COMMUNITY HEALTH NURSING II PRACTICE
QUESTION (MIDTERMS) 2025
1. During a community health assessment, a nurse chooses to conduct informant
interviews. Which of the following best describes a reason for using this method?
● A) To assess the overall attitudes and opinions of the general community.
● B) To gain in-depth information from key individuals about specific health issues.
● C) To collect demographic data on the entire population.
● D) To organize a community forum for broad feedback.
Answer: B) To gain in-depth information from key individuals about specific health issues.
Rationale: Informant interviews are typically conducted with selected individuals knowledgeable about certain
health situations or issues in the community. This method provides "insider information" which can help in
defining the nature and extent of an issue(CHN 2 - Week 7-11 - Com…).
2. A nurse is conducting a survey in a community to understand residents' perspectives on
healthcare needs. Which benefit does this survey method provide?
● A) It prevents the nurse from interacting directly with residents.
● B) It allows for anonymous participation without revealing demographics.
● C) It gathers comprehensive insights on community knowledge, attitudes, and practices.
● D) It enables the nurse to control all aspects of residents' answers.
Answer: C) It gathers comprehensive insights on community knowledge, attitudes, and practices.
Rationale: Surveys are designed to gather data on a community’s perspectives, which helps in understanding
attitudes, knowledge, and practices regarding health and services needed(CHN 2 - Week 7-11 - Com…).
3. Which of the following secondary data sources would be most appropriate for a nurse to analyze
patterns in maternal mortality in a specific region?
● A) Vital events registry
● B) Community forum notes
● C) Focus group discussion transcripts
● D) Observation logs
Answer: A) Vital events registry
Rationale: The registry of vital events is a secondary data source that includes reliable health information on
births, deaths, and other significant life events, which can be used to track maternal mortality rates(CHN 2 -
Week 7-11 - Com…).
4. When creating a community diagnosis, a nurse identifies high rates of respiratory issues
in an industrial area. Which of the following is the best classification for this diagnosis?
A) Comprehensive community diagnosis
B) Problem-oriented community diagnosis
C) Individual diagnosis
D) Generic diagnosis
Answer: B) Problem-oriented community diagnosis
Rationale: A problem-oriented community diagnosis addresses specific issues or needs within a targeted group,
such as respiratory issues among residents near an industrial site(CHN 2 - Week 7-11 - Com…).
Community Organizing and Participation
5. The primary goal of using Community Organizing Participatory Action Research (COPAR) is:
To get this or any other Exam contact ()
, ● A) To train nurses in administrative skills.
● B) To achieve community self-reliance and active participation.
● C) To collect individual health data.
● D) To reduce the role of healthcare providers in community projects.
Answer: B) To achieve community self-reliance and active participation.
Rationale: COPAR aims to empower communities by increasing participation in health initiatives, ultimately
encouraging self-management and sustainability in health programs(CHN 2 - Week 7-11 - Com…).
Program Monitoring and Evaluation
6. A nurse evaluating a health program notices that community members are not
engaging as expected. During which evaluation phase would this issue typically be identified?
● A) Formative evaluation
● B) Outcome evaluation
● C) Summative evaluation
● D) Impact evaluation
Answer: A) Formative evaluation
Rationale: Formative evaluation occurs during program development and implementation, allowing early
detection of issues like low engagement that can be adjusted before program completion(CHN 2 - Week 7-11 -
Com…).
7. In a community with limited water access, which sanitation method is most suitable to prevent
disease spread?
● A) Pour-flush latrines
● B) Simple pit latrines
● C) Aqua-privies
● D) Septic-tanks
Answer: B) Simple pit latrines
Rationale: Simple pit latrines are cost-effective, require no water for operation, and are easy to construct,
making them suitable for communities with limited water access(CHN 2 - Week 7-11 - Com…).
8. A nurse sets a goal for a community intervention to “reduce the incidence of waterborne diseases
by 20% within six months.” This goal is an example of:
● A) Long-term goal
● B) Short-term objective
● C) Intermediate objective
● D) Measurable outcome
Answer: D) Measurable outcome
Rationale: A measurable outcome specifies a desired result, in this case, a quantifiable reduction in disease
incidence, and a time frame for achieving it(CHN 2 - Week 7-11 - Com…).
To get this or any other Exam contact ()
, 9. During a community assessment, a nurse uses an observation checklist to identify
environmental health hazards. What is one major advantage of using this method?
● A) It gathers quantitative data exclusively.
● B) It allows observation without raising community expectations.
● C) It ensures direct involvement of community members.
● D) It eliminates the need for additional data collection methods.
Answer: B) It allows observation without raising community expectations.
Rationale: The observation method enables nurses to assess community conditions without creating
expectations of immediate change, which is useful for objective data collection(CHN 2 - Week 7-11 - Com…).
10. In a survey to gauge the community’s health awareness, a nurse finds a low response rate.
Which approach should the nurse consider to improve response rates?
● A) Conduct surveys exclusively via mail.
● B) Make surveys shorter and ensure confidentiality.
● C) Use only electronic surveys.
● D) Conduct the survey without predetermined questions.
Answer: B) Make surveys shorter and ensure confidentiality.
Rationale: Shorter surveys and assurances of confidentiality can help increase response rates, as they reduce
the time commitment and ensure privacy(CHN 2 - Week 7-11 - Com…).
11. While working in a low-income area, a nurse identifies malnutrition as a prevalent
issue. Which type of data would most likely help in forming a comprehensive community
diagnosis for this issue?
● A) Census data on household sizes
● B) Observation notes from a community forum
● C) Health records indicating nutrition-related conditions
● D) Socio-economic survey focusing on community leaders
Answer: C) Health records indicating nutrition-related conditions.
Rationale: Health records provide direct information on nutrition-related conditions, which is essential for
diagnosing malnutrition problems in a community(CHN 2 - Week 7-11 - Com…).
12. A nurse is planning a community health intervention targeting adolescent mental
health. What is the most important step in priority setting for this intervention?
● A) Selecting objectives solely based on nurse observations
● B) Defining intervention goals with measurable outcomes
● C) Only considering feedback from health experts
● D) Focusing on long-term goals rather than immediate outcomes
Answer: B) Defining intervention goals with measurable outcomes.
Rationale: In priority setting, it is crucial to establish clear, measurable outcomes that reflect the intervention’s
objectives to effectively address community needs(CHN 2 - Week 7-11 - Com…).
13. After a health program is implemented in a community, a nurse needs to assess its immediate
effects. Which type of evaluation should be conducted?
● A) Summative evaluation
● B) Process evaluation
● C) Outcome evaluation
● D) Impact evaluation
Answer: C) Outcome evaluation
To get this or any other Exam contact ()
, Rationale: Outcome evaluation focuses on the short-term results and effectiveness of a program immediately
following its implementation(CHN 2 - Week 7-11 - Com…).
14. A community nurse wants to ensure continuous quality improvement in a new maternal
health program. Which monitoring activity should be included in the program’s routine?
● A) Conducting only annual evaluations
● B) Analyzing daily health reports from community clinics
● C) Performing one-time surveys
● D) Using only informal observation methods
Answer: B) Analyzing daily health reports from community clinics.
Rationale: Continuous quality improvement requires regular monitoring activities, such as reviewing daily
health reports, to ensure the program is on track(CHN 2 - Week 7-11 - Com…).
15. In a rural community health education session, a nurse discusses food safety to prevent
foodborne illnesses. Which WHO guideline is emphasized to ensure safety?
● A) Focus on cooking foods at high temperatures only.
● B) Always keep cooked and raw foods together.
● C) Separate raw and cooked foods to avoid cross-contamination.
● D) Avoid using safe water sources.
Answer: C) Separate raw and cooked foods to avoid cross-contamination.
Rationale: WHO guidelines stress keeping raw and cooked foods separate as a fundamental step in preventing
foodborne illnesses(CHN 2 - Week 7-11 - Com…).
16. When engaging in advocacy for clean drinking water in a community, a nurse decides to
collaborate with local organizations. Why is this collaborative approach essential?
● A) It reduces the nurse’s workload significantly.
● B) It ensures rapid results without community involvement.
● C) It leverages the resources and strengths of different organizations for a greater impact.
● D) It guarantees compliance with local government laws.
Answer: C) It leverages the resources and strengths of different organizations for a greater impact.
Rationale: Collaborative advocacy is essential as it brings together various resources, expertise, and
stakeholders to address complex community health issues more effectively(CHN 2 - Week 7-11 - Com…).
To get this or any other Exam contact ()
QUESTION (MIDTERMS) 2025
1. During a community health assessment, a nurse chooses to conduct informant
interviews. Which of the following best describes a reason for using this method?
● A) To assess the overall attitudes and opinions of the general community.
● B) To gain in-depth information from key individuals about specific health issues.
● C) To collect demographic data on the entire population.
● D) To organize a community forum for broad feedback.
Answer: B) To gain in-depth information from key individuals about specific health issues.
Rationale: Informant interviews are typically conducted with selected individuals knowledgeable about certain
health situations or issues in the community. This method provides "insider information" which can help in
defining the nature and extent of an issue(CHN 2 - Week 7-11 - Com…).
2. A nurse is conducting a survey in a community to understand residents' perspectives on
healthcare needs. Which benefit does this survey method provide?
● A) It prevents the nurse from interacting directly with residents.
● B) It allows for anonymous participation without revealing demographics.
● C) It gathers comprehensive insights on community knowledge, attitudes, and practices.
● D) It enables the nurse to control all aspects of residents' answers.
Answer: C) It gathers comprehensive insights on community knowledge, attitudes, and practices.
Rationale: Surveys are designed to gather data on a community’s perspectives, which helps in understanding
attitudes, knowledge, and practices regarding health and services needed(CHN 2 - Week 7-11 - Com…).
3. Which of the following secondary data sources would be most appropriate for a nurse to analyze
patterns in maternal mortality in a specific region?
● A) Vital events registry
● B) Community forum notes
● C) Focus group discussion transcripts
● D) Observation logs
Answer: A) Vital events registry
Rationale: The registry of vital events is a secondary data source that includes reliable health information on
births, deaths, and other significant life events, which can be used to track maternal mortality rates(CHN 2 -
Week 7-11 - Com…).
4. When creating a community diagnosis, a nurse identifies high rates of respiratory issues
in an industrial area. Which of the following is the best classification for this diagnosis?
A) Comprehensive community diagnosis
B) Problem-oriented community diagnosis
C) Individual diagnosis
D) Generic diagnosis
Answer: B) Problem-oriented community diagnosis
Rationale: A problem-oriented community diagnosis addresses specific issues or needs within a targeted group,
such as respiratory issues among residents near an industrial site(CHN 2 - Week 7-11 - Com…).
Community Organizing and Participation
5. The primary goal of using Community Organizing Participatory Action Research (COPAR) is:
To get this or any other Exam contact ()
, ● A) To train nurses in administrative skills.
● B) To achieve community self-reliance and active participation.
● C) To collect individual health data.
● D) To reduce the role of healthcare providers in community projects.
Answer: B) To achieve community self-reliance and active participation.
Rationale: COPAR aims to empower communities by increasing participation in health initiatives, ultimately
encouraging self-management and sustainability in health programs(CHN 2 - Week 7-11 - Com…).
Program Monitoring and Evaluation
6. A nurse evaluating a health program notices that community members are not
engaging as expected. During which evaluation phase would this issue typically be identified?
● A) Formative evaluation
● B) Outcome evaluation
● C) Summative evaluation
● D) Impact evaluation
Answer: A) Formative evaluation
Rationale: Formative evaluation occurs during program development and implementation, allowing early
detection of issues like low engagement that can be adjusted before program completion(CHN 2 - Week 7-11 -
Com…).
7. In a community with limited water access, which sanitation method is most suitable to prevent
disease spread?
● A) Pour-flush latrines
● B) Simple pit latrines
● C) Aqua-privies
● D) Septic-tanks
Answer: B) Simple pit latrines
Rationale: Simple pit latrines are cost-effective, require no water for operation, and are easy to construct,
making them suitable for communities with limited water access(CHN 2 - Week 7-11 - Com…).
8. A nurse sets a goal for a community intervention to “reduce the incidence of waterborne diseases
by 20% within six months.” This goal is an example of:
● A) Long-term goal
● B) Short-term objective
● C) Intermediate objective
● D) Measurable outcome
Answer: D) Measurable outcome
Rationale: A measurable outcome specifies a desired result, in this case, a quantifiable reduction in disease
incidence, and a time frame for achieving it(CHN 2 - Week 7-11 - Com…).
To get this or any other Exam contact ()
, 9. During a community assessment, a nurse uses an observation checklist to identify
environmental health hazards. What is one major advantage of using this method?
● A) It gathers quantitative data exclusively.
● B) It allows observation without raising community expectations.
● C) It ensures direct involvement of community members.
● D) It eliminates the need for additional data collection methods.
Answer: B) It allows observation without raising community expectations.
Rationale: The observation method enables nurses to assess community conditions without creating
expectations of immediate change, which is useful for objective data collection(CHN 2 - Week 7-11 - Com…).
10. In a survey to gauge the community’s health awareness, a nurse finds a low response rate.
Which approach should the nurse consider to improve response rates?
● A) Conduct surveys exclusively via mail.
● B) Make surveys shorter and ensure confidentiality.
● C) Use only electronic surveys.
● D) Conduct the survey without predetermined questions.
Answer: B) Make surveys shorter and ensure confidentiality.
Rationale: Shorter surveys and assurances of confidentiality can help increase response rates, as they reduce
the time commitment and ensure privacy(CHN 2 - Week 7-11 - Com…).
11. While working in a low-income area, a nurse identifies malnutrition as a prevalent
issue. Which type of data would most likely help in forming a comprehensive community
diagnosis for this issue?
● A) Census data on household sizes
● B) Observation notes from a community forum
● C) Health records indicating nutrition-related conditions
● D) Socio-economic survey focusing on community leaders
Answer: C) Health records indicating nutrition-related conditions.
Rationale: Health records provide direct information on nutrition-related conditions, which is essential for
diagnosing malnutrition problems in a community(CHN 2 - Week 7-11 - Com…).
12. A nurse is planning a community health intervention targeting adolescent mental
health. What is the most important step in priority setting for this intervention?
● A) Selecting objectives solely based on nurse observations
● B) Defining intervention goals with measurable outcomes
● C) Only considering feedback from health experts
● D) Focusing on long-term goals rather than immediate outcomes
Answer: B) Defining intervention goals with measurable outcomes.
Rationale: In priority setting, it is crucial to establish clear, measurable outcomes that reflect the intervention’s
objectives to effectively address community needs(CHN 2 - Week 7-11 - Com…).
13. After a health program is implemented in a community, a nurse needs to assess its immediate
effects. Which type of evaluation should be conducted?
● A) Summative evaluation
● B) Process evaluation
● C) Outcome evaluation
● D) Impact evaluation
Answer: C) Outcome evaluation
To get this or any other Exam contact ()
, Rationale: Outcome evaluation focuses on the short-term results and effectiveness of a program immediately
following its implementation(CHN 2 - Week 7-11 - Com…).
14. A community nurse wants to ensure continuous quality improvement in a new maternal
health program. Which monitoring activity should be included in the program’s routine?
● A) Conducting only annual evaluations
● B) Analyzing daily health reports from community clinics
● C) Performing one-time surveys
● D) Using only informal observation methods
Answer: B) Analyzing daily health reports from community clinics.
Rationale: Continuous quality improvement requires regular monitoring activities, such as reviewing daily
health reports, to ensure the program is on track(CHN 2 - Week 7-11 - Com…).
15. In a rural community health education session, a nurse discusses food safety to prevent
foodborne illnesses. Which WHO guideline is emphasized to ensure safety?
● A) Focus on cooking foods at high temperatures only.
● B) Always keep cooked and raw foods together.
● C) Separate raw and cooked foods to avoid cross-contamination.
● D) Avoid using safe water sources.
Answer: C) Separate raw and cooked foods to avoid cross-contamination.
Rationale: WHO guidelines stress keeping raw and cooked foods separate as a fundamental step in preventing
foodborne illnesses(CHN 2 - Week 7-11 - Com…).
16. When engaging in advocacy for clean drinking water in a community, a nurse decides to
collaborate with local organizations. Why is this collaborative approach essential?
● A) It reduces the nurse’s workload significantly.
● B) It ensures rapid results without community involvement.
● C) It leverages the resources and strengths of different organizations for a greater impact.
● D) It guarantees compliance with local government laws.
Answer: C) It leverages the resources and strengths of different organizations for a greater impact.
Rationale: Collaborative advocacy is essential as it brings together various resources, expertise, and
stakeholders to address complex community health issues more effectively(CHN 2 - Week 7-11 - Com…).
To get this or any other Exam contact ()
