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 a part 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 a sense 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 or a 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, or goals, 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
water pollution 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 a
water pollution 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 expect to
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 or locational boundaries.
7. Which one of the following statements made by a student would the nurse educator recognize as
evidence that a 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 or higher levels of wellness.
B) Disease prevention differs from health promotion in that disease prevention is targeted toward a
specific disease or diseases.
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 their concerns. This is an example of which of the following?
A) Health promotion
B) Treatment of disorders
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 a part 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 a sense 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 or a 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, or goals, 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
water pollution 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 a
water pollution 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 expect to
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 or locational boundaries.
7. Which one of the following statements made by a student would the nurse educator recognize as
evidence that a 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 or higher levels of wellness.
B) Disease prevention differs from health promotion in that disease prevention is targeted toward a
specific disease or diseases.
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 their concerns. This is an example of which of the following?
A) Health promotion
B) Treatment of disorders
