RN COMMUNITY HEALTH NURSING TEST
SCRIPT 2026 QUESTIONS WITH FULL
ANSWERS GRADED A+
◉ Lemuel Shattuck, a Boston bookseller with an interest in public
health, published the 1850 book Report of the Massachusetts
Sanitary Commission. Which was not a recommendation of the
report. Answer: Introducing modern family planning methods in the
United States
1. Shattuck recommended major health reform that included
keeping vital statistics; providing environmental control; food, drug,
and communicable disease control; well-infant, well-child, and
school-age child health programs; mental health care; vaccination;
and health promotion. His recommendations were not implemented
until nearly 19 years later, when a state board of health was formed
in Massachusetts. Modern family planning methods were not
introduced until the 20th century.
◉ Modern community health nursing requires the nurse to __________,
which empowers people to understand and address their health
issues and disease.. Answer: practice from a population focus
i. Population-focused nursing care includes people in solving their
own health problems and focuses resources and health programs in
,a way to improve the health of entire populations, which include
individuals, families, and communities. Adopting a medical model of
care and returning to earlier models of prevention will not empower
people to understand and address their health issues. Modern
community health nurses focus on the population, not the individual
and family.
◉ When nonindustrial cultures adopt Western customs and
transition into urban environments, Western diseases begin to
appear. Epidemiologic studies suggest that common risk factors that
contribute these health conditions include: (Select all that apply.)
- changes in diet.
- environmental alterations.
- economic changes.
- increased population density.
- occupational hazards.. Answer: changes in diet, environmental
alterations, increased population density, occupational hazards.
1. Epidemiologic studies suggest that common risk factors that
contribute to chronic health conditions are changes in diet (e.g.,
increases in refined sugar and fats and lack of fiber), environmental
alterations (e.g., use of motorized transportation and climate-
controlled living and work sites), and occupational hazards. An
increase in population and population density also increase mental
and behavioral disorders. Economic improvements in
nonindustrialized communities would decrease the risk of disease.
,Economic changes in nonindustrialized communities are not listed
as a common risk factor that contributes to chronic health
conditions
◉ Lillian Wald and Mary Brewster's Henry Street Settlement was a
model of modern health care. Which services were provided to
people living in the Lower East Side of New York City by the Henry
Street Settlement nurses? (Select all that apply.). Answer: Home
visits to ill mothers and children, School health services, Industrial
health services to local workers, Support programs for immigrants
1. The Henry Street Settlement was a model comprehensive health
care center that provided many services, including home visits to
mothers and children, support services for immigrants, the first
school health and industrial health programs, and many other
services. Emergency care and first aid were not provided services.
◉ The first efforts to provide public health in large communities was
in establishing:
A) Healthy food choices and exercise
B) Praying to the gods for preservation
C) Use of medicine and herbal remedies
, D) Building safe sewage disposal systems. Answer: D) Building safe
sewage disposal systems
◉ The public health nurse in a regional community determines
there is always a specific number of people who have pneumonia.
The best example of prevalence of this disease is described as:
A) Prevalent
B) Endemic
C) Pandemic
D) Epidemic. Answer: B) Endemic
◉ What is the "thinking upstream" model of community nursing?.
Answer: It focuses the nurse on short-term, individual-based
nursing interventions.
1. The upstream model uses the analogy of a river flowing upstream
toward the bigger picture to focus community health nursing
practice. This differentiates population-focused and individual-
focused nursing interventions. The community health nurse needs
SCRIPT 2026 QUESTIONS WITH FULL
ANSWERS GRADED A+
◉ Lemuel Shattuck, a Boston bookseller with an interest in public
health, published the 1850 book Report of the Massachusetts
Sanitary Commission. Which was not a recommendation of the
report. Answer: Introducing modern family planning methods in the
United States
1. Shattuck recommended major health reform that included
keeping vital statistics; providing environmental control; food, drug,
and communicable disease control; well-infant, well-child, and
school-age child health programs; mental health care; vaccination;
and health promotion. His recommendations were not implemented
until nearly 19 years later, when a state board of health was formed
in Massachusetts. Modern family planning methods were not
introduced until the 20th century.
◉ Modern community health nursing requires the nurse to __________,
which empowers people to understand and address their health
issues and disease.. Answer: practice from a population focus
i. Population-focused nursing care includes people in solving their
own health problems and focuses resources and health programs in
,a way to improve the health of entire populations, which include
individuals, families, and communities. Adopting a medical model of
care and returning to earlier models of prevention will not empower
people to understand and address their health issues. Modern
community health nurses focus on the population, not the individual
and family.
◉ When nonindustrial cultures adopt Western customs and
transition into urban environments, Western diseases begin to
appear. Epidemiologic studies suggest that common risk factors that
contribute these health conditions include: (Select all that apply.)
- changes in diet.
- environmental alterations.
- economic changes.
- increased population density.
- occupational hazards.. Answer: changes in diet, environmental
alterations, increased population density, occupational hazards.
1. Epidemiologic studies suggest that common risk factors that
contribute to chronic health conditions are changes in diet (e.g.,
increases in refined sugar and fats and lack of fiber), environmental
alterations (e.g., use of motorized transportation and climate-
controlled living and work sites), and occupational hazards. An
increase in population and population density also increase mental
and behavioral disorders. Economic improvements in
nonindustrialized communities would decrease the risk of disease.
,Economic changes in nonindustrialized communities are not listed
as a common risk factor that contributes to chronic health
conditions
◉ Lillian Wald and Mary Brewster's Henry Street Settlement was a
model of modern health care. Which services were provided to
people living in the Lower East Side of New York City by the Henry
Street Settlement nurses? (Select all that apply.). Answer: Home
visits to ill mothers and children, School health services, Industrial
health services to local workers, Support programs for immigrants
1. The Henry Street Settlement was a model comprehensive health
care center that provided many services, including home visits to
mothers and children, support services for immigrants, the first
school health and industrial health programs, and many other
services. Emergency care and first aid were not provided services.
◉ The first efforts to provide public health in large communities was
in establishing:
A) Healthy food choices and exercise
B) Praying to the gods for preservation
C) Use of medicine and herbal remedies
, D) Building safe sewage disposal systems. Answer: D) Building safe
sewage disposal systems
◉ The public health nurse in a regional community determines
there is always a specific number of people who have pneumonia.
The best example of prevalence of this disease is described as:
A) Prevalent
B) Endemic
C) Pandemic
D) Epidemic. Answer: B) Endemic
◉ What is the "thinking upstream" model of community nursing?.
Answer: It focuses the nurse on short-term, individual-based
nursing interventions.
1. The upstream model uses the analogy of a river flowing upstream
toward the bigger picture to focus community health nursing
practice. This differentiates population-focused and individual-
focused nursing interventions. The community health nurse needs
