Test Bank - Community and Public Health Nursing: Evidence for Practice 4th Edition (DeMarco, 2024)
TEST BANK
Community and Public Health Nursing
Evidence for Practice
Rosanna DeMarco, Judith Healey-Walsh
4th Edition
, Test Bank - Community and Public Health Nursing: Evidence for Practice 4th Edition (DeMarco, 2024)
Table of Contents
Part One: The Context of Community and Public Health Nursing
Chapter 1 Foundations of Public Health Nursing
Chapter 2 Public Health Systems
Chapter 3 Health Policy, Politics, and Reform
Chapter 4 Global Health
Part Two: Evidence-Based Practice and Population Health
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
Part Three: Implementing Nursing Practice in Community Settings
Chapter 9 Planning for Community Change
Chapter 10 Cultural Awareness, Sensitivity, and Respect
Chapter 11 Community Assessment
Chapter 12 Care Management, Case Management, and Home Healthcare
Chapter 13 Family Assessment
Part Four: Challenges in Community and Public Health Nursing
Chapter 14 Risk of Infectious and Communicable Diseases
Chapter 15 Emerging Infectious Diseases
Chapter 16 Violence and Abuse
Chapter 17 Substance use Disorder
Chapter 18 Health Inequities in Populations
Chapter 19 Environmental Health
Chapter 20 Community Preparedness: Disaster and Terrorism
Part Five: Specialty Practice
Chapter 21 Community Mental Health
Chapter 22 School Health
Chapter 23 Innovative Community Engagement Practice to Advance Population Health
Chapter 24 Palliative and End-of-Life Care
Chapter 25 Occupational Health Nursing
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
Chapter 1 Foundations of Public Health Nursing
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, 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.
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 1
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
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.
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 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 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 2
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
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.
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
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
7. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which are domains of public health nursing practice? (Select all that apply.)
A) Intuitive assessment skills
B) Community organization skills
C) Communication skills
D) Cultural competency skills
E) Product marketing skills
Ans: C, D
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.
8. Which was a duty performed by district nurses in Liverpool, England, in 1865?
A) Use epidemiologic knowledge and methods
B) Encourage community organization
C) Report facts to and ask questions of physicians
D) Assist physicians with surgery in the newly constructed hospitals
Ans: C
Feedback:
Duties of district nurses in Liverpool, England, in 1865 included the following:
Investigate new referrals as soon as possible; report to the superintendent situations in
which additional food or relief would improve recovery; report neglect of clients by
family or friends to the superintendent; assist physicians with surgery in the home;
maintain a clean, uncluttered home environment and tend fires for heat; teach the client
and family about cleanliness, ventilation, giving of food and medications, and obedience
to the physician's orders; set an example for “neatness, order, sobriety, and obedience”;
hold family matters in confidence; avoid interference with the religious opinions and
beliefs of clients and others; report facts to and ask questions of physicians; and refer
the acutely ill to hospitals and the chronically ill, poor without family to infirmaries.
Using epidemiologic knowledge and methods and encouraging community organization
are principles of public health today, not duties of district nurses in England in 1865.
Nurses at that time assisted physicians with surgery in the home, not in newly
constructed hospitals.
Page 4
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
9. Which is a Healthy People 2020 goal?
A) Decrease the incidence of preventable disease, disability, injury, and premature
death
B) Reduce health inequity, decrease disparities, and improve the health of certain
groups
C) Create social and physical environments that promote good health for all
D) Promote healthy development and healthy behaviors for the geriatric stage of life
Ans: C
Feedback:
The Healthy People 2020 goals are as follows: attain high-quality, longer lives free of
preventable disease, disability, injury, and premature death (not just to decrease the
incidence of these); achieve health equity, eliminate disparities, and improve the health
of all groups; create social and physical environments that promote good health for all;
and promote healthy development and healthy behaviors across every stage of life, not
just older adults.
10. A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural
community that currently lacks access to them. This is an example of which public
health intervention?
A) Surveillance
B) Outreach
C) Screening
D) Case management
Ans: D
Feedback:
In the intervention of case management, the nurse coordinates a plan or process to bring
health services and the self-care capabilities of the client together as a common whole in
a cost-effective way. In the intervention of surveillance, the nurse monitors health
events through ongoing, systematic collection, analysis, and interpretation of health data
for planning, implementing, and evaluating public health interventions. In the
intervention of outreach, the nurse locates populations at risk, provides information,
identifies possible actions, and identifies access to services. In the intervention of
screening, the nurse identifies individuals with unrecognized risk factors or
asymptomatic conditions.
Page 5
TEST BANK
Community and Public Health Nursing
Evidence for Practice
Rosanna DeMarco, Judith Healey-Walsh
4th Edition
, Test Bank - Community and Public Health Nursing: Evidence for Practice 4th Edition (DeMarco, 2024)
Table of Contents
Part One: The Context of Community and Public Health Nursing
Chapter 1 Foundations of Public Health Nursing
Chapter 2 Public Health Systems
Chapter 3 Health Policy, Politics, and Reform
Chapter 4 Global Health
Part Two: Evidence-Based Practice and Population Health
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
Part Three: Implementing Nursing Practice in Community Settings
Chapter 9 Planning for Community Change
Chapter 10 Cultural Awareness, Sensitivity, and Respect
Chapter 11 Community Assessment
Chapter 12 Care Management, Case Management, and Home Healthcare
Chapter 13 Family Assessment
Part Four: Challenges in Community and Public Health Nursing
Chapter 14 Risk of Infectious and Communicable Diseases
Chapter 15 Emerging Infectious Diseases
Chapter 16 Violence and Abuse
Chapter 17 Substance use Disorder
Chapter 18 Health Inequities in Populations
Chapter 19 Environmental Health
Chapter 20 Community Preparedness: Disaster and Terrorism
Part Five: Specialty Practice
Chapter 21 Community Mental Health
Chapter 22 School Health
Chapter 23 Innovative Community Engagement Practice to Advance Population Health
Chapter 24 Palliative and End-of-Life Care
Chapter 25 Occupational Health Nursing
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
Chapter 1 Foundations of Public Health Nursing
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, 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.
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 1
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
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.
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 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 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 2
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
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.
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
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
7. Public health nursing is distinguished from other specialties by adherence to eight
principles. Which are domains of public health nursing practice? (Select all that apply.)
A) Intuitive assessment skills
B) Community organization skills
C) Communication skills
D) Cultural competency skills
E) Product marketing skills
Ans: C, D
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.
8. Which was a duty performed by district nurses in Liverpool, England, in 1865?
A) Use epidemiologic knowledge and methods
B) Encourage community organization
C) Report facts to and ask questions of physicians
D) Assist physicians with surgery in the newly constructed hospitals
Ans: C
Feedback:
Duties of district nurses in Liverpool, England, in 1865 included the following:
Investigate new referrals as soon as possible; report to the superintendent situations in
which additional food or relief would improve recovery; report neglect of clients by
family or friends to the superintendent; assist physicians with surgery in the home;
maintain a clean, uncluttered home environment and tend fires for heat; teach the client
and family about cleanliness, ventilation, giving of food and medications, and obedience
to the physician's orders; set an example for “neatness, order, sobriety, and obedience”;
hold family matters in confidence; avoid interference with the religious opinions and
beliefs of clients and others; report facts to and ask questions of physicians; and refer
the acutely ill to hospitals and the chronically ill, poor without family to infirmaries.
Using epidemiologic knowledge and methods and encouraging community organization
are principles of public health today, not duties of district nurses in England in 1865.
Nurses at that time assisted physicians with surgery in the home, not in newly
constructed hospitals.
Page 4
, Community and Public Health Nursing: Evidence for Practice 4th Edition DeMarco TEST BANK
9. Which is a Healthy People 2020 goal?
A) Decrease the incidence of preventable disease, disability, injury, and premature
death
B) Reduce health inequity, decrease disparities, and improve the health of certain
groups
C) Create social and physical environments that promote good health for all
D) Promote healthy development and healthy behaviors for the geriatric stage of life
Ans: C
Feedback:
The Healthy People 2020 goals are as follows: attain high-quality, longer lives free of
preventable disease, disability, injury, and premature death (not just to decrease the
incidence of these); achieve health equity, eliminate disparities, and improve the health
of all groups; create social and physical environments that promote good health for all;
and promote healthy development and healthy behaviors across every stage of life, not
just older adults.
10. A nurse is coordinating a plan to bring vaccinations in a cost-effective way to a rural
community that currently lacks access to them. This is an example of which public
health intervention?
A) Surveillance
B) Outreach
C) Screening
D) Case management
Ans: D
Feedback:
In the intervention of case management, the nurse coordinates a plan or process to bring
health services and the self-care capabilities of the client together as a common whole in
a cost-effective way. In the intervention of surveillance, the nurse monitors health
events through ongoing, systematic collection, analysis, and interpretation of health data
for planning, implementing, and evaluating public health interventions. In the
intervention of outreach, the nurse locates populations at risk, provides information,
identifies possible actions, and identifies access to services. In the intervention of
screening, the nurse identifies individuals with unrecognized risk factors or
asymptomatic conditions.
Page 5
