Page 1 of 113
“ COMMUNITY HEALTH NURSING NCLEX “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
A nurse is educating the community about modifiable behaviors. Which of the
following is the nurse most likely to discuss?
a. Smoking, poor diet, and alcohol consumption
b. Cancer, emphysema, and cardiovascular disease
c. Age and gender
d. Genetic abnormalities
ANS: A
Modifiable behaviors remain the major contributors to deaths in the United States.
Tobacco use, poor diet, physical inactivity, and alcohol consumption are examples of
modifiable behaviors. Cancer, emphysema, cardiovascular disease, gender, age,
and genetic abnormalities are not modifiable behaviors.
DIF: Cognitive level: Applying REF: p. 378
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
A nurse is utilizing a disease-oriented approach when providing care to a
client. Which of the following interventions will the nurse most likely provide?
a. Promotion of a greater level of positive health
b. Education about common disease processes
c. Acute care management of chronic disease
d. Education about medication compliance
, Page 2 of 113
ANS: D
A disease-oriented approach assumes that humans are composed of organ systems
and cells; in this instance, health care focuses on identifying what is not working
properly with a given system and repairing it. In this context, health behavior begins
with patient compliance with health professionals' recommendations. This approach
does not promote a greater level of positive health as this would be related to health
promotion. This approach does not provide education about common disease
processes or acute care management of chronic disease.
DIF: Cognitive level: Applying REF: pp. 381-382
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
The biomedical model defines health as the:
a. avoidance of illness.
b. absence of disease.
c. promotion of healthy behaviors.
d. protection from illness and disease states.
ANS: B
The biomedical model defines health as the absence of disease. It does not explain
why populations remain healthy or how health is enhanced.
DIF: Cognitive level: Remembering REF: p. 381
TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
The health-oriented perspective views:
a. health as the absence of disease.
b. human lifestyle based on one's prescribed regime.
c. humans as complex and interconnected with the environment.
d. community education as the role of the registered nurse.
ANS: C
The health-oriented perspective includes the view that humans are complex and
interconnected with others and the environment. Health behavior within this
perspective involves a holistic view of lifestyle and interaction with the environment
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and not simply compliance with a prescribed regimen.
DIF: Cognitive level: Understanding REF: p. 381
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
A nurse using the integrative model for community health promotion. Which of
the following best describes how the nurse would apply the dimension of
client system?
a. Concentrating on individual health behaviors
b. Studying client-centered initiatives
c. Providing multidimensional nursing care among various levels of clients
d. Focusing on disease-oriented care
ANS: C
The client system is multidimensional with nursing and health care targeting the
multiple levels of clients. When the individual is the client, the environment includes
the family, the broader aggregate, and the community of which the individual is a
part. The nurse and health care provider are concerned with how these
environments affect the individuals' health. The focus for care is on health promotion,
illness prevention, and illness care.
DIF: Cognitive level: Applying REF: pp. 387-388
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
A public health nurse (PHN) collaborates with local community leaders to
develop a local campaign educating about the importance of wearing a seat
belt. Which of the following client systems of the integrative model does this
describe?
a. Community
b. Aggregate
c. Family
d. Individual
ANS: A
Interventions to initiate or maintain healthy lifestyles must be multifocal. At the
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broadest level of care (community), nurses work with community leaders, other
community residents, and health professionals to plan programs to promote optimal
health for the community and its people. The community is the environment for the
aggregate and is the system being applied.
DIF: Cognitive level: Applying REF: p. 388
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
A PHN collaborates with a physician's clinic to increase the number of infants
and toddlers who receive lead screening. According to the integrative model,
what client system and focus of care are being addressed?
a. Aggregate level health promotion
b. Aggregate level illness prevention
c. Family level illness care
d. Individual level health promotion
ANS: A
Each succeeding level of the client system is more complex. In this situation, the
PHN is working with an aggregate of infants and toddlers. The focus of care being
addressed is health promotion, focusing on positive measures such as education for
healthy living and promotion of favorable environmental conditions as well as
periodic examinations, including well-child developmental assessment and health
education. Illness prevention is linked to the negative view of the absence of
disease. Illness care is the care provision of someone with the disease.
DIF: Cognitive level: Applying REF: p. 388 & p. 390 (Table 17-1)
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
A nurse provides counseling to an obese client about the importance of good
nutrition and regular exercise with the intention of helping the client avoid
future chronic diseases associated with obesity. What client system and focus
of care are being applied in this situation?
a. Family level health promotion
b. Individual level illness prevention
“ COMMUNITY HEALTH NURSING NCLEX “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
A nurse is educating the community about modifiable behaviors. Which of the
following is the nurse most likely to discuss?
a. Smoking, poor diet, and alcohol consumption
b. Cancer, emphysema, and cardiovascular disease
c. Age and gender
d. Genetic abnormalities
ANS: A
Modifiable behaviors remain the major contributors to deaths in the United States.
Tobacco use, poor diet, physical inactivity, and alcohol consumption are examples of
modifiable behaviors. Cancer, emphysema, cardiovascular disease, gender, age,
and genetic abnormalities are not modifiable behaviors.
DIF: Cognitive level: Applying REF: p. 378
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
A nurse is utilizing a disease-oriented approach when providing care to a
client. Which of the following interventions will the nurse most likely provide?
a. Promotion of a greater level of positive health
b. Education about common disease processes
c. Acute care management of chronic disease
d. Education about medication compliance
, Page 2 of 113
ANS: D
A disease-oriented approach assumes that humans are composed of organ systems
and cells; in this instance, health care focuses on identifying what is not working
properly with a given system and repairing it. In this context, health behavior begins
with patient compliance with health professionals' recommendations. This approach
does not promote a greater level of positive health as this would be related to health
promotion. This approach does not provide education about common disease
processes or acute care management of chronic disease.
DIF: Cognitive level: Applying REF: pp. 381-382
TOP: Nursing process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
The biomedical model defines health as the:
a. avoidance of illness.
b. absence of disease.
c. promotion of healthy behaviors.
d. protection from illness and disease states.
ANS: B
The biomedical model defines health as the absence of disease. It does not explain
why populations remain healthy or how health is enhanced.
DIF: Cognitive level: Remembering REF: p. 381
TOP: Nursing process: Assessment
MSC: NCLEX: Health Promotion and Maintenance
The health-oriented perspective views:
a. health as the absence of disease.
b. human lifestyle based on one's prescribed regime.
c. humans as complex and interconnected with the environment.
d. community education as the role of the registered nurse.
ANS: C
The health-oriented perspective includes the view that humans are complex and
interconnected with others and the environment. Health behavior within this
perspective involves a holistic view of lifestyle and interaction with the environment
, Page 3 of 113
and not simply compliance with a prescribed regimen.
DIF: Cognitive level: Understanding REF: p. 381
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
A nurse using the integrative model for community health promotion. Which of
the following best describes how the nurse would apply the dimension of
client system?
a. Concentrating on individual health behaviors
b. Studying client-centered initiatives
c. Providing multidimensional nursing care among various levels of clients
d. Focusing on disease-oriented care
ANS: C
The client system is multidimensional with nursing and health care targeting the
multiple levels of clients. When the individual is the client, the environment includes
the family, the broader aggregate, and the community of which the individual is a
part. The nurse and health care provider are concerned with how these
environments affect the individuals' health. The focus for care is on health promotion,
illness prevention, and illness care.
DIF: Cognitive level: Applying REF: pp. 387-388
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
A public health nurse (PHN) collaborates with local community leaders to
develop a local campaign educating about the importance of wearing a seat
belt. Which of the following client systems of the integrative model does this
describe?
a. Community
b. Aggregate
c. Family
d. Individual
ANS: A
Interventions to initiate or maintain healthy lifestyles must be multifocal. At the
, Page 4 of 113
broadest level of care (community), nurses work with community leaders, other
community residents, and health professionals to plan programs to promote optimal
health for the community and its people. The community is the environment for the
aggregate and is the system being applied.
DIF: Cognitive level: Applying REF: p. 388
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
A PHN collaborates with a physician's clinic to increase the number of infants
and toddlers who receive lead screening. According to the integrative model,
what client system and focus of care are being addressed?
a. Aggregate level health promotion
b. Aggregate level illness prevention
c. Family level illness care
d. Individual level health promotion
ANS: A
Each succeeding level of the client system is more complex. In this situation, the
PHN is working with an aggregate of infants and toddlers. The focus of care being
addressed is health promotion, focusing on positive measures such as education for
healthy living and promotion of favorable environmental conditions as well as
periodic examinations, including well-child developmental assessment and health
education. Illness prevention is linked to the negative view of the absence of
disease. Illness care is the care provision of someone with the disease.
DIF: Cognitive level: Applying REF: p. 388 & p. 390 (Table 17-1)
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
A nurse provides counseling to an obese client about the importance of good
nutrition and regular exercise with the intention of helping the client avoid
future chronic diseases associated with obesity. What client system and focus
of care are being applied in this situation?
a. Family level health promotion
b. Individual level illness prevention
