NUR 426 Community Health Nursing:
Complete Final Exam
Questions&Answers Review (2026
Summer Semester)
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (1-30)
Q1. Which of the following best describes the primary focus of
community health nursing?
A. Treating acute illnesses in hospitalized patients
B. Providing direct care to individuals in their homes
C. Promoting health and preventing disease at the population level
D. Managing chronic diseases in long-term care facilities
Answer: C. Promoting health and preventing disease at the population
level
Rationale: Community health nursing focuses on population health with an
emphasis on health promotion, disease prevention, and addressing
determinants of health for entire communities. While it includes individual
and family care, the core focus is on the aggregate/population .
,Q2. According to the Institute of Medicine (IOM), what are the three
core functions of public health?
A. Assessment, planning, and evaluation
B. Assessment, policy development, and assurance
C. Planning, implementation, and evaluation
D. Policy development, assurance, and research
Answer: B. Assessment, policy development, and assurance
Rationale: The three core functions of public health are assessment
(systematic collection of data), policy development (using evidence to
guide public health policies), and assurance (ensuring essential health
services are available to all) .
Q3. A community health nurse has completed a community
assessment and is now writing a community diagnosis. Which
component summarizes the assessment data of the problem?
A. Identification of the health risk
B. The etiology or contributing factors
C. The specific population and the health problem
D. The supporting evidence and data
Answer: C. The specific population and the health problem
Rationale: A community health diagnosis has three components: (1) the
health problem or risk, (2) the population affected, and (3) the etiology or
contributing factors. The problem statement summarizes the specific
population and the health problem .
,Q4. The "upstream" approach in public health focuses on:
A. Treating individuals after they become ill
B. Addressing the root causes and social determinants of health
C. Providing home health care to chronically ill patients
D. Immunizing children against vaccine-preventable diseases
Answer: B. Addressing the root causes and social determinants of
health
Rationale: The upstream approach addresses the fundamental social,
economic, and environmental determinants of health (e.g., poverty,
education, housing) rather than waiting to treat disease after it occurs
("downstream"). It is a proactive, population-level strategy .
Q5. Which of the following is an example of tertiary prevention?
A. Immunizations for influenza
B. Screening for hypertension
C. Providing cardiac rehabilitation to a patient after a myocardial infarction
D. Conducting lead screening for children living in older homes
Answer: C. Providing cardiac rehabilitation to a patient after a
myocardial infarction
Rationale: Tertiary prevention aims to reduce the impact of an already
established disease by restoring function and preventing complications.
Cardiac rehabilitation, stroke rehabilitation, and diabetes management
programs are examples .
, Q6. The community health nurse uses the nursing process in
community practice. During the assessment phase, which is the
primary data source?
A. Vital statistics and census data
B. Community forums and key informant interviews
C. Hospital discharge records
D. State health department reports
Answer: B. Community forums and key informant interviews
Rationale: In community assessment, primary data are collected directly
from the community through surveys, interviews, focus groups, observation,
and community forums. Secondary data include existing sources like
census, vital statistics, and health records .
Q7. The Health Belief Model suggests that a person is most likely to
take preventive action when they believe that:
A. Their perceived susceptibility to the disease is low
B. The barriers to taking action outweigh the benefits
C. They are at risk, the disease is serious, and the benefits of action
outweigh the barriers
D. Their physician strongly recommends the action
Answer: C. They are at risk, the disease is serious, and the benefits of
action outweigh the barriers
Rationale: The Health Belief Model posits that health behavior is influenced
by perceived susceptibility, perceived severity, perceived benefits, and
perceived barriers. A person is most likely to act when they feel susceptible
to a serious threat and believe the benefits of action exceed the barriers .
Complete Final Exam
Questions&Answers Review (2026
Summer Semester)
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (1-30)
Q1. Which of the following best describes the primary focus of
community health nursing?
A. Treating acute illnesses in hospitalized patients
B. Providing direct care to individuals in their homes
C. Promoting health and preventing disease at the population level
D. Managing chronic diseases in long-term care facilities
Answer: C. Promoting health and preventing disease at the population
level
Rationale: Community health nursing focuses on population health with an
emphasis on health promotion, disease prevention, and addressing
determinants of health for entire communities. While it includes individual
and family care, the core focus is on the aggregate/population .
,Q2. According to the Institute of Medicine (IOM), what are the three
core functions of public health?
A. Assessment, planning, and evaluation
B. Assessment, policy development, and assurance
C. Planning, implementation, and evaluation
D. Policy development, assurance, and research
Answer: B. Assessment, policy development, and assurance
Rationale: The three core functions of public health are assessment
(systematic collection of data), policy development (using evidence to
guide public health policies), and assurance (ensuring essential health
services are available to all) .
Q3. A community health nurse has completed a community
assessment and is now writing a community diagnosis. Which
component summarizes the assessment data of the problem?
A. Identification of the health risk
B. The etiology or contributing factors
C. The specific population and the health problem
D. The supporting evidence and data
Answer: C. The specific population and the health problem
Rationale: A community health diagnosis has three components: (1) the
health problem or risk, (2) the population affected, and (3) the etiology or
contributing factors. The problem statement summarizes the specific
population and the health problem .
,Q4. The "upstream" approach in public health focuses on:
A. Treating individuals after they become ill
B. Addressing the root causes and social determinants of health
C. Providing home health care to chronically ill patients
D. Immunizing children against vaccine-preventable diseases
Answer: B. Addressing the root causes and social determinants of
health
Rationale: The upstream approach addresses the fundamental social,
economic, and environmental determinants of health (e.g., poverty,
education, housing) rather than waiting to treat disease after it occurs
("downstream"). It is a proactive, population-level strategy .
Q5. Which of the following is an example of tertiary prevention?
A. Immunizations for influenza
B. Screening for hypertension
C. Providing cardiac rehabilitation to a patient after a myocardial infarction
D. Conducting lead screening for children living in older homes
Answer: C. Providing cardiac rehabilitation to a patient after a
myocardial infarction
Rationale: Tertiary prevention aims to reduce the impact of an already
established disease by restoring function and preventing complications.
Cardiac rehabilitation, stroke rehabilitation, and diabetes management
programs are examples .
, Q6. The community health nurse uses the nursing process in
community practice. During the assessment phase, which is the
primary data source?
A. Vital statistics and census data
B. Community forums and key informant interviews
C. Hospital discharge records
D. State health department reports
Answer: B. Community forums and key informant interviews
Rationale: In community assessment, primary data are collected directly
from the community through surveys, interviews, focus groups, observation,
and community forums. Secondary data include existing sources like
census, vital statistics, and health records .
Q7. The Health Belief Model suggests that a person is most likely to
take preventive action when they believe that:
A. Their perceived susceptibility to the disease is low
B. The barriers to taking action outweigh the benefits
C. They are at risk, the disease is serious, and the benefits of action
outweigh the barriers
D. Their physician strongly recommends the action
Answer: C. They are at risk, the disease is serious, and the benefits of
action outweigh the barriers
Rationale: The Health Belief Model posits that health behavior is influenced
by perceived susceptibility, perceived severity, perceived benefits, and
perceived barriers. A person is most likely to act when they feel susceptible
to a serious threat and believe the benefits of action exceed the barriers .
