Community & Public Health Nursing Questions And
Rationale Comprehensive 2026 Questions Exam Latest
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The nurse is monitoring illness trends in the community and notes there were
60 cases of varicella during the seconds week of september. All cases
resolved without complications. What term represents this information?
A.)Mortality
B.)Morbidity
C.)Attack rate
D.)Recovery trend
B.)Morbidity
When a situation exists in which there is potential contact with blood or body
fluids, health care workers must always perform hand hygiene and wear
gloves, masks, protective clothing, and other indicated personal protective
barriers. The underlying reason for requiring these practices, known as
universal precautions, is that:
A.) Blood and body fluids of all clients need to be handled as if they were
infected
B.) Effective infection control surveillance programs are in place
C.) Health care settings are reservoirs of infection
D.) Health care workers do not effectively use hand hygiene.
A.) Blood and body fluids of all clients need to be handled as if they were infected
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A nurse is presenting information to the county health department about
potential bioterrorism threats. Which of these agents would the nurse discuss
in this presentation?
A.) Smallpox
B.) West nile virus
C.) Severe acute respiratory syndrome (SARS)
D.) Novel influenza A H1N1
A.) Smallpox
An american takes a long-awaited vacation in sunny Mexico, spending days on
the beach eating fresh raspberries from a nearby vendor and drinking bottled
water. The tourist may be altering:
A.)Agent-host-environment interaction
B.) Cicadian rhythms
C.) Herd immunity
D.) Host resistance
A.)Agent-host-environment interaction
A mother and her four year old child were recently infected with E.Coli
infections. What are the possible types of transmission to consider? Select all
that apply
A.) Vertical
B.) Horizontal - direct
C.) Vectors
D.) Horizontal - common vehicle
E.) Airborne
B.) Horizontal - direct
D.) Horizontal - common vehicle
Which of the following agents of bioterrorism is manifested in 3 ways?
A.) Plague
B.) Smallpox
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C.) Anthrax
D.) Tularemia
C.) Anthrax
A nurse is working in a health department when a patient arrives who has been
traveling to South America and has been diagnosed with malaria. The nurse
knows:
A.) The morbidity and mortality weekly report should be consulted to
investigate the rate of malaria in the US
B.) This is a disease that must be reported to the state health department
C.) The nurse should take precautions to wear a mask and gown to avoid
exposure
D.) The patient is very ill and should be sent to the hospital immediately
B.) This is a disease that must be reported to the state health department
1. In 1988, the Institute of Medicine (IOM) published a report on the future of
public health and its mission that defined public health as:
a. what public-private partnerships do to treat vulnerable populations.
b. what the government does to ensure that vital programs are in place.
c. what the U.S. Public Health Service does to prevent disease, promote health,
and deliver services.
d. what society does collectively to ensure the conditions in which people can
be healthy.
ANS: D
In 1988, the IOM's report stated that public health is "what we, as a society, do
collectively to assure the conditions in which people can be healthy." Consequently,
the mission of public health is "to generate organized community effort to address
the public's interest in health by applying scientific and technical knowledge to
prevent disease and promote health." This clearly places the emphasis on the desire
of the population and community to ensure access to services that foster the health
status of the overall community through the equitable distribution of resources
addressed to community problems that affect health.
2. A registered nurse is seeking a position as a public health nurse. In
reviewing the job description, the nurse would expect to find a description of a
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position that focused on functions such as:
a. monitoring pregnant teenagers for symptoms of complications of
pregnancy.
b. offering free hypertension screening and treatment referral at local health
fairs to low-income, uninsured, community members.
c. partnering with local seasonal farmworkers to design a program aimed at
preventing illness and injury, and advocating for this population with local
political and community leaders.
d. preventing injury among a population of elderly residents in an assisted
living facility and treating residents' chronic illnesses.
ANS: C
The scope of practice of public health nurses is population focused and community
oriented, with a primary emphasis on population-level interventions that target
strategies for health promotion and disease prevention. In addition, public health
nursing is concerned with the health of all members of a population or community,
particularly vulnerable populations, and uses political processes as a major
intervention strategy.
3. A public health nurse leader is encountering barriers when trying to shift the
public health agency's efforts to a population-focused practice. The reasons
peers are not supportive of the proposed shift to a population focus are most
likely related to:
a. agency colleagues' push for nurses to focus on population initiatives.
b. costs associated with staff training and revision of documents.
c. lack of support from the agency's funding sources.
d. opinions that nursing should focus on the provision of direct client care and
services.
ANS: D
Barriers to implementing population-focused care include lack of understanding of
the public health nurse role and its relationship to other roles in nursing, such as
direct care and services; workplace role socialization that determines what roles are
appropriate and inappropriate or accessible and inaccessible for nurses; and lack of
comprehensive training at the graduate level in the disciplines basic to public health