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Section 1: Foundations of Community Health Nursing (Questions 1-30)
1. A community health nurse is planning an immunization clinic in a rural village.
Which action should the nurse take FIRST?
A) Arrange for vaccine storage equipment
B) Notify community leaders of clinic date
C) Develop an outreach and education plan
D) Conduct a community needs assessment
Correct Answer: D
Rationale: The nursing process always begins with assessment. A needs assessment
identifies population-specific barriers, baseline knowledge, and gaps before planning or
implementation. Arranging equipment, notifying leaders, and developing plans are
implementation steps that should follow assessment .
, 2. A public health nurse is developing a program to decrease the incidence of type 2
diabetes. Which intervention represents primary prevention?
A) Screening adults for early signs of diabetes
B) Teaching a class on healthy meal planning
C) Administering insulin to clients with diabetes
D) Referring clients to a diabetic support group
Correct Answer: B
Rationale: Primary prevention focuses on preventing disease before it occurs. Educating on
healthy behaviors such as meal planning prevents the development of diabetes. Screening
is secondary prevention, while administering insulin and referring to support groups are
tertiary prevention .
3. A community health nurse is analyzing a neighborhood with high rates of asthma
exacerbations among children. Which initial action best reflects primary community
assessment?
A) Reviewing hospital admission rates for asthma
B) Conducting windshield surveys of housing conditions
C) Prescribing bronchodilators to affected children
D) Referring families to pulmonary specialists
Correct Answer: B
Rationale: A windshield survey allows the nurse to directly observe environmental triggers
such as pollution, housing quality, and traffic exposure. Hospital data is secondary analysis,
, not initial assessment. Prescribing medications and referrals are clinical interventions rather
than community-level assessment .
4. A nurse is providing discharge teaching to a client who had a stroke. The nurse
discusses physical therapy options and support groups. This is an example of which
level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Health promotion
Correct Answer: C
Rationale: Tertiary prevention focuses on rehabilitation and preventing further disability after
a disease has occurred. Physical therapy and support groups help the client regain function
and prevent complications, which are tertiary prevention measures .
5. A nurse manager at a community agency is developing an orientation program for
newly hired nurses. When discussing the differences between community-based and
community-oriented nursing, which situation is an example of community-based
nursing?
A) A home health nurse performing wound care for a client who is immobile
, B) An occupational health nurse providing classes on body mechanics at a local industrial
plant
C) A school nurse teaching a student who has asthma about medications
D) A parish nurse teaching a class on low-sodium cooking techniques
Correct Answer: A
Rationale: Community-based nursing focuses on providing direct care to individuals and
families in the community setting. Wound care for an immobile client is direct care to an
individual. The other options represent community-oriented nursing, which focuses on
populations and groups .
6. A community health nurse is evaluating a community's health status. Which
component is essential to this framework?
A) Focusing only on individual client needs
B) Treating the community as the client
C) Avoiding community involvement in planning
D) Relying solely on nursing expertise
Correct Answer: B
Rationale: The community-as-client framework recognizes that community health is more
than the sum of individual health and requires assessment and intervention at the
community level. Community participation and partnership are essential components .