Community Health Nursing Exam 3 | Practice Questions, Answers
& Study Guide 2026/2027
Disease surveillance has been a part of public health protection since the 1200s during the investigation
of the bubonic plague in Europe. - Ans✅✅✅ Surveillance provides a means for nurses to monitor
disease trends to reduce morbidity and mortality and to improve health.
Jorge approaches Ms. Giles and informs her that he has been taking prescription opioids. He is fearful of
dependence and wants advice on how to stop the medication. - Ans✅✅✅ A. Reassure Jorge that
there is no chance of developing dependence.
B. Inform Jorge that he must stop taking the medications immediately or risk termination
C. Instruct Jorge that he should gradually taper off the dose to avoid withdrawal symptoms CORRECT
D. Encourage Jorge to stop the medication and replace it with another narcotic
What is the main purpose of implementing a substance abuse program at a construction worksite? -
Ans✅✅✅ A. Lowers workers compensation rates for the company.
B. Provides a topic of health education
C. Provides a mechanism of terminating problem employees
D. Harm reduction as a focus on health promotion CORRECT
The role of the nurse (caring for at risk populations) is to have knowledge of community resources and
how to mobilize them. - Ans✅✅✅ The nurses role is also to provide brief interventions, we are not
treatment experts.
We can provide feedback about risk of drug abuse.
Emphasize personal responsibility.
Give clear advice to make behavior changes.
Provide options.
Provide empathy and encouragement to change.
,A nurse practitioner has established a mobile clinic to vaccinate noninstitutionalized adults against
influence. Which of the following phases of the nursing process is being implemented? - Ans✅✅✅ A.
Assessment
B. Planning
C. Intervention CORRECT
D. Evaluation
A nurse after working two weeks at the site of the largest natural disaster to hit the United Stes, returns
home. Which of the following behaviors would suggest the nurse needs professional assistance? -
Ans✅✅✅ A. The nurse becomes angry when family members quit listening to her ongoing stories
about the disaster and the problems there CORRECT
B. The nurse gives a presentation at the local college about the disaster and describes how health
professionals were able to assist the victims who were injured
C. The nurse is moody and feels family demands are not really as important as the other members of her
family think they are
D. The nurse is very exhausted and asks to have 3 personal days off from employment responsibilities
In which of the following situations would the nurse most likely use active surveillance? - Ans✅✅✅ A.
A newspaper wants to know the incidence of asthma in the community
B. A real-time ongoing communication channel is established to monitor a particular symptom
C. Several children become ill with GI upset at one local school CORRECT
D. The nurse is asked to report the incidence of a specific no reportable common problem in the
community
Which of the following is an accurate concern about the use of marijuana? - Ans✅✅✅ A. Marijuana
has painful withdrawal symptoms
B. Marijuana may damage the respiratory tract CORRECT
C. Marijuana can often reduce pain but physicians refuse to prescribe it
D. Marijuana quickly leads to psychological and physiological dependence
A nurse offers homeless clients yearly tuberculosis screening and free treatment for those who test
positive for TB. Which of the following levels of prevention is being used? - Ans✅✅✅ A. Primary
prevention
,B. Secondary prevention CORRECT
C. Tertiary prevention
D. Secondary and tertiary prevention
A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea,
vomiting, diarrhea, and headache with difficulty concentrating. Which of the following conditions would
cause such symptoms? - Ans✅✅✅ A. Appendicitis
B. Bacterial gastroenteritis
C. Pesticide poisoning CORRECT
D. Viral illness
The role of the nurse (caring for at risk populations) is developing community prevention programs. -
Ans✅✅✅ Nurses are in ideal roles to assist (at risk populations) with tertiary presentation for both
the addicted person and the family
High risk groups: adolescents, older adults, injection drug users, drug use during pregnancy, use of illicit
drugs. - Ans✅✅✅ Where this is ATOD codependency and family involvement: help families recognize
addictions for prompt treatment.
Detoxification - Ans✅✅✅ Alcohol, benzodiazepines, and barbiturates can produce life-threatening
withdrawal symptoms, wean gradually.
Addiction treatment - Ans✅✅✅ Methadone-blocks effects of other opioids and decreases crying.
Inpatient, long term residential outpatient.
Smoking cessation programs - Ans✅✅✅ Involve combination of interventions (environment, habits,
meds)
Support groups for ATOD - Ans✅✅✅ Alcoholics Anonymous
Al-Anon and Alateen
Narcotics anonymous
Pills anonymous for person with polydrug addictions
, Over eaters anonymous
Gamblers anonymous
Bullying = even more dangerous with technology, can lead to self harm - Ans✅✅✅ School can be a
powerful contributor to nonviolence. Educate on conflict resolution, abuse, date rape, etc.
In recent years, schools have assumed many responsibilities traditionally assigned to the family (sex
education, discipline) - Ans✅✅✅ Spanking = some punish hitting or biting with spanking
Television programs and print articles can inform and increase public awareness about family violence. -
Ans✅✅✅ Abused women and rape victims benefit from media attention. The media can indirectly
lead people to choose violence.
Organized religion - Ans✅✅✅ Religion generally teaches nonviolent conflict resolution.
However, historically, a seemingly contradictory relationship exists between abuse and religion.
(Victimization of women, believe that they must stay married despite abuse).
Which of the following statements by a parent indicates a need for increased learning regarding
appropriate (nonabusive) discipline of a child? - Ans✅✅✅ A. I have stopped using a switch on my
child, and I am learning to count to 10 before reacting
B. I never spank or hit; I yell at them to stop being stupid, and if they don't, I tell them no one is every
going to love them if they act like that CORRECT
C. I use timeouts when my child acts out or is naughty. Sometimes my child doesn't cope well with this,
but I am persistent
D. When my child misbehaves, I distract him and focus his attention on other things. If he throws a
tantrum, I have been known to just pick him up and leave from wherever we are
In addition to those barriers faced by many resident in rural areas, what additional barrier to health care
is a Hispanic migrant farmworker likely to encounter? - Ans✅✅✅ A. Absence of culturally competent
care CORRECT
B. Availability of specialists
C. Distance of health care facilities from the place of residence
D. High cost of health care
& Study Guide 2026/2027
Disease surveillance has been a part of public health protection since the 1200s during the investigation
of the bubonic plague in Europe. - Ans✅✅✅ Surveillance provides a means for nurses to monitor
disease trends to reduce morbidity and mortality and to improve health.
Jorge approaches Ms. Giles and informs her that he has been taking prescription opioids. He is fearful of
dependence and wants advice on how to stop the medication. - Ans✅✅✅ A. Reassure Jorge that
there is no chance of developing dependence.
B. Inform Jorge that he must stop taking the medications immediately or risk termination
C. Instruct Jorge that he should gradually taper off the dose to avoid withdrawal symptoms CORRECT
D. Encourage Jorge to stop the medication and replace it with another narcotic
What is the main purpose of implementing a substance abuse program at a construction worksite? -
Ans✅✅✅ A. Lowers workers compensation rates for the company.
B. Provides a topic of health education
C. Provides a mechanism of terminating problem employees
D. Harm reduction as a focus on health promotion CORRECT
The role of the nurse (caring for at risk populations) is to have knowledge of community resources and
how to mobilize them. - Ans✅✅✅ The nurses role is also to provide brief interventions, we are not
treatment experts.
We can provide feedback about risk of drug abuse.
Emphasize personal responsibility.
Give clear advice to make behavior changes.
Provide options.
Provide empathy and encouragement to change.
,A nurse practitioner has established a mobile clinic to vaccinate noninstitutionalized adults against
influence. Which of the following phases of the nursing process is being implemented? - Ans✅✅✅ A.
Assessment
B. Planning
C. Intervention CORRECT
D. Evaluation
A nurse after working two weeks at the site of the largest natural disaster to hit the United Stes, returns
home. Which of the following behaviors would suggest the nurse needs professional assistance? -
Ans✅✅✅ A. The nurse becomes angry when family members quit listening to her ongoing stories
about the disaster and the problems there CORRECT
B. The nurse gives a presentation at the local college about the disaster and describes how health
professionals were able to assist the victims who were injured
C. The nurse is moody and feels family demands are not really as important as the other members of her
family think they are
D. The nurse is very exhausted and asks to have 3 personal days off from employment responsibilities
In which of the following situations would the nurse most likely use active surveillance? - Ans✅✅✅ A.
A newspaper wants to know the incidence of asthma in the community
B. A real-time ongoing communication channel is established to monitor a particular symptom
C. Several children become ill with GI upset at one local school CORRECT
D. The nurse is asked to report the incidence of a specific no reportable common problem in the
community
Which of the following is an accurate concern about the use of marijuana? - Ans✅✅✅ A. Marijuana
has painful withdrawal symptoms
B. Marijuana may damage the respiratory tract CORRECT
C. Marijuana can often reduce pain but physicians refuse to prescribe it
D. Marijuana quickly leads to psychological and physiological dependence
A nurse offers homeless clients yearly tuberculosis screening and free treatment for those who test
positive for TB. Which of the following levels of prevention is being used? - Ans✅✅✅ A. Primary
prevention
,B. Secondary prevention CORRECT
C. Tertiary prevention
D. Secondary and tertiary prevention
A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea,
vomiting, diarrhea, and headache with difficulty concentrating. Which of the following conditions would
cause such symptoms? - Ans✅✅✅ A. Appendicitis
B. Bacterial gastroenteritis
C. Pesticide poisoning CORRECT
D. Viral illness
The role of the nurse (caring for at risk populations) is developing community prevention programs. -
Ans✅✅✅ Nurses are in ideal roles to assist (at risk populations) with tertiary presentation for both
the addicted person and the family
High risk groups: adolescents, older adults, injection drug users, drug use during pregnancy, use of illicit
drugs. - Ans✅✅✅ Where this is ATOD codependency and family involvement: help families recognize
addictions for prompt treatment.
Detoxification - Ans✅✅✅ Alcohol, benzodiazepines, and barbiturates can produce life-threatening
withdrawal symptoms, wean gradually.
Addiction treatment - Ans✅✅✅ Methadone-blocks effects of other opioids and decreases crying.
Inpatient, long term residential outpatient.
Smoking cessation programs - Ans✅✅✅ Involve combination of interventions (environment, habits,
meds)
Support groups for ATOD - Ans✅✅✅ Alcoholics Anonymous
Al-Anon and Alateen
Narcotics anonymous
Pills anonymous for person with polydrug addictions
, Over eaters anonymous
Gamblers anonymous
Bullying = even more dangerous with technology, can lead to self harm - Ans✅✅✅ School can be a
powerful contributor to nonviolence. Educate on conflict resolution, abuse, date rape, etc.
In recent years, schools have assumed many responsibilities traditionally assigned to the family (sex
education, discipline) - Ans✅✅✅ Spanking = some punish hitting or biting with spanking
Television programs and print articles can inform and increase public awareness about family violence. -
Ans✅✅✅ Abused women and rape victims benefit from media attention. The media can indirectly
lead people to choose violence.
Organized religion - Ans✅✅✅ Religion generally teaches nonviolent conflict resolution.
However, historically, a seemingly contradictory relationship exists between abuse and religion.
(Victimization of women, believe that they must stay married despite abuse).
Which of the following statements by a parent indicates a need for increased learning regarding
appropriate (nonabusive) discipline of a child? - Ans✅✅✅ A. I have stopped using a switch on my
child, and I am learning to count to 10 before reacting
B. I never spank or hit; I yell at them to stop being stupid, and if they don't, I tell them no one is every
going to love them if they act like that CORRECT
C. I use timeouts when my child acts out or is naughty. Sometimes my child doesn't cope well with this,
but I am persistent
D. When my child misbehaves, I distract him and focus his attention on other things. If he throws a
tantrum, I have been known to just pick him up and leave from wherever we are
In addition to those barriers faced by many resident in rural areas, what additional barrier to health care
is a Hispanic migrant farmworker likely to encounter? - Ans✅✅✅ A. Absence of culturally competent
care CORRECT
B. Availability of specialists
C. Distance of health care facilities from the place of residence
D. High cost of health care
