Page 1 of 463
,TABLE OF CONTENTS.
Chapter 1 : Public Health Nursing: Present, Past, and Future
Chapter 2: Public Health Systems
Chapter 3: Health Policy, Politics, and Reform
Chapter 4: Global Health: A Community Perspective
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
Chapter 6: Epidemiology: The Science of Prevention
Chapter 7: Describing Health Conditions: Understanding and Using Rates
Chapter 8: Gathering Evidence for Public Health Practice
Chapter 9: Planning for Community Change
Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
Chapter 11: Community Assessment
Chapter 12: Care Management, Case Management, and Home Healthcare
Chapter 13: Family Assessment
Chapter 14: Risk of lnfectious and Communicable Diseases
Chapter 15: Emerging Infectious Diseases
Chapter 16: Violence and Abuse
Chapter 17: Substance Use
Chapter 18: Underserved Populations
Chapter 19: Environmental Health
Chapter 20: Community Preparedness: Disaster and Terrorism
Chapter 21: Community Mental Health
Chapter 22: School Health
Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
Chapter 24: Palliative and End-of-Life Care
Chapter 25: Occupational Health Nursing
Page 2 of 463
, Chapter 1: Public Health Nursing
l. 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 client while the client is in the hospital
Accurate answer: 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, and continuous 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 her care, and thus are not good examples of patient-centered
care.
Origin: Chapter l- 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 third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Accurate answer: 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
Page 3 of 463
, 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.
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
Accurate answer: 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
Accurate answer: 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 public health intervention,
in that it involves the collective effort of society to 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
Page 4 of 463
,TABLE OF CONTENTS.
Chapter 1 : Public Health Nursing: Present, Past, and Future
Chapter 2: Public Health Systems
Chapter 3: Health Policy, Politics, and Reform
Chapter 4: Global Health: A Community Perspective
Chapter 5: Frameworks for Health Promotion, Disease Prevention, and Risk Reduction
Chapter 6: Epidemiology: The Science of Prevention
Chapter 7: Describing Health Conditions: Understanding and Using Rates
Chapter 8: Gathering Evidence for Public Health Practice
Chapter 9: Planning for Community Change
Chapter 10: Cultural Competence: Awareness, Sensitivity, and Respect
Chapter 11: Community Assessment
Chapter 12: Care Management, Case Management, and Home Healthcare
Chapter 13: Family Assessment
Chapter 14: Risk of lnfectious and Communicable Diseases
Chapter 15: Emerging Infectious Diseases
Chapter 16: Violence and Abuse
Chapter 17: Substance Use
Chapter 18: Underserved Populations
Chapter 19: Environmental Health
Chapter 20: Community Preparedness: Disaster and Terrorism
Chapter 21: Community Mental Health
Chapter 22: School Health
Chapter 23: Faith-Oriented Communities and Health Ministries in Faith Communities
Chapter 24: Palliative and End-of-Life Care
Chapter 25: Occupational Health Nursing
Page 2 of 463
, Chapter 1: Public Health Nursing
l. 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 client while the client is in the hospital
Accurate answer: 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, and continuous 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 her care, and thus are not good examples of patient-centered
care.
Origin: Chapter l- 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 third grader
C) Medication ineffective due to error in prescription
D) Originally from Sudan
E) No family in the area
Accurate answer: 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
Page 3 of 463
, 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.
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
Accurate answer: 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
Accurate answer: 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 public health intervention,
in that it involves the collective effort of society to 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
Page 4 of 463
