NUR 206/NUR206 Exam 1 V2 | Community Nursing
Concepts Q&A with Rationale | Fortis College
1. A community health nurse is planning a primary prevention strategy to address the rise of
obesity in a local school district. Which of the following activities best exemplifies this level of
prevention?
A. Implementing a daily physical education requirement for all elementary students.
B. Measuring the Body Mass Index (BMI) of all students in the district.
C. Providing nutritional counseling to students diagnosed with Type 2 Diabetes.
D. Screening students for signs of metabolic syndrome during health fairs.
Correct Answer: A
Explanation: Primary prevention aims to prevent the onset of disease through health
promotion and education. Daily physical education acts as a proactive measure to establish
healthy habits before obesity occurs. In contrast, BMI measurement and screenings are
secondary prevention, while diabetes counseling is tertiary prevention.
2. When conducting a community assessment, the nurse utilizes a ‘windshield survey.’ Which
of the following is the primary purpose of this data collection method?
A. To observe the community’s physical environment and general characteristics.
B. To gain a subjective understanding of the community’s history and values.
C. To conduct in-depth interviews with key community stakeholders.
,D. To analyze secondary data from the U.S. Census Bureau.
Correct Answer: A
Explanation: A windshield survey is an observational method where the nurse drives or
walks through a community to gather objective data about the environment. It allows the
nurse to visualize the condition of housing, availability of services, and potential safety
hazards. This method provides a ‘snapshot’ of the community’s current state that informs
further assessment.
3. Lillian Wald is historically significant in community health nursing primarily for which of the
following contributions?
A. Establishing the first training school for nurses in London.
B. Developing the germ theory of disease transmission.
C. Founding the Henry Street Settlement and public health nursing in the US.
D. Pioneering the use of statistics to track patient outcomes during war.
Correct Answer: C
Explanation: Lillian Wald is recognized as the founder of public health nursing in the
United States and established the Henry Street Settlement in New York City. She
emphasized the importance of social and economic factors on health, providing care to the
poor in their homes. Her work shifted the focus of nursing from individual hospital patients
to the community at large.
, 4. An occupational health nurse is investigating a cluster of respiratory illnesses in a factory.
Using the epidemiological triangle, which of the following represents the ‘agent’?
A. The chemical fumes released during the manufacturing process.
B. The factory workers who are exhibiting symptoms.
C. The poor ventilation system within the industrial building.
D. The high humidity levels present in the workspace.
Correct Answer: A
Explanation: In the epidemiological triangle, the agent is the factor whose presence or
absence causes the disease, such as chemical fumes. The workers are the hosts who are
susceptible to the agent. The ventilation and humidity represent environmental factors that
facilitate the interaction between the host and the agent.
5. A nurse is calculating the incidence rate of a new influenza strain in a local community.
Which data point is essential for this calculation?
A. The total number of people currently living with influenza in the community.
B. The mortality rate associated with the influenza strain.
C. The number of new cases of influenza reported within a specific time period.
D. The percentage of the population that has been vaccinated against influenza.
Correct Answer: C
Concepts Q&A with Rationale | Fortis College
1. A community health nurse is planning a primary prevention strategy to address the rise of
obesity in a local school district. Which of the following activities best exemplifies this level of
prevention?
A. Implementing a daily physical education requirement for all elementary students.
B. Measuring the Body Mass Index (BMI) of all students in the district.
C. Providing nutritional counseling to students diagnosed with Type 2 Diabetes.
D. Screening students for signs of metabolic syndrome during health fairs.
Correct Answer: A
Explanation: Primary prevention aims to prevent the onset of disease through health
promotion and education. Daily physical education acts as a proactive measure to establish
healthy habits before obesity occurs. In contrast, BMI measurement and screenings are
secondary prevention, while diabetes counseling is tertiary prevention.
2. When conducting a community assessment, the nurse utilizes a ‘windshield survey.’ Which
of the following is the primary purpose of this data collection method?
A. To observe the community’s physical environment and general characteristics.
B. To gain a subjective understanding of the community’s history and values.
C. To conduct in-depth interviews with key community stakeholders.
,D. To analyze secondary data from the U.S. Census Bureau.
Correct Answer: A
Explanation: A windshield survey is an observational method where the nurse drives or
walks through a community to gather objective data about the environment. It allows the
nurse to visualize the condition of housing, availability of services, and potential safety
hazards. This method provides a ‘snapshot’ of the community’s current state that informs
further assessment.
3. Lillian Wald is historically significant in community health nursing primarily for which of the
following contributions?
A. Establishing the first training school for nurses in London.
B. Developing the germ theory of disease transmission.
C. Founding the Henry Street Settlement and public health nursing in the US.
D. Pioneering the use of statistics to track patient outcomes during war.
Correct Answer: C
Explanation: Lillian Wald is recognized as the founder of public health nursing in the
United States and established the Henry Street Settlement in New York City. She
emphasized the importance of social and economic factors on health, providing care to the
poor in their homes. Her work shifted the focus of nursing from individual hospital patients
to the community at large.
, 4. An occupational health nurse is investigating a cluster of respiratory illnesses in a factory.
Using the epidemiological triangle, which of the following represents the ‘agent’?
A. The chemical fumes released during the manufacturing process.
B. The factory workers who are exhibiting symptoms.
C. The poor ventilation system within the industrial building.
D. The high humidity levels present in the workspace.
Correct Answer: A
Explanation: In the epidemiological triangle, the agent is the factor whose presence or
absence causes the disease, such as chemical fumes. The workers are the hosts who are
susceptible to the agent. The ventilation and humidity represent environmental factors that
facilitate the interaction between the host and the agent.
5. A nurse is calculating the incidence rate of a new influenza strain in a local community.
Which data point is essential for this calculation?
A. The total number of people currently living with influenza in the community.
B. The mortality rate associated with the influenza strain.
C. The number of new cases of influenza reported within a specific time period.
D. The percentage of the population that has been vaccinated against influenza.
Correct Answer: C
