NUR 444 EXAM 2 REVIEW | NURSING STUDY GUIDE & PRACTICE
QUESTIONS 2026/2027
A community health nurse working as a school health nurse conducted a community assessment and
determined that the focus of programs and health education for the academic year should address the
problem of childhood obesity. In planning, it is important for the nurse to allow time for individual
nursing assessment and education for children who are overweight or obese and to plan classroom
education programs. The nurse is demonstrating an understanding of which important community
health nursing concept? - ANS ✔✔Community as client
What legislation resulted in increased consumer involvement in the U.S. health care system and a review
of the allocation of health care resources? - ANS ✔✔National Health Planning and Resources
Development Act
A community health nurse is using the Health Planning Model to improve a client's health. The nurse
prepares for unexpected problems or complications in the client's care. This attention to unexpected
problems takes place during which step? - ANS ✔✔Intervention
Before participating in health care planning, a community health nurse must understand the concept of -
ANS ✔✔community as client.
The community health nurse understands that a client's health can be negatively or positively affected by
his or her suprasystem. Which correctly describes a client's suprasystem? The suprasystem includes -
ANS ✔✔all resources available for use by the client, including health-related and non-health-related
resources.
Systems theory provides a framework that includes interventions that are possible at the three levels of
prevention. The level of prevention that includes early diagnosis is - ANS ✔✔secondary prevention
Public service announcements, dissemination of pamphlets, and focus groups are examples of measures
that can be used by the community health nurse. These are also known as - ANS ✔✔nursing
interventions.
Which of following factors is not necessary to consider when determining priorities for health problem
interventions? - ANS ✔✔The nurse's preferences Correct
The rationale behind the Affordable Care Act was to - ANS ✔✔put individuals, families, and small
business owners in control of their health care.
The Affordable Care Act of 2010 included several elements that involve health planning. These elements
include (Select all that apply.) - ANS ✔✔Reducing premium costs for millions of working families and
small businesses
Capping out-of-pocket expenses
Prohibiting denial of coverage because of a preexisting condition
Covering the cost of preventive care
, The community health nurse is working with a client who has recently been diagnosed with diabetes.
The physician has prescribed a diet and recommended adding an exercise regimen. Assessment reveals
the client has been smoking two packs of cigarettes per day for approximately 30 years. Which statement
most accurately reflects the appropriate approach for establishing health education priorities for this
client? - ANS ✔✔The nurse and client must partner in establishing health education priorities for the
client
Knowledge of various learning theories is important for community health nurses involved in health
education. Enhancing self-confidence and self-efficacy are important aspects of which learning theory? -
ANS ✔✔Social learning theory
The nurse is meeting with a client who has been referred for assistance with smoking cessation. During
their first meeting, the client states he is very doubtful about his ability to stop smoking. In the Health
Belief Model, the client's belief that actions can be performed to achieve the desired outcome is referred
to by which term? - ANS ✔✔Self-efficacy
Smoking cessation programs often are provided to adults who meet in small groups. Educational sessions
include both formal and informal activities. Sharing of experiences of the members of the group is
sometimes encouraged. Which statement is most reflective of Knowles' assumptions about adult
learners? - ANS ✔✔Members may benefit from hearing about the smoking cessation experiences of
others in the group, and sessions may provide health education.
Learner assessment is an important aspect of health education. The assessment performed by the
community health nurse includes questions about the client's age, family roles, social roles, and various
responsibilities. Which is the most important reason for obtaining this information? - ANS ✔✔The
client's developmental stage and roles have an impact on readiness to learn.
A client meeting with a community health nurse inquires about diabetes education classes. The client's
health records reveal the diagnosis of diabetes was made a little over 1 year ago. The client reports
partial compliance with diet, gradual improvement in her exercise program, and a 15-pound weight loss.
The client reports that she takes her medication as prescribed but rarely monitors her blood glucose
level. Which statement best reflects the impact of initial diabetes education on this client? - ANS
✔✔Learning occurred, but additional support and education are needed.
A community health nurse often provides health education for individual clients. Her office has a play
center because some clients bring small children with them. She routinely offers her clients bottled
water, juice, or soda. She works with her clients at a small table rather than at her desk. Which
statement below best sums up her approach? - ANS ✔✔Adults learn better in a facilitative and
nonrestrictive environment.
Which educator is credited with developing the concept of empowerment and included activism on the
part of the educator as a teaching methodology? - ANS ✔✔Freire
A community health nurse is asked to review a draft of a brochure developed for distribution to clients.
The nurse finds the brochure generally well designed but suggests replacing several words with simpler
words that have fewer syllables and are more commonly used. What is the best explanation for the
nurse's recommendation? - ANS ✔✔The nurse knows that more difficult words will pose a barrier to
some clients.
QUESTIONS 2026/2027
A community health nurse working as a school health nurse conducted a community assessment and
determined that the focus of programs and health education for the academic year should address the
problem of childhood obesity. In planning, it is important for the nurse to allow time for individual
nursing assessment and education for children who are overweight or obese and to plan classroom
education programs. The nurse is demonstrating an understanding of which important community
health nursing concept? - ANS ✔✔Community as client
What legislation resulted in increased consumer involvement in the U.S. health care system and a review
of the allocation of health care resources? - ANS ✔✔National Health Planning and Resources
Development Act
A community health nurse is using the Health Planning Model to improve a client's health. The nurse
prepares for unexpected problems or complications in the client's care. This attention to unexpected
problems takes place during which step? - ANS ✔✔Intervention
Before participating in health care planning, a community health nurse must understand the concept of -
ANS ✔✔community as client.
The community health nurse understands that a client's health can be negatively or positively affected by
his or her suprasystem. Which correctly describes a client's suprasystem? The suprasystem includes -
ANS ✔✔all resources available for use by the client, including health-related and non-health-related
resources.
Systems theory provides a framework that includes interventions that are possible at the three levels of
prevention. The level of prevention that includes early diagnosis is - ANS ✔✔secondary prevention
Public service announcements, dissemination of pamphlets, and focus groups are examples of measures
that can be used by the community health nurse. These are also known as - ANS ✔✔nursing
interventions.
Which of following factors is not necessary to consider when determining priorities for health problem
interventions? - ANS ✔✔The nurse's preferences Correct
The rationale behind the Affordable Care Act was to - ANS ✔✔put individuals, families, and small
business owners in control of their health care.
The Affordable Care Act of 2010 included several elements that involve health planning. These elements
include (Select all that apply.) - ANS ✔✔Reducing premium costs for millions of working families and
small businesses
Capping out-of-pocket expenses
Prohibiting denial of coverage because of a preexisting condition
Covering the cost of preventive care
, The community health nurse is working with a client who has recently been diagnosed with diabetes.
The physician has prescribed a diet and recommended adding an exercise regimen. Assessment reveals
the client has been smoking two packs of cigarettes per day for approximately 30 years. Which statement
most accurately reflects the appropriate approach for establishing health education priorities for this
client? - ANS ✔✔The nurse and client must partner in establishing health education priorities for the
client
Knowledge of various learning theories is important for community health nurses involved in health
education. Enhancing self-confidence and self-efficacy are important aspects of which learning theory? -
ANS ✔✔Social learning theory
The nurse is meeting with a client who has been referred for assistance with smoking cessation. During
their first meeting, the client states he is very doubtful about his ability to stop smoking. In the Health
Belief Model, the client's belief that actions can be performed to achieve the desired outcome is referred
to by which term? - ANS ✔✔Self-efficacy
Smoking cessation programs often are provided to adults who meet in small groups. Educational sessions
include both formal and informal activities. Sharing of experiences of the members of the group is
sometimes encouraged. Which statement is most reflective of Knowles' assumptions about adult
learners? - ANS ✔✔Members may benefit from hearing about the smoking cessation experiences of
others in the group, and sessions may provide health education.
Learner assessment is an important aspect of health education. The assessment performed by the
community health nurse includes questions about the client's age, family roles, social roles, and various
responsibilities. Which is the most important reason for obtaining this information? - ANS ✔✔The
client's developmental stage and roles have an impact on readiness to learn.
A client meeting with a community health nurse inquires about diabetes education classes. The client's
health records reveal the diagnosis of diabetes was made a little over 1 year ago. The client reports
partial compliance with diet, gradual improvement in her exercise program, and a 15-pound weight loss.
The client reports that she takes her medication as prescribed but rarely monitors her blood glucose
level. Which statement best reflects the impact of initial diabetes education on this client? - ANS
✔✔Learning occurred, but additional support and education are needed.
A community health nurse often provides health education for individual clients. Her office has a play
center because some clients bring small children with them. She routinely offers her clients bottled
water, juice, or soda. She works with her clients at a small table rather than at her desk. Which
statement below best sums up her approach? - ANS ✔✔Adults learn better in a facilitative and
nonrestrictive environment.
Which educator is credited with developing the concept of empowerment and included activism on the
part of the educator as a teaching methodology? - ANS ✔✔Freire
A community health nurse is asked to review a draft of a brochure developed for distribution to clients.
The nurse finds the brochure generally well designed but suggests replacing several words with simpler
words that have fewer syllables and are more commonly used. What is the best explanation for the
nurse's recommendation? - ANS ✔✔The nurse knows that more difficult words will pose a barrier to
some clients.
