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NUR206 Exam 2 Community Nursing Concepts Review
Fortis College Actual Exam 2026/2027 Complete Exam-
Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Q1: A public health nurse is working with a neighborhood coalition to improve access to fresh produce
in a food desert. This activity best represents which level of prevention?
A. Primary prevention, because the nurse is preventing obesity before it occurs
B. Secondary prevention, because the nurse is screening residents for nutritional deficiencies
C. Primary prevention, because improving access to healthy food addresses root causes before disease
develops [CORRECT]
D. Tertiary prevention, because the nurse is managing chronic disease in the community
Correct Answer: C
Rationale: The best answer is C. Primary prevention focuses on keeping people healthy and stopping
disease before it starts. By working to improve access to fresh food in a food desert, the nurse is
addressing an upstream social determinant that prevents obesity, diabetes, and cardiovascular disease
from developing in the first place. This aligns with community health nursing principles of upstream
thinking and population-level intervention.
Q2: A nurse at a school-based health center provides asthma management education and medication
refills for students with diagnosed asthma. Which type of care is this nurse primarily delivering?
A. Community-oriented care, because the program serves the entire school population
B. Community-based care, because the nurse is caring for individuals within their community setting
[CORRECT]
C. Population-focused care, because the intervention targets all students with respiratory conditions
D. Public health nursing, because the service is funded through a government grant
Correct Answer: B
Rationale: The best answer is B. Community-based care means nursing services are delivered to
individuals and families where they live, work, or go to school. While the school setting is in the
community, the nurse here is providing direct clinical care to individual students with asthma rather
than designing a population-level intervention. This matches the distinction between community-based
(care in the community) and community-oriented (care for the community) practice.
Q3: Which of the following is a core function of public health as defined by the Institute of Medicine?
A. Providing direct primary care to uninsured individuals in free clinics
,2
B. Assuring the conditions in which people can be healthy [CORRECT]
C. Managing hospital discharge planning for chronically ill patients
D. Conducting all medical research related to population health
Correct Answer: B
Rationale: The best answer is B. The Institute of Medicine identified three core public health functions:
assessment, policy development, and assurance. Assurance specifically means making sure that
necessary services are available and accessible to the population. This aligns with community health
nursing principles that emphasize creating conditions for health rather than just treating individual
illness.
Q4: A community health nurse is reviewing Healthy People 2030 objectives for the county. Which topic
area would most likely fall under a social determinants of health objective rather than a direct health
outcome objective?
A. Reducing the age-adjusted death rate from heart disease
B. Increasing the proportion of adults who meet physical activity guidelines
C. Increasing the proportion of students who graduate with a high school diploma [CORRECT]
D. Reducing the incidence of vaccine-preventable diseases
Correct Answer: C
Rationale: The best answer is C. Healthy People 2030 explicitly includes social determinants of health as
a foundational framework, recognizing that factors like education, income, housing, and neighborhood
conditions shape health outcomes. High school graduation rates are a key social determinant because
educational attainment strongly predicts health literacy, employment, and lifelong health status. This
matches the Healthy People 2030 principle that health is shaped by far more than healthcare alone.
Q5: During a home visit, a community health nurse notices that an older adult client has multiple
expired medications, no working smoke detectors, and frayed electrical cords. The nurse arranges for
medication reconciliation, smoke detector installation, and a referral to an electrician. This scenario best
illustrates which nursing role?
A. Epidemiologist, because the nurse is identifying risk factors in the environment
B. Clinician, because the nurse is providing direct medical treatment
C. Case manager, because the nurse is coordinating multiple services and resources to address the
client's comprehensive needs [CORRECT]
D. Educator, because the nurse is teaching the client about home safety
Correct Answer: C
Rationale: The best answer is C. Case management in community health nursing involves assessing a
client's total situation and coordinating various services, referrals, and resources to meet complex
, 3
needs. Here, the nurse isn't just providing one service but pulling together medication review, safety
equipment, and home repair to keep the client safe and independent at home. This aligns with
community health nursing principles of holistic, coordinated care.
Q6: A nurse is planning a community health fair in a low-income neighborhood. Which activity would be
considered secondary prevention?
A. Distributing pamphlets on heart-healthy eating habits
B. Offering free blood pressure screenings to identify undiagnosed hypertension [CORRECT]
C. Teaching stress management techniques to reduce cardiovascular risk
D. Providing cardiac rehabilitation information to clients with known heart disease
Correct Answer: B
Rationale: The best answer is B. Secondary prevention focuses on early detection and prompt treatment
of disease to prevent progression. Blood pressure screening catches hypertension before symptoms
appear, allowing for early intervention. This aligns with community health nursing principles of proactive
population health screening, distinguishing it from primary prevention (preventing disease before it
starts) and tertiary prevention (managing existing disease).
Q7: In the late 1800s, which public health nursing pioneer established district nursing in the United
States and founded the Henry Street Settlement to provide nursing care to poor immigrant communities
in New York City?
A. Clara Barton, who organized battlefield nursing during the Civil War
B. Lillian Wald, who recognized the connection between social conditions and health [CORRECT]
C. Florence Nightingale, who reformed hospital sanitation in Europe
D. Mary Breckinridge, who established rural midwifery services in Appalachia
Correct Answer: B
Rationale: The best answer is B. Lillian Wald founded the Henry Street Settlement in 1893, creating one
of the first formal public health nursing services in the United States. She and her colleagues provided
home nursing, health education, and social services to immigrant families on the Lower East Side of
Manhattan. This matches the historical foundation of community health nursing as a blend of nursing
care and social advocacy.
Q8: A community health nurse is distinguishing between community-oriented practice and community-
based practice. Which statement accurately describes community-oriented practice?
A. It focuses on providing bedside care to hospitalized patients from the local community
B. It emphasizes care for the community as a whole, with the goal of improving population health
outcomes [CORRECT]
C. It refers exclusively to care delivered in outpatient clinics and urgent care centers
NUR206 Exam 2 Community Nursing Concepts Review
Fortis College Actual Exam 2026/2027 Complete Exam-
Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Q1: A public health nurse is working with a neighborhood coalition to improve access to fresh produce
in a food desert. This activity best represents which level of prevention?
A. Primary prevention, because the nurse is preventing obesity before it occurs
B. Secondary prevention, because the nurse is screening residents for nutritional deficiencies
C. Primary prevention, because improving access to healthy food addresses root causes before disease
develops [CORRECT]
D. Tertiary prevention, because the nurse is managing chronic disease in the community
Correct Answer: C
Rationale: The best answer is C. Primary prevention focuses on keeping people healthy and stopping
disease before it starts. By working to improve access to fresh food in a food desert, the nurse is
addressing an upstream social determinant that prevents obesity, diabetes, and cardiovascular disease
from developing in the first place. This aligns with community health nursing principles of upstream
thinking and population-level intervention.
Q2: A nurse at a school-based health center provides asthma management education and medication
refills for students with diagnosed asthma. Which type of care is this nurse primarily delivering?
A. Community-oriented care, because the program serves the entire school population
B. Community-based care, because the nurse is caring for individuals within their community setting
[CORRECT]
C. Population-focused care, because the intervention targets all students with respiratory conditions
D. Public health nursing, because the service is funded through a government grant
Correct Answer: B
Rationale: The best answer is B. Community-based care means nursing services are delivered to
individuals and families where they live, work, or go to school. While the school setting is in the
community, the nurse here is providing direct clinical care to individual students with asthma rather
than designing a population-level intervention. This matches the distinction between community-based
(care in the community) and community-oriented (care for the community) practice.
Q3: Which of the following is a core function of public health as defined by the Institute of Medicine?
A. Providing direct primary care to uninsured individuals in free clinics
,2
B. Assuring the conditions in which people can be healthy [CORRECT]
C. Managing hospital discharge planning for chronically ill patients
D. Conducting all medical research related to population health
Correct Answer: B
Rationale: The best answer is B. The Institute of Medicine identified three core public health functions:
assessment, policy development, and assurance. Assurance specifically means making sure that
necessary services are available and accessible to the population. This aligns with community health
nursing principles that emphasize creating conditions for health rather than just treating individual
illness.
Q4: A community health nurse is reviewing Healthy People 2030 objectives for the county. Which topic
area would most likely fall under a social determinants of health objective rather than a direct health
outcome objective?
A. Reducing the age-adjusted death rate from heart disease
B. Increasing the proportion of adults who meet physical activity guidelines
C. Increasing the proportion of students who graduate with a high school diploma [CORRECT]
D. Reducing the incidence of vaccine-preventable diseases
Correct Answer: C
Rationale: The best answer is C. Healthy People 2030 explicitly includes social determinants of health as
a foundational framework, recognizing that factors like education, income, housing, and neighborhood
conditions shape health outcomes. High school graduation rates are a key social determinant because
educational attainment strongly predicts health literacy, employment, and lifelong health status. This
matches the Healthy People 2030 principle that health is shaped by far more than healthcare alone.
Q5: During a home visit, a community health nurse notices that an older adult client has multiple
expired medications, no working smoke detectors, and frayed electrical cords. The nurse arranges for
medication reconciliation, smoke detector installation, and a referral to an electrician. This scenario best
illustrates which nursing role?
A. Epidemiologist, because the nurse is identifying risk factors in the environment
B. Clinician, because the nurse is providing direct medical treatment
C. Case manager, because the nurse is coordinating multiple services and resources to address the
client's comprehensive needs [CORRECT]
D. Educator, because the nurse is teaching the client about home safety
Correct Answer: C
Rationale: The best answer is C. Case management in community health nursing involves assessing a
client's total situation and coordinating various services, referrals, and resources to meet complex
, 3
needs. Here, the nurse isn't just providing one service but pulling together medication review, safety
equipment, and home repair to keep the client safe and independent at home. This aligns with
community health nursing principles of holistic, coordinated care.
Q6: A nurse is planning a community health fair in a low-income neighborhood. Which activity would be
considered secondary prevention?
A. Distributing pamphlets on heart-healthy eating habits
B. Offering free blood pressure screenings to identify undiagnosed hypertension [CORRECT]
C. Teaching stress management techniques to reduce cardiovascular risk
D. Providing cardiac rehabilitation information to clients with known heart disease
Correct Answer: B
Rationale: The best answer is B. Secondary prevention focuses on early detection and prompt treatment
of disease to prevent progression. Blood pressure screening catches hypertension before symptoms
appear, allowing for early intervention. This aligns with community health nursing principles of proactive
population health screening, distinguishing it from primary prevention (preventing disease before it
starts) and tertiary prevention (managing existing disease).
Q7: In the late 1800s, which public health nursing pioneer established district nursing in the United
States and founded the Henry Street Settlement to provide nursing care to poor immigrant communities
in New York City?
A. Clara Barton, who organized battlefield nursing during the Civil War
B. Lillian Wald, who recognized the connection between social conditions and health [CORRECT]
C. Florence Nightingale, who reformed hospital sanitation in Europe
D. Mary Breckinridge, who established rural midwifery services in Appalachia
Correct Answer: B
Rationale: The best answer is B. Lillian Wald founded the Henry Street Settlement in 1893, creating one
of the first formal public health nursing services in the United States. She and her colleagues provided
home nursing, health education, and social services to immigrant families on the Lower East Side of
Manhattan. This matches the historical foundation of community health nursing as a blend of nursing
care and social advocacy.
Q8: A community health nurse is distinguishing between community-oriented practice and community-
based practice. Which statement accurately describes community-oriented practice?
A. It focuses on providing bedside care to hospitalized patients from the local community
B. It emphasizes care for the community as a whole, with the goal of improving population health
outcomes [CORRECT]
C. It refers exclusively to care delivered in outpatient clinics and urgent care centers
