NSG 3480 Final Exam V2 | NSG 3480
Community Health | Actual Q&A with
Rationale (NSG3480 Final Exam) | Galen
College of Nursing
1. A community health nurse is planning a primary prevention program for a local high school
regarding substance abuse. Which of the following activities should the nurse include?
A. Providing referrals to a local drug rehabilitation center for students using substances.
B. Conducting random drug testing for all student-athletes.
C. Educating students about the long-term physical effects of alcohol and tobacco use.
D. Screening students for signs of depression which can lead to substance use.
Answer: C
Rationale: Primary prevention focuses on the promotion of health and the prevention of
disease or injury before it occurs. Educating students about the harmful effects of
substances is a proactive measure to prevent the initiation of use. This level of intervention
aims to reduce the incidence of substance abuse within the community population.
2. When applying the epidemiological triangle to a case of influenza, which of the following
would the nurse identify as the ‘agent’?
A. The respiratory secretions of an infected person.
B. The crowded environment of a nursing home.
,C. The influenza virus itself.
D. A person with a weakened immune system.
Answer: C
Rationale: The epidemiological triangle consists of the agent, the host, and the
environment. The agent is the animate or inanimate factor that must be present or lacking
for a disease or condition to develop, which in this case is the virus. Understanding these
components helps nurses identify points of intervention to break the chain of infection.
3. A nurse is performing a windshield survey of a new neighborhood. Which of the following
data collection methods is the nurse utilizing?
A. Secondary data analysis.
B. Informant interviews.
C. Direct observation.
D. Participant observation.
Answer: C
Rationale: A windshield survey involves driving or walking through a community and
using the senses to observe the physical and social environment. This method provides a
subjective overview of the community’s strengths and weaknesses through direct
observation. It is an essential first step in the community assessment process to identify
potential health needs.
, 4. A nurse is caring for a client who has a positive Mantoux tuberculin skin test. Which of the
following is the priority nursing action?
A. Prepare the client for a chest X-ray to determine the presence of active disease.
B. Instruct the client to remain in respiratory isolation at home.
C. Initiate a 6-month regimen of isoniazid (INH) immediately.
D. Notify the local health department of the positive test result.
Answer: A
Rationale: A positive skin test indicates exposure to tuberculosis but does not confirm
active disease. The next clinical step is a chest X-ray to look for signs of active pulmonary
involvement. This differentiation is critical because active TB requires immediate isolation
and different treatment protocols compared to latent TB.
5. Which of the following describes the ‘Assurance’ core function of public health?
A. Monitoring the health status of the community to identify health problems.
B. Investigating health hazards and environmental threats in the community.
C. Developing policies and plans that support individual and community health efforts.
D. Linking people to needed personal health services and ensuring the provision of health
care.
Answer: D
Community Health | Actual Q&A with
Rationale (NSG3480 Final Exam) | Galen
College of Nursing
1. A community health nurse is planning a primary prevention program for a local high school
regarding substance abuse. Which of the following activities should the nurse include?
A. Providing referrals to a local drug rehabilitation center for students using substances.
B. Conducting random drug testing for all student-athletes.
C. Educating students about the long-term physical effects of alcohol and tobacco use.
D. Screening students for signs of depression which can lead to substance use.
Answer: C
Rationale: Primary prevention focuses on the promotion of health and the prevention of
disease or injury before it occurs. Educating students about the harmful effects of
substances is a proactive measure to prevent the initiation of use. This level of intervention
aims to reduce the incidence of substance abuse within the community population.
2. When applying the epidemiological triangle to a case of influenza, which of the following
would the nurse identify as the ‘agent’?
A. The respiratory secretions of an infected person.
B. The crowded environment of a nursing home.
,C. The influenza virus itself.
D. A person with a weakened immune system.
Answer: C
Rationale: The epidemiological triangle consists of the agent, the host, and the
environment. The agent is the animate or inanimate factor that must be present or lacking
for a disease or condition to develop, which in this case is the virus. Understanding these
components helps nurses identify points of intervention to break the chain of infection.
3. A nurse is performing a windshield survey of a new neighborhood. Which of the following
data collection methods is the nurse utilizing?
A. Secondary data analysis.
B. Informant interviews.
C. Direct observation.
D. Participant observation.
Answer: C
Rationale: A windshield survey involves driving or walking through a community and
using the senses to observe the physical and social environment. This method provides a
subjective overview of the community’s strengths and weaknesses through direct
observation. It is an essential first step in the community assessment process to identify
potential health needs.
, 4. A nurse is caring for a client who has a positive Mantoux tuberculin skin test. Which of the
following is the priority nursing action?
A. Prepare the client for a chest X-ray to determine the presence of active disease.
B. Instruct the client to remain in respiratory isolation at home.
C. Initiate a 6-month regimen of isoniazid (INH) immediately.
D. Notify the local health department of the positive test result.
Answer: A
Rationale: A positive skin test indicates exposure to tuberculosis but does not confirm
active disease. The next clinical step is a chest X-ray to look for signs of active pulmonary
involvement. This differentiation is critical because active TB requires immediate isolation
and different treatment protocols compared to latent TB.
5. Which of the following describes the ‘Assurance’ core function of public health?
A. Monitoring the health status of the community to identify health problems.
B. Investigating health hazards and environmental threats in the community.
C. Developing policies and plans that support individual and community health efforts.
D. Linking people to needed personal health services and ensuring the provision of health
care.
Answer: D
