COMMUNITY & POPULATION HEALTH NURSING
QUESTIONS AND CORRECT DETAILED ANSWERS
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1.
A county health department identifies a rising incidence of type 2 diabetes across
multiple neighborhoods. Which nursing action best reflects a population-focused
approach?
A. Referring diagnosed individuals to endocrinology
B. Developing a countywide nutrition and physical activity initiative
C. Teaching insulin administration to affected residents
D. Conducting home visits for individuals with complications
Correct Answer: B
Rationale: Population health nursing targets upstream interventions that address
risk factors affecting the entire community, such as lifestyle and environmental
influences.
,2.
Which example best represents primary prevention at the community level?
A. Screening adults for hypertension
B. Providing influenza vaccinations
C. Offering cardiac rehabilitation programs
D. Monitoring hemoglobin A1c levels
Correct Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs;
immunizations reduce the likelihood of infection.
3.
A nurse completes a windshield survey and notes limited grocery stores, poor
lighting, and heavy traffic. These observations primarily address which assessment
component?
A. Demographic data
B. Social determinants of health
C. Epidemiological statistics
D. Health service utilization
Correct Answer: B
Rationale: Environmental and socioeconomic factors that influence health
outcomes are core social determinants of health.
4.
Which epidemiological measure best reflects the number of new cases of
tuberculosis in a community during one year?
A. Prevalence rate
B. Mortality rate
C. Incidence rate
D. Case fatality rate
,Correct Answer: C
Rationale: Incidence measures new cases occurring within a specified time period.
5.
A community health nurse is planning interventions after identifying increased
asthma hospitalizations among children. What should be the nurse’s priority next
step?
A. Implementing an intervention immediately
B. Formulating community nursing diagnoses
C. Evaluating previous interventions
D. Disseminating findings to the media
Correct Answer: B
Rationale: After assessment, the nursing process requires identifying priority
community health diagnoses before planning interventions.
6.
Which situation best demonstrates secondary prevention?
A. Anti-smoking education campaigns
B. Lead exposure screening in children
C. Pulmonary rehabilitation programs
D. Palliative care services
Correct Answer: B
Rationale: Secondary prevention focuses on early detection and prompt treatment
to prevent progression.
, 7.
A nurse advocates for improved public transportation to healthcare facilities. This
action reflects which public health nursing role?
A. Case manager
B. Direct care provider
C. Advocate
D. Researcher
Correct Answer: C
Rationale: Advocacy involves influencing policies and systems to improve
population health outcomes.
8.
Which population is considered most vulnerable during a measles outbreak?
A. Healthy adults aged 25–40
B. Vaccinated school-aged children
C. Unvaccinated infants
D. Individuals with controlled hypertension
Correct Answer: C
Rationale: Infants who are unvaccinated have limited immunity and are at highest
risk for severe complications.
9.
A nurse evaluates a community program and finds decreased emergency
department use but no change in disease incidence. Which outcome was most
directly affected?
A. Primary prevention
B. Morbidity reduction
C. Health service utilization
D. Mortality rates