Community/Public Health Nursing-Final
and HESI Prep: Practice Questions and
Verified Answers Updated 2025
A 3-year smoking cessation program for teens has just concluded. The
type of evaluation the staff will conduct is:
a. a formative evaluation.
b. an informal evaluation.
c. an ongoing evaluation.
d. a summative evaluation. - ANS d. a summative evaluation.
Summative evaluations assess program outcomes or are a follow-up of the
results of the program activities and look at the end result.
A breast cancer screening program screened 8000 women and discovered
35 women previously diagnosed with breast cancer and 20 women with no
history of breast cancer diagnosed as a result of the screening. The
prevalence proportion would reflect:
a. current and past breast cancer events in this population of women.
b. newly diagnosed cases of breast cancer in this population of women.
c. past breast cancer events in this population of women.
d. the population of women that had no evidence of breast cancer. - ANS a.
current and past breast cancer events in this population of women.
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The prevalence proportion is a measure of existing disease in a population
at a particular time (i.e., the number of existing cases divided by the current
population).
A business executive develops symptoms of the flu 1 day after returning by
air from a cross-Atlantic business trip that ran for 2 consecutive stressful
10-hour days. This individual's development of flu symptoms illustrates the
relationship between:
a. host and agent.
b. host, agent, and environment.
c. risk and causality.
d. morbidity and disease. - ANS b. host, agent, and environment.
Epidemiologists understand that disease results from complex relationships
among causal agents, susceptible persons, and environmental factors.
These three elements—agent, host, and environment—are called the
epidemiologic triangle.
A community-based hospice nurse has an Asian male client with terminal
stage cancer. The client complains that he is in continuous pain and
receives no relief from the codeine prescribed by his primary care
practitioner (PCP). The nurse contacts the client's PCP to discuss replacing
the prescription of codeine with another pain-reducing non-codeine-based
drug. The nurse is demonstrating knowledge of the cultural organizing
factor of:
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a. biological variance.
b. communication.
c. space.
d. time perception. - ANSa. biological variance.
Biological variations are the physical, biological, and physiological
differences that exist and distinguish one racial group from another.
Research findings suggest that sensitivity to codeine varies with ethnic
background, and that Asian men experience significantly weaker effects
from the drug than do European men.
A community-oriented nurse convenes a support group for teenage
mothers. The nurse understands that this strategy fosters cohesiveness
among members and allows the members to learn from one another. What
other benefit specific to group teaching will be achieved?
a. Cultural sensitivity
b. Efficiency in client service
c. Learning of new skills
d. Distraction-free surroundings - ANSb. Efficiency in client service
In the education process, one of the important skills for educators to
develop in selecting appropriate educational methods is realizing the
benefits of group teaching, such as cohesiveness among members,
increased number of clients seen, clients learning from one another, and
cost effectiveness.
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A community-oriented nurse has identified obesity as a problem in the
middle school. The next step in a population-focused practice is to make
information available about the health of the middle school students. This
describes the public health core function of:
a. assessment.
b. assurance.
c. policy development.
d. research. - ANSa. assessment.
The three public health core functions are assessment, policy development,
and assurance. Assessment is systematic data collection on the
population, monitoring the population's health status, and making
information available about the health of the community.
A disease outbreak of severe acute respiratory syndrome has occurred and
has spread over several countries outside the United States. This level of
occurrence is said to be:
a. hyperendemic.
b. sporadic.
c. epidemic.
d. pandemic. - ANSd. pandemic.
Pandemic refers to the epidemic spread of the problem over several
countries or continents (such as severe acute respiratory syndrome [SARS]
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