Chamberlain University NR-442 Exam 1 (pdf) | 2026/2027 |
Community Health Q&A |
1. A community health nurse is reviewing the levels of disease prevention.
Which of the following activities is an example of tertiary prevention?
A) Providing immunization pamphlets at a community health fair
B) Providing treatment for clients who have COPD
C) Screening for diabetes at a local clinic
D) Teaching a class on healthy eating habits
Correct Answer: Providing treatment for clients who have COPD
Rationale: Tertiary prevention aims to manage and reduce the impact of an
existing disease by preventing complications and improving quality of life.
Providing treatment for COPD is a tertiary prevention activity. Immunizations
and health education are primary prevention, and screening is secondary
prevention.
2. A nurse is holding a well-child clinic in a community center in a
predominantly Spanish-speaking area. The nurse notes that a number of
infants and toddlers at the center have remarkably low weight for their ages.
What action should the nurse take first?
A) Develop a community health education program on infant nutrition
B) Involve the community to ensure they have a voice in identifying the
problems in the community
C) Refer the families to a social worker for financial assistance
D) Immediately report the findings to Child Protective Services
Correct Answer: Involve the community to ensure they have a voice in
identifying the problems in the community
,Rationale: The first step in community health nursing is to engage the
community as a partner. Involving the community ensures they have a voice
in identifying their own problems and working to resolve them, which is
essential for effective and sustainable interventions.
3. A community health nurse is designing a health fair for clients with
diabetes. Based on Healthy People 2020 initiatives, what information should
the nurse include for clients with diabetes? (Select all that apply)
A) Monitoring blood glucose levels
B) Monitoring of carbohydrate intake
C) Monitoring of body rashes
D) Monitoring of bowel habits
E) Monitoring skin assessment
Correct Answer: Monitoring blood glucose levels; Monitoring of carbohydrate
intake; Monitoring skin assessment
Rationale: Healthy People 2020 initiatives for diabetes focus on self-
management behaviors including monitoring blood glucose, dietary
management (carbohydrate intake), and foot and skin care to prevent
complications.
4. A client asks a nurse about healthcare policy and how it may benefit them.
What is the best response from the nurse?
A) "Healthcare policy exists to meet the needs of the population."
B) "Healthcare policy does not benefit them."
C) "Healthcare policy is a violation of HIPAA."
D) "Healthcare policy only benefits those with private insurance."
,Correct Answer: "Healthcare policy exists to meet the needs of the
population."
Rationale: Healthcare policies are designed to meet the needs of the
population by improving health outcomes, increasing access to care, and
protecting public health.
5. Which of the following will be considered one of the 10 greatest public
health achievements in the U.S. to provide safer nutrition?
A) Healthier food options in schools
B) Eliminating junk food in cities
C) Reduction of microbial contamination in foods
D) Mandating nutrition labeling on all products
Correct Answer: Reduction of microbial contamination in foods
Rationale: The reduction of microbial contamination in foods is recognized as
one of the 10 greatest public health achievements in the U.S., significantly
reducing the incidence of foodborne illnesses.
6. A community health nurse is using an analytical assessment skill. What
should the assessment include? (Select all that apply)
A) Identifies health risks
B) Identifies health needs
C) Identifies values
D) Identifies beliefs
E) Identifies resources
F) Identifies environmental factors of the community to plan care
, Correct Answer: Identifies health risks; Identifies health needs; Identifies
values; Identifies beliefs; Identifies resources; Identifies environmental
factors of the community to plan care
Rationale: Analytical assessment in community health involves a
comprehensive evaluation that includes identifying health risks and needs,
as well as understanding the community's values, beliefs, resources, and
environmental factors to plan effective care.
7. How would a community health nurse use summative evaluation data
when evaluating an education plan for a group of homeless IV drug users?
A) Determine if the education will advance the knowledge of the population,
so they will make healthier choices
B) Determine if the education was implemented as planned
C) Assess the community's readiness for change
D) Identify the number of participants who attended the sessions
Correct Answer: Determine if the education will advance the knowledge of
the population, so they will make healthier choices
Rationale: Summative evaluation focuses on the outcomes of a program or
intervention. For an education plan, summative data would be used to
determine if the education led to an increase in knowledge and healthier
choices.
8. An older adult who lives alone tells the clinic nurse that he is unable to
drive himself to the store and is afraid to cook on the stove. Which
community resource should the nurse recommend for this client?
A) A psychiatric hospital
B) Meals on Wheels
C) A list of takeout menus
Community Health Q&A |
1. A community health nurse is reviewing the levels of disease prevention.
Which of the following activities is an example of tertiary prevention?
A) Providing immunization pamphlets at a community health fair
B) Providing treatment for clients who have COPD
C) Screening for diabetes at a local clinic
D) Teaching a class on healthy eating habits
Correct Answer: Providing treatment for clients who have COPD
Rationale: Tertiary prevention aims to manage and reduce the impact of an
existing disease by preventing complications and improving quality of life.
Providing treatment for COPD is a tertiary prevention activity. Immunizations
and health education are primary prevention, and screening is secondary
prevention.
2. A nurse is holding a well-child clinic in a community center in a
predominantly Spanish-speaking area. The nurse notes that a number of
infants and toddlers at the center have remarkably low weight for their ages.
What action should the nurse take first?
A) Develop a community health education program on infant nutrition
B) Involve the community to ensure they have a voice in identifying the
problems in the community
C) Refer the families to a social worker for financial assistance
D) Immediately report the findings to Child Protective Services
Correct Answer: Involve the community to ensure they have a voice in
identifying the problems in the community
,Rationale: The first step in community health nursing is to engage the
community as a partner. Involving the community ensures they have a voice
in identifying their own problems and working to resolve them, which is
essential for effective and sustainable interventions.
3. A community health nurse is designing a health fair for clients with
diabetes. Based on Healthy People 2020 initiatives, what information should
the nurse include for clients with diabetes? (Select all that apply)
A) Monitoring blood glucose levels
B) Monitoring of carbohydrate intake
C) Monitoring of body rashes
D) Monitoring of bowel habits
E) Monitoring skin assessment
Correct Answer: Monitoring blood glucose levels; Monitoring of carbohydrate
intake; Monitoring skin assessment
Rationale: Healthy People 2020 initiatives for diabetes focus on self-
management behaviors including monitoring blood glucose, dietary
management (carbohydrate intake), and foot and skin care to prevent
complications.
4. A client asks a nurse about healthcare policy and how it may benefit them.
What is the best response from the nurse?
A) "Healthcare policy exists to meet the needs of the population."
B) "Healthcare policy does not benefit them."
C) "Healthcare policy is a violation of HIPAA."
D) "Healthcare policy only benefits those with private insurance."
,Correct Answer: "Healthcare policy exists to meet the needs of the
population."
Rationale: Healthcare policies are designed to meet the needs of the
population by improving health outcomes, increasing access to care, and
protecting public health.
5. Which of the following will be considered one of the 10 greatest public
health achievements in the U.S. to provide safer nutrition?
A) Healthier food options in schools
B) Eliminating junk food in cities
C) Reduction of microbial contamination in foods
D) Mandating nutrition labeling on all products
Correct Answer: Reduction of microbial contamination in foods
Rationale: The reduction of microbial contamination in foods is recognized as
one of the 10 greatest public health achievements in the U.S., significantly
reducing the incidence of foodborne illnesses.
6. A community health nurse is using an analytical assessment skill. What
should the assessment include? (Select all that apply)
A) Identifies health risks
B) Identifies health needs
C) Identifies values
D) Identifies beliefs
E) Identifies resources
F) Identifies environmental factors of the community to plan care
, Correct Answer: Identifies health risks; Identifies health needs; Identifies
values; Identifies beliefs; Identifies resources; Identifies environmental
factors of the community to plan care
Rationale: Analytical assessment in community health involves a
comprehensive evaluation that includes identifying health risks and needs,
as well as understanding the community's values, beliefs, resources, and
environmental factors to plan effective care.
7. How would a community health nurse use summative evaluation data
when evaluating an education plan for a group of homeless IV drug users?
A) Determine if the education will advance the knowledge of the population,
so they will make healthier choices
B) Determine if the education was implemented as planned
C) Assess the community's readiness for change
D) Identify the number of participants who attended the sessions
Correct Answer: Determine if the education will advance the knowledge of
the population, so they will make healthier choices
Rationale: Summative evaluation focuses on the outcomes of a program or
intervention. For an education plan, summative data would be used to
determine if the education led to an increase in knowledge and healthier
choices.
8. An older adult who lives alone tells the clinic nurse that he is unable to
drive himself to the store and is afraid to cook on the stove. Which
community resource should the nurse recommend for this client?
A) A psychiatric hospital
B) Meals on Wheels
C) A list of takeout menus
