10TH EDITION BY CHERIE RECTOR AND
MARY JO STANLEY TEST BANK CHAPTER 1-
30 UPDATED 2026 GRADED A+
,Table of Contents
Chapter 1: The Journey Begins: Introduction
Chapter 2: Public Health Nursing in the Community
Chapter 3: History and Evolution of Public Health Nursing
Chapter 4: Evidence-Based Practice and Ethics in Community/Public Health
Chapter 5: Transcultural Nursing
Chapter 6: Structure and Economics of Community/Public Health Services
Chapter 7: Epidemiology in the Community
Chapter 8: Communicable Disease
Chapter 9: Environmental Health & Safety
Chapter 10: Communication, Collaboration, and Technology
Chapter 11: Health Promotion Through Education
Chapter 12: Planning, Implementing, and Evaluating Community/Public Health Programs
Chapter 13: Policy Making and Advocacy
Chapter 14: Family as Client
Chapter 15: Community as Client
Chapter 16: Global Health Nursing
Chapter 17: Disasters and Their Impact
Chapter 18: Violence & Abuse
Chapter 19: Maternal-Child Health
Chapter 20: School-Age Children and Adolescents
Chapter 21: Adult Health
Chapter 22: Older Adults
Chapter 23: Working with Vulnerable Populations
Chapter 24: Clients with Disabilities
Chapter 25: Behavioral Health in the Community
Chapter 26: Homeless Populations
Chapter 27: Rural, Migrant, and Urban Health Care
Chapter 28: Public Settings
Chapter 29: Private Settings
Chapter 30: Home Health and Hospice Care
,CHAPTER 1: The Journey Begins: Introduction
This chapter introduces community and public health nursing as a population-focused
practice emphasizing health promotion, disease prevention, social justice, and health equity.
Key concepts include determinants of health, levels of prevention, community assessment,
and professional nursing roles. Nurses apply clinical judgment, collaboration, ethics, and
evidence-based strategies to improve health outcomes for individuals, families, and
communities across diverse settings, as outlined in Community and Public Health Nursing.
1. Which statement best describes community and public health nursing?
A. Care focused primarily on acute illness in hospitals
B. Nursing care directed at populations to promote and protect health
C. A specialty limited to home care services
D. Practice focused only on individual clients
Correct Answer: B
Rationale: Community and public health nursing emphasizes population-level health
promotion and disease prevention rather than individual, acute care alone.
2. A public health nurse planning an immunization clinic is practicing which level of
prevention?
A. Primary
B. Secondary
C. Tertiary
D. Restorative
Correct Answer: A
Rationale: Immunizations prevent disease before it occurs, which defines primary
prevention; other levels address early detection or rehabilitation.
3. Which factor most strongly influences community health outcomes?
A. Genetic makeup
B. Access to tertiary hospitals
C. Social determinants of health
D. Advanced medical technology
Correct Answer: C
Rationale: Social determinants such as income, education, and environment
significantly shape population health more than medical care alone.
4. A nurse assesses rising asthma rates near an industrial area. This reflects which public
health focus?
A. Individual pathology
B. Environmental health
C. Case management
D. Acute care response
Correct Answer: B
Rationale: Environmental health examines how physical surroundings affect
population health, including pollution-related conditions.
5. Which role is unique to community and public health nursing?
A. Medication administration
B. Population assessment
C. Bedside monitoring
D. Surgical assistance
, Correct Answer: B
Rationale: Population assessment focuses on community-wide data to guide
interventions, distinguishing public health from bedside nursing.
6. A nurse advocates for safer housing policies. This action demonstrates which core
principle?
A. Clinical competence
B. Health equity
C. Cost containment
D. Acute intervention
Correct Answer: B
Rationale: Advocacy for safer living conditions promotes fairness and justice in
health outcomes, central to health equity.
7. Which activity best represents secondary prevention?
A. Smoking cessation classes
B. Blood pressure screening at a health fair
C. Rehabilitation after stroke
D. Flu vaccination campaign
Correct Answer: B
Rationale: Screening detects disease early, aligning with secondary prevention rather
than prevention or rehabilitation.
8. A community nurse collects data on injury rates, resources, and demographics. This
process is called:
A. Case finding
B. Community assessment
C. Program evaluation
D. Surveillance
Correct Answer: B
Rationale: Community assessment systematically gathers data to identify needs and
guide public health planning.
9. Which ethical principle guides fair distribution of community health resources?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Correct Answer: C
Rationale: Justice focuses on fairness and equitable allocation of resources across
populations.
10. A nurse prioritizes interventions for a homeless population with high tuberculosis
rates. What is the nurse’s primary focus?
A. Individual compliance
B. Population risk reduction
C. Hospital admission
D. Specialty referral
Correct Answer: B
Rationale: Public health nursing targets reducing risk and disease burden at the
population level.
11. Which statement reflects the core mission of public health?
A. Treat illness after diagnosis
B. Protect and promote population health
C. Provide specialized tertiary care