Public Health Nursing Practice 4th Edition – Test Bank

Public Health Nursing Practice 4th Edition – Test Bank

Maurer: Community/Public Health Nursing Practice, 4th Edition

Chapter 01: Responsibilities for Care in Community/Public Health Nursing

Test Bank

MULTIPLE CHOICE

1. A community/public health nurse is best defined as a nurse who:

ANS: A

Community/public health nurses synthesize all their nursing expertise as well as knowledge from public health.

Cognitive Level: Knowledge

REF: Text page 3

2. Sometimes persons try to distinguish between community health nursing and public health nursing. The only clear distinction is that the community health nurse:

ANS: A

Public health nurses synthesize all their nursing expertise as well as knowledge from public health, whereas nurses with varied educational backgrounds may be employed in community settings, a much broader classification.

Cognitive Level: Knowledge

REF: Text page 3

3. Nurses do all of the following. Which is a unique function of community/public health nurses?

ANS: C

All of the above may be done by all nurses except focusing on the community environment.

Cognitive Level: Knowledge

REF: Text page 4

4. What is the value of discussing our vision for health of the community? Select all that apply.

ANS: A, B, F 

Discussing our dream or vision empowers us and helps us remember why we do what we do. It also allows others to become involved and to recognize new possibilities. Expressing our visions also provides an opportunity for others to become partners in working for what might be, not only the broader vision but also in relation to specific projects. Nurses do not force or coerce others and often work with other professions on issues related to health. 

Cognitive Level: Knowledge

REF: Text page 5

5. What is the appropriate approach for the community/public health nurse in balancing individual privacy and autonomy and the community’s needs for safety and security?

ANS: E

While the nurse’s practice should be consistent with employing agency policies, legal mandates, and professional standards, the nurse must seek a balance between individual autonomy and other individual rights and the rights of all other community members. It is a delicate balance.

Cognitive Level: Knowledge

REF: Text page 6

6. When caring for a family or community, what is one of the most important variables for the care to be acceptable to the recipients?

ANS: D

While the nurse should do all of the above, for recipients to accept the care, the care must be consistent with their cultural expectations and norms.

Cognitive Level: Application

REF: Text page 7

7. What is the meaning of the term aggregate as used in community health?

ANS: C

By definition, an aggregate is a group of persons who have one or more characteristics in common, particularly a set of persons under statistical study with some common personal or environmental characteristic. Aggregate is a synonym for population.

Cognitive Level: Knowledge

REF: Text page 10

8. In a situation in which there are not enough resources to care for everyone who wants and could benefit from care, what would an ethical community/public health nurse do?

ANS: B

To provide for the greatest good to the greatest number, it is often necessary to focus on basic services, such as immunization or prenatal care, because such care has the most effect on the whole community.

Cognitive Level: Application

REF: Text page 12

9. When faced with an ethical conflict about limited resources and unlimited need, which action is the most just?

ANS: E

While option B fulfills the criteria of egalitarian (equal) justice, it is a short-term answer to an ongoing problem. Option E describes a utilitarian approach to justice, which is more helpful when dealing with large populations such as those seen by the community/public health nurse. 

Cognitive Level: Synthesis

REF: Text page 13

10. What document is helpful in describing competent and appropriate nursing care in the community?

ANS: D

The document Public Health Nursing: Scope and Standards of Practice (2007) was developed in concert with the steps of the nursing process to help nurses promote the health of people. There is no such document as Community Health: Standards of Nursing. 

Cognitive Level: Knowledge