NUR 206/NUR206 Exam 4 V3 | Community
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is conducting a windshield survey. Which of the following
observations provides information about the community’s physical environment?
A. The presence of a local health department
B. The number of grocery stores within a five-mile radius
C. The ethnic diversity seen in people walking on the street
D. The types of housing and the condition of the yards
Correct Answer: D
Expert Explanation: A windshield survey is a systematic observation of a community from
a moving vehicle. Observing housing conditions and yard maintenance directly assesses the
physical environment and socioeconomic status of the neighborhood. This method allows
nurses to gain a ‘first impression’ of the community’s structural health and potential safety
hazards.
2. Which of the following is an example of secondary prevention in a community setting?
A. Providing influenza vaccines at a senior center
B. Screening school-age children for scoliosis
C. Educating high school students about the risks of vaping
,D. Leading a support group for individuals with chronic heart failure
Correct Answer: B
Expert Explanation: Secondary prevention focuses on early detection and intervention to
limit the severity of a disease. Scoliosis screening is a classic example of identifying a
condition early before it becomes a major physical impairment. Primary prevention
involves immunizations and education, while tertiary prevention involves rehabilitation
and support for existing conditions.
3. An occupational health nurse is applying the epidemiological triangle to workplace safety.
Which of the following represents the ‘agent’ in this model?
A. The employees working in the warehouse
B. The high humidity in the production area
C. The lack of safety guards on machinery
D. Noise levels exceeding 85 decibels
Correct Answer: D
Expert Explanation: The epidemiological triangle consists of the host, agent, and
environment. In this context, the ‘agent’ is the factor whose presence or absence causes the
disease or injury, such as excessive noise. The employees are the hosts, and the machinery
or humidity represents environmental factors.
, 4. A nurse is caring for a client who is a migrant farmworker. Which of the following is the
most significant barrier to healthcare for this population?
A. Lack of interest in preventative care
B. Frequent movement and lack of stable transportation
C. Cultural preference for traditional healers only
D. Universal health insurance coverage for all migrant workers
Correct Answer: B
Expert Explanation: Migrant farmworkers face unique challenges, including frequent
relocation to follow crop cycles, which disrupts continuity of care. The lack of stable
transportation often prevents them from reaching clinics located far from rural work sites.
Nurses must consider these logistical barriers when planning community outreach
programs.
5. In the disaster management cycle, which activity occurs during the ‘mitigation’ phase?
A. Conducting a mock disaster drill with local hospitals
B. Developing a community-wide emergency response plan
C. Providing psychological first aid to disaster survivors
D. Performing a vulnerability assessment of local dams
Correct Answer: D
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is conducting a windshield survey. Which of the following
observations provides information about the community’s physical environment?
A. The presence of a local health department
B. The number of grocery stores within a five-mile radius
C. The ethnic diversity seen in people walking on the street
D. The types of housing and the condition of the yards
Correct Answer: D
Expert Explanation: A windshield survey is a systematic observation of a community from
a moving vehicle. Observing housing conditions and yard maintenance directly assesses the
physical environment and socioeconomic status of the neighborhood. This method allows
nurses to gain a ‘first impression’ of the community’s structural health and potential safety
hazards.
2. Which of the following is an example of secondary prevention in a community setting?
A. Providing influenza vaccines at a senior center
B. Screening school-age children for scoliosis
C. Educating high school students about the risks of vaping
,D. Leading a support group for individuals with chronic heart failure
Correct Answer: B
Expert Explanation: Secondary prevention focuses on early detection and intervention to
limit the severity of a disease. Scoliosis screening is a classic example of identifying a
condition early before it becomes a major physical impairment. Primary prevention
involves immunizations and education, while tertiary prevention involves rehabilitation
and support for existing conditions.
3. An occupational health nurse is applying the epidemiological triangle to workplace safety.
Which of the following represents the ‘agent’ in this model?
A. The employees working in the warehouse
B. The high humidity in the production area
C. The lack of safety guards on machinery
D. Noise levels exceeding 85 decibels
Correct Answer: D
Expert Explanation: The epidemiological triangle consists of the host, agent, and
environment. In this context, the ‘agent’ is the factor whose presence or absence causes the
disease or injury, such as excessive noise. The employees are the hosts, and the machinery
or humidity represents environmental factors.
, 4. A nurse is caring for a client who is a migrant farmworker. Which of the following is the
most significant barrier to healthcare for this population?
A. Lack of interest in preventative care
B. Frequent movement and lack of stable transportation
C. Cultural preference for traditional healers only
D. Universal health insurance coverage for all migrant workers
Correct Answer: B
Expert Explanation: Migrant farmworkers face unique challenges, including frequent
relocation to follow crop cycles, which disrupts continuity of care. The lack of stable
transportation often prevents them from reaching clinics located far from rural work sites.
Nurses must consider these logistical barriers when planning community outreach
programs.
5. In the disaster management cycle, which activity occurs during the ‘mitigation’ phase?
A. Conducting a mock disaster drill with local hospitals
B. Developing a community-wide emergency response plan
C. Providing psychological first aid to disaster survivors
D. Performing a vulnerability assessment of local dams
Correct Answer: D
