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“ NURS 340 PUBLIC HEALTH NURSING “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
NURS 340 Exam
A school health nurse is conducting drug screening to detect drug use by
students before serious problems develop. Which of the
following levels of prevention does this action represent?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Primary and secondary prevention
ANS: B
One means of secondary prevention is to institute early detection (screening)
programs in schools, workplace, and other areas in
which people gather to determine the presence of substance abuse. Primary
prevention involves education before a problem occurs.
Tertiary prevention occurs after the problem has occurred and aims to assist the
client to the highest level of functioning. It is not
likely for a single intervention to be both primary and secondary in prevention foci
A mother is concerned that her daughter may be considering experimentation
with drugs and alcohol. Which of the following
strategies would the nurse suggest the mother implement? (Select all that
apply.)
a. Provide opportunities for her daughter to develop her talents.
b. Provide realistic feedback to the daughter about her performance at school.
c. Encourage her daughter to become involved in extracurricular activities.
d. Encourage her daughter to develop new friendships.
e. Encourage her to discuss her dreams for the future.
ANS: A, B, C, E
Prevention guidelines to teach parents and teachers how to increase resiliency in
youths include the following strategies: help them
develop an increased sense of responsibility for their own success; help them
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identify their talents; motivate them to dedicate their
lives to helping society rather than believing that their only purpose in life is to be
consumers; provide realistic appraisals and
feedback, stress multicultural competence, and encourage and value education and
skills training; and increase cooperative
solutions to problems rather than competitive or aggressive solutions. Based on the
information provided, there is no reason to
suggest the child needs to develop new friendships. Keeping consistent friendships
may provide the support the child needs to
avoid engaging in these behaviors.
A nurse is helping a client's family prepare to have an intervention that
hopefully will encourage the alcoholic father to realize the
need for change. Which of the following instructions by the nurse to the
client's family members would be most effective? (Select
all that apply.)
a. "Express your belief in him and his ability to change."
b. "Point out that his behavior is his choice and his responsibility."
c. "Let him know that you understand how much he loves being with his
drinking
pals."
d. "Remind him that entering treatment is better than going to prison."
e. "Let him know that he is loved by his family and friends."
ANS: A, B, E
Using FRAMES as a guideline, the nurse would provide Feedback about problems
with using drugs, emphasize the person's own
personal Responsibility for any changes made, and give Advice on how to change
behaviors, including a Menu of options from
which to choose while expressing Empathy. Finally, the nurse would provide
encouragement and belief that the person can change,
hence increasing feelings of self-efficacy. Having the client's family members tell the
father that they understand his behavior does
not encourage him to realize the need for change. Threatening a future possibility of
prison would not provide encouragement to
the father and may even challenge him to continue his behavior
A nurse is developing a community-based activity aimed at preventing
substance abuse in the community. Which of the following
interventions would the nurse most likely implement? (Select all that apply.)
a. Supporting an increase in the availability of recreational facilities
b. Lobbying to state legislators to approve a higher cigarette tax
c. Educating all middle school students about the long-term side effects of
drugs and
alcohol
d. Providing general screenings for substance abuse
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e. Identifying community-based resources that deal with substance abuse
issues
ANS: A, C, D, E
Supporting an increase in additional recreational facilities would engage the
community members in healthy activities rather than
having them potentially turn to substances for relaxation. Providing screenings for
substance abuse in the community may assist
community members in recognizing the problem sooner. It would be appropriate to
educate middle-school students about the
long-term side effects of drugs and alcohol since they would be able to understand
the information. Early intervention with
education is a proven deterrent to substance abuse. Lobbying state legislators for
increase in a higher cigarette tax may be
beneficial, but this intervention is focused on the state rather than the community
where the nurse is working. Identifying local
resources where assistance and addition information about substance abuse issues
can be found is an appropriate community-based
intervention
A home health client has been prescribed acetaminophen with codeine every 4
hours for pain following a hip arthroplasty. Which
of the following statements made by a nurse to the client's primary health care
provider indicates a need for further education on
narcotics related to the goals of safe pain management? (Select all that apply.)
a. "Please consider decreasing the time interval between doses to every 3
hours so
that my client will maintain pain relief."
b. "I'm really concerned my client will become addicted to the codeine."
c. "Consider prescribing a different medication so that my client will achieve
adequate pain relief."
d. "My client needs a prescription for PRN medication for 'breakthrough' pain."
e. "This medication is expensive; please prescribe something less costly."
ANS: A, B, D
It would not be appropriate to ask to decrease the time interval in between doses as
the increased use of acetaminophen may be
damaging to the client's liver and kidneys. There is no evidence that this client is at
risk for developing an addiction. Thus,
demanding that this medication be discontinued may be a premature action by the
nurse. However, the nurse should monitor the
patient closely for signs and symptoms of potential addiction. It would be appropriate
to ask the primary care provider for an
additional medication in the form of a PRN prescription to possibly assist with the
client achieving optimal pain relief rather than
changing medications entirely. Although it is a factor, the cost of pain medication isn't
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a consideration when addressing safe pain
management interventions
Which of the following statements is the best explanation as to why some
countries are more violent than others?
a. Civilized societies are less violent than primitive societies.
b. Geographical differences are the primary factor.
c. Population differences are the main determinant—for example, having more
males than females.
d. Violence is a learned behavior controlled or allowed by social norms
ANS: D
Some societies are basically nonviolent, and for them violence is not a significant
health problem. Violence is a learned behavior,
and social norms can keep violence at low levels or even eliminate it. The learned
culture of the society is the best indicator for
violence, not the differentiation between civilized or primitive, geographic location, or
population differences among males and
females
Which of the following statements best explains the primary reason why
violence is so high among young male parents?
a. Men tend to be more violent than women.
b. They are young and thus lack maturity.
c. Unemployment is higher in this population.
d. Violent tendencies are transferred genetically along racial lines
ANS: C
Most analyses conclude that the differential rates of violence in the United States
have more to do with economic realities, such as
poverty, unemployment, and overcrowding, than with race. Although violence among
men may be higher than among women, this
question specifically addresses "young men." Economic realities are more indicative
of this rate of violence than age and maturity.
Violence is a learned behavior; it is not transferred genetically along racial lines
Which of the following is the top risk factor for intimate partner homicide?
a. There is a gun in the house.
b. The husband has made threats against wife before.
c. The wife has previously reported being physically abused.
d. The woman's young daughter also lives with them
ANS: C
The top risk factor for intimate partner homicide (IPH) is previous domestic violence.
Other risk factors are access to guns,
estrangement, threats to kill or threats with a weapon, nonfatal strangulation, and a
stepchild in the home if the victim is a female;
however, these are not the top risk factor
“ NURS 340 PUBLIC HEALTH NURSING “ NEWEST
UPDATED EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
NURS 340 Exam
A school health nurse is conducting drug screening to detect drug use by
students before serious problems develop. Which of the
following levels of prevention does this action represent?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Primary and secondary prevention
ANS: B
One means of secondary prevention is to institute early detection (screening)
programs in schools, workplace, and other areas in
which people gather to determine the presence of substance abuse. Primary
prevention involves education before a problem occurs.
Tertiary prevention occurs after the problem has occurred and aims to assist the
client to the highest level of functioning. It is not
likely for a single intervention to be both primary and secondary in prevention foci
A mother is concerned that her daughter may be considering experimentation
with drugs and alcohol. Which of the following
strategies would the nurse suggest the mother implement? (Select all that
apply.)
a. Provide opportunities for her daughter to develop her talents.
b. Provide realistic feedback to the daughter about her performance at school.
c. Encourage her daughter to become involved in extracurricular activities.
d. Encourage her daughter to develop new friendships.
e. Encourage her to discuss her dreams for the future.
ANS: A, B, C, E
Prevention guidelines to teach parents and teachers how to increase resiliency in
youths include the following strategies: help them
develop an increased sense of responsibility for their own success; help them
, Page 2 of 169
identify their talents; motivate them to dedicate their
lives to helping society rather than believing that their only purpose in life is to be
consumers; provide realistic appraisals and
feedback, stress multicultural competence, and encourage and value education and
skills training; and increase cooperative
solutions to problems rather than competitive or aggressive solutions. Based on the
information provided, there is no reason to
suggest the child needs to develop new friendships. Keeping consistent friendships
may provide the support the child needs to
avoid engaging in these behaviors.
A nurse is helping a client's family prepare to have an intervention that
hopefully will encourage the alcoholic father to realize the
need for change. Which of the following instructions by the nurse to the
client's family members would be most effective? (Select
all that apply.)
a. "Express your belief in him and his ability to change."
b. "Point out that his behavior is his choice and his responsibility."
c. "Let him know that you understand how much he loves being with his
drinking
pals."
d. "Remind him that entering treatment is better than going to prison."
e. "Let him know that he is loved by his family and friends."
ANS: A, B, E
Using FRAMES as a guideline, the nurse would provide Feedback about problems
with using drugs, emphasize the person's own
personal Responsibility for any changes made, and give Advice on how to change
behaviors, including a Menu of options from
which to choose while expressing Empathy. Finally, the nurse would provide
encouragement and belief that the person can change,
hence increasing feelings of self-efficacy. Having the client's family members tell the
father that they understand his behavior does
not encourage him to realize the need for change. Threatening a future possibility of
prison would not provide encouragement to
the father and may even challenge him to continue his behavior
A nurse is developing a community-based activity aimed at preventing
substance abuse in the community. Which of the following
interventions would the nurse most likely implement? (Select all that apply.)
a. Supporting an increase in the availability of recreational facilities
b. Lobbying to state legislators to approve a higher cigarette tax
c. Educating all middle school students about the long-term side effects of
drugs and
alcohol
d. Providing general screenings for substance abuse
, Page 3 of 169
e. Identifying community-based resources that deal with substance abuse
issues
ANS: A, C, D, E
Supporting an increase in additional recreational facilities would engage the
community members in healthy activities rather than
having them potentially turn to substances for relaxation. Providing screenings for
substance abuse in the community may assist
community members in recognizing the problem sooner. It would be appropriate to
educate middle-school students about the
long-term side effects of drugs and alcohol since they would be able to understand
the information. Early intervention with
education is a proven deterrent to substance abuse. Lobbying state legislators for
increase in a higher cigarette tax may be
beneficial, but this intervention is focused on the state rather than the community
where the nurse is working. Identifying local
resources where assistance and addition information about substance abuse issues
can be found is an appropriate community-based
intervention
A home health client has been prescribed acetaminophen with codeine every 4
hours for pain following a hip arthroplasty. Which
of the following statements made by a nurse to the client's primary health care
provider indicates a need for further education on
narcotics related to the goals of safe pain management? (Select all that apply.)
a. "Please consider decreasing the time interval between doses to every 3
hours so
that my client will maintain pain relief."
b. "I'm really concerned my client will become addicted to the codeine."
c. "Consider prescribing a different medication so that my client will achieve
adequate pain relief."
d. "My client needs a prescription for PRN medication for 'breakthrough' pain."
e. "This medication is expensive; please prescribe something less costly."
ANS: A, B, D
It would not be appropriate to ask to decrease the time interval in between doses as
the increased use of acetaminophen may be
damaging to the client's liver and kidneys. There is no evidence that this client is at
risk for developing an addiction. Thus,
demanding that this medication be discontinued may be a premature action by the
nurse. However, the nurse should monitor the
patient closely for signs and symptoms of potential addiction. It would be appropriate
to ask the primary care provider for an
additional medication in the form of a PRN prescription to possibly assist with the
client achieving optimal pain relief rather than
changing medications entirely. Although it is a factor, the cost of pain medication isn't
, Page 4 of 169
a consideration when addressing safe pain
management interventions
Which of the following statements is the best explanation as to why some
countries are more violent than others?
a. Civilized societies are less violent than primitive societies.
b. Geographical differences are the primary factor.
c. Population differences are the main determinant—for example, having more
males than females.
d. Violence is a learned behavior controlled or allowed by social norms
ANS: D
Some societies are basically nonviolent, and for them violence is not a significant
health problem. Violence is a learned behavior,
and social norms can keep violence at low levels or even eliminate it. The learned
culture of the society is the best indicator for
violence, not the differentiation between civilized or primitive, geographic location, or
population differences among males and
females
Which of the following statements best explains the primary reason why
violence is so high among young male parents?
a. Men tend to be more violent than women.
b. They are young and thus lack maturity.
c. Unemployment is higher in this population.
d. Violent tendencies are transferred genetically along racial lines
ANS: C
Most analyses conclude that the differential rates of violence in the United States
have more to do with economic realities, such as
poverty, unemployment, and overcrowding, than with race. Although violence among
men may be higher than among women, this
question specifically addresses "young men." Economic realities are more indicative
of this rate of violence than age and maturity.
Violence is a learned behavior; it is not transferred genetically along racial lines
Which of the following is the top risk factor for intimate partner homicide?
a. There is a gun in the house.
b. The husband has made threats against wife before.
c. The wife has previously reported being physically abused.
d. The woman's young daughter also lives with them
ANS: C
The top risk factor for intimate partner homicide (IPH) is previous domestic violence.
Other risk factors are access to guns,
estrangement, threats to kill or threats with a weapon, nonfatal strangulation, and a
stepchild in the home if the victim is a female;
however, these are not the top risk factor
