NSG 440 Exam 3 V1 | NSG 440 Population Health |
Actual Q&A with Rationale (NSG440 Exam 3) |
Grand Canyon University
1. A community health nurse is assessing the social determinants of health (SDOH) for a
specific neighborhood. Which of the following factors should be included in this assessment?
Select all that apply.
A. Economic stability and employment status
B. Access to education and quality of schools
C. Social and community context, including discrimination
D. Neighborhood and built environment safety
E. Access to healthcare and health literacy
F. Personal genetic predisposition to chronic disease
Correct Answer: A, B, C, D, E
Explanation: Social determinants of health include the conditions in the environment
where people are born, live, learn, work, and play. Economic stability, education, social
context, and the built environment are all core domains identified by Healthy People 2030.
Genetic predisposition is considered a biological factor rather than a social determinant of
health.
,2. Which of the following interventions is an example of primary prevention in the context of
community health?
A. Providing a support group for patients diagnosed with diabetes
B. Administering a tuberculin skin test to high-risk individuals
C. Conducting physical therapy for a resident recovering from a stroke
D. Implementing a community-wide educational program on the importance of exercise
Correct Answer: D
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease
or injury. Educational programs that promote healthy lifestyles like exercise aim to prevent
disease before it occurs. Secondary prevention involves screening, while tertiary
prevention focuses on rehabilitation and management of established disease.
3. A public health nurse is monitoring the number of new cases of influenza in a county
during the month of January. This measurement is known as:
A. Prevalence rate
B. Incidence rate
C. Attack rate
D. Mortality rate
Correct Answer: B
, Explanation: Incidence rate refers to the number of new cases of a specific disease
occurring in a population during a specified period. This helps nurses understand the
spread and risk of disease within the community. Prevalence includes both new and
existing cases at a single point in time.
4. Using the ‘I PREPARE’ mnemonic for environmental health assessments, what does the first
‘E’ stand for?
A. Environmental concerns
B. Education
C. Environmental health
D. Environment
Correct Answer: A
Explanation: The ‘I PREPARE’ tool is used to help health professionals take an
environmental exposure history. The first ‘E’ stands for Environmental concerns,
prompting the nurse to ask about concerns related to air, water, or soil quality. This
systematic approach ensures all potential exposures are evaluated during the patient
intake.
5. A nurse is working in a rural clinic and notices a high rate of respiratory issues among
migrant farmworkers. Which factor is the most likely environmental contributor?
A. Exposure to pesticides and agricultural dust
B. Lack of access to health insurance
Actual Q&A with Rationale (NSG440 Exam 3) |
Grand Canyon University
1. A community health nurse is assessing the social determinants of health (SDOH) for a
specific neighborhood. Which of the following factors should be included in this assessment?
Select all that apply.
A. Economic stability and employment status
B. Access to education and quality of schools
C. Social and community context, including discrimination
D. Neighborhood and built environment safety
E. Access to healthcare and health literacy
F. Personal genetic predisposition to chronic disease
Correct Answer: A, B, C, D, E
Explanation: Social determinants of health include the conditions in the environment
where people are born, live, learn, work, and play. Economic stability, education, social
context, and the built environment are all core domains identified by Healthy People 2030.
Genetic predisposition is considered a biological factor rather than a social determinant of
health.
,2. Which of the following interventions is an example of primary prevention in the context of
community health?
A. Providing a support group for patients diagnosed with diabetes
B. Administering a tuberculin skin test to high-risk individuals
C. Conducting physical therapy for a resident recovering from a stroke
D. Implementing a community-wide educational program on the importance of exercise
Correct Answer: D
Explanation: Primary prevention focuses on preventing the initial occurrence of a disease
or injury. Educational programs that promote healthy lifestyles like exercise aim to prevent
disease before it occurs. Secondary prevention involves screening, while tertiary
prevention focuses on rehabilitation and management of established disease.
3. A public health nurse is monitoring the number of new cases of influenza in a county
during the month of January. This measurement is known as:
A. Prevalence rate
B. Incidence rate
C. Attack rate
D. Mortality rate
Correct Answer: B
, Explanation: Incidence rate refers to the number of new cases of a specific disease
occurring in a population during a specified period. This helps nurses understand the
spread and risk of disease within the community. Prevalence includes both new and
existing cases at a single point in time.
4. Using the ‘I PREPARE’ mnemonic for environmental health assessments, what does the first
‘E’ stand for?
A. Environmental concerns
B. Education
C. Environmental health
D. Environment
Correct Answer: A
Explanation: The ‘I PREPARE’ tool is used to help health professionals take an
environmental exposure history. The first ‘E’ stands for Environmental concerns,
prompting the nurse to ask about concerns related to air, water, or soil quality. This
systematic approach ensures all potential exposures are evaluated during the patient
intake.
5. A nurse is working in a rural clinic and notices a high rate of respiratory issues among
migrant farmworkers. Which factor is the most likely environmental contributor?
A. Exposure to pesticides and agricultural dust
B. Lack of access to health insurance
