NUR 206 EXAM 4: COMMUNITY
NURSING CONCEPTS REVIEW
QUESTIONS AND ANSWERS
1. A community health nurse is conducting a windshield survey. Which of the following
observations provides information about the community’s ‘social and economic conditions’?
A. The presence of several well-maintained public parks and green spaces.
B. Signs of gang-related graffiti and boarded-up vacant storefronts.
C. The age and architectural style of the residential buildings.
D. The geographic boundaries defined by a river and a major highway.
Answer: B
Conceptual Explanation: Signs of graffiti and abandoned buildings are direct indicators of
the economic stability and social climate of a community, whereas parks relate to
recreation and boundaries relate to geography.
2. A nurse is preparing a disaster response plan for a chemical plant explosion. Which of the
following actions is part of the ‘mitigation’ phase of disaster management?
A. Conducting a community-wide drill for chemical leak evacuation.
,B. Advocating for stricter zoning laws regarding hazardous material storage.
C. Advocating for stricter zoning laws regarding hazardous material storage.
D. Providing long-term mental health counseling for survivors.
B. Setting up a temporary triage station at the site of the explosion.
Answer: C
Conceptual Explanation: Mitigation involves actions taken to prevent or reduce the cause,
impact, and consequences of disasters. Zoning laws reduce future risk. Drills are
preparedness; triage is response; counseling is recovery.
3. Which client should the community nurse prioritize for a home visit following a mass
casualty incident?
A. A client with a new onset of confusion and cool, clammy skin.
B. A client with a controlled chronic respiratory condition.
C. A client who was discharged yesterday after a minor limb debridement.
D. An elderly client who is anxious but has stable vital signs.
Answer: A
Conceptual Explanation: New onset confusion and cool, clammy skin are signs of shock or
severe physiological distress, requiring immediate intervention (Triage Red).
4. In the epidemiological triangle, which of the following is considered an ‘Agent’ factor?
A. Low socioeconomic status of the population.
, B. Chemical toxins present in the groundwater.
C. Inadequate access to healthcare facilities.
D. Genetic predisposition to a specific disease.
Answer: B
Conceptual Explanation: The Agent is the animate or inanimate factor that must be
present or lacking for a disease or condition to develop; chemicals are biological or
chemical agents. SES and access are environment; genetics is host.
5. A nurse is teaching a community group about primary prevention of lead poisoning. Which
instruction should be included?
A. Ensuring that children eat a diet rich in iron and calcium.
B. Screening children for blood lead levels at age 1 and 2.
C. Administering chelation therapy to children with high lead levels.
D. Testing old paint in the home for lead content.
Answer: A
Conceptual Explanation: Primary prevention involves nutrition education to prevent
absorption (iron/calcium). Testing paint and screening are secondary (early detection),
and chelation is tertiary (treatment).
NURSING CONCEPTS REVIEW
QUESTIONS AND ANSWERS
1. A community health nurse is conducting a windshield survey. Which of the following
observations provides information about the community’s ‘social and economic conditions’?
A. The presence of several well-maintained public parks and green spaces.
B. Signs of gang-related graffiti and boarded-up vacant storefronts.
C. The age and architectural style of the residential buildings.
D. The geographic boundaries defined by a river and a major highway.
Answer: B
Conceptual Explanation: Signs of graffiti and abandoned buildings are direct indicators of
the economic stability and social climate of a community, whereas parks relate to
recreation and boundaries relate to geography.
2. A nurse is preparing a disaster response plan for a chemical plant explosion. Which of the
following actions is part of the ‘mitigation’ phase of disaster management?
A. Conducting a community-wide drill for chemical leak evacuation.
,B. Advocating for stricter zoning laws regarding hazardous material storage.
C. Advocating for stricter zoning laws regarding hazardous material storage.
D. Providing long-term mental health counseling for survivors.
B. Setting up a temporary triage station at the site of the explosion.
Answer: C
Conceptual Explanation: Mitigation involves actions taken to prevent or reduce the cause,
impact, and consequences of disasters. Zoning laws reduce future risk. Drills are
preparedness; triage is response; counseling is recovery.
3. Which client should the community nurse prioritize for a home visit following a mass
casualty incident?
A. A client with a new onset of confusion and cool, clammy skin.
B. A client with a controlled chronic respiratory condition.
C. A client who was discharged yesterday after a minor limb debridement.
D. An elderly client who is anxious but has stable vital signs.
Answer: A
Conceptual Explanation: New onset confusion and cool, clammy skin are signs of shock or
severe physiological distress, requiring immediate intervention (Triage Red).
4. In the epidemiological triangle, which of the following is considered an ‘Agent’ factor?
A. Low socioeconomic status of the population.
, B. Chemical toxins present in the groundwater.
C. Inadequate access to healthcare facilities.
D. Genetic predisposition to a specific disease.
Answer: B
Conceptual Explanation: The Agent is the animate or inanimate factor that must be
present or lacking for a disease or condition to develop; chemicals are biological or
chemical agents. SES and access are environment; genetics is host.
5. A nurse is teaching a community group about primary prevention of lead poisoning. Which
instruction should be included?
A. Ensuring that children eat a diet rich in iron and calcium.
B. Screening children for blood lead levels at age 1 and 2.
C. Administering chelation therapy to children with high lead levels.
D. Testing old paint in the home for lead content.
Answer: A
Conceptual Explanation: Primary prevention involves nutrition education to prevent
absorption (iron/calcium). Testing paint and screening are secondary (early detection),
and chelation is tertiary (treatment).
