NRS 425 Final Exam V3 | NRS 425 Health
Promotion and Population Health | Actual Q&A
with Rationale (NRS425 Final Exam) | Grand
Canyon University
1. The community health nurse is evaluating the social determinants of health (SDOH) for a
specific population. Which of the following factors should the nurse include in this
assessment? (Select All That Apply)
A. Economic stability
B. Education access and quality
C. Health care access and quality
D. Neighborhood and built environment
E. Social and community context
F. Personal genetic predisposition to chronic disease
Correct Answer: A, B, C, D, E
Explanation: Social determinants of health are the conditions in the environments where
people are born, live, learn, work, play, worship, and age that affect a wide range of health,
functioning, and quality-of-life outcomes and risks. While genetics play a role in individual
health, they are not categorized as social determinants of health according to the Healthy
People 2030 framework. The nurse must recognize that factors like economic stability and
education directly impact the health status of a community population.
,2. A nurse is organizing a community-wide blood pressure screening event at a local senior
center. This activity represents which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Correct Answer: C
Explanation: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages. Blood pressure screenings are designed to identify
individuals with hypertension who may not yet show symptoms. This level of intervention
aims to reduce the impact of a disease by providing early treatment and management.
3. When calculating the incidence rate of a disease within a specific population, which of the
following must be used as the numerator?
A. The total number of existing cases in the population.
B. The number of new cases occurring during a specific time period.
C. The total number of deaths from the disease.
D. The total number of individuals in the population at risk.
Correct Answer: B
, Explanation: The incidence rate measures the frequency of new cases of a disease that
develop in a population during a specific timeframe. In contrast, prevalence measures all
cases (new and old) present at a specific point in time. Understanding incidence is critical
for nurses to track the spread of infectious diseases or the emergence of new health trends.
4. The Healthy People 2030 initiative aims to achieve which of the following overarching
goals?
A. Create social and physical environments that promote good health for all.
B. Increase the profitability of private health care institutions.
C. Mandate universal health insurance for all citizens.
D. Eliminate health disparities and achieve health equity.
Correct Answer: D
Explanation: One of the primary goals of Healthy People 2030 is to eliminate health
disparities, achieve health equity, and attain health literacy to improve the health and well-
being of all. This initiative focuses on the systemic changes needed to ensure that no one is
disadvantaged from achieving their full health potential. Nurses utilize these goals to guide
community health assessment and intervention planning.
5. A nurse is using Pender’s Health Promotion Model to assess a patient’s likelihood of
adopting a new exercise routine. Which factor is considered a ‘perceived barrier’ according to
this model?
A. The patient’s belief that they have the ability to perform the exercise.
Promotion and Population Health | Actual Q&A
with Rationale (NRS425 Final Exam) | Grand
Canyon University
1. The community health nurse is evaluating the social determinants of health (SDOH) for a
specific population. Which of the following factors should the nurse include in this
assessment? (Select All That Apply)
A. Economic stability
B. Education access and quality
C. Health care access and quality
D. Neighborhood and built environment
E. Social and community context
F. Personal genetic predisposition to chronic disease
Correct Answer: A, B, C, D, E
Explanation: Social determinants of health are the conditions in the environments where
people are born, live, learn, work, play, worship, and age that affect a wide range of health,
functioning, and quality-of-life outcomes and risks. While genetics play a role in individual
health, they are not categorized as social determinants of health according to the Healthy
People 2030 framework. The nurse must recognize that factors like economic stability and
education directly impact the health status of a community population.
,2. A nurse is organizing a community-wide blood pressure screening event at a local senior
center. This activity represents which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Correct Answer: C
Explanation: Secondary prevention focuses on early detection and screening to identify
diseases in their earliest stages. Blood pressure screenings are designed to identify
individuals with hypertension who may not yet show symptoms. This level of intervention
aims to reduce the impact of a disease by providing early treatment and management.
3. When calculating the incidence rate of a disease within a specific population, which of the
following must be used as the numerator?
A. The total number of existing cases in the population.
B. The number of new cases occurring during a specific time period.
C. The total number of deaths from the disease.
D. The total number of individuals in the population at risk.
Correct Answer: B
, Explanation: The incidence rate measures the frequency of new cases of a disease that
develop in a population during a specific timeframe. In contrast, prevalence measures all
cases (new and old) present at a specific point in time. Understanding incidence is critical
for nurses to track the spread of infectious diseases or the emergence of new health trends.
4. The Healthy People 2030 initiative aims to achieve which of the following overarching
goals?
A. Create social and physical environments that promote good health for all.
B. Increase the profitability of private health care institutions.
C. Mandate universal health insurance for all citizens.
D. Eliminate health disparities and achieve health equity.
Correct Answer: D
Explanation: One of the primary goals of Healthy People 2030 is to eliminate health
disparities, achieve health equity, and attain health literacy to improve the health and well-
being of all. This initiative focuses on the systemic changes needed to ensure that no one is
disadvantaged from achieving their full health potential. Nurses utilize these goals to guide
community health assessment and intervention planning.
5. A nurse is using Pender’s Health Promotion Model to assess a patient’s likelihood of
adopting a new exercise routine. Which factor is considered a ‘perceived barrier’ according to
this model?
A. The patient’s belief that they have the ability to perform the exercise.
