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Community Health Nursing focuses on the principles and practices of delivering health care to individuals, families, and groups within a community setting. The course explores the roles and responsibilities of nurses in promoting, maintaining, and restoring health while emphasizing disease prevention, health education, and holistic care. Students will learn about community assessment, epidemiology, health policy, and culturally competent care, preparing them to address diverse health needs and collaborate with interdisciplinary teams to improve population health outcomes.
Recommended Textbook
Population and Community Health Nursing 6th Edition by Mary Jo Clark
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30 Chapters
459 Verified Questions
459 Flashcards
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Sample Questions
Q1) A group of community members committed to increasing physical activity asks the nurse for help in implementing bicycle lanes on community roads. Which approach would the nurse use that demonstrates social marketing of this community goal?
A) Determine the number of community members who use bicycles for transportation.
B) Conduct a telephone survey of community members asking for their support for a bicycle lane.
C) Approach elected officials and ask if the bicycle lane can be discussed during the next council meeting.
D) Create a display explaining the advantages of a bicycle lane to be posted during the upcoming community health fair.
Answer: D
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Q1) The clinical trainer for a group of population health nurses is planning to present the historical events that shaped and formed the development of population nursing in the United States. Which events should the trainer include? (Select all that apply.)
A) Creation of district nursing.
B) Settlement house movement.
C) Passage of immigration limiting legislation.
D) Standardization of community nursing practice.
E) Passage of legislation specific to community nursing.
Answer: B
Q2) A group of nursing students are researching governmental efforts to address health promotion-focused public health. Which legislation should the students identify as starting this change in providing care?
A) Hill-Burton Act.
B) Child Health Act.
C) Social Security Act.
D) Sheppard-Towner Act.
Answer: D
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Sample Questions
Q1) After collecting information from patients about a health problem the population health nurse is analyzing the information to determine the natural history of the condition. What elements of the natural history should the nurse identify? (Select all that apply.)
A) Signs and symptoms of the health problem.
B) The effects that the health problem has on the body.
C) Length of time the health problem will affect the body.
D) Factors that contribute to the development of the health problem.
E) Outcomes and factors that affect the outcomes of the health problem.
Answer: A,B,D,E
Q2) The population health nurse is concerned that a group of lifeguards who refuse to use sunscreen might develop skin cancer. On what is the nurse focusing this concern? A) Risk.
B) Cases.
C) Mortality.
D) Morbidity.

Answer: A
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Q1) Due to budget cuts, a community has reduced its garbage pickup frequency from twice a week to once a week. Because of this the population health nurse should be concerned about the potential increase in:
A) Making the area look unsightly.
B) Animal pests that could spread disease.
C) The amount of trash generated per household.
D) Spreading weeds from uncollected grass clippings.
Q2) The amount of trash collected in one community is overwhelming local resources to collect and store it. Which is the best approach for the population health nurse to take to help decrease the amount of generated trash?
A) Encouraging use of fewer polluting products.
B) Promoting recycling efforts in the community.
C) Discouraging overuse of materials that generate trash.
D) Educating the community about overbuying household products.
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Q1) A community has had an influx of immigrant workers due to new construction of businesses in the community. The staff of the local public health clinic know the level of their care meets and exceeds standards set and do not see a need to change. Which behavior is this staff displaying?
A) Cultural blindness.
B) Cultural proficiency.
C) Cultural competence.
D) Cultural destructiveness.
Q2) The population health nurse is participating on a committee established to aid a multi-facility health center achieve cultural congruence. Which components should the nurse explain as being needed before the health center achieves this goal? (Select all that apply.)
A) Cultural diversity.
B) Cultural sensitivity.
C) Cultural awareness.
D) Cultural imposition.
E) Cultural competence.
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Sample Questions
Q1) The population health nurse is preparing material for an educational seminar on the differences between Medicare and Medicaid. What should the nurse include in this teaching?
A) Medicare only covers health care services for people over age
B) Medicare does not cover preventive services, but Medicaid provides such coverage.
C) Medicare funding is solely on the federal level and Medicaid has no federal funding.
D) Medicare provides partial coverage for health services when eligible for Social Security benefits and Medicaid provides health services to the indigent.
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Q2) The population health nurse learns that the state of practice received a block grant to address a health problem. Which problem should the nurse advocate to receive this grant?
A) Developing public education programs to address smoking.
B) Developing a research program to address causes of poverty.
C) Increasing coverage for those meeting qualifications for Medicaid coverage.
D) Opening statewide immunization centers to provide childhood immunization coverage.
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Q1) The "Tour for Cure" is an annual bike relay sponsored by the Multiple Sclerosis (MS) Society. Entrants are sponsored for each mile by voluntary donations, which go to the MS Society to fund research activities and provide services to those diagnosed with MS. The Tour highlights awareness and public education of the disease. As a voluntary health agency, which additional functions can the MS Society accomplish? (Select all that apply.)
A) Promote legislation through lobbying.
B) Health planning and organization.
C) Ensure sufficient health professionals to care for those with MS.
D) Enforce laws and regulations that help to diagnose and treat those with MS.
E) Hire individuals with chronic diseases to assist with fund-raising efforts.
Q2) The client is being treated for chronic headache pain in a local clinic. In addition to the medical care the client is receiving, the client also visits an acupuncture clinic and states that both therapies help the headache pain. This type of health care subsystem the client is employing is:
A) Complementary.
B) Personal.
C) Popular.
D) Alternative.
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Q1) Identify three elements of a global health policy agenda. (Select all that apply.)
A) Sufficient financial aid to improve health and health infrastructure.
B) Coordinate aid to match programs with needs.
C) Create partnerships between government agencies, the private sector, and academia.
D) Represent health interests in other policy-making sectors.
E) Use communication technology to provide information.
Q2) As part of the NAFTA trade agreement, sister cities in Mexico and the United States have had cultural exchanges to learn and share health practices and treatments. This could best be described as an effort of:
A) Global health concerns.
B) International health.
C) Bilateral assistance.
D) Border protection.
Q3) A global health policy agenda should include which essential element?
A) Primary health care for all.
B) Eliminating all debt for developing countries.
C) Creating a centralized agency for health policy with all nations.
D) Supporting participation by the disadvantaged in health policy development.
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Q1) Compromise, negotiation, networking, and coalition building are essential activities in policy development while:
A) Implementing the program as a result of the developed policy.
B) Evaluating how well the policy has been implemented.
C) Formulating the goals and programs to result from the policy.
D) Setting the agenda to define the problem to be addressed by the policy.
Q2) The population health nurse is preparing information to share during a state judicial hearing to support the statewide implementation of pedestrian crosswalk signs. Which secondary data should the nurse include for this presentation? (Select all that apply.)
A) Number of pedestrian accidents over the last 3 months.
B) Number of accidents involving motor vehicles to avoid bicyclists.
C) Number of schools in the state located on busy commercial highways.
D) Number of tickets for jaywalking issued to pedestrians over the last 3 months.
E) Results of a state survey asking residents if pedestrian crosswalk signs should be installed.
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Q1) The population nurse is completing a community assessment. In which way should the nurse use this information that supports the second general purpose of this assessment?
A) Information for change.
B) Stimulus for change.
C) Data needed for the change.
D) Information for empowerment.
Q2) A community group is meeting to discuss the most critical issues related to the community's health care delivery system. The nurse in charge of the meeting is encouraging all group members to participate and is trying to provide positive reinforcement for all group contributions. The nurse is most likely trying to:
A) Establish a climate in which group members feel respected.
B) Manipulate the discussion so that all must participate.
C) Resolve conflict before it can occur.
D) Encourage more discussion.
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Q1) The population nurse is determining the level of health literacy for a group of community members. Which definition should the nurse use when assessing health literacy?
A) Members' ability to use the information and services to enhance health.
B) Members' ability to read and explain the health information.
C) Members' ability to read, write, and interpret the health information.
D) Members' ability to understand and act on health instructions.
Q2) The nurse is using the premise that attitudes to a health-related behavior reflect a person's attitudes to the expected consequences of the behavior. The nurse is using the:
A) Theory of Reasoned Action model.
B) Pender Health Promotion model.
C) Precaution Adoption Process model.
D) Health Belief model.
Q3) The nurse is designing a health education program for the community. What action should the nurse take first?
A) Prioritize learning needs.
B) Write specific outcomes.
C) Assess the community.
D) Select teaching strategies.

Page 13
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Q1) The local health department has been criticized for not providing effective communicable disease control programs. What ethical problem should the population health nurse identify that the health department is committing?
A) Negligence at the population level.
B) Breach of contract at the population level.
C) Abandonment at the individual level.
D) Variance of care at the individual level.
Q2) The population health nurse case manager is determining a client's need for case management. Which indicators should the nurse identify as being social? (Select all that apply.)
A) History of drug abuse.
B) Homelessness.
C) Lack of insurance.
D) History of family violence.
E) Single parenthood.
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Q1) The population health nurse visits a new mother and infant at home. During the visit, the nurse and mother discuss how the postpartal course is going and how the infant is doing with feeding and sleeping. The nurse provides information and answers any questions the mother may have and performs teaching as needed. In what role is the nurse functioning?
A) Case finding and referral.
B) Care of the sick.
C) Health promotion and illness prevention.
D) Home health nursing.
Q2) The community has a large number of immigrants. The nurse organizes a home visiting program to this community area to address family health concerns and provide health information. This is considered:
A) Care of the sick.
B) Case finding and referral.
C) Health promotion and illness prevention.
D) Health protection.
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Q1) The nurse is completing an assessment on a 5-year-old child. One of the questions the nurse asks the mother is how many people live together in the house. The mother states that the father, two aunts, one uncle, three children, a nd she live together in the house. On the basis of the mother's answer, how should the nurse describe this family type?
A) Nuclear.
B) Extended.
C) Stepfamily.
D) Blended.
Q2) The nurse has drawn an ecomap to assist the family who is experiencing some relationship difficulties. What purpose does the ecomap serve to this family? The ecomap:
A) Diagrams the family tree.
B) Demonstrates how healthy the family is.
C) Prioritizes family relationships.
D) Depicts the relationships within and outside the family.
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Q1) During a discussion about factors affecting the health of population groups the nurse discusses the shorter life spans of Native Americans as compared to the rest of the population. Which determinant is the nurse explaining?
A) Sociocultural determinant.
B) Behavioral determinant.
C) Biological determinant.
D) Health system determinant.
Q2) Twelve new cases of the measles have been diagnosed last week in a particular county. In that same county, 20 children are currently under treatment for the measles. What should the population nurse identify as being the incidence rate of the measles infection?
A) 8.
B) 12.
C) 20.
D) Unknown.
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Q1) There are three aspects to restoring health and managing long-term conditions with children and adolescents with a chronic illness of disability. Two of the aspects include preventing recurrence of problems and preventing further consequences. What is the third aspect that the population nurse needs to address?
A) Promoting adjustment.
B) Referring for other medical opinions.
C) Providing palliative care.
D) Diagnosing secondary problems.
Q2) The nurse is teaching a class to recent nursing graduates who have decided to work in the area of pediatrics. The nurse explains that the most common cause of delayed motor development in this population is:
A) Lead poisoning.
B) Physical abuse.
C) Cerebral palsy.
D) Alcohol use during the third trimester.
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Q1) The population health nurse is working with a community who is devoting a month to men's health. Which information should be included on marketing material for this event?
A) Men have lower rates of sexually transmitted diseases as compared to women.
B) Men are less likely to die from cancer as are women.
C) Men develop heart disease earlier and die more frequently than do women.
D) Worldwide, the most frequent cause of death in young and middle adult men is prostate cancer.
Q2) The population health nurse is concerned that a male community member is at risk for recidivism for heroin use. What did the nurse observe to cause this concern?
A) Enrolling in college classes.
B) Spending time with family members.
C) Going out with friends who use heroin.
D) Attends substance abuse meetings every other day.
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Q1) A female client experiencing manifestations of menopause asks for nonpharmacological ways to help manage the symptoms. What should the population health nurse suggest to this client? (Select all that apply.)
A) Yoga.
B) Tai chi.
C) Qi gong.
D) Acupuncture.
E) Artificial hormones.
Q2) The population health nurse is identifying health restoration interventions for a female client with multiple sclerosis. Which intervention would be the most appropriate for this client?
A) Discuss methods to reduce unwanted pregnancy.
B) Analyze ways to address self-concept and eating disorders.
C) Provide names of companies who install chair lifts in the home.
D) Examine options to reduce the risk of sexually transmitted infections.
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Q1) The population health nurse is advocating for a screening service for older adults. Which type of activity is the nurse supporting for this population?
A) Health promotion.
B) Illness and injury prevention.
C) Problem resolution.
D) Health restoration.
Q2) The nurse is comparing and contrasting examples from the psychological and sociological theories. Which should the nurse identify as a psychological theory?
A) Error theory.
B) Mutually exclusive theory.
C) Jung's theory.
D) Disengagement theory.
Q3) The intervention that would be most appropriate for the client with functional incontinence would be to encourage the client:
A) To empty the bladder every two hours while awake.
B) Not to drink any liquids after 5:00 p.m. each evening.
C) To call for assistance when the urge to urinate is felt.
D) To wear an adult-type diaper during the daytime hours.
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Q1) A client who is awaiting FTM gender assignment surgery is scheduled for a routine health examination at the community clinic. What screenings should the client receive? (Select all that apply.)
A) Pap smear.
B) Mammogram.
C) Throat culture.
D) Prostate exam.
E) Tuberculosis test.
Q2) The nurse is working with a group of lesbian, bisexual, and transgender women. What statements should the nurse be most concerned about regarding psychological considerations in working this group of clients? (Select all that apply.)
A) "I do not live my life openly, but I never fear someone will find out I am a lesbian."
B) "I constantly monitor everything I say and do for fear my mother will find out I am a lesbian."
C) "I constantly feel negative feelings about my sexual preference."
D) "I am coming out and sometimes I have contradictory feelings of excitement and relief."
E) "The excitement of coming out is overwhelming."
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Q1) The population health nurse is implementing approaches to homelessness. Which step should the nurse take first when addressing homelessness in a community?
A) Assess and diagnose community factors that lead to homelessness.
B) Diagnose and implement community programs that address homelessness.
C) Implement and evaluate community programs that address homelessness.
D) Assess and evaluate community factors that lead to homelessness.
Q2) There is a low unemployment rate in a community that has experienced a large growth in gentrification. Yet, many community residents live in motels and campgrounds because there is a lack of affordable housing for lower-income residents. The population health nurse realizes that these residents could be considered:
A) To be very close to poverty.
B) To have problems with substance abuse.
C) Homeless due to their transitory lodgings.
D) An easily mobile workforce.
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Q1) The nurse performs vision and hearing screening at the school to identify students who may need referrals for further testing. A responsibility of the nurse in screening is to:
A) Monitor that students who need glasses wear them.
B) Send letters home to parents reminding the students to wear the glasses.
C) Follow up on referrals made to determine outcomes for those students with vision or hearing problems.
D) Ask the teachers if they are aware of any other problems with students in the classroom.
Q2) The nurse works in a school that is designated for students with special needs in the district. An important consideration specific to this population is to ensure that these students:
A) Receive an annual flu immunization.
B) Are able to have sufficient time at lunch to eat.
C) Have physical education activities like all students.
D) Have personal care attendants.
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Q1) A local company has set a standard within the community by establishing a child care facility on its premises, which enrolls children from six weeks of age to school age. The facility has a sick care area where children with noninfectious illnesses can come to so their parents do not have to call in sick. The company is considering establishing an adult day care center in addition to its child care facilities. What could be a reason for this company's innovations?
A) The company wants to be recognized for its family-friendly policies.
B) The company wants to be a family-friendly employer.
C) The company is aware of the correlation between family influences on employee performance and that addressing these concerns helps both the employee and company.
D) The company realizes that it is important to have healthy children and healthy older adults in society.
Q2) The occupational health nurse is determining an employee's fitness to return to work. What should be the focus of this assessment?
A) Modify the work environment to promote a return to work.
B) Advocate for environmental modifications to prevent recurrent problems.
C) Modify the work environment to accommodate limitations due to disability.
D) Monitor treatment effects and disease status.
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Q1) The correctional nurse is meeting with county officials to review health promotion activities planned for a 150 person facility. Which activities should the nurse emphasize as being important for this population? (Select all that apply.)
A) Ensuring adequate nutrition.
B) Promoting stress reduction.
C) Educating on self-care actions.
D) Monitoring treatment compliance.
E) Planning for adequate rest and exercise.
Q2) Inmates who are admitted to a long-term correctional facility should be:
A) Tested for hepatitis B.
B) Screened for mental health problems.
C) Assessed for HIV symptomatology.
D) Screened and tested for tuberculosis (TB).
Q3) As an inmate population ages, a consideration must be made for long-term care planning. One intervention for long-term care would be to:
A) Arrange for Medicare coverage for the inmate.
B) Have the inmate plan advance directives.
C) Provide symptom control.
D) Arrange for use of assistive devices as needed.
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Q1) The population health nurse is preparing a presentation on the roles of the public health care system in preparing for a disaster. The best example of one of these roles would be to:
A) Inspect shelters.
B) Identify disaster risks.
C) Assist in the prevention of injury.
D) Coordinate the provision of emergency health care.
Q2) The nurse is working in a clinic that provides counseling for victims of a recent flood. Which type of care is the nurse providing?
A) Health promotion.
B) Illness prevention.
C) Health restoration.
D) Mental health care.
Q3) A family learns that there is a strong potential for a severe storm but does not go to the storm cellar. In which stage of a disaster is this family functioning?
A) Nondisaster stage.
B) Predisaster stage.
C) Impact stage.
D) Emergency stage.
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Q1) The population health nurse is reviewing reporting requirements for communicable diseases. In which class should the nurse place the reporting of the common cold?
A) Extremely urgent.
B) Urgent.
C) To be reported in the next cycle.
D) Not to be reported.
Q2) The population health nurse is preparing information to present during a community health fair. What should the nurse include to reduce the susceptibility to communicable diseases in this population? (Select all that apply.)
A) Maintain an adequate diet.
B) Get plenty of rest and sleep.
C) Be sure to exercise every day.
D) Learn strategies to reduce stress.
E) Isolate family members who are ill.
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Q1) The population health nurse is preparing a presentation about pediatric health care. Since most people believe that chronic health problems occur primarily among the elderly, the nurse should include which information in the presentation?
A) In the United States, 8% of children experience some form of disability related to a variety of chronic conditions.
B) Disabilities are rarely seen in the pediatric population.
C) Diabetes is more common in the pediatric population than in the adult population.
D) Young children are the only high-risk age group for epilepsy.
Q2) The population health nurse is discussing the effects of obesity with a group of adolescents. Information the nurse should share with the group includes: (Select all that apply.)
A) Obesity may exacerbate the effects of arthritis.
B) Obesity can contribute to heart disease.
C) Obesity is associated with increased disability among people with chronic illnesses.
D) Obesity is decreasing among the younger population.
E) Obesity decreases with age.
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Q1) A client is taking second-generation antipsychotic medications for schizophrenia. The most appropriate teaching topic for this client is:
A) Diet and physical activity.
B) The need for regular blood work.
C) The probability of hair loss.
D) The need to take the medications on an empty stomach.
Q2) A student is teaching a class on the impact of mental health on the community. The student should include which of the following information in the presentation?
A) An estimated 25% of the population of the United States will experience a diagnosable mental illness in any given year.
B) The incidence of depression is expected to decrease within the next ten years.
C) Mental illness is an increasing problem only in the more populated areas of the world.
D) Post-traumatic stress disorder is the most common of the anxiety disorders.
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Q1) The nurse manager of a community health clinic is designing a process to implement brief interventions when assisting a client to resolve a substance abuse issue. Which components should the nurse include in this process? (Select all that apply.)
A) Provide feedback.
B) Providing options to reduce use.
C) Importance of client responsibility.
D) Use an authoritative counseling style.
E) Focus on self-efficacy when setting goals.
Q2) The population health nurse is working in a methadone clinic. What type of intervention does this best describe?
A) Health promotion.
B) Health restoration.
C) Illness prevention.
D) Pharmacological intervention therapy.
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Q1) What should a population health approach to provide treatment for violent persons include?
A) Advocate for availability of treatment services and facilities.
B) Referral for necessary services.
C) Educate the public about factors that contribute to the risk of violence.
D) Remove victims of abuse to safe environments as needed.
Q2) The community is conducting a series of panel discussions about suicide. Information that should be discussed includes:
A) Ten million Americans attempt suicide at some point in their life.
B) Suicide is the tenth leading cause of death in the United States.
C) Suicide ideation is a rare occurrence in Americans
D) Suicide is the top cause of death worldwide.
Q3) What should the population health nurse recommend to prevent suicide clusters and copycat murders in a community?
A) Assist family members who are affected work through feelings of guilt and grief.
B) Advocate for services to address victims and perpetrators of violence.
C) Assist in developing community response plans to these events.
D) Reduce the sources that contribute to suicide or homicide.
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