Origin: Chapter 1- Public Health Nursing, 1
Community and Public Health Nursing 3rd Edition DeMarco Walsh Test Bank
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.
Origin: Chapter 1- 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 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.
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.
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
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.
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.
Origin: Chapter 1- Public Health Nursing, 6
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.
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.
Origin: Chapter 1- Public Health Nursing, 8
8. Which was a duty performed by district nurses in Liverpool, England, in 1865?
A) Use epidemiologic knowledge and methods
B) Encourage community organization
