NUR 206 Exam 2 Community Nursing Concepts Review Fortis
College Actual Exam 2026/2027 Complete Exam-Style
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Part I: Foundations of Community Health Nursing (Questions 1-15)
Q1: A nurse spends three mornings a week at a local church providing blood pressure screenings and
medication education to individual parishioners. This is best described as:
A. Population-focused care, because the focus is on the entire congregation
B. Community-oriented nursing, because the focus is on the entire congregation
C. Tertiary prevention, as the nurse is managing existing chronic disease
D. Community-based nursing, since direct care is provided to individuals within a community setting
[CORRECT]
Correct Answer: D
Rationale: Community-based nursing focuses on providing direct care to individuals and families where
they live, work, or gather, whereas community-oriented nursing looks at the health of the population as
a whole.
Q2: A school nurse is implementing a bullying prevention program for all students before any incidents
occur. This is an example of:
A. Primary prevention [CORRECT]
B. Secondary prevention
C. Tertiary prevention
D. Restorative prevention
Correct Answer: A
Rationale: Primary prevention aims to stop problems before they start by promoting health and
preventing disease or injury, which is exactly what a school-wide bullying prevention program does.
Q3: A nurse at a homeless shelter is offering TB skin tests to all new residents. This activity represents:
A. Primary prevention
B. Health promotion
C. Secondary prevention [CORRECT]
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D. Tertiary prevention
Correct Answer: C
Rationale: Secondary prevention focuses on early detection of disease through screening and
assessment; offering TB skin tests to identify latent or active infection fits this level perfectly.
Q4: Which of the following best represents the public health core function of "assurance"?
A. Lobbying the city council for a new park
B. Collecting data on local childhood asthma rates
C. Developing a policy for restaurant food safety
D. Ensuring communities have access to quality health services [CORRECT]
Correct Answer: D
Rationale: Assurance means making sure that essential community-oriented health services are
available and accessible to those who need them, which includes monitoring quality and competency.
Q5: A community health nurse is working with local schools to develop policies about emergency
medication storage. This role is best described as:
A. Collaborator and policy developer [CORRECT]
B. Caregiver
C. Counselor
D. Case manager
Correct Answer: A
Rationale: When nurses work with organizations and systems to develop health-related policies and
procedures, they are functioning in a collaborative policy development role that supports population
health.
Q6: Healthy People 2030 emphasizes which overarching framework for addressing health?
A. The medical model of disease treatment
B. Social determinants of health [CORRECT]
C. Individual responsibility for wellness
D. Acute care quality improvement
Correct Answer: B
Rationale: Healthy People 2030 is built around the understanding that health is shaped by social
determinants such as economic stability, education, neighborhood environment, and social context.
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Q7: A nurse establishes a settlement house in an immigrant neighborhood to provide health education,
childcare, and social services. This mirrors the work of:
A. Clara Barton
B. Florence Nightingale
C. Lillian Wald [CORRECT]
D. Mary Breckinridge
Correct Answer: C
Rationale: Lillian Wald founded the Henry Street Settlement in New York City, pioneering public health
nursing by addressing the social and health needs of immigrant families in their own neighborhoods.
Q8: The public health nursing model differs from the medical model in that it focuses on:
A. Individual diagnosis and treatment
B. Hospital-based acute care
C. One-on-one patient education
D. The health of populations and prevention [CORRECT]
Correct Answer: D
Rationale: Public health nursing is fundamentally population-focused, emphasizing prevention, health
promotion, and addressing the health needs of groups rather than treating individual illness.
Q9: A community nurse is coordinating support groups, home health visits, and rehabilitation services
for stroke survivors in a rural county. These activities represent:
A. Tertiary prevention [CORRECT]
B. Primary prevention
C. Secondary prevention
D. Aggregate prevention
Correct Answer: A
Rationale: Tertiary prevention focuses on minimizing disability and helping individuals recover from
illness or injury through rehabilitation, support, and long-term disease management.
Q10: After identifying rising teen pregnancy rates, a community nurse partners with the health
department to propose a school-based education program. This illustrates:
A. Assessment
B. Policy development [CORRECT]
C. Assurance