NRS 425 Final Exam V1 | NRS 425 Health
Promotion and Population Health | Actual Q&A
with Rationale (NRS425 Final Exam) | Grand
Canyon University
1. A public health nurse is planning a community-wide educational program on smoking
cessation. Which level of prevention does this intervention represent?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: B
Explanation: Primary prevention aims to prevent the onset of disease or injury before it
occurs by reducing exposure or increasing resistance. Educational programs regarding
smoking cessation are designed to prevent individuals from starting or to stop the behavior
before clinical symptoms manifest. This approach focuses on health promotion and risk
reduction across the entire population.
2. Which of the following elements are included in the epidemiological triangle? (Select all
that apply)
A. Agent
B. Environment
,C. Host
D. Policy
E. Social Determinants
F. Intervention
Correct Answer: A, B, C
Explanation: The epidemiological triangle is a model used to explain the development of
communicable diseases. It consists of three pillars: the agent (the cause of the disease), the
host (the organism affected), and the environment (external factors that allow
transmission). Analyzing the relationship between these three factors helps nurses identify
targets for intervention and prevention strategies.
3. A nurse is conducting a windshield survey of a new neighborhood. Which components
should the nurse observe to assess the ‘built environment’? (Select all that apply)
A. Condition of housing
B. Presence of sidewalks and bike lanes
C. Accessibility of grocery stores providing fresh produce
D. Air quality indices
E. Public transportation stops
F. Prevalence of chronic diseases
Correct Answer: A, B, C, E
,Explanation: The built environment refers to the human-made surroundings that provide
the setting for human activity, ranging in scale from personal shelter to neighborhoods to
the large-scale civic surroundings. Observing housing conditions, transportation
infrastructure, and food access points provides direct data on how the physical
surroundings impact health behaviors. Factors like air quality are considered natural
environmental components, and disease prevalence is a health outcome, not a physical
environment component.
4. A nurse is applying Pender’s Health Promotion Model (HPM) to a patient struggling with
physical activity. Which construct is unique to this model compared to others?
A. Perceived barriers to action
B. Activity-related affect
C. Self-efficacy
D. Perceived benefits of action
Correct Answer: B
Explanation: Activity-related affect refers to the subjective feelings that occur before,
during, and following an activity based on the stimulus properties of the behavior itself.
Pender’s model emphasizes that if an individual associates positive emotions with an
activity, they are more likely to repeat it. This focus on the emotional response to the
specific health behavior distinguishes the HPM from the Health Belief Model.
, 5. The nurse is assessing a community using the Health Belief Model. Which factor represents
‘perceived susceptibility’?
A. The patient’s belief about the seriousness of the disease.
B. The patient’s belief about the chances of getting a condition.
C. The patient’s belief about the effectiveness of the intervention.
D. The patient’s confidence in their ability to perform the action.
Correct Answer: B
Explanation: Perceived susceptibility is one of the core constructs of the Health Belief
Model and refers to a person’s subjective perception of the risk of acquiring a disease or
condition. When individuals believe they are at high risk, they are more motivated to
engage in health-promoting behaviors. The nurse must assess this to tailor education that
highlights the reality of health risks for that specific individual or population.
6. A community health nurse identifies that a specific neighborhood has high rates of
childhood asthma. Addressing the local air quality by lobbying for stricter industrial emissions
is an example of what?
A. Downstream thinking
B. Upstream thinking
C. Midstream thinking
D. Lateral thinking
Promotion and Population Health | Actual Q&A
with Rationale (NRS425 Final Exam) | Grand
Canyon University
1. A public health nurse is planning a community-wide educational program on smoking
cessation. Which level of prevention does this intervention represent?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: B
Explanation: Primary prevention aims to prevent the onset of disease or injury before it
occurs by reducing exposure or increasing resistance. Educational programs regarding
smoking cessation are designed to prevent individuals from starting or to stop the behavior
before clinical symptoms manifest. This approach focuses on health promotion and risk
reduction across the entire population.
2. Which of the following elements are included in the epidemiological triangle? (Select all
that apply)
A. Agent
B. Environment
,C. Host
D. Policy
E. Social Determinants
F. Intervention
Correct Answer: A, B, C
Explanation: The epidemiological triangle is a model used to explain the development of
communicable diseases. It consists of three pillars: the agent (the cause of the disease), the
host (the organism affected), and the environment (external factors that allow
transmission). Analyzing the relationship between these three factors helps nurses identify
targets for intervention and prevention strategies.
3. A nurse is conducting a windshield survey of a new neighborhood. Which components
should the nurse observe to assess the ‘built environment’? (Select all that apply)
A. Condition of housing
B. Presence of sidewalks and bike lanes
C. Accessibility of grocery stores providing fresh produce
D. Air quality indices
E. Public transportation stops
F. Prevalence of chronic diseases
Correct Answer: A, B, C, E
,Explanation: The built environment refers to the human-made surroundings that provide
the setting for human activity, ranging in scale from personal shelter to neighborhoods to
the large-scale civic surroundings. Observing housing conditions, transportation
infrastructure, and food access points provides direct data on how the physical
surroundings impact health behaviors. Factors like air quality are considered natural
environmental components, and disease prevalence is a health outcome, not a physical
environment component.
4. A nurse is applying Pender’s Health Promotion Model (HPM) to a patient struggling with
physical activity. Which construct is unique to this model compared to others?
A. Perceived barriers to action
B. Activity-related affect
C. Self-efficacy
D. Perceived benefits of action
Correct Answer: B
Explanation: Activity-related affect refers to the subjective feelings that occur before,
during, and following an activity based on the stimulus properties of the behavior itself.
Pender’s model emphasizes that if an individual associates positive emotions with an
activity, they are more likely to repeat it. This focus on the emotional response to the
specific health behavior distinguishes the HPM from the Health Belief Model.
, 5. The nurse is assessing a community using the Health Belief Model. Which factor represents
‘perceived susceptibility’?
A. The patient’s belief about the seriousness of the disease.
B. The patient’s belief about the chances of getting a condition.
C. The patient’s belief about the effectiveness of the intervention.
D. The patient’s confidence in their ability to perform the action.
Correct Answer: B
Explanation: Perceived susceptibility is one of the core constructs of the Health Belief
Model and refers to a person’s subjective perception of the risk of acquiring a disease or
condition. When individuals believe they are at high risk, they are more motivated to
engage in health-promoting behaviors. The nurse must assess this to tailor education that
highlights the reality of health risks for that specific individual or population.
6. A community health nurse identifies that a specific neighborhood has high rates of
childhood asthma. Addressing the local air quality by lobbying for stricter industrial emissions
is an example of what?
A. Downstream thinking
B. Upstream thinking
C. Midstream thinking
D. Lateral thinking
