Test Bank for Community and Public Health Nursing Promoting the Public's Health, 9th Edition

1. A group of students are reviewing the various historical events associated with the evolution of community health nursing in preparation for a test. They identify the time from 1970 to the present as the era known as community health nursing based on the understanding that which of the following influences contributed most to this change? A) The settings and the nurses delivering health care in the community B) Decisions made by the American Nurses Association C) Decisions made by physicians in a variety of community settings D) The demand to eliminate the word “public” from health services 2. Before the mid-1800s, early home care nursing was best recognized by which of the following? A) Technical advances with the Industrial Revolution making major changes B) Care provided by family members, friends, and religious groups in the home C) Accomplishments stemming from the work of Florence Nightingale D) Formal organization of visiting nurses to provide care to the sick poor 3. The community health nurse is preparing a presentation for a group of nursing students about the societal influences on the development of community health nursing. Which of the following would the nurse include? Select all that apply. A) Advances in technology B) Increased focus on cause of illness C) Limited access to education D) Increased number of women entering nursing E) Consumer demand for quality services 4. After a class discussion about the contributions of Lillian Wald to the advancement of community health nursing, which of the following if stated by the class indicates that the discussion was effective? A) Establishment of family-centered nursing and outreach services in New York City at the turn of the 20th century B) Use of clean and safe nursing care practices to soldiers during the Crimean War in the 1850s C) Assistance to high-risk populations experiencing tropical diseases in Central America and the Caribbean in the late 1800s D) Creation of home nursing services in London, marking the beginning of district nursing in the 1860s Page 1 5. A prospective nursing student is interested in working in community health nursing after graduation. Which type of education would be most appropriate for this student to choose? A) Diploma program B) Associate degree C) Baccalaureate degree D) Graduate degree 6. Community health nursing has a long history of contributing to the health of populations. Which of the following forms of service would the nurse identify as being most recent? A) Voluntary home nursing care for the sick poor via district nursing B) Use of the term “public health nursing” C) Lay and religious groups providing care to the sick poor in their homes D) Focus on populations, with community health nursing seen as a specialty field 7. The following are events that occurred during the evolution of community health nursing. Place them in the proper sequence from earliest to most recent. A. National Organization for Public Health Nursing formed B. American Birth Control League founded C. Frontier Nursing Service established D. Henry Street Settlement created E. Friendly Visitors Volunteers organized F. Industrial nursing began in the United States 8. At which time did the focus of district nursing broaden to include the health and welfare of the general public? A) Beginning of 20th century B) Late 19th century C) Prior to the 1850s D) By the early 1970s 9. A community health nurse applies causal thinking by performing which of the following? A) Using computer-based programs for client education B) Engaging in video conferencing to share research findings C) Identifying multiple factors associated with promoting wellness D) Developing a plan to address the rapid increase in the older adult population Page 2 10. A community health nurse who is teaching a group of nursing students about the various societal influences on community health nursing is explaining the effects of the consumer movement. Which of the following student responses would lead the nurse to determine that the teaching was successful? A) Individuals are considered passive members of the health care team. B) Consumers are demanding more coordinated, comprehensive care. C) People are expecting community health nurses to develop new programs. D) Consumers are seeking care from a variety of care providers. 11. Which of the following most accurately reflects the response of community health nursing to economic forces? A) Decreased competition with other community health service providers B) Reduction in available programs and services C) Development of new services for generating revenue D) Switch to a more illness-oriented philosophy for service 12. A community health nurse desires to attain a tenure-track position at a local university to teach community health nursing. Which of the following would this nurse need? A) Certification B) Master’s degree C) Doctoral degree D) Nurse practitioner license 13. When reviewing the Industrial Revolution as it relates to the evolution of community health nursing, which of the following would be most important? A) Lower mortality rates B) Control of diseases C) Decrease in mental illness D) Poor institutional conditions 14. A group of nursing students are studying for an examination on influential nursing leaders involved in the advancement of community health nursing. The students demonstrate that they are prepared for the examination when they identify which person as the first community health nurse in the United States? A) Frances Root B) Mary Robinson C) Mary Seacole D) Reba Thelin Page 3 15. Which factor was the most significant feature associated with district nursing? A) Caring for the sick B) Teaching hygiene and cleanliness C) Preventing illness D) Gathering statistical data 16. In their early stages, district nursing was sponsored by which of the following? A) Religious organizations B) Private philanthropy C) Contributions D) Public funding 17. A student is planning a presentation about the evolution of public health nursing. As part of the presentation the student would identify which person as being the first one to use the term “public health nursing”? A) Jessie Sleet B) Lillian Wald C) Lina Rogers D) Margaret Sanger 18. The NLN first required baccalaureate nursing programs to include public health content for accreditation at which time? A) 1912 B) 1944 C) 1946 D) 1963 19. Which of the following would characterize the public health stage of community health nursing? A) Voluntary health agencies emphasizing disease prevention B) Family is considered the primary unit of care C) Service is provided to the sick poor population D) Primary health care as the key to health for all Page 4 20. A community health nurse is engaging in activities at the primary prevention level. Which activities would this include? Select all that apply. A) Conducting research on health outcomes B) Participating in policy formation C) Promoting aggregate-level interventions D) Fostering nurse involvement on community boards E) Acting in an expanded service role to promote increased influence F) Assisting with obtaining funds for a community health program Page 5 Answer Key 1. A 2. B 3. A, B, E 4. A 5. C 6. D 7. E, D, F, A, B, C 8. A 9. C 10. B 11. C 12. D 13. D 14. A 15. B 16. A 17. B 18. D 19. B 20. A, B, F Page 6