Public Health Nursing Practice 4th Edition-Test Bank

Assessment Materials for Public Health Nursing Practice 4th Edition

Chapter 01: Caring Responsibilities in Community/Public Health Nursing
Test Bank
MULTIPLE CHOICE
1. An individual who best exemplifies what a community/public health nurse is, would:

A. Utilize principles and expertise from nursing and public health fields.
B. Provide assistance to households within the vicinity.
C. Possess a bachelor’s degree and prior exposure to community health.
D. Operate outside an establishment like a hospital or healthcare facility.

ANS: A
Community/public health practitioners amalgamate their nursing knowledge with insights from public health.
Cognitive Level: Knowledge

REF: Text page 3

2. Amid attempts to differentiate between community health nursing and public health nursing, the most evident contrast lies in the fact that the community health nurse:

A. Offers care in community settings regardless of personal training, while public health nurses necessitate specific educational preparation.
B. Is a historical title compared to the contemporary role of public health nursing.
C. Engages in providing care to families and groups, unlike public health nurses, who function in public health departments.
D. Encompasses public health nursing, school nursing, home health nursing, etc., within its realm.

ANS: A
Public health nurses meld their nursing proficiency with knowledge from public health, whereas nurses with diverse educational backgrounds may be stationed in community settings, marking a more inclusive categorization.
Cognitive Level: Knowledge

REF: Text page 3

3. Which among the following practices is the distinctive function of community/public health nurses?

A. Tending to the ill and dying
B. Committing to supporting clients
C. Emphasizing the client’s role as part of the surrounding community
D. Offering comprehensive care to clients alongside their families

ANS: C
The above tasks can be undertaken by all nurses except for the emphasis on the community environment.
Cognitive Level: Knowledge

REF: Text page 4

4. What are the advantages of contemplating our aspirations for community health? Choose all applicable responses.

A. Facilitates exploration of previously unconsidered possibilities.
B. Encourages collaboration on specific projects.
C. Provokes contemplation on health issues and the power of nurses.
D. Coerces involvement from others to fulfill the nurse’s aspirations.
E. Deters focus from issues prioritized by other disciplines.
F. Sharing such beliefs can serve as a motivation and energizer for all parties if others consent.

ANS: A, B, F
Sharing visions or aspirations empowers and reminds us of our purpose. It also invites participation and highlights new prospects. Expressing visions provides an avenue for collaboration, not only on a broad scale but also on specific projects. Nurses don’t enforce their ideas and often collaborate with other professions on health matters.
Cognitive Level: Knowledge

REF: Text page 5

5. How should the community/public health nurse navigate between individual privacy/autonomy and the community’s requisites for safety/security?

A. Prioritize adherence to agency protocols.
B. Implement the recognized codes of nursing ethics.
C. Comply with all legal obligations.
D. Uphold the community’s needs over individual wants.
E. Strive to strike a balance between individual and communal needs.

ANS: E
While aligning with agency policies, legal mandates, and professional standards, nurses must seek equilibrium between individual autonomy and communal requirements, preserving a precarious equilibrium.
Cognitive Level: Knowledge

REF: Text page 6

6. What is a critical factor for the recipient to accept care while caring for a family or community?

A. According to the instructional manual or textbook
B. Adherence to agency guidelines
C. Abiding by legal statutes and regulations
D. Culturally fitting
E. Selecting the most cost-effective option when choices are equivalent

ANS: D
While the above must all be ensured, for care to be accepted, it must align with the cultural norms and expectations of the recipients.
Cognitive Level: Application

REF: Text page 7

7. Concerning community health, what does the term aggregate signify?

A. A collection of individuals dwelling in a specific geographical area
B. All residents of a particular community
C. A cluster of people sharing common attributes
D. “The public” in professional terminology

ANS: C
An aggregate refers to a group of individuals who share one or more common traits, especially a set of individuals under statistical scrutiny with shared personal or environmental characteristics. Aggregate serves as a synonym for population.
Cognitive Level: Knowledge

REF: Text page 10

8. In scenarios where resources are inadequate to cater to every care need, what ethical choice is suggested for community/public health nurses?

A. Seek guidance from the agency supervisor on addressing the predicament.
B. Concentrate on providing fundamental services like community-wide immunization.
C. Offer care to those capable of affording the expense.
D. Adhere to the agency’s policies regardless of their nature.
E. Prioritize individuals and families with insurance for their care expenses.

ANS: B
Channeling focus on fundamental services like immunization or prenatal care is essential to maximize benefits for the greater community, considering the constraints.
Cognitive Level: Application

REF: Text page 12

9. When confronted with an ethical dilemma stemming from limited resources and boundless needs, which course of action advocates for fairness?

A. Allocate care to patients matching the nurse’s competencies the most.
B. Offer care to clients based on the order of request.
C. Strive diligently without fretting over the imbalance.
D. Rely on personal clinical acumen and preferences.
E. Aim for an outcome benefiting the maximum number effectively.

ANS: E
While option B embodies egalitarian justice, it’s a short-term solution. Option E reflects a utilitarian justice lens, proving more effective in large-scale scenarios typical for community/public health nurses.
Cognitive Level: Synthesis

REF: Text page 13

10. Which document encompasses a depiction of competent and suitable nursing care in communities?

A. Community Health: Standards of Nursing
B. Healthy People 2010
C. The Joint Commission: The Comprehensive Accreditation Manual
D. Public Health Nursing: Scope and Standards of Practice

ANS: D
The publication Public Health Nursing: Scope and Standards of Practice (2007) aids nurses in promoting public health in tandem with the nursing process steps. There’s no entity as “Community Health: Standards of Nursing.”
Cognitive Level: Knowledge

REF: Text page 13

11. How do community/public health nurses offer indirect care to clients at homes, clinics, senior centers, schools, prisons, and homeless shelters?

A. Through employment at outpatient clinics
B. By providing anticipatory guidance and health advocacy
C. Via mobile van services to residents in their neighborhoods
D. Engaging in political initiatives for new client services

ANS: D
Nurses render direct care as listed but also serve indirectly by advocating for health and well-being through novel resource creation, environmental enhancements, or leveraging societal and political systems to address issues.
Cognitive Level: Application

REF: Text page 14

12. Both a hospital-based acute care nurse and a community/public health nurse may render care to a recently discharged patient at their residence. How might the community/public health nurse’s approach differ from the acute care nurse’s?

A. The community/public health nurse might evaluate the health conditions of all family members.
B. The community/public health nurse emphasizes impartiality concerning the family’s living conditions.
C. The community/public health nurse elucidates the rationale behind every nursing intervention.
D. The community/public health nurse aids the family in comprehending the treatment rationale.

ANS: A
While both nurses deliver exemplary care to the individual patient, the acute care nurse tailors interventions to the patient’s needs. Conversely, the community/public health nurse seeks out other family members who may require interventions or referrals. The latter’s care model is family-centered, considering not just the identified client’s health but the entire family’s well-being.
Cognitive Level: Application

REF: Text pages 14, 15

13. When a community/public health nurse cannot address a client’s need, what is the most suitable response?

A. Prompt the patient to hire assistance for meeting the need.
B. Highlight that the insurance won’t cover that specific care.
C. Refer the patient to a body or individual that could offer assistance.
D. Recommend discussing the need with a physician.

ANS: C
Referral or guiding someone to alternative sources of aid is the appropriate course when the nurse is unable to meet the demand.
Cognitive Level: Application

REF: Text page 16

14. What should a nurse do upon realizing that another agency is essential to meet a family’s health requirements effectively?

A. Coordinate care setup for the family via the other agency.
B. Provide the family with data to initiate contact with the alternative agency.
C. Relay the necessity to the community/public health nurse’s overseer for action.
D. Correspond with the relevant agency urging them to engage with the family.

ANS: B
Nurses typically encourage clients to initiate the process to foster self-reliance without instigating dependency. In scenarios with specific challenges like language barriers, nurses empower clients to follow through on referrals.
Cognitive Level: Application

REF: Text page 17

15. A nurse caring for a 17-year-old expecting mother educated her on the conventional labor and birth processes. What is sharing such information before labor termed?

A. Anticipatory guidance
B. Obstetrical care
C. Postpartum care
D. Prenatal care

ANS: A
Dispensing information before an anticipated need arises is aptly labeled anticipatory guidance.
Cognitive Level: Knowledge

REF: Text page 17

In-Depth Analysis Test Banks for Advanced Practice Nursing

Test Bank For Nursing Delegation and Oversight of Patient Care, 2nd Edition by Kathleen Motacki and Kathleen Burke

Test Bank For Essential Geriatric Nursing, 6th Edition by Williams Patricia A