Test Bank: Public / Community Health and Nursing Practice,
2nd Edition 2nd Edition by Savage - Ch. 1-22, 9780803677111,
with Rationales
Situation 1 - Boy George is a 15-year-old adolescent who lives with his mother and father, and several
siblings. He is hospitalized in a provincial hospital after a suicide attempt.
1. When performing a family assessment, select what the nurse must FIRST determine.
A. How the family expresses and manage emotions
B. The communication patterns between the patient and parents
C. Names and relationships among family members
D. The meaning that the patients suicide attempt has for - ANSWER:C. Names and relationships
among family members
2. Which of the following is the BEST QUESTION for the nurse to ask to assess a family's ability to
cope?
A. "Do you think your family copes effectively"
B. "What do you think of the current family problem?'
C. "What strengths does your family have?"
D. "Can you describe how you successfully handled one family - ANSWER:D. "Can you describe how
you successfully handled one family
3. The mother of Boy George asks the nurse, "Why do you want to do a family assessment? My
teenager is the patient, not the rest of us. "What is the BEST response of the nurse"
A. "Family dysfunction might have caused the mental illness"
B. "Every family member's perception of events is different and adds to the total picture"
C. "Family members provide more accurate information than the patient"
D. "Family assessment is a protocol for care of all patients" - ANSWER:B. "Every family member's
perception of events is different and adds to the total picture"
4. Which information is the nurse MOST likely to find when assessing the family of a patient with
mental illness?
A. Power in the family is maintained in the parental dyad and rarely delegated
B. Several family members have serious problems with their psychological health
C. Stress that living with a mentally ill member has challenged the family's function
D. The family exhibits many characteristics of dysfunctional
families - ANSWER:C. Stress that living with a mentally ill member has challenged the family's function
5. Parents of Boy George say, "We have never known anyone who was mentally ill. We have no one to
talk to because none of our friends understand the problem we are facing. "Which of the following is
the nurse's MOST helpful intervention?
A. Facility achievement of normal developmental tasks of the
family
B. Build the parents self-concept as coping patterns
C. Teach the parents techniques of therapeutic communication
D. Refer the parents to a support group - ANSWER:D. Refer the parents to a support group
,Situation 2 - Collaboration is being able to work cooperatively and efficient with co-workers and any
other people the nurse may have to interact with. This includes other health professionals, clients,
and their families and communities.
6. Which of the following is NOT recognized as part of the nurse's role as member of the health team?
A. Care manager and supervisor
B. Provider of care and educator
C. Patient advocate and supporter
D. Performing physician's functions with supervision - ANSWER:D. Performing physician's functions
with supervision
7. The health team has brainstormed for ideas in creating a more collaborative environment in a
health care facility. Which idea or action would be the BEST to develop further?
A. Develop a plan for the different team members to follow and show impact of their work
B. Emphasize that no one profession has all the necessary competence to provide all care
C. Hold education sessions regarding collaboration for each unit
D. Institute collaborative strategies that are traditionally practiced - ANSWER:B. Emphasize that no
one profession has all the necessary competence to provide all care
8. Which patient scenario describes the BEST example of professional collaboration?
A. The nurse, physician, and physical therapist have all visited separately with the patient
B. The nurse mentions to the physical therapist that the patient may benefit from a muscle
strengthening evaluation
C. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical
therapy
D. The nurse, physical therapist, and physician have all
developed separate care plans for the patient - ANSWER:C. The nurse and physician discuss the
patient's muscle weakness and initiate a referral for physical therapy
9. Which activities are appropriate for the nurse to collaborate with a patient?
1. Prescribing new medication
2. Health promotion activities
3. End-of-life comfort decisions
4. interpreting laboratory results
5. Lifestyle changes to improve health
A. 2, 3, 5
B. 2, 4, 5
C. 1, 4, 5
D. 1, 3, 4 - ANSWER:A. 2, 3, 5
10. The Rural Health Nurse and the Rural Health Physician are explaining home care that will be
needed by a patient with Tuberculosis. The patient's spouse states angrily that it will not be possible
to provide the care recommended. What is the BEST response by the nurse?
A. "I would like to listen to your concern about the prescribed care"
B. "It is important that you do what the physician has
prescribed"
C. "I can come back after you talk with your spouse about the care"
D. "Let me review what is needed again, then I'll talk to you later" - ANSWER:A. "I would like to listen
to your concern about the prescribed care"
, Situation 3 - Nurse Roger is assigned in a disaster-prone province in the Visayas. He is aware that with
the increase frequency of disaster happening, he has to respond quickly and efficiently to assist the
population affected by calamities.
11. Which of the following BEST defines a disaster?
A. Any event that results in multiple deaths
B. Devastation that covers a broad geographical area
C. Devastation that cannot be relieved without assistance
D. The event results in multiple injuries, deaths and property damage - ANSWER:D. The event results
in multiple injuries, deaths and property damage
12. Nurse Roger is guided by the ICN framework of disaster nursing competencies. This framework
consist of four areas in the continuum of disaster management that corresponds to the four stages of
disaster. What consists of the FIRST stage?
A. Response
B. Preparedness
C. Prevention
D. Recovery - ANSWER:C. Prevention
13. Nurse Roger has invited several agencies in the community to a meeting to discuss the disaster
plan for the community. Which of the following BEST describes the purpose of this meeting? To:
A. Enhance communication among agencies in the community
B. Increase stability in the community
C. Manage response to disasters in the community
D. Improve overall community functioning - ANSWER:A. Enhance communication among agencies in
the community
14. Nurse Roger adapts professional nursing skills in
recognizing and meeting the physical and emotional needs resulting from a disaster. For people who
are willing to talk ensuing a disaster, which of the following is the MOST appropriate approach?
A. "I am with you. It is good you are trying to release your distress by crying. It will make you feel
better."
B. "What you need to do now is to wait for instructions and services to be provided."
C. "Don't feel bad. Others are in the same situation as yours."
D. "You need not cry. You need to move on and build your life
again." - ANSWER:A. "I am with you. It is good you are trying to release your distress by crying. It will
make you feel better."
15. As he passed by the road going to an evacuation center, Nurse Roger encountered a flash flood. A
flash flood:
A. Occurs suddenly and for a short duration
B. Is caused by the blocking of drains
C. Is caused by heavy rains
D. Occurs in urban areas - ANSWER:A. Occurs suddenly and for a short duration
Situation 4 - In public health service, good record system is important delivery of quality care to
clients. As a public health nurse, you have the responsibility of assisting in the preparation,
maintenance of good records and reports.
2nd Edition 2nd Edition by Savage - Ch. 1-22, 9780803677111,
with Rationales
Situation 1 - Boy George is a 15-year-old adolescent who lives with his mother and father, and several
siblings. He is hospitalized in a provincial hospital after a suicide attempt.
1. When performing a family assessment, select what the nurse must FIRST determine.
A. How the family expresses and manage emotions
B. The communication patterns between the patient and parents
C. Names and relationships among family members
D. The meaning that the patients suicide attempt has for - ANSWER:C. Names and relationships
among family members
2. Which of the following is the BEST QUESTION for the nurse to ask to assess a family's ability to
cope?
A. "Do you think your family copes effectively"
B. "What do you think of the current family problem?'
C. "What strengths does your family have?"
D. "Can you describe how you successfully handled one family - ANSWER:D. "Can you describe how
you successfully handled one family
3. The mother of Boy George asks the nurse, "Why do you want to do a family assessment? My
teenager is the patient, not the rest of us. "What is the BEST response of the nurse"
A. "Family dysfunction might have caused the mental illness"
B. "Every family member's perception of events is different and adds to the total picture"
C. "Family members provide more accurate information than the patient"
D. "Family assessment is a protocol for care of all patients" - ANSWER:B. "Every family member's
perception of events is different and adds to the total picture"
4. Which information is the nurse MOST likely to find when assessing the family of a patient with
mental illness?
A. Power in the family is maintained in the parental dyad and rarely delegated
B. Several family members have serious problems with their psychological health
C. Stress that living with a mentally ill member has challenged the family's function
D. The family exhibits many characteristics of dysfunctional
families - ANSWER:C. Stress that living with a mentally ill member has challenged the family's function
5. Parents of Boy George say, "We have never known anyone who was mentally ill. We have no one to
talk to because none of our friends understand the problem we are facing. "Which of the following is
the nurse's MOST helpful intervention?
A. Facility achievement of normal developmental tasks of the
family
B. Build the parents self-concept as coping patterns
C. Teach the parents techniques of therapeutic communication
D. Refer the parents to a support group - ANSWER:D. Refer the parents to a support group
,Situation 2 - Collaboration is being able to work cooperatively and efficient with co-workers and any
other people the nurse may have to interact with. This includes other health professionals, clients,
and their families and communities.
6. Which of the following is NOT recognized as part of the nurse's role as member of the health team?
A. Care manager and supervisor
B. Provider of care and educator
C. Patient advocate and supporter
D. Performing physician's functions with supervision - ANSWER:D. Performing physician's functions
with supervision
7. The health team has brainstormed for ideas in creating a more collaborative environment in a
health care facility. Which idea or action would be the BEST to develop further?
A. Develop a plan for the different team members to follow and show impact of their work
B. Emphasize that no one profession has all the necessary competence to provide all care
C. Hold education sessions regarding collaboration for each unit
D. Institute collaborative strategies that are traditionally practiced - ANSWER:B. Emphasize that no
one profession has all the necessary competence to provide all care
8. Which patient scenario describes the BEST example of professional collaboration?
A. The nurse, physician, and physical therapist have all visited separately with the patient
B. The nurse mentions to the physical therapist that the patient may benefit from a muscle
strengthening evaluation
C. The nurse and physician discuss the patient's muscle weakness and initiate a referral for physical
therapy
D. The nurse, physical therapist, and physician have all
developed separate care plans for the patient - ANSWER:C. The nurse and physician discuss the
patient's muscle weakness and initiate a referral for physical therapy
9. Which activities are appropriate for the nurse to collaborate with a patient?
1. Prescribing new medication
2. Health promotion activities
3. End-of-life comfort decisions
4. interpreting laboratory results
5. Lifestyle changes to improve health
A. 2, 3, 5
B. 2, 4, 5
C. 1, 4, 5
D. 1, 3, 4 - ANSWER:A. 2, 3, 5
10. The Rural Health Nurse and the Rural Health Physician are explaining home care that will be
needed by a patient with Tuberculosis. The patient's spouse states angrily that it will not be possible
to provide the care recommended. What is the BEST response by the nurse?
A. "I would like to listen to your concern about the prescribed care"
B. "It is important that you do what the physician has
prescribed"
C. "I can come back after you talk with your spouse about the care"
D. "Let me review what is needed again, then I'll talk to you later" - ANSWER:A. "I would like to listen
to your concern about the prescribed care"
, Situation 3 - Nurse Roger is assigned in a disaster-prone province in the Visayas. He is aware that with
the increase frequency of disaster happening, he has to respond quickly and efficiently to assist the
population affected by calamities.
11. Which of the following BEST defines a disaster?
A. Any event that results in multiple deaths
B. Devastation that covers a broad geographical area
C. Devastation that cannot be relieved without assistance
D. The event results in multiple injuries, deaths and property damage - ANSWER:D. The event results
in multiple injuries, deaths and property damage
12. Nurse Roger is guided by the ICN framework of disaster nursing competencies. This framework
consist of four areas in the continuum of disaster management that corresponds to the four stages of
disaster. What consists of the FIRST stage?
A. Response
B. Preparedness
C. Prevention
D. Recovery - ANSWER:C. Prevention
13. Nurse Roger has invited several agencies in the community to a meeting to discuss the disaster
plan for the community. Which of the following BEST describes the purpose of this meeting? To:
A. Enhance communication among agencies in the community
B. Increase stability in the community
C. Manage response to disasters in the community
D. Improve overall community functioning - ANSWER:A. Enhance communication among agencies in
the community
14. Nurse Roger adapts professional nursing skills in
recognizing and meeting the physical and emotional needs resulting from a disaster. For people who
are willing to talk ensuing a disaster, which of the following is the MOST appropriate approach?
A. "I am with you. It is good you are trying to release your distress by crying. It will make you feel
better."
B. "What you need to do now is to wait for instructions and services to be provided."
C. "Don't feel bad. Others are in the same situation as yours."
D. "You need not cry. You need to move on and build your life
again." - ANSWER:A. "I am with you. It is good you are trying to release your distress by crying. It will
make you feel better."
15. As he passed by the road going to an evacuation center, Nurse Roger encountered a flash flood. A
flash flood:
A. Occurs suddenly and for a short duration
B. Is caused by the blocking of drains
C. Is caused by heavy rains
D. Occurs in urban areas - ANSWER:A. Occurs suddenly and for a short duration
Situation 4 - In public health service, good record system is important delivery of quality care to
clients. As a public health nurse, you have the responsibility of assisting in the preparation,
maintenance of good records and reports.
