NUR 206/NUR206 Exam 1 V3 | Community
Nursing Concepts Q&A with Rationale |
Fortis College
1. A nurse is conducting a windshield survey of a local neighborhood. Which of the following
observations would be most indicative of the community’s health status?
A. The number of grocery stores selling fresh produce
B. The presence of stray animals in the streets
C. The variety of architectural styles in the homes
D. The frequency of public transportation stops
Correct Answer: A
Expert Explanation: Access to fresh produce is a critical social determinant of health that
directly impacts nutrition and chronic disease management. A windshield survey provides
a visual overview of community resources and potential barriers to health. By identifying
food deserts, the nurse can better understand the community’s nutritional risks.
2. Which of the following activities performed by a community health nurse is an example of
primary prevention?
A. Performing skin cancer screenings at a local health fair
B. Teaching a client how to manage their insulin pump
C. Providing influenza immunizations to senior citizens
,D. Conducting DOT for a patient with tuberculosis
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are classic examples because they protect individuals
before they are exposed to the pathogen. This level of intervention includes health
promotion and specific protection strategies.
3. An occupational health nurse is caring for a worker who was exposed to a chemical spill.
Using the epidemiological triangle, the chemical is classified as which of the following?
A. The host
B. The environment
C. The agent
D. The vector
Correct Answer: C
Expert Explanation: The epidemiological triangle consists of the agent, the host, and the
environment. In this scenario, the chemical substance is the agent because it is the factor
whose presence causes the disease or injury. Understanding these relationships helps
nurses identify where to intervene to break the chain of transmission or exposure.
4. A nurse is planning a health education program for a group of migrant farmworkers. Which
factor should the nurse prioritize to ensure the program is effective?
A. The history of the local health department
, B. The availability of high-tech teaching aids
C. The cost of the venue for the educational session
D. The educational level and primary language of the workers
Correct Answer: D
Expert Explanation: Cultural and linguistic competence is essential when working with
vulnerable populations like migrant farmworkers. Assessing literacy levels and language
barriers ensures that the health information is accessible and understandable. This
approach builds trust and increases the likelihood of positive health outcomes.
5. A community health nurse is investigating a sudden outbreak of food poisoning. Which
epidemiological measurement should the nurse calculate first?
A. Prevalence rate
B. Infant mortality rate
C. Crude death rate
D. Attack rate
Correct Answer: D
Expert Explanation: The attack rate is a specialized form of incidence used during
outbreaks to determine the risk of becoming ill among those exposed. It is calculated by
dividing the number of new cases by the total number of people at risk. This measurement
helps the nurse identify the source of the infection quickly.
Nursing Concepts Q&A with Rationale |
Fortis College
1. A nurse is conducting a windshield survey of a local neighborhood. Which of the following
observations would be most indicative of the community’s health status?
A. The number of grocery stores selling fresh produce
B. The presence of stray animals in the streets
C. The variety of architectural styles in the homes
D. The frequency of public transportation stops
Correct Answer: A
Expert Explanation: Access to fresh produce is a critical social determinant of health that
directly impacts nutrition and chronic disease management. A windshield survey provides
a visual overview of community resources and potential barriers to health. By identifying
food deserts, the nurse can better understand the community’s nutritional risks.
2. Which of the following activities performed by a community health nurse is an example of
primary prevention?
A. Performing skin cancer screenings at a local health fair
B. Teaching a client how to manage their insulin pump
C. Providing influenza immunizations to senior citizens
,D. Conducting DOT for a patient with tuberculosis
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are classic examples because they protect individuals
before they are exposed to the pathogen. This level of intervention includes health
promotion and specific protection strategies.
3. An occupational health nurse is caring for a worker who was exposed to a chemical spill.
Using the epidemiological triangle, the chemical is classified as which of the following?
A. The host
B. The environment
C. The agent
D. The vector
Correct Answer: C
Expert Explanation: The epidemiological triangle consists of the agent, the host, and the
environment. In this scenario, the chemical substance is the agent because it is the factor
whose presence causes the disease or injury. Understanding these relationships helps
nurses identify where to intervene to break the chain of transmission or exposure.
4. A nurse is planning a health education program for a group of migrant farmworkers. Which
factor should the nurse prioritize to ensure the program is effective?
A. The history of the local health department
, B. The availability of high-tech teaching aids
C. The cost of the venue for the educational session
D. The educational level and primary language of the workers
Correct Answer: D
Expert Explanation: Cultural and linguistic competence is essential when working with
vulnerable populations like migrant farmworkers. Assessing literacy levels and language
barriers ensures that the health information is accessible and understandable. This
approach builds trust and increases the likelihood of positive health outcomes.
5. A community health nurse is investigating a sudden outbreak of food poisoning. Which
epidemiological measurement should the nurse calculate first?
A. Prevalence rate
B. Infant mortality rate
C. Crude death rate
D. Attack rate
Correct Answer: D
Expert Explanation: The attack rate is a specialized form of incidence used during
outbreaks to determine the risk of becoming ill among those exposed. It is calculated by
dividing the number of new cases by the total number of people at risk. This measurement
helps the nurse identify the source of the infection quickly.
