NURS 354: COMMUNITY AND PUBLIC
HEALTH NURSING COMPREHENSIVE
QUIZ (MODULES 1-5) EXAM
QUESTIONS AND ANSWERS.
1. A community health nurse is applying ‘upstream thinking’ to address the high incidence of
obesity in a local neighborhood. Which of the following actions best exemplifies this
approach?
A. Providing nutritional counseling to individuals with a BMI over 30.
B. Conducting blood glucose screenings at a local health fair.
C. Distributing brochures about the complications of type 2 diabetes.
D. Lobbying for local ordinances that require urban developers to include walking trails
and parks.
Answer: D
Conceptual Explanation: Upstream thinking focuses on modifying economic, political, and
environmental factors to improve health, rather than focusing solely on individual behavior
change.
,2. In the epidemiological triangle, a nurse identifies that a recent increase in Lyme disease is
due to an unusually warm winter. This factor belongs to which component?
A. Environment
B. Host
C. Agent
D. Vector
Answer: A
Conceptual Explanation: The environment includes the physical, biological, social, and
economic factors that affect the agent and the host. Climate and weather patterns are
environmental factors.
3. Which epidemiological rate is best used to describe the total number of existing cases of a
chronic disease, such as Diabetes, within a population at a specific point in time?
A. Incidence rate
B. Attack rate
C. Crude death rate
D. Prevalence rate
Answer: D
Conceptual Explanation: Prevalence refers to the number of all existing cases of a disease
in a population at a designated time. Incidence refers to new cases.
, 4. A public health nurse is organizing a mobile mammography unit to visit a rural community.
This is an example of which level of prevention?
A. Primary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Secondary prevention
Answer: D
Conceptual Explanation: Secondary prevention focuses on early detection and screening
to identify diseases in their earliest stages.
5. When a nurse ensures that a patient with a new diagnosis of heart failure receives cardiac
rehabilitation and dietary teaching to prevent complications, the nurse is practicing:
A. Primary prevention
B. Secondary prevention
C. Health promotion
D. Tertiary prevention
Answer: D
Conceptual Explanation: Tertiary prevention aims to prevent further disability and
restore function in individuals with existing disease.
HEALTH NURSING COMPREHENSIVE
QUIZ (MODULES 1-5) EXAM
QUESTIONS AND ANSWERS.
1. A community health nurse is applying ‘upstream thinking’ to address the high incidence of
obesity in a local neighborhood. Which of the following actions best exemplifies this
approach?
A. Providing nutritional counseling to individuals with a BMI over 30.
B. Conducting blood glucose screenings at a local health fair.
C. Distributing brochures about the complications of type 2 diabetes.
D. Lobbying for local ordinances that require urban developers to include walking trails
and parks.
Answer: D
Conceptual Explanation: Upstream thinking focuses on modifying economic, political, and
environmental factors to improve health, rather than focusing solely on individual behavior
change.
,2. In the epidemiological triangle, a nurse identifies that a recent increase in Lyme disease is
due to an unusually warm winter. This factor belongs to which component?
A. Environment
B. Host
C. Agent
D. Vector
Answer: A
Conceptual Explanation: The environment includes the physical, biological, social, and
economic factors that affect the agent and the host. Climate and weather patterns are
environmental factors.
3. Which epidemiological rate is best used to describe the total number of existing cases of a
chronic disease, such as Diabetes, within a population at a specific point in time?
A. Incidence rate
B. Attack rate
C. Crude death rate
D. Prevalence rate
Answer: D
Conceptual Explanation: Prevalence refers to the number of all existing cases of a disease
in a population at a designated time. Incidence refers to new cases.
, 4. A public health nurse is organizing a mobile mammography unit to visit a rural community.
This is an example of which level of prevention?
A. Primary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Secondary prevention
Answer: D
Conceptual Explanation: Secondary prevention focuses on early detection and screening
to identify diseases in their earliest stages.
5. When a nurse ensures that a patient with a new diagnosis of heart failure receives cardiac
rehabilitation and dietary teaching to prevent complications, the nurse is practicing:
A. Primary prevention
B. Secondary prevention
C. Health promotion
D. Tertiary prevention
Answer: D
Conceptual Explanation: Tertiary prevention aims to prevent further disability and
restore function in individuals with existing disease.
