refers to the biological and behavioral bases for disease.
, 3 Genetic determinants of health occur at the individual biological level.
4 Behavioral determinants of health occur at the individual level.
PTS: 1 REF: 6 CON: Promoting Health | Economics
8. ANS: 2
Objective: 4. Explore the connection between environment, resource availability, and health.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Nursing Roles; Communication; Collaboration
Difficulty: Easy
Feedback
1 Although decreased disease rate is a definite sign that the health population is
improving, community collaboration is a vehicle that brings participants together to
address health issues such as rates of disease. Community collaboration efforts are a
good way to achieve this.
2 Accountability among members of a community is improved when communities are
actively engaged in health programs.
3 Availability of treatment may not be an identified risk factor for the increase in the rate.
4 Improving screening rates may not be an identified risk factor for the increase in the
disease rate.
PTS: 1 REF: 6 CON: Nursing Roles | Communication | Collaboration
9. ANS: 2
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Nursing Process
Client Need: Communication and Documentation Cognitive Level: Application [Applying]
Concept: Promoting Health; Collaboration
Difficulty: Easy
Feedback
1 This collaboration benefits the community’s public health after a natural disaster.
2 Community collaboration can include advocating for change in regulations but does not
involve direct legislative activity that is the responsibility of governmental bodies.
3 A volunteer group can offer valuable services to enhance the lives of people suffering
from mental illness.
4 This community-based institution is an example of a social system that can work with a
health department to use each other’s strengths to produce a meaningful project.
PTS: 1 REF: 6 CON: Promoting Health | Collaboration
utrition | Diversity | Nursing Roles
PUBLIC/COMMUNITY HEALTH AND NURSING PRACTICE
2ND EDITION
CHAPTER 1: PUBLIC HEALTH AND NURSING PRACTICE
MULTIPLE CHOICE
1. ANS: 4
Objective: 5. Identify the key roles and responsibilities of public health nurses (PHNs).
Page:
Heading: Introduction to Public Health
Integrated Processes: Nursing Process
Client Need: Physiological Integrity
Cognitive Level: Comprehension
Concept: Critical Thinking, Promoting Health
Difficulty: Easy
Feedback
1 The approach cannot be disease based because diseases can affect populations in
multiple locations, but the risk factors can be different.
2 Interventions occur after the public health event, and governments can only follow the
evidence of public health studies.
3 An epidemic is an occurrence of a disease and has the same limitations as a
disease-based approach.
4 PHNs assess risk for disease and other public health issues at both the individual level,
so that they can intervene on a one-to-one situational basis, as well as at the population
level to identify risk factors beyond the individual level and implement population-level
interventions.
PTS: 1 REF: 2 CON: Promoting Health | Critical Thinking
2. ANS: 3
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Public Health Science and Practice
Integrated Processes: Nursing Process
Client Needs: Health Promotion and Maintenance
Cognitive Level: Knowledge
Concept: Infection; Nursing Roles; Promoting Health
Difficulty: Easy
Feedback
1 Risk assessment is considered a part of disease prevention.
2 Promotion of primary care occurred through the Alma Ata World Health Organization
conference not Winslow’s definition.
3 Health-care providers are an essential component of public health.
4 The goal of public health is to guide governmental policy but not to create regulations.
, PTS: 1 REF: 3 CON: Infection | Nursing Roles | Promoting Health
3. ANS: 4
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Introduction to Public Health
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Difficulty: Easy
Concept: Promoting Health; Health-Care System; Management; Safety
Difficulty: Easy
Feedback
1 The World Health Organization (WHO) is the “directing and coordinating authority for
health within the United Nations system”.
2 The WHO has the capability to monitor global epidemiological situations.
3 The WHO brings resources and knowledge to nurses who are working directly with
patients for them to make informed decisions.
4 The WHO is the public health arm of the United Nations and works toward both of the
previously mentioned goals.
PTS: 1 REF: 15-17
CON: Promoting Health | Health-Care System | Management | Safety
4. ANS: 1
Objective: 4. Explore the connection between environment, resource availability, and health.
Page:
Heading: Public Health Science and Practice
Integrated Processes: N/A
Client Need: Health Promotion and Maintenance
Cognitive Level: Knowledge
Concept: Assessment; Promoting Health
Difficulty: Easy
Feedback
1 Prevention is not considered a core function of public health, as assessment, policy
development, and assurance have prevention as an implied goal of each function.
2 Assessment focuses on analysis and collection of data, as well as the monitoring of
health problems and needs.
3 Policy development uses the acquired knowledge from assessments to create useful
public health policies.
4 Assurance creates trust in health-care agencies to provide necessary services that are in
line with public health goals.
PTS: 1 REF: 3 CON: Assessment | Promoting Health
5. ANS: 1
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Nursing Process
, Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis
Concept: Immunity; Infection; Promoting Health
Difficulty: Easy
Feedback
1 As the percent of the population over the age of 65 increases, so does the prevalence of
chronic disease and the need for long-term care. From a population public health
perspective, decreased availability of care will result in increased morbidity and
mortality, and decreased quality of life.
2 An increased need for further research is important but is not the most pressing issue.
3 Further exploration of developmental stages related to aging might help in
understanding response to disease but is not the most pressing issue.
4 Decreased cost of medications will assist in access to treatment but is only one aspect
of long-term care needs.
PTS: 1 REF: 4 CON: Immunity | Infection | Promoting Health
6. ANS: 4
Objective: 4. Explore the connection between environment, resource availability, and health.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Analysis [Analyzing]
Concept: Evidence-Based Practice; Promoting Health
Difficulty: Moderate
Feedback
1 Location and social systems are two of many determinants in the ecology of a public
health problem.
2 This model asserts that the environment of the affected population is a key component
in assessing risk factors.
3 Social systems, families, and communities play a role in the health or lack of health for
an individual or a population.
4 The Dahlgren-Whitehead model is key to understanding the layers of influence and
relationships regarding population health and how important environment is to said
health. Thus, all of the answer choices together are correct.
PTS: 1 REF: 5 CON: Evidence-Based Practice | Promoting Health
7. ANS: 1
Objective: 3. Investigate determinants of health within the context of culture.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Analysis
Concept: Promoting Health; Economics
Difficulty: Moderate
Feedback
1 Upstream refers to determinants of health that include the physical as well as conditions
in the social environment creating poor health,
2 Downstream refers to the biological and behavioral bases for disease.
, 3 Genetic determinants of health occur at the individual biological level.
4 Behavioral determinants of health occur at the individual level.
PTS: 1 REF: 6 CON: Promoting Health | Economics
8. ANS: 2
Objective: 4. Explore the connection between environment, resource availability, and health.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Teaching/Learning
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Nursing Roles; Communication; Collaboration
Difficulty: Easy
Feedback
1 Although decreased disease rate is a definite sign that the health population is
improving, community collaboration is a vehicle that brings participants together to
address health issues such as rates of disease. Community collaboration efforts are a
good way to achieve this.
2 Accountability among members of a community is improved when communities are
actively engaged in health programs.
3 Availability of treatment may not be an identified risk factor for the increase in the rate.
4 Improving screening rates may not be an identified risk factor for the increase in the
disease rate.
PTS: 1 REF: 6 CON: Nursing Roles | Communication | Collaboration
9. ANS: 2
Objective: 2. Describe public health in terms of current frameworks, community partnerships, and the concept
of population health.
Page:
Heading: Introduction to Public Health > Public Health Frameworks: Challenges and Trends
Integrated Processes: Nursing Process
Client Need: Communication and Documentation Cognitive Level: Application [Applying]
Concept: Promoting Health; Collaboration
Difficulty: Easy
Feedback
1 This collaboration benefits the community’s public health after a natural disaster.
2 Community collaboration can include advocating for change in regulations but does not
involve direct legislative activity that is the responsibility of governmental bodies.
3 A volunteer group can offer valuable services to enhance the lives of people suffering
from mental illness.
4 This community-based institution is an example of a social system that can work with a
health department to use each other’s strengths to produce a meaningful project.
PTS: 1 REF: 6 CON: Promoting Health | Collaboration
utrition | Diversity | Nursing Roles
