COMMUNITY AND PUBLIC HEALTH NURSING 10TH EDITION RECTOR TEST BANK.pdf

TEST BANK FOR
COMMUNITY AND PUBLIC HEALTH NURSING
10TH EDITION
Rector Cherie, Mary Jo Stanley - ISBN:
9781975123048 A+

COMMUNITY AND PUBLIC HEALTH NURSING 10TH
EDITION RECTOR TEST BANK
Chapter 1 The Journey Begins: Introduction
1. After teaching a group of nursing students about the similarities and
differences between public health and community health, which of the following statements by a
nursing student would indicate knowledge of the similarities and differences between public
health and community health?
A) “Community health nursing is defined as
nursing care that is provided in a community setting, rather than an institutional setting.”
B) “Public health nursing is defined as nursing care that is provided in an
institutional setting.”
C) “Public health nursing is focused on the health of individuals.”
D) “Community health nursing can shape the quality of community health
services and improve the health of the general public.”
Ans: D Feedback:
Operating within an environment of rapid change and increasingly complex challenges, this
nursing specialty holds the potential to shape the quality of community health services and
improve the health of the general public.

2. Which of the following statements would best
describe the difference between public health nursing and community health nursing?
A) Public health nursing is focused on the private aspects of health, and
community health nursing is focused on the public aspects of
health.
B) In our textbook, the term community health practice refers to a focus on
specific, designated communities and is apart of the
larger public health effort.
C) Public health nursing and community health nursing relate to the very same
types of services and perspectives.
D) Both public health nursing and community health nursing are practiced
exclusively within institutions.
Ans: B Feedback:
In this textbook, community health practice refers to a focus on specific, designated
communities. It is a part of the larger public health effort and recognizes the fundamental

concepts and principles of public health as its birthright and foundation for practice. Public
health nursing is focused on the public aspects of health. Public health nursing and community
health nursing have distinctive types of services and perspectives. Neither public health nursing
nor community health nursing is practiced excl usively within institutions.
3. Which of the following is most accurate about the concept of community?
A) A community is a collection of people who share some important features of
their lives.
B) Community members live in the same geographic location.
C) Community members are biologically related.
D) A community is made up of people who do not necessarily interact with one
another and do not necessarily share asense of belonging
to that group. Ans: A Feedback:
The broad definition of a community is a collection of people who share some important features
of their lives. Community members may not live in the same geographic location as in a
common-interest community ora community of solution. A population is made up of people
who do not necessarily interact with one another and do not necessarily share a sense of
belonging to that group.
4. A group of students are reviewing material for a test on populations,
communities, and aggregates. Which of the following indicates
that the students understand these concepts?

A) Members of a population share a sense of belonging.
B) Communities and populations are types of aggregates.
C) Individuals of a community are loosely connected.
D) Members of an aggregate share a strong bond. Ans: B Feedback:
An aggregate refers to a mass of grouping of distinct individuals who are considered as a
whole and who are loosely associated with one another. Communities and populations are types
of aggregates. A population is made up of people who do not necessarily interact with one
another and do not necessarily share a sense of belonging to the group. A community is a
collection of people who chose to interact with one another because of common interests,
characteristics, orgoals, which form the basis for a sense of unity or
belonging.
5. Which of the following would a community health nurse identify as a
community of common interest?
A) The global community
B) Small rural town in a northern state C) National professional organization
D) Counties addressing waterpollution Ans: C
Feedback:
A common-interest community shares a common interest or goal that binds the members

together. Membership in a national professional organization is one example. The global
communityand a small rural town in a northern state would be examples of a geographic
community. Counties addressing awaterpollution problem would be an example
of a community of solution.
6. The nurse is working with a community of solution. Which of the following
would the nurse expectto find?
A) A health problem affecting the group
B) Common goal binding members together
C) Sharing of a similar goal
D) Locational boundaries Ans: A
Feedback:
A community of solution involves a group of people coming together to solve a problem
that affects them. A common-interest community involves a collection of people widely
scattered geographically who have an interest or goal that binds the members together. A
geographical community is one defined by its geographical orlocational
boundaries.
7. Which one of the following statements made by a student would the nurse
educator recognize as evidence thata student
understands the health continuum?
A) The distinction between health and illness is well demarcated.
B) Illness refers to a state of being relatively unhealthy.

C) The term health is limited to reflect an individual's state.
D) Treatment of acute conditions reflects the current focus of health care. Ans: B
Feedback:
Although society typically depicts an absolute line of difference between being either
well or ill, health is considered a relative term. Thus, illness is viewed as a state of being
relatively unhealthy. Health is typically described as a continuum that involves a range of
degrees from optimal health at one end to total disabilityor death at the other. The line of
demarcation is not clear. Health applies to individuals, families, and communities. Traditionally,
most health care has focused on the
treatment of acute and chronic conditions at the illness end of the continuum, but this emphasis is
shifting to focus on the wellness
end.
8. When discussing the concept of the health continuum with a class, the nurse
educator would be certain to include which statement
in the description?
A) Wellness is a relative concept, not an absolute, and illness is a state of being
relatively unhealthy.
B) A client's placement on the health continuum is static throughout time.

C) Health is best described as cyclic.
D) The health continuum can only be applied to individuals. Ans: A
Feedback:
Wellness is a relative concept, not an absolute, and illness is a state of being relatively unhealthy.
The continuum can change. Because health involves a range of degrees from optimal health at
one end to total disability or death at the other, it is often described as a continuum. The health
continuum applies not only to individuals but
also to families and communities.
9. After discussing the leading health indicators with a class, which condition if
stated by the class as one of these indicators suggests that
the class has understood the information? A)Cardiac disease
B) Mental health
C) Sedentary lifestyle
D) Maternal health care Ans: B
Feedback:
Mental health is a leading health indicator. Other leading health indicators include
physical activity, overweight and obesity, tobacco use, substance use, responsible sexual
behavior, injury and violence, environmental quality, immunization, and access to health care.
10. Which of the following statements about

health promotion and disease prevention is the most accurate?
A) Health promotion and disease prevention include all efforts that seek to move
people closer to optimal well-being orhigherlevels
of wellness.
B) Disease prevention differs from health promotion in that disease prevention is
targeted toward a specificdiseaseordiseases.
C) Health promotion can be described in terms of primary, secondary, and tertiary
prevention.
D) The goal of disease prevention is to raise levels of wellness for individuals,
families, populations, and communities.
Ans: B Feedback:
Health promotion includes all efforts that seek to move people closer to optimal well- being or
higher levels of wellness. The goal of health promotion is to raise levels of wellness for
individuals, families, populations, and communities. Disease prevention is targeted toward a
specific disease or diseases and consists of primary, secondary, and tertiary
prevention.

11. A group of community health nursing students design a health education
program for a group of pregnant teens that includes teaching nutrition during pregnancy,
demonstrating helpful exercises, and discussing theirconcerns. This is an example
of which of the following?
A) Health promotion
B) Treatment of disorders
C) Rehabilitation D) Evaluation Ans: A Feedback:
The student nurses are engaging in health promotion activities. Health promotion incorporates all
efforts that seek to move people closer to optimal well-being or to higher levels of wellness.
Treatment of disorders would include direct care for issues involving the group, such as
complications that might arise in this population.
Rehabilitation would involve activities to minimize disability or restore or preserve function.
Evaluation would involve an analysis of the effectiveness of these
activities.
12. plan of primary prevention activities. Which of the following might the nurse
include? Select all that apply.
A) Teaching about safe-sex practices to high
school students
B) Encouraging older adults to install safety devices in the bathroom

C) Providing regular immunization programs for communicable diseases
D) Participating in cholesterol screening programs at health fairs
E) Providing skin testing for tuberculosis for children over 1 yearof age
F) Working with a group testing water samples for contamination
Ans: A, B, C
Feedback:
Primary prevention activities are those taken to keep illness or injuries from occurring.
These include teaching about safe-sex practices, encouraging older adults to use safety devices in
the bathroom, and providing regular immunization programs for communicable diseases.
Cholesterol screening programs, skin tests for tuberculosis, and working with a group testing
water samples for contamination are examples of secondary prevention activities.
13. A community health nurse is preparing a presentation for a group of nursing
students about community health nursing. Which of the following descriptions about community
health nursing would the nurse most likely
include in the presentation?
A) Focusing on addressing continuous needs
B) Working with the client as an equal partner
C) Engaging in tertiary prevention as the priority
D) Encouraging clients to reach out to the nurse Ans: B
Feedback:

The community health nurse works with the client as an equal partner, encouraging autonomy.
At any time, the nurse deals with continuous and episodic needs simultaneously. Primary
prevention is the priority for community health nurses. The community health nurse engages in
primary prevention as the priority, having the obligation to actively reach out to all who might
benefit from a specific activity or service.
14. A community health nurse is working with other members of a team that will
be implementing a citywide immunization program. The nurse is coordinating the services and
addressing the needs of the population groups to ensure which of the
following?
A) Involvement of the community
B) Client participation
C) Continuity of service D) Plan for follow-up Ans: C Feedback:
Working in cooperation with other team members and coordinating services and addressing the
needs of population groups are essential to interprofessional collaboration. In doing so, the
community heal th
nurse is preventing fragmentation and gaps thereby ensuring continuity of service. Involvement
of the community and client participation are important but
these help to ensure that the clients are viewed as equal partners of the health care team. A plan
for follow-up may or may not be appropriate. In addition, it is the only aspect that may be
addressed with the
program.

15. A community health nurse works to ensure the greatest good for the greatest
number of people by applying which of the following?
A) Secondary prevention activities
B) Autonomy

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