NUR 206: COMMUNITY NURSING
CONCEPTS - EXAM 1 ADVANCED
REVIEW
1. A community health nurse is developing a program to reduce the incidence of skin cancer
among local outdoor workers. Which intervention represents primary prevention?
A. Providing free annual skin cancer screenings at a local health fair.
B. Teaching a support group for workers who have undergone surgical excision of basal
cell carcinomas.
C. Assisting workers with diagnosed melanoma to navigate the oncology referral system.
D. Distributing wide-brimmed hats and high-SPF sunscreen to landscaping crews.
Answer: D
Conceptual Explanation: Primary prevention focuses on preventing the initial occurrence
of a disease or injury. Providing protective gear and sunscreen aims to prevent UV damage
before it occurs. Screening is secondary, and treatment/support groups are tertiary.
,2. During a windshield survey, which observation would provide the most significant data
regarding the community’s environmental health risks?
A. The number of religious centers and places of worship in the neighborhood.
B. The types of public transportation available to residents.
C. The presence of older homes with peeling paint and proximity to industrial sites.
D. The average age and ethnicity of people walking on the sidewalks.
Answer: C
Conceptual Explanation: Environmental health risks are best assessed by physical
hazards such as lead-based paint in older homes and industrial pollutants. Other options
assess social or demographic factors.
3. A public health nurse is analyzing data showing a sudden increase in new cases of Pertussis
within a specific zip code over a one-month period. This represents an increase in:
A. Prevalence
B. Incidence
C. Morbidity
D. Endemicity
Answer: B
, Conceptual Explanation: Incidence refers to the number of new cases of a disease in a
population at risk during a specific period. Prevalence refers to all existing cases (new and
old).
4. A nurse is using the ‘I-PREPARE’ mnemonic to assess a client’s environmental exposure
history. What does the ‘E’ in ‘PREPARE’ typically stand for?
A. Environmental factor
B. Emergency
C. Education
D. Environmental rating
Answer: A
Conceptual Explanation: In the I-PREPARE tool, the second ‘E’ stands for Environmental
factors or Environmental concerns, though in some variations it stands for ‘Environmental
history’ or ‘Environmental exposures’ (Workplace). The mnemonic is: Investigate, Present
work, Residence, Environmental concerns, Past work, Activities, Referrals/Resources,
Educate.
5. In the epidemiological triangle, which of the following is considered a ‘Host’ factor?
A. A genetic predisposition to hypertension.
B. A high-poverty neighborhood with poor sanitation.
C. A virus causing respiratory distress.
CONCEPTS - EXAM 1 ADVANCED
REVIEW
1. A community health nurse is developing a program to reduce the incidence of skin cancer
among local outdoor workers. Which intervention represents primary prevention?
A. Providing free annual skin cancer screenings at a local health fair.
B. Teaching a support group for workers who have undergone surgical excision of basal
cell carcinomas.
C. Assisting workers with diagnosed melanoma to navigate the oncology referral system.
D. Distributing wide-brimmed hats and high-SPF sunscreen to landscaping crews.
Answer: D
Conceptual Explanation: Primary prevention focuses on preventing the initial occurrence
of a disease or injury. Providing protective gear and sunscreen aims to prevent UV damage
before it occurs. Screening is secondary, and treatment/support groups are tertiary.
,2. During a windshield survey, which observation would provide the most significant data
regarding the community’s environmental health risks?
A. The number of religious centers and places of worship in the neighborhood.
B. The types of public transportation available to residents.
C. The presence of older homes with peeling paint and proximity to industrial sites.
D. The average age and ethnicity of people walking on the sidewalks.
Answer: C
Conceptual Explanation: Environmental health risks are best assessed by physical
hazards such as lead-based paint in older homes and industrial pollutants. Other options
assess social or demographic factors.
3. A public health nurse is analyzing data showing a sudden increase in new cases of Pertussis
within a specific zip code over a one-month period. This represents an increase in:
A. Prevalence
B. Incidence
C. Morbidity
D. Endemicity
Answer: B
, Conceptual Explanation: Incidence refers to the number of new cases of a disease in a
population at risk during a specific period. Prevalence refers to all existing cases (new and
old).
4. A nurse is using the ‘I-PREPARE’ mnemonic to assess a client’s environmental exposure
history. What does the ‘E’ in ‘PREPARE’ typically stand for?
A. Environmental factor
B. Emergency
C. Education
D. Environmental rating
Answer: A
Conceptual Explanation: In the I-PREPARE tool, the second ‘E’ stands for Environmental
factors or Environmental concerns, though in some variations it stands for ‘Environmental
history’ or ‘Environmental exposures’ (Workplace). The mnemonic is: Investigate, Present
work, Residence, Environmental concerns, Past work, Activities, Referrals/Resources,
Educate.
5. In the epidemiological triangle, which of the following is considered a ‘Host’ factor?
A. A genetic predisposition to hypertension.
B. A high-poverty neighborhood with poor sanitation.
C. A virus causing respiratory distress.
