NUR 442 EXAM 2 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. Which characteristic of low-density community has a significant negative impact on the health of its
population?
a. Poor housing options
b. Few health care providers
c. Population tends to be older
d. Increased risk of respiratory infections
Answer:
Few health care providers
Low-density (often rural) communities frequently struggle with limited access to health care, including
fewer physicians, specialists, hospitals, and emergency services.
Question:
2. The nurse is planning to conduct an assessment during the next home visit with a family new to a
community. Which framework should the nurse use to determine the family's relationship to school, work,
and the health care system?
A. Interactional
B. Structural-functional
C. Developmental
D. DecisionalInteractional
Answer:
B. Structural- functional
Question:
3. The community health nurse is planning a secondary prevention strategy for victims of a hurricane.
Which session is the nurse most likely planning?
A. Positive stress adaptation
B. Resiliency
C. Debriefing
D. Manifestations of acute stress disorder
Answer:
C. Debriefing
Secondary prevention is early detection and intervention—debriefing helps identify signs of trauma early
and prevents long-term complications.
Question:
4. The nurse is collecting demographic data during a family assessment. Which data would be appropriate
for this category? Select all that apply.
A. Education of family members
B. Religious affiliation
C. Occupation
D. Ages of family members
E. Dietary patterns
,Answer:
B, C, D
Question:
5. While visiting an older family, the nurse notes that an adult daughter phones during the visit and another
adult daughter stops by. Which characteristic of a healthy family did the nurse observe?
A. Links to the broader community
B. Healthy interaction among members
C. Enhancement of individual development
D. Structured role relationships
Answer:
B. Healthy interaction among members
Healthy families are connected and supported by external networks, such as adult children and community
members.
Question:
6. A nurse is teaching about biologic warfare to a group of nursing students. Which is included in the
discussion?
A. Conversation about planning for secondary and tertiary prevention
B. Exchanging of information about anthrax and contaminated food
C. Discussion related to posttraumatic stress disorder
D. Dialog about the history and factors related to terrorism
Answer:
B. Exchanging of information about anthrax and contaminated food
Question:
7. A community may be threatened with a Category A biologic agent. What action supports primary
prevention?
A. Meet with hospitals to ensure supplies
B. Prepare instruction sheets about Category A agents
C. Teach nurses how to disinfect equipment
D. Identify regions to establish quarantines
Answer:
B. Prepare instruction sheets Primary prevention focuses on education and prevention before exposure.
Teaching about agents meets this criterion.
Question:
8. Which best describes the global burden of disease? Select all that apply.
A. Calculation of disability years
B. Calculation of health disparities
C. Calculation of morbidity & mortality
D. Calculation of primary care projects
E. Calculation of income projection
Answer:
A, B, C
Global burden of disease includes DALYs, morbidity, and mortality—not income or health care projects.
,Question:
9. A nurse is caring for a 15-year-old mother with a 5-week-old infant. Which risk factor increases concern
for infanticide?
A. Infant growth and development
B. Seeking birth control postpartum
C. Maternal age
D. Feeding method
Answer:
C. Maternal age
Teen mothers are at higher risk for impaired bonding and extreme stress responses, increasing infanticide
risk.
Question:
10. The community nurse is concerned that children may be experiencing neglect. What signs suggest
neglect? Select all that apply.
A. Not wearing shoes in winter
B. Left in an unlocked car while parent shops
C. Not in age-appropriate car seats
D. Dirty
E. Fighting with other children
Answer:
A, D, E
Neglect = unmet basic physical needs (clothing, hygiene, shelter). Being left in a car = supervision issue.
Car seat misuse = safety violation. Fighting = behavioral issue, not neglect.
Question:
11. Several people fell 10 feet when an apartment balcony collapsed due to poor construction. Which
factor contributed to this disaster?
A. Host
B. Agent
C. Environmental
D. Intensity
Answer:
B. Agent
Question:
12. During a home visit, the nurse identifies that a family is experiencing a developmental crisis. What did
the nurse assess?
A. Hospitalization after a motor vehicle crash
B. Husband laid off due to substance abuse
C. Inability to cope with caring for an aging family member
D. Well water unsafe for infant to drink
Answer:
C. Inability to cope with caring for an aging family member
A developmental crisis is tied to normal life transitions, such as aging parents moving in. Sudden,
unexpected events (like accidents or layoffs) are situational crises.
, Question:
13. Which question identifies the community's boundaries?
A. "Is the neighborhood a part of a larger community?"
B. "Is there bus service in the neighborhood?"
C. "Is there an acute care hospital here?"
D. "Are the bridges well maintained?"
Answer:
A. "Is the neighborhood a part of a larger community?"
Boundary assessment determines what defines or encloses the community—its limits and links to larger
systems.
Question:
14. A family was on vacation when a family member suddenly died. Why is this a situational crisis?
A. Gradual onset
B. Triggered by life transition
C. Normal part of development
D. Sudden onset of upset in normal activities
Answer:
D. Sudden onset of upset in normal activities
Situational crises are unexpected, external, sudden events that disrupt normal routines—such as an
unexpected death.
Question:
15. The nurse is planning care for a family whose oldest son was killed in a motor vehicle crash. Which
interventions are appropriate? Select all that apply.
A. Help family learn the facts of the accident
B. Discuss effective past coping mechanisms
C. Remind the family the pain will pass
D. Encourage accepting help
E. Discourage blaming others
Answer:
A, B, D, E
Supportive, therapeutic interventions promote healthy coping. Telling them "pain will pass" minimizes
their grief non-therapeutic. ’
Question:
16. Which organization partners with global institutions to reduce poverty and provide financial/technical
support?
A. International Council of Nurses
B. Bill and Melinda Gates Foundation
C. World Bank (WB)
D. USAID
Answer:
C. World Bank
The World Bank is an intergovernmental agency that funds development, reduces poverty, and provides
technical assistance worldwide.
CORRECT ANSWERS
Question:
1. Which characteristic of low-density community has a significant negative impact on the health of its
population?
a. Poor housing options
b. Few health care providers
c. Population tends to be older
d. Increased risk of respiratory infections
Answer:
Few health care providers
Low-density (often rural) communities frequently struggle with limited access to health care, including
fewer physicians, specialists, hospitals, and emergency services.
Question:
2. The nurse is planning to conduct an assessment during the next home visit with a family new to a
community. Which framework should the nurse use to determine the family's relationship to school, work,
and the health care system?
A. Interactional
B. Structural-functional
C. Developmental
D. DecisionalInteractional
Answer:
B. Structural- functional
Question:
3. The community health nurse is planning a secondary prevention strategy for victims of a hurricane.
Which session is the nurse most likely planning?
A. Positive stress adaptation
B. Resiliency
C. Debriefing
D. Manifestations of acute stress disorder
Answer:
C. Debriefing
Secondary prevention is early detection and intervention—debriefing helps identify signs of trauma early
and prevents long-term complications.
Question:
4. The nurse is collecting demographic data during a family assessment. Which data would be appropriate
for this category? Select all that apply.
A. Education of family members
B. Religious affiliation
C. Occupation
D. Ages of family members
E. Dietary patterns
,Answer:
B, C, D
Question:
5. While visiting an older family, the nurse notes that an adult daughter phones during the visit and another
adult daughter stops by. Which characteristic of a healthy family did the nurse observe?
A. Links to the broader community
B. Healthy interaction among members
C. Enhancement of individual development
D. Structured role relationships
Answer:
B. Healthy interaction among members
Healthy families are connected and supported by external networks, such as adult children and community
members.
Question:
6. A nurse is teaching about biologic warfare to a group of nursing students. Which is included in the
discussion?
A. Conversation about planning for secondary and tertiary prevention
B. Exchanging of information about anthrax and contaminated food
C. Discussion related to posttraumatic stress disorder
D. Dialog about the history and factors related to terrorism
Answer:
B. Exchanging of information about anthrax and contaminated food
Question:
7. A community may be threatened with a Category A biologic agent. What action supports primary
prevention?
A. Meet with hospitals to ensure supplies
B. Prepare instruction sheets about Category A agents
C. Teach nurses how to disinfect equipment
D. Identify regions to establish quarantines
Answer:
B. Prepare instruction sheets Primary prevention focuses on education and prevention before exposure.
Teaching about agents meets this criterion.
Question:
8. Which best describes the global burden of disease? Select all that apply.
A. Calculation of disability years
B. Calculation of health disparities
C. Calculation of morbidity & mortality
D. Calculation of primary care projects
E. Calculation of income projection
Answer:
A, B, C
Global burden of disease includes DALYs, morbidity, and mortality—not income or health care projects.
,Question:
9. A nurse is caring for a 15-year-old mother with a 5-week-old infant. Which risk factor increases concern
for infanticide?
A. Infant growth and development
B. Seeking birth control postpartum
C. Maternal age
D. Feeding method
Answer:
C. Maternal age
Teen mothers are at higher risk for impaired bonding and extreme stress responses, increasing infanticide
risk.
Question:
10. The community nurse is concerned that children may be experiencing neglect. What signs suggest
neglect? Select all that apply.
A. Not wearing shoes in winter
B. Left in an unlocked car while parent shops
C. Not in age-appropriate car seats
D. Dirty
E. Fighting with other children
Answer:
A, D, E
Neglect = unmet basic physical needs (clothing, hygiene, shelter). Being left in a car = supervision issue.
Car seat misuse = safety violation. Fighting = behavioral issue, not neglect.
Question:
11. Several people fell 10 feet when an apartment balcony collapsed due to poor construction. Which
factor contributed to this disaster?
A. Host
B. Agent
C. Environmental
D. Intensity
Answer:
B. Agent
Question:
12. During a home visit, the nurse identifies that a family is experiencing a developmental crisis. What did
the nurse assess?
A. Hospitalization after a motor vehicle crash
B. Husband laid off due to substance abuse
C. Inability to cope with caring for an aging family member
D. Well water unsafe for infant to drink
Answer:
C. Inability to cope with caring for an aging family member
A developmental crisis is tied to normal life transitions, such as aging parents moving in. Sudden,
unexpected events (like accidents or layoffs) are situational crises.
, Question:
13. Which question identifies the community's boundaries?
A. "Is the neighborhood a part of a larger community?"
B. "Is there bus service in the neighborhood?"
C. "Is there an acute care hospital here?"
D. "Are the bridges well maintained?"
Answer:
A. "Is the neighborhood a part of a larger community?"
Boundary assessment determines what defines or encloses the community—its limits and links to larger
systems.
Question:
14. A family was on vacation when a family member suddenly died. Why is this a situational crisis?
A. Gradual onset
B. Triggered by life transition
C. Normal part of development
D. Sudden onset of upset in normal activities
Answer:
D. Sudden onset of upset in normal activities
Situational crises are unexpected, external, sudden events that disrupt normal routines—such as an
unexpected death.
Question:
15. The nurse is planning care for a family whose oldest son was killed in a motor vehicle crash. Which
interventions are appropriate? Select all that apply.
A. Help family learn the facts of the accident
B. Discuss effective past coping mechanisms
C. Remind the family the pain will pass
D. Encourage accepting help
E. Discourage blaming others
Answer:
A, B, D, E
Supportive, therapeutic interventions promote healthy coping. Telling them "pain will pass" minimizes
their grief non-therapeutic. ’
Question:
16. Which organization partners with global institutions to reduce poverty and provide financial/technical
support?
A. International Council of Nurses
B. Bill and Melinda Gates Foundation
C. World Bank (WB)
D. USAID
Answer:
C. World Bank
The World Bank is an intergovernmental agency that funds development, reduces poverty, and provides
technical assistance worldwide.
