West Coast University NURS 340 Public Health Exam 2 (pdf) |
2026/2027 | Public Health Q&A | Community Health Nursing
1. A community health nurse is developing a health education program for a
local community. According to the typical steps for developing such a
program, what is the first action the nurse should take?
A) Select one or more learning theories to apply to the program
B) Identify a population-specific learning need for the community health
client
C) Design and implement the educational program using chosen strategies
D) Evaluate the effects of the educational program on the target population
Correct Answer: Identify a population-specific learning need for the
community health client
Rationale: The first step in developing a health education program is to
identify a population-specific learning need for the community health client.
This step is parallel to the assessment phase of the nursing process, as it
forms the foundation for all subsequent planning and intervention.
2. A nurse is planning a health education program for older adults in a rural
community. Which of the following is the most important factor for the nurse
to consider to ensure the program's effectiveness?
A) The number of healthcare providers in the area
B) The literacy level and cultural background of the participants
C) The availability of transportation to the program site
D) The cost of the educational materials
Correct Answer: The literacy level and cultural background of the participants
,Rationale: When planning health education, it is crucial to identify barriers to
learning, such as limited literacy or cultural concerns, and choose
appropriate teaching strategies based on the age, gender, cultural
background, education, and learning needs of the learners. This patient-
centered approach is essential for effective learning.
3. A nurse is evaluating a client's understanding of a new diabetes
management plan. Which of the following is the most effective method for
the nurse to use to confirm the client's comprehension?
A) Asking the client if they have any questions
B) Providing written materials for the client to take home
C) Using the teach-back method
D) Observing the client's nonverbal cues
Correct Answer: Using the teach-back method
Rationale: The teach-back method is a highly effective strategy for
confirming client understanding. It involves asking the client to explain the
information back in their own words, which helps to identify any gaps in
comprehension and allows the nurse to clarify misunderstandings.
4. A community health nurse is designing an educational intervention to
promote smoking cessation. According to the three domains of learning,
which domain is primarily involved when a client learns to correctly use a
nicotine patch?
A) Cognitive domain
B) Affective domain
C) Psychomotor domain
D) Attentive domain
Correct Answer: Psychomotor domain
,Rationale: The psychomotor domain involves the performance of a physical
skill. Learning to correctly apply a nicotine patch requires the learner to
perform a physical action, which falls under this domain. The cognitive
domain involves knowledge, and the affective domain involves attitudes and
feelings.
5. A nurse is teaching a group of adults about heart-healthy nutrition. Which
statement by a participant indicates learning in the affective domain?
A) "I can list the foods that are high in saturated fat."
B) "I am ready to start eating a low-sodium diet."
C) "I will demonstrate how to prepare a low-fat meal."
D) "I know that exercise is important for my heart."
Correct Answer: "I am ready to start eating a low-sodium diet."
Rationale: The affective domain involves feelings, attitudes, and values.
Expressing readiness to change a behavior demonstrates a shift in attitude
and engagement in the affective domain. Stating knowledge (cognitive) or
demonstrating a skill (psychomotor) are other domains.
6. According to the principles of health education, which of the following
statements best describes the relationship between education and learning?
A) Education and learning are the same process
B) Education is the process of gaining knowledge, while learning is the act of
teaching
C) Education is the establishment of events to facilitate learning, which is the
process of gaining knowledge and skills leading to behavioral change
D) Education is a one-time event, while learning is a lifelong process
, Correct Answer: Education is the establishment of events to facilitate
learning, which is the process of gaining knowledge and skills leading to
behavioral change
Rationale: Education is an activity designed to effect changes in knowledge,
skill, and attitudes, while learning is the process of gaining knowledge and
skills that leads to behavioral changes. Education facilitates learning, but the
two are distinct concepts.
7. A nurse is working with a community to develop a program to reduce teen
pregnancy. Which of the following actions is the most appropriate first step in
this process?
A) Implementing a school-based sex education program
B) Securing funding for the program from local businesses
C) Assessing the community's specific needs and resources related to teen
pregnancy
D) Hiring a program coordinator to manage the initiative
Correct Answer: Assessing the community's specific needs and resources
related to teen pregnancy
Rationale: Before any program can be planned or implemented, a thorough
community assessment must be conducted to identify the specific health
needs and available resources. This assessment forms the basis for all
subsequent planning and intervention.
8. A public health nurse is using Bloom's taxonomy to develop learning
objectives for a community health program. Which of the following objectives
is at the highest level of the cognitive domain?
A) The participant will list three risk factors for heart disease.
B) The participant will explain the relationship between diet and heart
disease.
2026/2027 | Public Health Q&A | Community Health Nursing
1. A community health nurse is developing a health education program for a
local community. According to the typical steps for developing such a
program, what is the first action the nurse should take?
A) Select one or more learning theories to apply to the program
B) Identify a population-specific learning need for the community health
client
C) Design and implement the educational program using chosen strategies
D) Evaluate the effects of the educational program on the target population
Correct Answer: Identify a population-specific learning need for the
community health client
Rationale: The first step in developing a health education program is to
identify a population-specific learning need for the community health client.
This step is parallel to the assessment phase of the nursing process, as it
forms the foundation for all subsequent planning and intervention.
2. A nurse is planning a health education program for older adults in a rural
community. Which of the following is the most important factor for the nurse
to consider to ensure the program's effectiveness?
A) The number of healthcare providers in the area
B) The literacy level and cultural background of the participants
C) The availability of transportation to the program site
D) The cost of the educational materials
Correct Answer: The literacy level and cultural background of the participants
,Rationale: When planning health education, it is crucial to identify barriers to
learning, such as limited literacy or cultural concerns, and choose
appropriate teaching strategies based on the age, gender, cultural
background, education, and learning needs of the learners. This patient-
centered approach is essential for effective learning.
3. A nurse is evaluating a client's understanding of a new diabetes
management plan. Which of the following is the most effective method for
the nurse to use to confirm the client's comprehension?
A) Asking the client if they have any questions
B) Providing written materials for the client to take home
C) Using the teach-back method
D) Observing the client's nonverbal cues
Correct Answer: Using the teach-back method
Rationale: The teach-back method is a highly effective strategy for
confirming client understanding. It involves asking the client to explain the
information back in their own words, which helps to identify any gaps in
comprehension and allows the nurse to clarify misunderstandings.
4. A community health nurse is designing an educational intervention to
promote smoking cessation. According to the three domains of learning,
which domain is primarily involved when a client learns to correctly use a
nicotine patch?
A) Cognitive domain
B) Affective domain
C) Psychomotor domain
D) Attentive domain
Correct Answer: Psychomotor domain
,Rationale: The psychomotor domain involves the performance of a physical
skill. Learning to correctly apply a nicotine patch requires the learner to
perform a physical action, which falls under this domain. The cognitive
domain involves knowledge, and the affective domain involves attitudes and
feelings.
5. A nurse is teaching a group of adults about heart-healthy nutrition. Which
statement by a participant indicates learning in the affective domain?
A) "I can list the foods that are high in saturated fat."
B) "I am ready to start eating a low-sodium diet."
C) "I will demonstrate how to prepare a low-fat meal."
D) "I know that exercise is important for my heart."
Correct Answer: "I am ready to start eating a low-sodium diet."
Rationale: The affective domain involves feelings, attitudes, and values.
Expressing readiness to change a behavior demonstrates a shift in attitude
and engagement in the affective domain. Stating knowledge (cognitive) or
demonstrating a skill (psychomotor) are other domains.
6. According to the principles of health education, which of the following
statements best describes the relationship between education and learning?
A) Education and learning are the same process
B) Education is the process of gaining knowledge, while learning is the act of
teaching
C) Education is the establishment of events to facilitate learning, which is the
process of gaining knowledge and skills leading to behavioral change
D) Education is a one-time event, while learning is a lifelong process
, Correct Answer: Education is the establishment of events to facilitate
learning, which is the process of gaining knowledge and skills leading to
behavioral change
Rationale: Education is an activity designed to effect changes in knowledge,
skill, and attitudes, while learning is the process of gaining knowledge and
skills that leads to behavioral changes. Education facilitates learning, but the
two are distinct concepts.
7. A nurse is working with a community to develop a program to reduce teen
pregnancy. Which of the following actions is the most appropriate first step in
this process?
A) Implementing a school-based sex education program
B) Securing funding for the program from local businesses
C) Assessing the community's specific needs and resources related to teen
pregnancy
D) Hiring a program coordinator to manage the initiative
Correct Answer: Assessing the community's specific needs and resources
related to teen pregnancy
Rationale: Before any program can be planned or implemented, a thorough
community assessment must be conducted to identify the specific health
needs and available resources. This assessment forms the basis for all
subsequent planning and intervention.
8. A public health nurse is using Bloom's taxonomy to develop learning
objectives for a community health program. Which of the following objectives
is at the highest level of the cognitive domain?
A) The participant will list three risk factors for heart disease.
B) The participant will explain the relationship between diet and heart
disease.
