PNR 208/PNR208 Exam 4 V3 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is conducting a presentation on primary prevention. Which of
the following activities should the nurse include?
A. Providing immunizations to children at a local health fair.
B. Teaching a client how to use an insulin pump after a new diagnosis.
C. Performing scoliosis screenings for middle school students.
D. Leading a support group for individuals recovering from substance abuse.
Answer: A
Rationale: Primary prevention focuses on preventing the initial onset of disease or injury.
Immunizations are a classic example because they provide immunity before exposure
occurs. This strategy reduces the overall burden of disease within a community population.
2. Which role is the community nurse fulfilling when coordinating multiple services for a
client with complex needs?
A. Case Manager
B. Educator
C. Advocate
,D. Collaborator
Answer: A
Rationale: The case manager role involves coordinating care to ensure continuity and
prevent duplication of services. The nurse identifies resources and facilitates access to
necessary healthcare providers for the client. This role is essential for managing chronic
conditions in a community setting.
3. A nurse is performing a windshield survey. Which of the following data should the nurse
collect?
A. The prevalence of diabetes among the elderly residents.
B. The official census data from the previous ten years.
C. The individual medical histories of neighborhood residents.
D. The condition of the housing and availability of grocery stores.
Answer: D
Rationale: A windshield survey is an observational method used to assess the physical
environment of a community. The nurse looks for subjective indicators such as housing
quality, public spaces, and access to resources like food. This assessment provides a quick
overview of the community’s strengths and challenges.
4. An occupational health nurse is assessing a factory for potential hazards. Which level of
prevention is this?
A. Tertiary prevention
, B. Secondary prevention
C. Quaternary prevention
D. Primary prevention
Answer: D
Rationale: Identifying and eliminating hazards before they cause injury or illness is
considered primary prevention. The goal is to create a safe work environment to protect
the health of all employees. By intervening early, the nurse prevents the occurrence of
occupational diseases.
5. A nurse is caring for a client from a different culture. Which action demonstrates cultural
competence?
A. Assuming the client follows all traditional practices of their culture.
B. Using medical jargon to ensure the client understands the seriousness.
C. Asking the client about their specific health beliefs and practices.
D. Ignoring cultural differences to treat everyone exactly the same way.
Answer: C
Rationale: Cultural competence involves acknowledging and respecting the unique beliefs
and values of each client. Asking open-ended questions allows the nurse to tailor care to
the individual’s needs. This approach builds trust and improves the effectiveness of the
nursing interventions.
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is conducting a presentation on primary prevention. Which of
the following activities should the nurse include?
A. Providing immunizations to children at a local health fair.
B. Teaching a client how to use an insulin pump after a new diagnosis.
C. Performing scoliosis screenings for middle school students.
D. Leading a support group for individuals recovering from substance abuse.
Answer: A
Rationale: Primary prevention focuses on preventing the initial onset of disease or injury.
Immunizations are a classic example because they provide immunity before exposure
occurs. This strategy reduces the overall burden of disease within a community population.
2. Which role is the community nurse fulfilling when coordinating multiple services for a
client with complex needs?
A. Case Manager
B. Educator
C. Advocate
,D. Collaborator
Answer: A
Rationale: The case manager role involves coordinating care to ensure continuity and
prevent duplication of services. The nurse identifies resources and facilitates access to
necessary healthcare providers for the client. This role is essential for managing chronic
conditions in a community setting.
3. A nurse is performing a windshield survey. Which of the following data should the nurse
collect?
A. The prevalence of diabetes among the elderly residents.
B. The official census data from the previous ten years.
C. The individual medical histories of neighborhood residents.
D. The condition of the housing and availability of grocery stores.
Answer: D
Rationale: A windshield survey is an observational method used to assess the physical
environment of a community. The nurse looks for subjective indicators such as housing
quality, public spaces, and access to resources like food. This assessment provides a quick
overview of the community’s strengths and challenges.
4. An occupational health nurse is assessing a factory for potential hazards. Which level of
prevention is this?
A. Tertiary prevention
, B. Secondary prevention
C. Quaternary prevention
D. Primary prevention
Answer: D
Rationale: Identifying and eliminating hazards before they cause injury or illness is
considered primary prevention. The goal is to create a safe work environment to protect
the health of all employees. By intervening early, the nurse prevents the occurrence of
occupational diseases.
5. A nurse is caring for a client from a different culture. Which action demonstrates cultural
competence?
A. Assuming the client follows all traditional practices of their culture.
B. Using medical jargon to ensure the client understands the seriousness.
C. Asking the client about their specific health beliefs and practices.
D. Ignoring cultural differences to treat everyone exactly the same way.
Answer: C
Rationale: Cultural competence involves acknowledging and respecting the unique beliefs
and values of each client. Asking open-ended questions allows the nurse to tailor care to
the individual’s needs. This approach builds trust and improves the effectiveness of the
nursing interventions.
