NURS 340: Public Health & Community Health Nursing
Exam Quiz 2 | Questions and Answers plus Rationale |
Latest Update 2026-2027 | Graded A+ West Coast
University
1. Preventing intimate partner violence (IPV) and recurrence of violence requires
targeting efforts at all three levels of prevention: primary, secondary, and
tertiary. Which is a secondary prevention strategy?
• A. Putting up posters around the health provider’s office that give tips on
what to do if one is in an abusive relationship
• B. Screening a woman for evidence of abuse who has several risk factors for
IPV
• C. Creating and broadcasting a public service announcement that raises
awareness about IPV
• D. Providing a woman who is being abused by her husband the number to
an abuse hotline so that she can get help leaving him
Correct Answer: B — Screening a woman for evidence of abuse who has several
risk factors for IPV
Rationale: Secondary prevention focuses on early identification and detection of
disease or risk before it becomes severe. Screening for IPV in a woman with risk
factors is a secondary prevention strategy. Posters and public service
announcements are primary prevention (awareness/education). Providing a
hotline to a woman already being abused is tertiary prevention
(intervention/recovery).
2. In researching the problem of homelessness in the city, the nurse discovers
that the number of mentally ill homeless has steadily grown over the past
couple of decades. The biggest reason for this trend is:
, • A. Shortages of affordable housing
• B. Deinstitutionalization
• C. An increase in the prevalence of major mental illness
• D. Economic downturns
Correct Answer: B — Deinstitutionalization
Rationale: Deinstitutionalization of mental health facilities in the mid-to-late 20th
century discharged many individuals with serious mental illness into communities
without adequate support services, contributing significantly to homelessness
among the mentally ill.
3. A community health nurse is developing an educational program on
substance abuse. Which of the following information should the nurse include
when discussing nicotine and smoking?
• A. Withdrawal effects from smoking are minimal
• B. Smoking is the fifth most preventable cause of death in the United States
• C. Tolerance to nicotine develops quickly
• D. Nicotine is a central nervous system depressant
Correct Answer: C — Tolerance to nicotine develops quickly
Rationale: Nicotine is highly addictive, and tolerance develops rapidly, requiring
more nicotine to achieve the same effect. Smoking is the leading preventable
cause of death in the U.S., not fifth. Withdrawal effects are significant. Nicotine is
a stimulant, not a depressant.
4. The public health nurse educates high school students regarding safe sexual
practices and the importance of monogamous relationships. This is an example
of:
• A. Quaternary prevention
, • B. Tertiary prevention
• C. Secondary prevention
• D. Primary prevention
Correct Answer: D — Primary prevention
Rationale: Primary prevention aims to prevent disease before it occurs. Education
about safe sexual practices and monogamous relationships helps prevent sexually
transmitted infections before exposure.
5. An example of a primary prevention strategy to reduce incidence of violence
within the community would include which of the following?
• A. Provide grief counseling to families following the death of a family
member to suicide or homicide
• B. Make resources in the community available to survivors of violence
• C. Assessing for and counseling anyone contemplating suicide or homicide
and refer to services
• D. Organizing parenting classes to provide appropriate
Correct Answer: D — Organizing parenting classes to provide appropriate
[parenting skills]
Rationale: Primary prevention prevents violence before it occurs. Parenting
classes promote healthy family interactions and reduce risk of child abuse and
future violence. Grief counseling and survivor resources are tertiary;
screening/counseling for suicidal/homicidal ideation is secondary.
6. A nurse in community health located in Virginia is conducting an assessment
on a Hispanic worker currently working in a local apple orchard for the season.
The nurse determines that the worker originates from Florida and is living in
temporary housing with other orchard workers. Based on this information, the
nurse should integrate the special needs of what vulnerable population?
Exam Quiz 2 | Questions and Answers plus Rationale |
Latest Update 2026-2027 | Graded A+ West Coast
University
1. Preventing intimate partner violence (IPV) and recurrence of violence requires
targeting efforts at all three levels of prevention: primary, secondary, and
tertiary. Which is a secondary prevention strategy?
• A. Putting up posters around the health provider’s office that give tips on
what to do if one is in an abusive relationship
• B. Screening a woman for evidence of abuse who has several risk factors for
IPV
• C. Creating and broadcasting a public service announcement that raises
awareness about IPV
• D. Providing a woman who is being abused by her husband the number to
an abuse hotline so that she can get help leaving him
Correct Answer: B — Screening a woman for evidence of abuse who has several
risk factors for IPV
Rationale: Secondary prevention focuses on early identification and detection of
disease or risk before it becomes severe. Screening for IPV in a woman with risk
factors is a secondary prevention strategy. Posters and public service
announcements are primary prevention (awareness/education). Providing a
hotline to a woman already being abused is tertiary prevention
(intervention/recovery).
2. In researching the problem of homelessness in the city, the nurse discovers
that the number of mentally ill homeless has steadily grown over the past
couple of decades. The biggest reason for this trend is:
, • A. Shortages of affordable housing
• B. Deinstitutionalization
• C. An increase in the prevalence of major mental illness
• D. Economic downturns
Correct Answer: B — Deinstitutionalization
Rationale: Deinstitutionalization of mental health facilities in the mid-to-late 20th
century discharged many individuals with serious mental illness into communities
without adequate support services, contributing significantly to homelessness
among the mentally ill.
3. A community health nurse is developing an educational program on
substance abuse. Which of the following information should the nurse include
when discussing nicotine and smoking?
• A. Withdrawal effects from smoking are minimal
• B. Smoking is the fifth most preventable cause of death in the United States
• C. Tolerance to nicotine develops quickly
• D. Nicotine is a central nervous system depressant
Correct Answer: C — Tolerance to nicotine develops quickly
Rationale: Nicotine is highly addictive, and tolerance develops rapidly, requiring
more nicotine to achieve the same effect. Smoking is the leading preventable
cause of death in the U.S., not fifth. Withdrawal effects are significant. Nicotine is
a stimulant, not a depressant.
4. The public health nurse educates high school students regarding safe sexual
practices and the importance of monogamous relationships. This is an example
of:
• A. Quaternary prevention
, • B. Tertiary prevention
• C. Secondary prevention
• D. Primary prevention
Correct Answer: D — Primary prevention
Rationale: Primary prevention aims to prevent disease before it occurs. Education
about safe sexual practices and monogamous relationships helps prevent sexually
transmitted infections before exposure.
5. An example of a primary prevention strategy to reduce incidence of violence
within the community would include which of the following?
• A. Provide grief counseling to families following the death of a family
member to suicide or homicide
• B. Make resources in the community available to survivors of violence
• C. Assessing for and counseling anyone contemplating suicide or homicide
and refer to services
• D. Organizing parenting classes to provide appropriate
Correct Answer: D — Organizing parenting classes to provide appropriate
[parenting skills]
Rationale: Primary prevention prevents violence before it occurs. Parenting
classes promote healthy family interactions and reduce risk of child abuse and
future violence. Grief counseling and survivor resources are tertiary;
screening/counseling for suicidal/homicidal ideation is secondary.
6. A nurse in community health located in Virginia is conducting an assessment
on a Hispanic worker currently working in a local apple orchard for the season.
The nurse determines that the worker originates from Florida and is living in
temporary housing with other orchard workers. Based on this information, the
nurse should integrate the special needs of what vulnerable population?
