NRS 425 Exam 1 V3 | NRS 425 Health Promotion
and Population Health | Actual Q&A with Rationale
(NRS425 Exam 1) | Grand Canyon University
1. Which of the following are recognized categories within the Social Determinants of Health
(SDOH) framework according to Healthy People 2030? (Select All That Apply)
A. Economic Stability
B. Education Access and Quality
C. Genetic Predispositions
D. Healthcare Access and Quality
E. Neighborhood and Built Environment
F. Social and Community Context
Correct Answer: A, B, D, E, F
Explanation: Healthy People 2030 identifies five main domains of SDOH: Economic
Stability, Education Access and Quality, Health Care Access and Quality, Neighborhood and
Built Environment, and Social and Community Context. Genetic predispositions are
biological factors rather than social determinants. Nurses must assess these areas to
identify barriers to health and implement effective community-level interventions.
,2. A community health nurse is conducting a health fair at a local community center. The
nurse provides information on the importance of regular exercise and healthy eating habits.
Which level of prevention is being implemented?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Correct Answer: A
Explanation: Primary prevention aims to prevent the onset of disease or injury before it
occurs by reducing exposure or increasing resistance. Providing education on lifestyle
choices like exercise and nutrition is a hallmark of primary prevention. This approach
differs from secondary prevention, which focuses on early detection through screening,
and tertiary prevention, which involves management of established disease.
3. A nurse is organizing a community-wide screening for hypertension. Which level of
prevention does this represent?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Assessment Prevention
,Correct Answer: C
Explanation: Secondary prevention focuses on early detection and prompt intervention to
limit the severity of a disease. Hypertension screenings are designed to identify individuals
in the early stages of the condition who may not yet show symptoms. By identifying the
problem early, nurses can facilitate treatment and lifestyle changes to prevent
complications like stroke or heart disease.
4. Which intervention should the nurse include in a plan of care for a client who has recently
experienced a stroke and is now in a rehabilitation facility? (Select All That Apply)
A. Speech therapy to manage dysphagia
B. Physical therapy to improve mobility
C. Administering a flu vaccine
D. Occupational therapy for activities of daily living
E. Screening the client’s family for high blood pressure
Correct Answer: A, B, D
Explanation: Tertiary prevention focuses on rehabilitation and restoration of health after
a disease or injury has occurred. Speech, physical, and occupational therapies are all
examples of tertiary prevention aimed at maximizing functional capacity and preventing
further disability. While vaccines and screenings are important, they fall under primary and
secondary prevention categories, respectively.
, 5. When conducting a windshield survey, which of the following observations would provide
data about the community’s economic status? (Select All That Apply)
A. Presence of payday loan businesses
B. Condition of housing and public infrastructure
C. Types of groceries available in local stores
D. Number of parks and recreational facilities
E. The ethnicity of residents walking on the street
Correct Answer: A, B, C
Explanation: Economic status can be inferred from the types of businesses present, such
as payday lenders, the physical condition of the environment, and the availability of
affordable, healthy food. While parks contribute to health, they do not directly indicate
economic status as clearly as infrastructure and business types. Ethnicity is a demographic
indicator rather than a direct economic indicator during a windshield survey.
6. A public health nurse is utilizing the Health Belief Model (HBM) to understand why a group
of patients is not complying with diabetic foot care. Which construct of the HBM describes a
patient’s belief about the seriousness of the condition?
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
and Population Health | Actual Q&A with Rationale
(NRS425 Exam 1) | Grand Canyon University
1. Which of the following are recognized categories within the Social Determinants of Health
(SDOH) framework according to Healthy People 2030? (Select All That Apply)
A. Economic Stability
B. Education Access and Quality
C. Genetic Predispositions
D. Healthcare Access and Quality
E. Neighborhood and Built Environment
F. Social and Community Context
Correct Answer: A, B, D, E, F
Explanation: Healthy People 2030 identifies five main domains of SDOH: Economic
Stability, Education Access and Quality, Health Care Access and Quality, Neighborhood and
Built Environment, and Social and Community Context. Genetic predispositions are
biological factors rather than social determinants. Nurses must assess these areas to
identify barriers to health and implement effective community-level interventions.
,2. A community health nurse is conducting a health fair at a local community center. The
nurse provides information on the importance of regular exercise and healthy eating habits.
Which level of prevention is being implemented?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Correct Answer: A
Explanation: Primary prevention aims to prevent the onset of disease or injury before it
occurs by reducing exposure or increasing resistance. Providing education on lifestyle
choices like exercise and nutrition is a hallmark of primary prevention. This approach
differs from secondary prevention, which focuses on early detection through screening,
and tertiary prevention, which involves management of established disease.
3. A nurse is organizing a community-wide screening for hypertension. Which level of
prevention does this represent?
A. Primary Prevention
B. Tertiary Prevention
C. Secondary Prevention
D. Assessment Prevention
,Correct Answer: C
Explanation: Secondary prevention focuses on early detection and prompt intervention to
limit the severity of a disease. Hypertension screenings are designed to identify individuals
in the early stages of the condition who may not yet show symptoms. By identifying the
problem early, nurses can facilitate treatment and lifestyle changes to prevent
complications like stroke or heart disease.
4. Which intervention should the nurse include in a plan of care for a client who has recently
experienced a stroke and is now in a rehabilitation facility? (Select All That Apply)
A. Speech therapy to manage dysphagia
B. Physical therapy to improve mobility
C. Administering a flu vaccine
D. Occupational therapy for activities of daily living
E. Screening the client’s family for high blood pressure
Correct Answer: A, B, D
Explanation: Tertiary prevention focuses on rehabilitation and restoration of health after
a disease or injury has occurred. Speech, physical, and occupational therapies are all
examples of tertiary prevention aimed at maximizing functional capacity and preventing
further disability. While vaccines and screenings are important, they fall under primary and
secondary prevention categories, respectively.
, 5. When conducting a windshield survey, which of the following observations would provide
data about the community’s economic status? (Select All That Apply)
A. Presence of payday loan businesses
B. Condition of housing and public infrastructure
C. Types of groceries available in local stores
D. Number of parks and recreational facilities
E. The ethnicity of residents walking on the street
Correct Answer: A, B, C
Explanation: Economic status can be inferred from the types of businesses present, such
as payday lenders, the physical condition of the environment, and the availability of
affordable, healthy food. While parks contribute to health, they do not directly indicate
economic status as clearly as infrastructure and business types. Ethnicity is a demographic
indicator rather than a direct economic indicator during a windshield survey.
6. A public health nurse is utilizing the Health Belief Model (HBM) to understand why a group
of patients is not complying with diabetic foot care. Which construct of the HBM describes a
patient’s belief about the seriousness of the condition?
A. Perceived susceptibility
B. Perceived severity
C. Perceived benefits
