NR442/NR 442 Exam 1 V3 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is conducting a screening for hypertension at a local senior
center. Which level of prevention is being implemented?
A. Primary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Secondary prevention
Correct Answer: D
Expert Explanation: Secondary prevention focuses on early detection and intervention to
limit the severity of a disease. Screening programs, such as blood pressure checks, are
designed to identify asymptomatic individuals with early signs of illness. By detecting
hypertension early, the nurse can facilitate prompt treatment and prevent long-term
complications like stroke or heart failure.
2. Which of the following best describes the ‘Host’ in the epidemiological triangle?
A. An infectious organism like a virus or bacteria
B. External factors that affect the agent and the opportunity for exposure
C. A living species capable of being infected or affected by an agent
,D. The vector that carries the disease from one person to another
Correct Answer: C
Expert Explanation: The host is the human or animal that is susceptible to the disease or
agent. Factors such as age, genetics, and lifestyle habits influence the host’s susceptibility
and response to the agent. Understanding host characteristics is vital for public health
nurses to target interventions toward high-risk groups within the community.
3. Lillian Wald is significantly recognized in community health nursing for which contribution?
A. Establishing the first hospital-based nursing program
B. Developing the Red Cross Rural Nursing Service
C. Founding the Henry Street Settlement in New York City
D. Inventing the first mechanical ventilator for polio patients
Correct Answer: C
Expert Explanation: Lillian Wald is considered the founder of public health nursing and
established the Henry Street Settlement in 1893. This initiative provided social services
and healthcare to the poor and immigrant populations in their own neighborhoods. Her
work emphasized that health is inextricably linked to social and environmental factors, a
core tenet of modern community health nursing.
4. A nurse is practicing community-oriented nursing. Which of the following activities best
illustrates this practice?
A. Providing wound care to an individual in a home setting
, B. Conducting a health education program for a group of at-risk teenagers
C. Administering insulin to a client in a community clinic
D. Assisting a patient with rehabilitation after a hip replacement
Correct Answer: B
Expert Explanation: Community-oriented nursing focuses on the health of the community
or population as a whole. While community-based nursing focuses on illness care for
individuals, community-oriented nursing aims at health promotion and disease prevention
for aggregates. Educating a group of teenagers targets a specific population segment to
improve health outcomes at the community level.
5. When assessing the environment of a community, the nurse uses the ‘I PREPARE’
mnemonic. What does the ‘P’ in this mnemonic stand for?
A. Pollutants
B. Population
C. Pesticides
D. Past work
Correct Answer: D
Expert Explanation: The ‘I PREPARE’ mnemonic is a tool used by nurses to collect a
detailed environmental health history. The letter ‘P’ specifically stands for Past Work,
which helps identify prior occupational exposures that might affect current health. This
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is conducting a screening for hypertension at a local senior
center. Which level of prevention is being implemented?
A. Primary prevention
B. Quaternary prevention
C. Tertiary prevention
D. Secondary prevention
Correct Answer: D
Expert Explanation: Secondary prevention focuses on early detection and intervention to
limit the severity of a disease. Screening programs, such as blood pressure checks, are
designed to identify asymptomatic individuals with early signs of illness. By detecting
hypertension early, the nurse can facilitate prompt treatment and prevent long-term
complications like stroke or heart failure.
2. Which of the following best describes the ‘Host’ in the epidemiological triangle?
A. An infectious organism like a virus or bacteria
B. External factors that affect the agent and the opportunity for exposure
C. A living species capable of being infected or affected by an agent
,D. The vector that carries the disease from one person to another
Correct Answer: C
Expert Explanation: The host is the human or animal that is susceptible to the disease or
agent. Factors such as age, genetics, and lifestyle habits influence the host’s susceptibility
and response to the agent. Understanding host characteristics is vital for public health
nurses to target interventions toward high-risk groups within the community.
3. Lillian Wald is significantly recognized in community health nursing for which contribution?
A. Establishing the first hospital-based nursing program
B. Developing the Red Cross Rural Nursing Service
C. Founding the Henry Street Settlement in New York City
D. Inventing the first mechanical ventilator for polio patients
Correct Answer: C
Expert Explanation: Lillian Wald is considered the founder of public health nursing and
established the Henry Street Settlement in 1893. This initiative provided social services
and healthcare to the poor and immigrant populations in their own neighborhoods. Her
work emphasized that health is inextricably linked to social and environmental factors, a
core tenet of modern community health nursing.
4. A nurse is practicing community-oriented nursing. Which of the following activities best
illustrates this practice?
A. Providing wound care to an individual in a home setting
, B. Conducting a health education program for a group of at-risk teenagers
C. Administering insulin to a client in a community clinic
D. Assisting a patient with rehabilitation after a hip replacement
Correct Answer: B
Expert Explanation: Community-oriented nursing focuses on the health of the community
or population as a whole. While community-based nursing focuses on illness care for
individuals, community-oriented nursing aims at health promotion and disease prevention
for aggregates. Educating a group of teenagers targets a specific population segment to
improve health outcomes at the community level.
5. When assessing the environment of a community, the nurse uses the ‘I PREPARE’
mnemonic. What does the ‘P’ in this mnemonic stand for?
A. Pollutants
B. Population
C. Pesticides
D. Past work
Correct Answer: D
Expert Explanation: The ‘I PREPARE’ mnemonic is a tool used by nurses to collect a
detailed environmental health history. The letter ‘P’ specifically stands for Past Work,
which helps identify prior occupational exposures that might affect current health. This
