Community Health Nursing
NR442 Final Exam/NR 442 Community
Health Nursing Final 2025/2026
Actual Exam Complete 200 Questions
And Correct Detailed Answers
(Verified Answers) |Already Graded
A+
A nurse working at a community health clinic is reviewing the staff schedule and notices the
clinic has been working short staffed for the past 3 months. Which of the following actions
should the nurse take to address this issue?
a. Cancel and reschedule client appointments to times when staff are available.
b. Speak to clients and get feedback about the scheduling challenges.
c. Speak to the manager and advocate for a strategy that ensures adequate staffing.
d. Close the clinic early due to staffing concerns. - Answer ✓✓c. Speak to the manager and
advocate for a strategy that ensures adequate staffing.
Rationale: By speaking to the stakeholder and advocating for better staffing considerations,
the nurse is demonstrating an ability to help shape and inform policy making for this
important issue.
ADMIN 1
, NR442 Final Exam/NR 442
Community Health Nursing
A nurse is caring for a client who is dying and wishes to discontinue taking their medications.
Which of the following ethical principles is the nurse demonstrating by respecting the client's
decision?
a. Nonmaleficence
b. Beneficence
c. Autonomy
d. Justice - Answer ✓✓c. Autonomy
Rationale: The nurse is demonstrating the ethical principle of autonomy by respecting the
client's wishes. Autonomy is the ability to be able to make informed decisions independently.
A nurse is reinforcing teaching to a newly licensed nurse about client advocacy. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
a. "I will make sure clients understand treatment options before they sign a consent form."
b. "I will make sure to speak to my client's adult children on deciding if a surgical procedure
should be conducted."
c. "I will inform clients they should research health information so they do not bother
providers with questions."
d. "I will not alert my client that they have access to their medical records via the patient
portal." - Answer ✓✓a. "I will make sure clients understand treatment options before they
sign a consent form."
Rationale: One of the duties of a nurse advocating for clients is to ensure that the client
understands treatment options, risks, and outcomes so that they are able to give informed
consent before procedures.
ADMIN 2
, NR442 Final Exam/NR 442
Community Health Nursing
A community health nurse is reinforcing education on insulin administration to a client who
has diabetes mellitus. Which of the following elements of Nursing's Social Contract is the
nurse demonstrating?
a. Collaboration
b. Ethical practice
c. Autonomy of practice
d. Promotion of the health of the public - Answer ✓✓c. Autonomy of practice
Rationale: The nurse is demonstrating the element of autonomy of practice of nursing's social
contract. Autonomy of practice involves providing education of disease management and
insulin administration within the scope and standards of practice for a community health
nurse.
A nurse is preparing an orientation for newly licensed community health nurses on the
standards of professional practice. Which of the following is a critical thinking model that
describes a competent level of nursing care?
a. Elements and Standards Model
b. The nursing process
c. The Minnesota Model for Public Health Nursing Practice
d.Professional Nursing Model - Answer ✓✓b. The nursing process
Rationale: The nursing process is a critical thinking model describing a competent level of
nursing care. When the nursing process is applied in community health settings, the nurse has
ADMIN 3
, NR442 Final Exam/NR 442
Community Health Nursing
the opportunity to employ systematic strategies when caring for clients. The nurse will use
interpersonal and intellectual skills in combination with clinical judgment to promote client
health and safety of the populations involved.
A nurse working in the family planning clinic is working with an adolescent client who has
expressed interest in birth control options. Which of the following is an example of how the
nurse can practice with compassion and value the inherent dignity, worth, and unique
attributes of the client?
a. Take responsibility for recommending that the client use hormonal contraception.
b. Advocate for the right of the minor's parents to authorize prescribed birth control
medication.
c. Establish a rapport by respecting the client's interests and providing education on all birth
control options.
d. Promote the use of contraception among the client's peers at a community event. - Answer
✓✓c. Establish a rapport by respecting the client's interests and providing education on all
birth control options.
Rationale: Provision 1 of the American Nurses Association (ANA)Code of Ethics is when the
nurse practices with compassion and respect for the inherent dignity, worth, and unique
attributes of every person.
A community health nurse is reinforcing teaching to new nures on a scenario in which a nurse
has forgotten to refer a client to a social worker, causing a delay in medication coverage for
the client. Which of the following actions by the nurse demonstrates the element of
responsibility and accountability under nursing's social contract?
a. The nurse requests to speak to their supervisor to discuss workload.
ADMIN 4