WGU Community Health Nursing Assessment |
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PRACTICE TEST
,WGU Community Health Nursing Practice Assessment
1. A community health nurse is conducting a needs assessment. Which of the following best describes the primary
purpose of this process?
A) To diagnose and treat individual illnesses within the community.
B) To identify the health needs and strengths of a specific population.
C) To enforce public health laws and regulations.
D) To provide direct care to all members of the community.
Answer: B
Rationale: A community health needs assessment is a systematic process to identify the health needs, strengths, and
resources of a defined population. The focus is on the population as a whole, not on individual diagnosis and treatment
(A, D). Enforcing laws is a function of public health, but not the primary purpose of a needs assessment (C).
2. Which model of health promotion is based on the premise that health behavior is influenced by intrapersonal,
interpersonal, and environmental factors?
A) Health Belief Model
B) Pender's Health Promotion Model
C) Ecological Model
,D) Transtheoretical Model
Answer: C
Rationale: The Ecological Model (or Social-Ecological Model) emphasizes that health behaviors are influenced by multiple
levels of factors, including individual (intrapersonal), relationship (interpersonal), community, and societal (environmental)
factors. The Health Belief Model (A) focuses on individual beliefs. Pender's model (B) focuses on individual cognitive-
perceptual factors. The Transtheoretical Model (D) focuses on stages of change.
3. A nurse is planning a community health program. Which of the following is the first step in the program planning
process?
A) Developing a budget.
B) Implementing interventions.
C) Conducting a community assessment.
D) Evaluating the program's effectiveness.
Answer: C
Rationale: The planning process always begins with a thorough assessment of the community's needs, strengths, and
resources. This data forms the foundation for all subsequent steps, including diagnosis, planning, implementation (B),
budgeting (A), and evaluation (D).
4. The nurse is investigating an outbreak of foodborne illness. Which of the following is the most important initial step?
, A) Interviewing all affected individuals.
B) Identifying the causative agent.
C) Establishing the existence of an outbreak.
D) Implementing control measures.
Answer: C
Rationale: Before an investigation can proceed, the nurse must first confirm that an outbreak is actually occurring. This
involves comparing the current number of cases to the expected number. Once the outbreak is confirmed, the next steps
are to verify the diagnosis (B), establish a case definition, and then interview individuals (A) and implement control
measures (D).
5. Which of the following is an example of primary prevention?
A) Screening for hypertension.
B) Providing a support group for cancer survivors.
C) Administering a measles, mumps, and rubella (MMR) vaccine.
D) Referring a client for physical therapy after a stroke.
Answer: C
Rationale: Primary prevention aims to prevent disease or injury before it occurs. Immunizations are a classic example.
Screening (A) is secondary prevention (early detection). Support groups (B) and rehabilitation (D) are tertiary prevention
(managing existing disease to prevent complications).
VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE EXAM PREP | STUDY GUIDE |
PRACTICE TEST
,WGU Community Health Nursing Practice Assessment
1. A community health nurse is conducting a needs assessment. Which of the following best describes the primary
purpose of this process?
A) To diagnose and treat individual illnesses within the community.
B) To identify the health needs and strengths of a specific population.
C) To enforce public health laws and regulations.
D) To provide direct care to all members of the community.
Answer: B
Rationale: A community health needs assessment is a systematic process to identify the health needs, strengths, and
resources of a defined population. The focus is on the population as a whole, not on individual diagnosis and treatment
(A, D). Enforcing laws is a function of public health, but not the primary purpose of a needs assessment (C).
2. Which model of health promotion is based on the premise that health behavior is influenced by intrapersonal,
interpersonal, and environmental factors?
A) Health Belief Model
B) Pender's Health Promotion Model
C) Ecological Model
,D) Transtheoretical Model
Answer: C
Rationale: The Ecological Model (or Social-Ecological Model) emphasizes that health behaviors are influenced by multiple
levels of factors, including individual (intrapersonal), relationship (interpersonal), community, and societal (environmental)
factors. The Health Belief Model (A) focuses on individual beliefs. Pender's model (B) focuses on individual cognitive-
perceptual factors. The Transtheoretical Model (D) focuses on stages of change.
3. A nurse is planning a community health program. Which of the following is the first step in the program planning
process?
A) Developing a budget.
B) Implementing interventions.
C) Conducting a community assessment.
D) Evaluating the program's effectiveness.
Answer: C
Rationale: The planning process always begins with a thorough assessment of the community's needs, strengths, and
resources. This data forms the foundation for all subsequent steps, including diagnosis, planning, implementation (B),
budgeting (A), and evaluation (D).
4. The nurse is investigating an outbreak of foodborne illness. Which of the following is the most important initial step?
, A) Interviewing all affected individuals.
B) Identifying the causative agent.
C) Establishing the existence of an outbreak.
D) Implementing control measures.
Answer: C
Rationale: Before an investigation can proceed, the nurse must first confirm that an outbreak is actually occurring. This
involves comparing the current number of cases to the expected number. Once the outbreak is confirmed, the next steps
are to verify the diagnosis (B), establish a case definition, and then interview individuals (A) and implement control
measures (D).
5. Which of the following is an example of primary prevention?
A) Screening for hypertension.
B) Providing a support group for cancer survivors.
C) Administering a measles, mumps, and rubella (MMR) vaccine.
D) Referring a client for physical therapy after a stroke.
Answer: C
Rationale: Primary prevention aims to prevent disease or injury before it occurs. Immunizations are a classic example.
Screening (A) is secondary prevention (early detection). Support groups (B) and rehabilitation (D) are tertiary prevention
(managing existing disease to prevent complications).