NR442/NR 442 Exam 1 V2 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is conducting a vision screening for kindergarten students at a
local elementary school. Which level of prevention is being implemented by the nurse?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Secondary prevention focuses on early detection and screening to
identify health conditions in their earliest stages. Vision screening is a classic example of
secondary prevention as it aims to find impairments before they impact the child’s learning
or development. This differs from primary prevention, which focuses on disease
prevention before it occurs, such as immunizations.
2. Which historical figure is widely recognized as the founder of public health nursing and
established the Henry Street Settlement?
A. Florence Nightingale
B. Clara Barton
,C. Lillian Wald
D. Mary Brewster
Correct Answer: C
Expert Explanation: Lillian Wald is credited with coining the term ‘public health nursing’
and established the Henry Street Settlement in New York City. Her work focused on the
social determinants of health and providing care regardless of the ability to pay. She was a
pioneer in advocating for school nursing and insurance-funded home health services.
3. A nurse is assessing a community’s health status by driving through the neighborhood and
observing the physical environment and residents. What is this assessment method called?
A. Windshield survey
B. Focus group
C. Informant interview
D. Participant observation
Correct Answer: A
Expert Explanation: A windshield survey is a systematic observation of a community
while driving a car or using public transportation to collect data. This method allows the
nurse to assess the environment, housing conditions, and accessibility of services quickly. It
provides a subjective overview of the community’s strengths and weaknesses before more
in-depth data collection occurs.
,4. According to the epidemiological triad, which of the following is considered an ‘agent’
factor?
A. Nutritional status
B. Bacteria or viruses
C. Climate and weather
D. Socioeconomic status
Correct Answer: B
Expert Explanation: The epidemiological triad consists of the host, the agent, and the
environment. The agent is the factor that must be present for a disease or condition to
develop, such as biological organisms like bacteria or viruses. Environmental factors
include climate, while host factors include the characteristics of the individual like
nutritional status.
5. A community nurse is providing diabetes management education to a group of patients
who have already been diagnosed with the disease. This is an example of which level of
prevention?
A. Primary prevention
B. Secondary prevention
C. Individual prevention
D. Tertiary prevention
, Correct Answer: D
Expert Explanation: Tertiary prevention aims to minimize the impact of long-term disease
and disability and prevent further complications. Since the patients already have the
diagnosis, the education focuses on management and rehabilitation to improve their
quality of life. This stage follows diagnosis and treatment, distinguishing it from the earlier
stages of prevention.
6. Which ethical principle in community health nursing refers to the fair distribution of
resources and burdens among members of a society?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Distributive Justice
Correct Answer: D
Expert Explanation: Distributive justice is a core ethical concept in public health that
advocates for the equitable allocation of healthcare benefits and burdens. It ensures that
vulnerable populations receive necessary care and that resources are not
disproportionately concentrated in wealthy areas. This principle is vital when making
policy decisions that affect community-wide health outcomes.
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is conducting a vision screening for kindergarten students at a
local elementary school. Which level of prevention is being implemented by the nurse?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Secondary prevention focuses on early detection and screening to
identify health conditions in their earliest stages. Vision screening is a classic example of
secondary prevention as it aims to find impairments before they impact the child’s learning
or development. This differs from primary prevention, which focuses on disease
prevention before it occurs, such as immunizations.
2. Which historical figure is widely recognized as the founder of public health nursing and
established the Henry Street Settlement?
A. Florence Nightingale
B. Clara Barton
,C. Lillian Wald
D. Mary Brewster
Correct Answer: C
Expert Explanation: Lillian Wald is credited with coining the term ‘public health nursing’
and established the Henry Street Settlement in New York City. Her work focused on the
social determinants of health and providing care regardless of the ability to pay. She was a
pioneer in advocating for school nursing and insurance-funded home health services.
3. A nurse is assessing a community’s health status by driving through the neighborhood and
observing the physical environment and residents. What is this assessment method called?
A. Windshield survey
B. Focus group
C. Informant interview
D. Participant observation
Correct Answer: A
Expert Explanation: A windshield survey is a systematic observation of a community
while driving a car or using public transportation to collect data. This method allows the
nurse to assess the environment, housing conditions, and accessibility of services quickly. It
provides a subjective overview of the community’s strengths and weaknesses before more
in-depth data collection occurs.
,4. According to the epidemiological triad, which of the following is considered an ‘agent’
factor?
A. Nutritional status
B. Bacteria or viruses
C. Climate and weather
D. Socioeconomic status
Correct Answer: B
Expert Explanation: The epidemiological triad consists of the host, the agent, and the
environment. The agent is the factor that must be present for a disease or condition to
develop, such as biological organisms like bacteria or viruses. Environmental factors
include climate, while host factors include the characteristics of the individual like
nutritional status.
5. A community nurse is providing diabetes management education to a group of patients
who have already been diagnosed with the disease. This is an example of which level of
prevention?
A. Primary prevention
B. Secondary prevention
C. Individual prevention
D. Tertiary prevention
, Correct Answer: D
Expert Explanation: Tertiary prevention aims to minimize the impact of long-term disease
and disability and prevent further complications. Since the patients already have the
diagnosis, the education focuses on management and rehabilitation to improve their
quality of life. This stage follows diagnosis and treatment, distinguishing it from the earlier
stages of prevention.
6. Which ethical principle in community health nursing refers to the fair distribution of
resources and burdens among members of a society?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Distributive Justice
Correct Answer: D
Expert Explanation: Distributive justice is a core ethical concept in public health that
advocates for the equitable allocation of healthcare benefits and burdens. It ensures that
vulnerable populations receive necessary care and that resources are not
disproportionately concentrated in wealthy areas. This principle is vital when making
policy decisions that affect community-wide health outcomes.
