NURS 433 EXAM 1 | PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE
NURSING STUDY GUIDE 2026/2027
A nurse in a clinic that provides direct care services to clients with tuberculosis would be
classified as practicing:
community-based nursing.
community-oriented nursing.
institutional nursing.
public health nursing. - ANS ✔✔community-based nursing
The nurse practicing as a community-based nurse is more likely to give direct care to people
than are nurses who practice from a community-oriented framework. A community-oriented
framework includes community-oriented nursing and public health nursing. Institutional nursing
care is generally delivered in a hospital or nursing home setting.
Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old who is
being seen for an earache. The type of nursing Jennifer practices is:
community-oriented nursing.
community-based nursing.
public health nursing.
tertiary health nursing. - ANS ✔✔community-based nursing
In community-based nursing, the nurse focuses on "illness care" of individuals and families
across the life span. The aim is to manage acute and chronic health conditions in the
community, and the practice is family-centered illness care. Community-based nursing is not a
specialty in nursing but, rather, a philosophy that guides care in all nursing specialties.
Community-oriented nursing has as its primary focus the health care either of the community or
populations as in public health nursing (PHN) or of individuals, families, and groups in a
community.
,A school nurse teaches three middle school students with asthma conditions techniques to
minimize their incidence of bronchial spasms. This is an application of:
community-based nursing.
community-oriented nursing.
institutional nursing.
public health nursing. - ANS ✔✔community based nursing
The goal of community-based nursing (CBN) is to manage acute or chronic conditions while
promoting self-care among individuals and families. In CBN the nursing care is family centered,
which means that the nurse works to improve the competencies of families to enable them to
take better care of themselves. The nurse pays particular attention to the uniqueness of each
family and works to plan the most useful interventions. Nurses practicing in the community and
many staff public health nurses focus on providing direct care services, including health
education, to persons or families outside of institutional settings, either in the home or in a
clinic.
The public health nurse deals with the examination of a community setting to determine the
community's health status. Which of the following activities should be considered in the
assessment phase?
Select all that apply.
Assisting communities to implement and evaluate plans and projects
Building constituencies to work with the community
Collecting, analyzing, and disseminating information
Evaluating the social, economic, and environmental characteristics of the population
Questioning the availability of health services to the community - ANS ✔✔Collecting, analyzing,
and disseminating information
Evaluating the social, economic, and environmental characteristics of the population
Questioning the availability of health services to the community
,Engaging in activities that involve the collection, analysis, and dissemination of information on
both the health and health-relevant aspects of a community or specific population
Questioning, for example, whether the health services of the community are available to the
population and are adequate to address needs
Monitoring the health status of the community or population and the services provided over
time
Evaluating the social, economic, environmental, and lifestyle characteristics and practices of a
population as well as the health services and capability available within the community to
support good health for the population
In a federally funded preschool program such as Head Start, nursing services that include
conducting developmental-level screening for cognitive and psychomotor development of
individual children would most likely be considered community-oriented nursing care when:
individual results are compared with established standards for children of the same age group.
program characteristics are assessed for their effectiveness in making the school population
healthier.
referral is provided for a child identified with delayed psychomotor development.
treatment is initiated for a child with an identified learning disability. - ANS ✔✔individual results
are compared with established standards for children of the same age group.
Within federally funded programs for preschool children, from a community-oriented nursing
care perspective, nursing services could be provided to individual children by conducting
developmental-level screening tests to evaluate each child's level of cognitive and psychomotor
development in comparison with established standards for children of the same age. This is
population-focused service. A community-based nurse may deliver illness care or direct services
to individual children. A public health nurse may assess the program's ability to achieve the
overall goal of making its population of children healthier by evaluating the characteristics of
the facility, program, and environment for their effectiveness in achieving the goal.
Public health nursing is a specialty with a distinct focus and scope of practice and requires a
special knowledge base different from other specialty areas of nursing. A public health nurse
would first be interested in:
, drug treatments for diabetes.
populations with the highest rate of diabetes.
educational materials for individuals with diabetes.
new technology for diabetic care. - ANS ✔✔populations with the highest rate of diabetes.
The primary focus that has differentiated public health nursing from other specialties has been
the emphasis on the population rather than on individuals or families. The primary goal of
public health—the prevention of disease and disability—is achieved by ensuring that conditions
exist in which people can remain healthy. Diabetes care and educational materials are provided
to individuals and families by a nurse in the community or institutional setting.
A state agency has received multiple complaints regarding the availability of elder
transportation services to a specific county senior center. The state agency assigns a public
health nurse to work with the community to evaluate its program for elder transportation
services to publicly sponsored elder care programs. The public health core function applied is:
assurance.
policy development.
primary prevention.
public transportation. - ANS ✔✔assurance
The public health core function of assurance focuses on the responsibility of public health
agencies to be sure that activities are appropriately carried out to meet public health goals and
plans. This role requires skill in assessment, investigative functions, collaboration, consultation,
and cooperation. The assurance function makes sure that the activities assigned during the
policy development or planning phase are carried out. Policy development refers to efforts to
develop policies that support the health of the population, including using a scientific
knowledge base to make policy decisions. Primary prevention does not focus on provision of
services and a part of assurance is assisting communities to obtain necessary services such as
transportation.
NURSING STUDY GUIDE 2026/2027
A nurse in a clinic that provides direct care services to clients with tuberculosis would be
classified as practicing:
community-based nursing.
community-oriented nursing.
institutional nursing.
public health nursing. - ANS ✔✔community-based nursing
The nurse practicing as a community-based nurse is more likely to give direct care to people
than are nurses who practice from a community-oriented framework. A community-oriented
framework includes community-oriented nursing and public health nursing. Institutional nursing
care is generally delivered in a hospital or nursing home setting.
Jennifer is a nurse in a family medicine clinic. Today she is assessing Jose, a 4-year-old who is
being seen for an earache. The type of nursing Jennifer practices is:
community-oriented nursing.
community-based nursing.
public health nursing.
tertiary health nursing. - ANS ✔✔community-based nursing
In community-based nursing, the nurse focuses on "illness care" of individuals and families
across the life span. The aim is to manage acute and chronic health conditions in the
community, and the practice is family-centered illness care. Community-based nursing is not a
specialty in nursing but, rather, a philosophy that guides care in all nursing specialties.
Community-oriented nursing has as its primary focus the health care either of the community or
populations as in public health nursing (PHN) or of individuals, families, and groups in a
community.
,A school nurse teaches three middle school students with asthma conditions techniques to
minimize their incidence of bronchial spasms. This is an application of:
community-based nursing.
community-oriented nursing.
institutional nursing.
public health nursing. - ANS ✔✔community based nursing
The goal of community-based nursing (CBN) is to manage acute or chronic conditions while
promoting self-care among individuals and families. In CBN the nursing care is family centered,
which means that the nurse works to improve the competencies of families to enable them to
take better care of themselves. The nurse pays particular attention to the uniqueness of each
family and works to plan the most useful interventions. Nurses practicing in the community and
many staff public health nurses focus on providing direct care services, including health
education, to persons or families outside of institutional settings, either in the home or in a
clinic.
The public health nurse deals with the examination of a community setting to determine the
community's health status. Which of the following activities should be considered in the
assessment phase?
Select all that apply.
Assisting communities to implement and evaluate plans and projects
Building constituencies to work with the community
Collecting, analyzing, and disseminating information
Evaluating the social, economic, and environmental characteristics of the population
Questioning the availability of health services to the community - ANS ✔✔Collecting, analyzing,
and disseminating information
Evaluating the social, economic, and environmental characteristics of the population
Questioning the availability of health services to the community
,Engaging in activities that involve the collection, analysis, and dissemination of information on
both the health and health-relevant aspects of a community or specific population
Questioning, for example, whether the health services of the community are available to the
population and are adequate to address needs
Monitoring the health status of the community or population and the services provided over
time
Evaluating the social, economic, environmental, and lifestyle characteristics and practices of a
population as well as the health services and capability available within the community to
support good health for the population
In a federally funded preschool program such as Head Start, nursing services that include
conducting developmental-level screening for cognitive and psychomotor development of
individual children would most likely be considered community-oriented nursing care when:
individual results are compared with established standards for children of the same age group.
program characteristics are assessed for their effectiveness in making the school population
healthier.
referral is provided for a child identified with delayed psychomotor development.
treatment is initiated for a child with an identified learning disability. - ANS ✔✔individual results
are compared with established standards for children of the same age group.
Within federally funded programs for preschool children, from a community-oriented nursing
care perspective, nursing services could be provided to individual children by conducting
developmental-level screening tests to evaluate each child's level of cognitive and psychomotor
development in comparison with established standards for children of the same age. This is
population-focused service. A community-based nurse may deliver illness care or direct services
to individual children. A public health nurse may assess the program's ability to achieve the
overall goal of making its population of children healthier by evaluating the characteristics of
the facility, program, and environment for their effectiveness in achieving the goal.
Public health nursing is a specialty with a distinct focus and scope of practice and requires a
special knowledge base different from other specialty areas of nursing. A public health nurse
would first be interested in:
, drug treatments for diabetes.
populations with the highest rate of diabetes.
educational materials for individuals with diabetes.
new technology for diabetic care. - ANS ✔✔populations with the highest rate of diabetes.
The primary focus that has differentiated public health nursing from other specialties has been
the emphasis on the population rather than on individuals or families. The primary goal of
public health—the prevention of disease and disability—is achieved by ensuring that conditions
exist in which people can remain healthy. Diabetes care and educational materials are provided
to individuals and families by a nurse in the community or institutional setting.
A state agency has received multiple complaints regarding the availability of elder
transportation services to a specific county senior center. The state agency assigns a public
health nurse to work with the community to evaluate its program for elder transportation
services to publicly sponsored elder care programs. The public health core function applied is:
assurance.
policy development.
primary prevention.
public transportation. - ANS ✔✔assurance
The public health core function of assurance focuses on the responsibility of public health
agencies to be sure that activities are appropriately carried out to meet public health goals and
plans. This role requires skill in assessment, investigative functions, collaboration, consultation,
and cooperation. The assurance function makes sure that the activities assigned during the
policy development or planning phase are carried out. Policy development refers to efforts to
develop policies that support the health of the population, including using a scientific
knowledge base to make policy decisions. Primary prevention does not focus on provision of
services and a part of assurance is assisting communities to obtain necessary services such as
transportation.
