PNR 208/PNR208 Exam 3 V3 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. Which activity is an example of primary prevention performed by a community nurse?
A. Screening students for scoliosis at a middle school
B. Providing immunizations at a local health fair
C. Teaching a diabetic patient how to administer insulin
D. Leading a support group for stroke survivors
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are a classic example as they build immunity before exposure to
pathogens. This level of care aims to keep people healthy and reduce the overall incidence
of illness in the population.
2. When conducting a windshield survey, which of the following is the nurse assessing?
A. Individual medical records of community members
B. The physical environment and general community characteristics
C. Statistical data from the local health department
D. Patient outcomes after a community education program
,Answer: B
Rationale: A windshield survey is an informal assessment where the nurse drives through
a community to observe its environment. It provides a ‘snapshot’ of the community’s assets
and needs, such as housing quality and available services. This method is often the first
step in a larger community assessment process.
3. In the epidemiological triad, which factor represents the person or group at risk for
disease?
A. Agent
B. Environment
C. Host
D. Vector
Answer: C
Rationale: The host in the epidemiological triad refers to the living being affected by the
agent. Factors such as age, genetics, and lifestyle habits can influence the host’s
susceptibility to disease. Understanding host factors allows nurses to identify high-risk
populations within the community.
4. A nurse is performing secondary prevention. Which of the following actions fits this level of
care?
A. Conducting blood pressure screenings at a senior center
B. Providing rehabilitation for a patient with a spinal cord injury
, C. Educating high school students about the dangers of smoking
D. Administering the yearly influenza vaccine
Answer: A
Rationale: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages. Blood pressure screenings help detect hypertension before
it leads to more serious complications like heart disease. Early intervention during this
stage can significantly improve long-term health outcomes.
5. Which requirement must a patient meet to receive Medicare-funded home health
services?
A. The patient must be completely bedridden
B. The patient must require daily physical therapy
C. The patient must not have any family support
D. The patient must be considered homebound
Answer: D
Rationale: To qualify for Medicare home health benefits, the patient must be homebound,
meaning leaving home requires a taxing effort. Additionally, the care provided must be
intermittent and medically necessary as ordered by a physician. This ensures that
resources are directed to those who cannot easily access outpatient facilities.
Community-Based Nursing Q&A with
Rationale | Fortis College
1. Which activity is an example of primary prevention performed by a community nurse?
A. Screening students for scoliosis at a middle school
B. Providing immunizations at a local health fair
C. Teaching a diabetic patient how to administer insulin
D. Leading a support group for stroke survivors
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Immunizations are a classic example as they build immunity before exposure to
pathogens. This level of care aims to keep people healthy and reduce the overall incidence
of illness in the population.
2. When conducting a windshield survey, which of the following is the nurse assessing?
A. Individual medical records of community members
B. The physical environment and general community characteristics
C. Statistical data from the local health department
D. Patient outcomes after a community education program
,Answer: B
Rationale: A windshield survey is an informal assessment where the nurse drives through
a community to observe its environment. It provides a ‘snapshot’ of the community’s assets
and needs, such as housing quality and available services. This method is often the first
step in a larger community assessment process.
3. In the epidemiological triad, which factor represents the person or group at risk for
disease?
A. Agent
B. Environment
C. Host
D. Vector
Answer: C
Rationale: The host in the epidemiological triad refers to the living being affected by the
agent. Factors such as age, genetics, and lifestyle habits can influence the host’s
susceptibility to disease. Understanding host factors allows nurses to identify high-risk
populations within the community.
4. A nurse is performing secondary prevention. Which of the following actions fits this level of
care?
A. Conducting blood pressure screenings at a senior center
B. Providing rehabilitation for a patient with a spinal cord injury
, C. Educating high school students about the dangers of smoking
D. Administering the yearly influenza vaccine
Answer: A
Rationale: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages. Blood pressure screenings help detect hypertension before
it leads to more serious complications like heart disease. Early intervention during this
stage can significantly improve long-term health outcomes.
5. Which requirement must a patient meet to receive Medicare-funded home health
services?
A. The patient must be completely bedridden
B. The patient must require daily physical therapy
C. The patient must not have any family support
D. The patient must be considered homebound
Answer: D
Rationale: To qualify for Medicare home health benefits, the patient must be homebound,
meaning leaving home requires a taxing effort. Additionally, the care provided must be
intermittent and medically necessary as ordered by a physician. This ensures that
resources are directed to those who cannot easily access outpatient facilities.
