PNR 208/PNR208 Exam 2 V2 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following activities should the nurse include?
A. Performing blood pressure screenings for hypertension.
B. Providing influenza immunizations at a local senior center.
C. Teaching a patient how to manage their insulin pump.
D. Conducting a support group for individuals with arthritis.
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Providing immunizations is a key primary prevention strategy because it protects
healthy individuals from contracting communicable diseases. Screenings are secondary
prevention, and rehabilitation or management of existing conditions is tertiary prevention.
2. A nurse is conducting a windshield survey of a neighborhood. Which of the following
observations should the nurse document as an environmental health risk?
A. Evidence of cracked sidewalks and inadequate street lighting.
B. The presence of a new public library and community center.
C. Several residents walking dogs on leashes in the park.
,D. The local pharmacy offering shingles vaccines to seniors.
Answer: A
Rationale: Cracked sidewalks and poor lighting represent physical environmental hazards
that increase the risk of falls and injury for community members. A windshield survey is a
systematic observation of a community while driving or walking to identify its strengths
and weaknesses. Documenting these risks allows the nurse to prioritize safety
interventions for the population.
3. Which of the following describes the role of a nurse practicing community-oriented
nursing?
A. Providing acute care to individuals within their home environment.
B. Focusing on the health care of individuals, families, and groups in the community.
C. Managing a surgical wound for a patient post-discharge.
D. Administering medications to a resident in a long-term care facility.
Answer: B
Rationale: Community-oriented nursing focuses on the health of the population as a whole
or the community in general. This includes health promotion and disease prevention
activities targeted at individuals, families, and groups. In contrast, community-based
nursing is more focused on illness care for individuals and families in the community
setting.
, 4. A nurse is explaining the epidemiological triangle to a group of nursing students. Which of
the following is considered an ‘agent’ factor?
A. A person’s genetic predisposition to a specific disease.
B. A chemical substance such as a pesticide or heavy metal.
C. The geographical location where a disease is most prevalent.
D. The age and nutritional status of the susceptible population.
Answer: B
Rationale: The agent in the epidemiological triangle is the animate or inanimate factor that
must be present or lacking for a disease or condition to develop. Chemical agents include
toxins, drugs, or pollutants that can harm the host. The host refers to the human who is
susceptible, and the environment refers to external factors that facilitate transmission.
5. A nurse is working with a vulnerable population in an urban area. Which factor most
significantly contributes to health disparities in this group?
A. Access to too many conflicting health education resources.
B. The prevalence of genetic disorders within the specific group.
C. The individual’s personal choice to avoid medical care.
D. Lack of access to high-quality healthcare services.
Answer: D
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following activities should the nurse include?
A. Performing blood pressure screenings for hypertension.
B. Providing influenza immunizations at a local senior center.
C. Teaching a patient how to manage their insulin pump.
D. Conducting a support group for individuals with arthritis.
Answer: B
Rationale: Primary prevention focuses on preventing the initial occurrence of a disease or
injury. Providing immunizations is a key primary prevention strategy because it protects
healthy individuals from contracting communicable diseases. Screenings are secondary
prevention, and rehabilitation or management of existing conditions is tertiary prevention.
2. A nurse is conducting a windshield survey of a neighborhood. Which of the following
observations should the nurse document as an environmental health risk?
A. Evidence of cracked sidewalks and inadequate street lighting.
B. The presence of a new public library and community center.
C. Several residents walking dogs on leashes in the park.
,D. The local pharmacy offering shingles vaccines to seniors.
Answer: A
Rationale: Cracked sidewalks and poor lighting represent physical environmental hazards
that increase the risk of falls and injury for community members. A windshield survey is a
systematic observation of a community while driving or walking to identify its strengths
and weaknesses. Documenting these risks allows the nurse to prioritize safety
interventions for the population.
3. Which of the following describes the role of a nurse practicing community-oriented
nursing?
A. Providing acute care to individuals within their home environment.
B. Focusing on the health care of individuals, families, and groups in the community.
C. Managing a surgical wound for a patient post-discharge.
D. Administering medications to a resident in a long-term care facility.
Answer: B
Rationale: Community-oriented nursing focuses on the health of the population as a whole
or the community in general. This includes health promotion and disease prevention
activities targeted at individuals, families, and groups. In contrast, community-based
nursing is more focused on illness care for individuals and families in the community
setting.
, 4. A nurse is explaining the epidemiological triangle to a group of nursing students. Which of
the following is considered an ‘agent’ factor?
A. A person’s genetic predisposition to a specific disease.
B. A chemical substance such as a pesticide or heavy metal.
C. The geographical location where a disease is most prevalent.
D. The age and nutritional status of the susceptible population.
Answer: B
Rationale: The agent in the epidemiological triangle is the animate or inanimate factor that
must be present or lacking for a disease or condition to develop. Chemical agents include
toxins, drugs, or pollutants that can harm the host. The host refers to the human who is
susceptible, and the environment refers to external factors that facilitate transmission.
5. A nurse is working with a vulnerable population in an urban area. Which factor most
significantly contributes to health disparities in this group?
A. Access to too many conflicting health education resources.
B. The prevalence of genetic disorders within the specific group.
C. The individual’s personal choice to avoid medical care.
D. Lack of access to high-quality healthcare services.
Answer: D
