NR-442/NR442 Exam 1 V1 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A nurse is conducting a windshield survey of a local neighborhood. Which of the following
observations would provide information regarding the community’s health needs?
A. The specific demographics of the local hospital board.
B. The age and condition of the local housing and buildings.
C. The national average for cardiovascular disease mortality.
D. The history of nursing theory in the local university.
Correct Answer: B
Expert Explanation: A windshield survey is an informal survey where the nurse drives
around the community to observe its physical environment and residents. Observing the
condition of housing and public spaces provides direct insight into environmental health
and potential safety hazards. This method allows the nurse to identify the presence of
resources like grocery stores or barriers like lack of sidewalks.
2. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following activities should the nurse include?
A. Performing blood pressure screenings at a senior center.
B. Providing education on the importance of influenza immunizations.
,C. Assisting a patient with physical therapy after a stroke.
D. Conducting a support group for individuals with chronic arthritis.
Correct Answer: B
Expert Explanation: Primary prevention aims to prevent the onset of disease or injury
before it occurs. Providing education about immunizations is a classic example of primary
prevention as it builds immunity and prevents infection. Screenings are secondary
prevention, and rehabilitation is tertiary prevention.
3. Which of the following describes the ‘Aggregate’ in the context of community health
nursing?
A. An individual patient receiving home health services.
B. A government agency that regulates nursing practice.
C. The equipment used to provide care in a rural clinic.
D. A group of people sharing a common trait or geographic location.
Correct Answer: D
Expert Explanation: In community health, an aggregate refers to a subpopulation or group
that shares specific characteristics or geographical boundaries. This focus allows nurses to
implement interventions that benefit a large number of people simultaneously. Identifying
the aggregate is the first step in population-focused nursing care.
, 4. A nurse is using the IPREPARE mnemonic to assess a client’s environmental exposure. What
does the ‘P’ in IPREPARE stand for?
A. Physical activity level.
B. Psychological health status.
C. Presence of support systems.
D. Previous work history.
Correct Answer: D
Expert Explanation: The IPREPARE mnemonic is a tool used by nurses to gather
environmental health history. The first ‘P’ stands for ‘Present work’ and the second ‘P’
stands for ‘Past work’ or ‘Previous work’. This helps identify potential occupational hazards
that the client may have been exposed to throughout their life.
5. Which historical figure is credited with founding the Henry Street Settlement and is known
as the founder of public health nursing?
A. Lillian Wald
B. Mary Breckinridge
C. Florence Nightingale
D. Clara Barton
Correct Answer: A
Health Nursing Q&A with Rationale |
Chamberlain University
1. A nurse is conducting a windshield survey of a local neighborhood. Which of the following
observations would provide information regarding the community’s health needs?
A. The specific demographics of the local hospital board.
B. The age and condition of the local housing and buildings.
C. The national average for cardiovascular disease mortality.
D. The history of nursing theory in the local university.
Correct Answer: B
Expert Explanation: A windshield survey is an informal survey where the nurse drives
around the community to observe its physical environment and residents. Observing the
condition of housing and public spaces provides direct insight into environmental health
and potential safety hazards. This method allows the nurse to identify the presence of
resources like grocery stores or barriers like lack of sidewalks.
2. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following activities should the nurse include?
A. Performing blood pressure screenings at a senior center.
B. Providing education on the importance of influenza immunizations.
,C. Assisting a patient with physical therapy after a stroke.
D. Conducting a support group for individuals with chronic arthritis.
Correct Answer: B
Expert Explanation: Primary prevention aims to prevent the onset of disease or injury
before it occurs. Providing education about immunizations is a classic example of primary
prevention as it builds immunity and prevents infection. Screenings are secondary
prevention, and rehabilitation is tertiary prevention.
3. Which of the following describes the ‘Aggregate’ in the context of community health
nursing?
A. An individual patient receiving home health services.
B. A government agency that regulates nursing practice.
C. The equipment used to provide care in a rural clinic.
D. A group of people sharing a common trait or geographic location.
Correct Answer: D
Expert Explanation: In community health, an aggregate refers to a subpopulation or group
that shares specific characteristics or geographical boundaries. This focus allows nurses to
implement interventions that benefit a large number of people simultaneously. Identifying
the aggregate is the first step in population-focused nursing care.
, 4. A nurse is using the IPREPARE mnemonic to assess a client’s environmental exposure. What
does the ‘P’ in IPREPARE stand for?
A. Physical activity level.
B. Psychological health status.
C. Presence of support systems.
D. Previous work history.
Correct Answer: D
Expert Explanation: The IPREPARE mnemonic is a tool used by nurses to gather
environmental health history. The first ‘P’ stands for ‘Present work’ and the second ‘P’
stands for ‘Past work’ or ‘Previous work’. This helps identify potential occupational hazards
that the client may have been exposed to throughout their life.
5. Which historical figure is credited with founding the Henry Street Settlement and is known
as the founder of public health nursing?
A. Lillian Wald
B. Mary Breckinridge
C. Florence Nightingale
D. Clara Barton
Correct Answer: A
