NSG 3480 Community Health Unit 2, 3, 4 Review for
Exam 1 (2026-2027) UPDATE EXAM 130
QUESTIONS WITH MULTIPLE CHOICES
VERIFIED & REVISED ANSWERS (NEW)!!
A 50-year-old woman comes to the clinic for her first mammogram. Which term best describes
the action of this client?
a. Disease prevention
b. Health improvement
c. Health protection
d. Primary health promotion - CORRECT ANSWER: c. Health protection
A client continues to be noncompliant in making needed changes even after being given
extensive information on their health problem by the nurse. Which principle is most likely the
basis for the client's behavior?
a. A person may have a higher priority than improving his or her health.
b. Information, while necessary, will not motivate people to change.
c. People need repetition over time to be able to absorb information.
d. Physicians, not nurses, are perceived as experts in health. - CORRECT ANSWER: b.
Information, while necessary, will not motivate people to change.
A client did not attend the clinic for required follow-up care after his extensive surgery. Using the
Health Belief Model, which would be the most appropriate conclusion for the nurse to make
when a client does not attend the clinic for required follow-up care after his extensive surgery?
a. The client is noncompliant.
b. The client is suffering from self-neglect.
c. The health care system is not meeting the client's perceived needs.
d. The health care system is not accessible for the client.
,e. The nurse has not motivated the client appropriately. - CORRECT ANSWER: c. The health
care system is not meeting the client's perceived needs.
A community health nurse found a very small number of families in the community who were
desperately in need of basic preventive health services. Which ethical approach supports
expending agency resources on these few, but needy, families?
a. Beneficence suggests focusing on the neediest, so resources should be expended on these
families.
b. Deontological ethics suggest that the nurse must give priority to the intervention
that would have the broadest impact.
c. Utilitarianism (the most good for the largest number) would suggest continuing to
focus on broader community needs.
d. Virtue ethics would suggest focusing on these families to support the nurse's own
character development. - CORRECT ANSWER: a. Beneficence suggests focusing on the most
needy, so resources should be expended on these families.
A community health nurse has completed a community assessment and is now writing a
community diagnosis for the problem. Which component of the diagnosis will be used to
summarize the assessment data of the problem?
a. Identification of the health risk
b. Evidence supporting the choice of priority
c. The aggregate that needs the intervention
d. The cause of the identified health problem - CORRECT ANSWER: a. Identification of the
health risk
A community health nurse is trying to determine the success of a planned intervention. Which
would the community health nurse most likely examine?
a. Changes in funding made available to the agency to continue their efforts
b. An increase or decrease in the number of persons asking for assistance
c. Current problem data to compare with original baseline data
,d. Feedback from community residents - CORRECT ANSWER: c. Current problem data to
compare with original baseline data
A community health nurse is using the Health Belief Model (HBM) as a basis for providing
client care. Which statement best describes the problems associated with using the HBM? (Select
all that apply.)
a. It ignores the need to reduce health system barriers to action.
b. It is extremely difficult to change the client's belief system.
c. It is the nurse's responsibility to persuade clients to engage in the appropriate
behavior.
d. Clients do not have the knowledge to correctly analyze the seriousness of the
disease or their susceptibility to it.
e. Clients expect health professionals to take preventive actions for them.
f. The choice and the burden for acting are entirely with the client. - CORRECT ANSWER: a. It
ignores the need to reduce health system barriers to action.
f. The choice and the burden for acting are entirely with the client.
A community health nurse recognizes the majority of time providing care will be focused on
whom? - CORRECT ANSWER: Individuals
A community health nurse wants to obtain an overview of the community but has limited time
and resources. Which method would the nurse most likely use to obtain this information?
a. Engage in a windshield survey.
b. Establish a health department committee of community leaders willing to fill out
periodic surveys related to various health issues in the community.
c. Live in the community for several years.
d. Review public health department records from up to 5 years ago. - CORRECT ANSWER: a.
Engage in a windshield survey
, A nurse asks a client how they have been sleeping. Which statement best describes the rationale
behind this question? (Select all that apply.)
a. Accidents and injury may occur with the sleep-deprived client at fault.
b. Interventions for sleep problems are primarily common sense.
c. Many adults report sleep problems or occasional lack of sleep.
d. Many important functions occur during sleep.
e. Nurses can determine whether the patient has a sleep disorder.
f. A sleep assessment is easy and inexpensive to complete. - CORRECT ANSWER: a. Accidents
and injury may occur with the sleep-deprived client at fault.
c. Many adults report sleep problems or occasional lack of sleep.
d. Many important functions occur during sleep.
A nurse demonstrating an understanding of the implementation of a comprehensive and effective
educational program will engage in what action initially? - CORRECT ANSWER: Developing
an open and trusting relationship with participants
A nurse found that several professionals resented time spent interacting with and teaching clients.
Which is the most likely underlying motivation to explain this resistance? - CORRECT
ANSWER: Empowering others shifts power from the experts to the community.
A nurse has a broad, aggregate focus when providing care to clients. Which statement best
describes how this approach will help improve client outcomes? (Select all that apply.)
a. Ensures that collaborative efforts of many professionals will be used
b. Confirms the individual's responsibility for resolving the health problem
c. Empowers decision-making based on both individual and community goals, needs, and
priorities
d. Enables the nurse to ask for assistance from other community professionals
Exam 1 (2026-2027) UPDATE EXAM 130
QUESTIONS WITH MULTIPLE CHOICES
VERIFIED & REVISED ANSWERS (NEW)!!
A 50-year-old woman comes to the clinic for her first mammogram. Which term best describes
the action of this client?
a. Disease prevention
b. Health improvement
c. Health protection
d. Primary health promotion - CORRECT ANSWER: c. Health protection
A client continues to be noncompliant in making needed changes even after being given
extensive information on their health problem by the nurse. Which principle is most likely the
basis for the client's behavior?
a. A person may have a higher priority than improving his or her health.
b. Information, while necessary, will not motivate people to change.
c. People need repetition over time to be able to absorb information.
d. Physicians, not nurses, are perceived as experts in health. - CORRECT ANSWER: b.
Information, while necessary, will not motivate people to change.
A client did not attend the clinic for required follow-up care after his extensive surgery. Using the
Health Belief Model, which would be the most appropriate conclusion for the nurse to make
when a client does not attend the clinic for required follow-up care after his extensive surgery?
a. The client is noncompliant.
b. The client is suffering from self-neglect.
c. The health care system is not meeting the client's perceived needs.
d. The health care system is not accessible for the client.
,e. The nurse has not motivated the client appropriately. - CORRECT ANSWER: c. The health
care system is not meeting the client's perceived needs.
A community health nurse found a very small number of families in the community who were
desperately in need of basic preventive health services. Which ethical approach supports
expending agency resources on these few, but needy, families?
a. Beneficence suggests focusing on the neediest, so resources should be expended on these
families.
b. Deontological ethics suggest that the nurse must give priority to the intervention
that would have the broadest impact.
c. Utilitarianism (the most good for the largest number) would suggest continuing to
focus on broader community needs.
d. Virtue ethics would suggest focusing on these families to support the nurse's own
character development. - CORRECT ANSWER: a. Beneficence suggests focusing on the most
needy, so resources should be expended on these families.
A community health nurse has completed a community assessment and is now writing a
community diagnosis for the problem. Which component of the diagnosis will be used to
summarize the assessment data of the problem?
a. Identification of the health risk
b. Evidence supporting the choice of priority
c. The aggregate that needs the intervention
d. The cause of the identified health problem - CORRECT ANSWER: a. Identification of the
health risk
A community health nurse is trying to determine the success of a planned intervention. Which
would the community health nurse most likely examine?
a. Changes in funding made available to the agency to continue their efforts
b. An increase or decrease in the number of persons asking for assistance
c. Current problem data to compare with original baseline data
,d. Feedback from community residents - CORRECT ANSWER: c. Current problem data to
compare with original baseline data
A community health nurse is using the Health Belief Model (HBM) as a basis for providing
client care. Which statement best describes the problems associated with using the HBM? (Select
all that apply.)
a. It ignores the need to reduce health system barriers to action.
b. It is extremely difficult to change the client's belief system.
c. It is the nurse's responsibility to persuade clients to engage in the appropriate
behavior.
d. Clients do not have the knowledge to correctly analyze the seriousness of the
disease or their susceptibility to it.
e. Clients expect health professionals to take preventive actions for them.
f. The choice and the burden for acting are entirely with the client. - CORRECT ANSWER: a. It
ignores the need to reduce health system barriers to action.
f. The choice and the burden for acting are entirely with the client.
A community health nurse recognizes the majority of time providing care will be focused on
whom? - CORRECT ANSWER: Individuals
A community health nurse wants to obtain an overview of the community but has limited time
and resources. Which method would the nurse most likely use to obtain this information?
a. Engage in a windshield survey.
b. Establish a health department committee of community leaders willing to fill out
periodic surveys related to various health issues in the community.
c. Live in the community for several years.
d. Review public health department records from up to 5 years ago. - CORRECT ANSWER: a.
Engage in a windshield survey
, A nurse asks a client how they have been sleeping. Which statement best describes the rationale
behind this question? (Select all that apply.)
a. Accidents and injury may occur with the sleep-deprived client at fault.
b. Interventions for sleep problems are primarily common sense.
c. Many adults report sleep problems or occasional lack of sleep.
d. Many important functions occur during sleep.
e. Nurses can determine whether the patient has a sleep disorder.
f. A sleep assessment is easy and inexpensive to complete. - CORRECT ANSWER: a. Accidents
and injury may occur with the sleep-deprived client at fault.
c. Many adults report sleep problems or occasional lack of sleep.
d. Many important functions occur during sleep.
A nurse demonstrating an understanding of the implementation of a comprehensive and effective
educational program will engage in what action initially? - CORRECT ANSWER: Developing
an open and trusting relationship with participants
A nurse found that several professionals resented time spent interacting with and teaching clients.
Which is the most likely underlying motivation to explain this resistance? - CORRECT
ANSWER: Empowering others shifts power from the experts to the community.
A nurse has a broad, aggregate focus when providing care to clients. Which statement best
describes how this approach will help improve client outcomes? (Select all that apply.)
a. Ensures that collaborative efforts of many professionals will be used
b. Confirms the individual's responsibility for resolving the health problem
c. Empowers decision-making based on both individual and community goals, needs, and
priorities
d. Enables the nurse to ask for assistance from other community professionals
