Page 1
, Origin: Chapter 1- Public Health
Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then
reviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical
techniques, which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the
hospital
Ans: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families,
and lifestyles. Clients become active participants in their own care, and monitoring health
becomes the client's responsibility. To help clients and their healthcare providers make
better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed
a series of tools that empower clients and assist providers in achieving desired outcomes,
including client-reported functional status indicators. Computer-assisted robotic surgical
techniques, electronic health records, andcontinuous glucose monitoring in the hospital
are all technological advances in healthcare, but they do not help the client become a
more active participant in his or hercare, and thus are not good examples of patient-
centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health?
(Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Ans: A, B, D, E Feedback:
The social conditions in which people live, their income, social status, education,
literacy, home and work environment, support networks, gender, culture, and
availability of health services are the social determinants of health. These conditions
have an impact on the extent to which a person or community possesses the physical,
social, and personal resources necessary to attain and maintain health. A medical error
on the part of the client's primary care provider or nurse would not constitute a social
determinant of the client's health.
Page 2
, Origin: Chapter 1- Public Health Nursing, 3
3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
using a digital scale and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
Ans: C
Feedback:
Personal responsibility for health involves active participation in one's own health
through education and lifestyle changes. In this case, the client makes a positive change
in lifestyle by monitoring body weight weekly. Telehealth is the use of electronic
information and telecommunications technologies to support long-distance clinical
healthcare, client and professional health-related education, public health, and health
administration. Health information technology (HIT) is defined as the comprehensive
management of health information and its exchange between consumers, providers,
government, and insurers in a secure manner. Evidence-based nursing is the integration
of the best evidence available with clinical expertise and the values of the client to
increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily
practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the
year
Ans: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
people can be healthy. A community-wide smoking cessation program is a great example
of a public health intervention, in that it involves the collective effort of societyto improve
the health of its members. Reading and applying the latest nursing research is an example
of evidence-based nursing. Instructing a client on how to best care for a suture site at
home is an example of personal responsibility for health, but it is not focused on the health
of the greater community. Participating in a videoconference call with a client who lives
in a remote area is an example of patient-centered care and of an effective implementation
of technology, but it is not particularly related to public health.
Page 3
, Origin: Chapter 1- Public Health Nursing, 5
5. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
Ans: A
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public
health nursing interventions but are not domains of public health nursing practice.
Origin: Chapter 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills
Ans: C
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Page 3
, Origin: Chapter 1- Public Health
Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank
1. A nurse is striving to practice patient-centered care at a hospital. Which action best
exemplifies providing patient-centered care?
A) Having a client complete a self-reported functional status indicator and then
reviewing it with the client
B) Explaining to a client the benefits of computer-assisted robotic surgical
techniques, which the hospital recently implemented
C) Recording a client's signs and symptoms in an electronic health record
D) Performing continuous glucose monitoring of a client while the client is in the
hospital
Ans: A
Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families,
and lifestyles. Clients become active participants in their own care, and monitoring health
becomes the client's responsibility. To help clients and their healthcare providers make
better decisions, the Agency for Healthcare Research and Quality (AHRQ) has developed
a series of tools that empower clients and assist providers in achieving desired outcomes,
including client-reported functional status indicators. Computer-assisted robotic surgical
techniques, electronic health records, andcontinuous glucose monitoring in the hospital
are all technological advances in healthcare, but they do not help the client become a
more active participant in his or hercare, and thus are not good examples of patient-
centered care.
Origin: Chapter 1- Public Health Nursing, 2
2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
mellitus. The nurse should recognize which social determinants of this client's health?
(Select all that apply.)
A) Household income of $23,000 per year
B) Reading level of a third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Ans: A, B, D, E Feedback:
The social conditions in which people live, their income, social status, education,
literacy, home and work environment, support networks, gender, culture, and
availability of health services are the social determinants of health. These conditions
have an impact on the extent to which a person or community possesses the physical,
social, and personal resources necessary to attain and maintain health. A medical error
on the part of the client's primary care provider or nurse would not constitute a social
determinant of the client's health.
Page 2
, Origin: Chapter 1- Public Health Nursing, 3
3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
using a digital scale and record the weight in a log. This strategy is an example of:
A) Telehealth
B) Health information technology
C) Personal responsibility for health
D) Evidence-based nursing
Ans: C
Feedback:
Personal responsibility for health involves active participation in one's own health
through education and lifestyle changes. In this case, the client makes a positive change
in lifestyle by monitoring body weight weekly. Telehealth is the use of electronic
information and telecommunications technologies to support long-distance clinical
healthcare, client and professional health-related education, public health, and health
administration. Health information technology (HIT) is defined as the comprehensive
management of health information and its exchange between consumers, providers,
government, and insurers in a secure manner. Evidence-based nursing is the integration
of the best evidence available with clinical expertise and the values of the client to
increase the quality of care.
Origin: Chapter 1- Public Health Nursing, 4
4. A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which
task best exemplifies public health?
A) Reading current nursing journals and integrating the latest research into daily
practice
B) Instructing a client on how to best care for a suture site at home
C) Participating in a videoconference call with a client who lives in a remote area
D) Facilitating a community-wide smoking cessation program one month out of the
year
Ans: D
Feedback:
Public health is what society does collectively to ensure the conditions exist in which
people can be healthy. A community-wide smoking cessation program is a great example
of a public health intervention, in that it involves the collective effort of societyto improve
the health of its members. Reading and applying the latest nursing research is an example
of evidence-based nursing. Instructing a client on how to best care for a suture site at
home is an example of personal responsibility for health, but it is not focused on the health
of the greater community. Participating in a videoconference call with a client who lives
in a remote area is an example of patient-centered care and of an effective implementation
of technology, but it is not particularly related to public health.
Page 3
, Origin: Chapter 1- Public Health Nursing, 5
5. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Analytic assessment skills
B) Investigation of disease
C) Referral and follow-up
D) Case management
Ans: A
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Investigation of disease, referral and follow-up, and case management are all public
health nursing interventions but are not domains of public health nursing practice.
Origin: Chapter 1- Public Health Nursing, 6
6. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which is one of the eight domains of public health nursing practice?
A) Policy development and individual planning skills
B) Individual dimensions of practice skills
C) Financial planning and management skills
D) Leadership and individual critical thinking skills
Ans: C
Feedback:
The eight domains of public health nursing practice are as follows: Analytic assessment
skills, policy development and program planning skills, communication skills, cultural
competency skills, community dimensions of practice skills, public health science skills,
financial planning and management skills, and leadership and systems thinking skills.
Page 3
