Public Health Nursing
Chapter Exam Questions
Course Introduction
Public Health Nursing focuses on the promotion and protection of health within communities and populations. This course explores the roles and responsibilities of public health nurses in identifying health needs, preventing disease, and improving access to healthcare through education and policy advocacy. It covers topics such as epidemiology, environmental health, community assessment, cultural competence, and strategies for addressing health disparities. Students will learn to develop and implement interventions that address public health challenges, collaborate with multidisciplinary teams, and evaluate the effectiveness of public health programs to promote wellness across diverse populations.
Recommended Textbook Health Promotion Throughout the Life Span 8th Edition by Edelman
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Page 2
Chapter 1: Health Defined: Objectives for Promotion and Prevention
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Sample Questions
Q1) In reviewing a person's medical claims, a nurse realizes that the individual with moderate persistent asthma has had several emergency department visits and is not on inhaled steroids as recommended by the NHLBI asthma management guidelines. The nurse discusses this with the person's primary care provider. In this scenario, the nurse is acting as a(n):
A) advocate.
B) care manager.
C) consultant.
D) educator.
Answer: B
Q2) A state of physical, mental, spiritual, and social functioning that realizes a person's potential and is experienced within a developmental context is known as: A) growth and development.
B) health.
C) functioning.
D) high-level wellness.
Answer: B
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Chapter 2: Emerging Populations and Health
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Q1) Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide?
A) American Indian/Alaska Native Americans
B) Asian Americans
C) Latino/Hispanic Americans
D) Black/African Americans
Answer: A
Q2) Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?
A) Asian American
B) Arab American
C) Hispanic American
D) Native American
Answer: C
Q3) What is the main focus of the National Institutes of Health (NIH)?
A) Addressing and reducing health disparities
B) Outlining nationwide health promotion and disease prevention
C) Protecting minority populations through development of health policies
D) Supporting communities in addressing health disparities
Answer: A
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Chapter 3: Health Policy and the Delivery System
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Q1) The person known as the father of British and American public health is:
A) Lillian Wald.
B) Edwin Chadwick.
C) Lemuel Shattuck.
D) Paul Ehrlich.
Answer: B
Q2) Which nurse is functioning as a care manager?
A) Nurse working with a family to coordinate care after their child experiences a second hospitalization for an asthma exacerbation
B) Nurse providing asthma education in the office setting to a child with moderate, persistent asthma
C) Nurse administering the appropriate antiinflammatory medication to a child admitted to the hospital with an asthma exacerbation
D) Nurse making a home visit for a respiratory assessment to a child following an admission for an asthma exacerbation
Answer: A
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Chapter 4: The Therapeutic Relationship
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Q1) Which of the following is the first step in the valuing process?
A) Acting out the choice
B) Selecting from alternatives
C) Being happy with personal beliefs and actions
D) Choosing freely
Q2) Which of the following is an essential question that nurses should encourage individuals to ask at every health visit? (select all that apply)
A) "What is my main problem?"
B) "What health information do I not understand?"
C) "What do I need to do?"
D) "What is the plan for the next visit?"
Q3) A nurse is counseling someone who has recently been diagnosed with diabetes. The nurse says, "Tell me more about how this diagnosis has affected your daily activities." Which of the following best describes the type of communication the nurse is using?
A) Verbal communication
B) Nonverbal communication
C) Metacommunication
D) Functional communication
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Chapter 5: Ethical Issues Related to Health Promotion
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Q1) A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?
A) Descriptive value theory
B) Normative theory
C) Consequentialism theory
D) Duty-based theory
Q2) A client is scheduled to have open-heart surgery. His physical condition is such that he is at high risk to experience complications during the procedure, but he has not been advised of this possibility. Which of the following ethical concepts has been ignored in rendering care for this client?
A) Beneficence
B) Autonomy
C) Justice
D) Informed consent
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Chapter 6: Health Promotion and the Individual
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Q1) Over the last week, a person has had finger stick glucose levels of 127, 132, 140, 138, 143, 145, and 140. This information allows the nurse to characterize the person's function pattern by utilizing which area of focus?
A) Age-developmental
B) Functional
C) Individual-environmental
D) Pattern
Q2) A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional-metabolic pattern. Which aspect of the nursing process is being performed?
A) Assessment
B) Implementation
C) Planning
D) Evaluation
Q3) Which cultural group defines illness as a price that is being paid for the past or the future?
A) African
B) Native American
C) Arabian
D) Asian
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Page 8
Chapter 7: Health Promotion and the Family
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Q1) Which of the following best describes the nurse's role in health promotion and disease prevention?
A) Educating about home safety measures
B) Identifying areas for family improvement
C) Implementing the nursing process using a systems perspective
D) Acting as a role model for the family
Q2) Which of the following theories is an attempt to explain families as a set of interacting individuals with patterns of living that influence health decisions?
A) Feminist theory
B) Systems theory
C) Developmental theory
D) Resiliency theory
Q3) A nurse is using a genogram to represent a family. Which of the following statements is accurate?
A) A genogram identifies the genetic disorders of the family.
B) A genogram includes information about the past two generations.
C) A genogram can be used to make connections about family health patterns.
D) A genogram begins with a circle in the center of the page.
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Chapter 8: Health Promotion and the Community
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Q1) A community is in the maintenance stage of change. Which of the following would be an appropriate intervention for the community health nurse?
A) Highlight past successes
B) Discuss the benefits of changing
C) Develop strategies to prevent relapse
D) Provide information
Q2) Which functional health pattern provides information about problem-solving and decision-making within communities?
A) Cognitive-perceptual pattern
B) Self-perception-self-concept pattern
C) Coping-stress tolerance pattern
D) Health-perception-health-management pattern
Q3) A nurse is working with a community that is experiencing an alteration in its values-beliefs pattern. Which of the following is most likely to result because of a disturbance in this functional health pattern?
A) Respiratory disorders
B) Hearing loss
C) Coronary artery disease
D) Stress
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Page 10
Chapter 9: Screening
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Sample Questions
Q1) A nurse is creating a hypertension screening program. Which of the following methods would be the best way to design a successful program?
A) Work with stakeholders to conduct a community assessment.
B) Purchase state-of-the-art sphygmomanometers to measure blood pressures.
C) Use the program developed at a previous place of employment.
D) Contact a local church to see if the program can be implemented there.
Q2) A nurse is examining the incidence, prevalence, and mortality rates of colon cancer in the community. Which of the following measures of life is being investigated?
A) Quality adjusted life year (QALY)
B) Quantity of life
C) Disability adjusted life year (DALY)
D) Satisfaction of life
Q3) Which of the following analyses is used to determine the optimal use of resources to reach a predetermined constant end point or the desired health outcome?
A) Cost-benefit ratio analysis
B) Cost-effectiveness analysis
C) Cost-efficiency analysis
D) Cost-disease analysis
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11
Chapter 10: Health Education
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Q1) The primary objective of social marketing is to:
A) plan behavior.
B) analyze behavior.
C) limit behavior.
D) change behavior.
Q2) The goal for the educational session is to have the individual explain when he should check his blood sugar level. Which of the following teaching strategies would be most effective for the nurse to implement?
A) Provide the individual with one-on-one education about blood sugar monitoring.
B) Provide the individual with a scenario about blood sugar monitoring.
C) Provide the individual with the opportunity to practice blood sugar monitoring.
D) Provide the individual with a blood sugar monitor.
Q3) Which of the following illustrates that the objectives of health education and counseling have been met?
A) Asthmatic who has a decrease in emergency department visits
B) Asthmatic who has been prescribed an albuterol inhaler
C) Asthmatic who attends an asthma education program
D) Asthmatic who visits the emergency department with an exacerbation
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Chapter 11: Nutrition Counseling for Health Promotion
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Q1) A nurse is investigating an outbreak of a food-borne illness occurring at a local school. Which of the following would contribute to a chemical contamination resulting in food-borne illness?
A) Unintended allergen added to food
B) Bacteria on the countertops
C) Pesticide on the fresh fruit
D) Metal shavings in the food from a dull can opener
Q2) A community health nurse is using the Dietary Reference Intakes (DRIs) as a guide while developing an education presentation about nutrition for a community group. How will the use of the DRIs be helpful in developing this presentation?
A) It considers the unique differences among children, pregnant women, and elderly people.
B) It contains well-researched data that are reviewed on an annual basis.
C) It is prescriptive in the amount of nutrients that are needed on a daily basis.
D) It serves as an overall guideline for the population.
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Chapter 12: Exercise
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Q1) A woman is going for a 2-hour hike in the Grand Canyon and she asks the nurse how much fluid she should take along with her. Which of the following recommendations should be given by the nurse?
A) Bring at least 24 ounces of water.
B) Bring at least 72 ounces of water.
C) Bring at least 24 ounces of sports drink.
D) Bring at least 72 ounces of sports drink.
Q2) An inborn set of physiological changes that offset those of the fight or flight response is known as:
A) Self-efficacy
B) Catecholamine surge
C) Relaxation response
D) Metabolism
Q3) A nurse is educating a 35-year-old woman about the best exercises to engage in to prevent bone loss. Which of the following exercises would the nurse recommend?
A) Walking
B) Swimming
C) Weight training
D) Bike riding
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Page 14
Chapter 13: Stress Management
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Sample Questions
Q1) The nurse is caring for a person who is obese, sedentary, and has recently been diagnosed with Type 2 diabetes mellitus. Which of the following goals for the person is correctly stated?
A) The person will exercise more often.
B) The person will consume 900 calories a day.
C) The person will walk one-quarter mile a day, 5 days a week.
D) The person will eliminate all refined sugar and processed foods from her diet.
Q2) A nurse is educating a client about the four-step approach to active listening. Which of the following actions should the nurse suggest the client take first?
A) Formulate a nonaggressive response.
B) Mirror the person's feelings.
C) Hear what is being said.
D) Listen to the response.
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Chapter 14: Complementary and Alternative Strategies
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Q1) The nurse is conducting a community health education program concerning alternative/complementary therapies. Which of the following should be included in the presentation?
A) Alternative/complementary therapy is primarily used when conventional medicine has failed to achieve desired results.
B) Alternative/complementary therapy is used in both hospital and outpatient settings.
C) Alternative/complementary therapy was popular in the late 1980s but is rarely used today.
D) Alternative/complementary therapy primarily focuses on herbal remedies for common health deviations.
Q2) A nurse is teaching a person about the technique of breath meditation. Which of the following aspects of this technique should the nurse stress to the person?
A) Hold your breath for short amounts of time in order to regulate your breathing pattern.
B) Focus on calming thoughts that come to mind during the meditation.
C) Practice this technique when sitting or walking.
D) Concentrate on the sensations associated with breathing.
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Chapter 15: Overview of Growth and Development Framework
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Q1) A high school sophomore engages in risky behavior to fit in with his peers. According to Erikson's theory of human development, which of the following developmental conflicts is this student facing?
A) Initiative versus guilt
B) Industry versus inferiority
C) Identity versus role confusion
D) Intimacy versus isolation
Q2) Kohlberg's theory of moral development is based on:
A) Erikson's theory of psychosocial development
B) Piaget's theory of cognitive development
C) Vygotsky's theory of cognitive development
D) Gilligan's theory of moral development
Q3) A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (select all that apply)
A) Have a better understanding of genetics and genomics
B) Can meet the requirements of Healthy People 2010
C) Can provide more effective health education
D) Can deliver anticipatory guidance to families
Page 17
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Chapter 16: The Prenatal Period
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Sample Questions
Q1) During a prenatal visit, pregnant parents ask the nurse what they can do to prepare their 4-year-old child for the birth of the new baby. Which of the following actions would be most appropriate for the nurse to suggest?
A) Discourage any negative comments the child makes about the baby or the pregnancy.
B) Do not make any plans regarding the baby in front of the 4-year-old child.
C) Provide him with very detailed information about the pregnancy and the birth.
D) Ask the 4-year-old boy to help decorate the new baby's room.
Q2) A nurse is discussing the harmful effects that chemical agents can have on an unborn child with a woman who is pregnant. Which of the following statements made by the woman indicates a need for further teaching?
A) "It is safe to eat up to 12 ounces of cooked fish weekly."
B) "I should avoid using caffeine during pregnancy."
C) "Consumption of one drink per day will not cause any harm to my unborn baby."
D) "Use of nicotine during pregnancy may cause my child to be born prematurely."
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Page 18
Chapter 17: Infant
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Q1) The mother of a 3-month-old is concerned because her infant usually falls asleep halfway through his bottle. Because of this, the mother is afraid he will not grow well and get sick. Which of the following would be the most therapeutic response by the nurse?
A) Ask the mother about the infant's feeding schedule.
B) Assure the mother that he is growing fine.
C) Tell the mother that half a bottle is probably enough for him.
D) Tell the mother she should start to add solids to his diet.
Q2) A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?
A) Radiator heating system in the home
B) The child drinking from a cup
C) The child experiencing a temper tantrum
D) A decorative bowl filled with colorful marbles on the coffee table
Q3) Which of the following is the most common poison ingested by infants?
A) Houseplants
B) Lead
C) Cleaning agents
D) Aspirin
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Chapter 18: Toddler
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Q1) A parent expresses her frustration over the constant fighting between her toddler and preschooler. Which of the following would be an appropriate response from the nurse?
A) Tell the mother not to worry about it and continue with the office visit.
B) Tell the mother this is normal behavior for the toddler, and she should be firm with the child without taking sides.
C) Say to the mother, "Don't you remember fighting with your sibling? Don't worry; everything will work out."
D) Say to the mother, "Don't worry; this behavior will all end soon."
Q2) A 2 1/2 -year-old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At today's visit, the nurse expects his weight to be:
A) 13 pounds, 4 ounces.
B) 19 pounds, 14 ounces.
C) 26 pounds, 8 ounces.
D) 33 pounds, 2 ounces.
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Chapter 19: Preschool Child
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Q1) A nurse is reviewing the chart of a preschool child who has been diagnosed with Asperger's syndrome. Which of the following findings is the nurse most likely to discover?
A) Eating finger foods at 10 months old
B) Absent crawling at 10 months old
C) Separation anxiety at 10 months old
D) Saying "ma-ma" at 10 months old
Q2) A mother thinks her 2-year-old child drank Drano. What should the nurse tell the mother to do next?
A) Call the pediatrician on call.
B) Give ipecac syrup.
C) Call the Poison Control Center.
D) Wait to see if the child will vomit.
Q3) Which of the following is a hallmark of Piaget's preconceptual substage?
A) Using language to function symbolically
B) Using concrete thought processes
C) Using mental abstracting
D) Using transductive reasoning
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Chapter 20: School-Age Child
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Q1) A child who has a BMI of 34 visits the school nurse. Which of the following factors does the nurse recognize that the child may be experiencing?
A) Increased bullying by peers
B) Increased self-esteem
C) Increased resiliency
D) Increased motivation to lose weight
Q2) Which of the following children is at risk for developing encopresis?
A) A 6-year-old child who takes Colace on a daily basis to soften stool
B) A 3-year-old child who is not fully toilet-trained
C) A 5-year-old child who has been in four foster care homes since age 3
D) A 4-year old child who sleeps soundly at night
Q3) Which of the following is responsible for ensuring that children are up-to-date on their immunizations? (select all that apply)
A) School nurse
B) Parent or caregiver
C) Teacher
D) School principal
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Chapter 21: Adolescent
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Q1) Which of the following actions should parents take to help their teenager meet his developmental task?
A) Set strict rules to prevent the teenager from getting into any trouble.
B) Maintain an ongoing dialogue about important issues and upcoming challenges.
C) Maintain a friendship with the teenager, so he views parents as peers.
D) Be very lenient with the teenager so that he can figure out who he is as a person.
Q2) Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age?
A) Accidents
B) Suicide
C) Cancer
D) Sport injuries
Q3) Which of the following teenagers is at increased risk for acquiring a sexually transmitted disease and should be provided with anticipatory guidance?
A) Asks the nurse for information about condoms
B) Feels her friends and family do not care about her
C) Has multiple friends and feels good about herself
D) Talks to her boyfriend on the phone for hours
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Chapter 22: Young Adult
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Q1) A nurse is discussing optimal activity for young adults. Which of the following information should be stressed?
A) Forty-five minutes of moderate exercise per day are required to maximize health benefits.
B) An increase in heart rate from 70 to 200 beats/min during exercise is optimal.
C) Moderately brisk walking is an appropriate aerobic exercise.
D) Sixty minutes of exercise three times a week is recommended.
Q2) The nurse working in the college health center is asked about a safe way to obtain a tan. Which of the following would be the best response by the nurse?
A) "There is no safe way. Be sure to stay out of the sun as much as possible."
B) "Tanning beds are much safer than exposure to actual sunlight."
C) "Be sure to use sunblock agents and do not sunbathe between 10 AM and 2 PM."
D) "Once you apply sunblock, you are protected all day, so be sure to use it before any outdoor activity."
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Chapter 23: Middle-Age Adult
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Q1) A nurse formed a political action committee to advocate for health insurance for the uninsured. On which of the following populations would the nurse focus the group's efforts?
A) Asian Americans
B) Blacks
C) Hispanic Americans
D) Working-poor White Americans
Q2) Which of the following statements about alcohol intake is correct?
A) Women have a higher death rate related to alcoholism than men.
B) A woman who drinks two glasses of wine per day with her evening meal is considered a moderate drinker.
C) More women than men are considered problem drinkers.
D) Women who experience fewer cognitive effects from drinking are less likely to drink heavily than do women who get a "buzz" from drinking.
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Chapter 24: Older Adult
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Q1) Which of the following individuals would be at greatest risk of injury?
A) 80-year-old who does not have air conditioning or a fan
B) 70-year-old who has new dentures
C) 68-year-old who has difficulty tasting salt in food
D) 84-year-old who needs hearing aids
Q2) Which of the following statements made by a client best identifies someone who would benefit from health promotion interventions?
A) "I have a new grandchild and want to be part of her life."
B) "My mother lived until she was 90, so a long life is in my genes."
C) "Some chronic illness is just a part of aging."
D) "I hope I'll live a lot longer, but one never knows."
Q3) The nurse working in a retirement community for older adults is conducting a psychosocial assessment of all residents. Which of the following questions should the nurse ask during the assessment process? (select all that apply)
A) "Have you thought about harming yourself?"
B) "Are you still playing bridge every Thursday?"
C) "How does your congestive heart failure affect your life?"
D) "Has your financial situation changed since last year?"
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26
Chapter 25: Health Promotion in the Twenty-First Century
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Q1) The school nurse has been asked to present a workshop on how to prevent CA-MRSA spread in the school. Which of the following interventions should be emphasized?
A) Completing prophylactic antibiotic therapy for those in close contact with an infected person
B) Using correct hand-washing technique
C) Requiring those infected stay home from school until the infection has resolved
D) Disinfecting all classrooms on a daily basis
Q2) A nurse using the four-step public health approach to respond to violence. Which of the following actions would occur as the nurse identifies risk and protective factors?
A) Planning a community-based educational program to respond to violence
B) Reviewing police reports and population-based surveys
C) Interviewing local community members about their experiences with violence
D) Examining characteristics in the community where violence has not occurred
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