NRS 425 Exam 1 V2 | NRS 425 Health Promotion
and Population Health | Actual Q&A with Rationale
(NRS425 Exam 1) | Grand Canyon University
1. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following interventions should the nurse include? (Select all that apply)
A. Influenza immunization clinic
B. Blood pressure screening
C. Education on smoking cessation
D. Rehabilitation after a stroke
E. Nutrition counseling for weight management
F. Fecal occult blood testing
Correct Answer: A, C, E
Explanation: Primary prevention aims to prevent disease or injury before it occurs by
modifying risk factors or building resistance. Influenza immunizations, smoking cessation
education, and nutrition counseling are all proactive measures intended to prevent the
onset of illness. In contrast, screenings represent secondary prevention, and rehabilitation
represents tertiary prevention levels of care.
,2. Which theory focuses on the individual’s perception of the threat of a health problem and
the appraisal of recommended behaviors for preventing or managing that problem?
A. Health Belief Model
B. Transtheoretical Model
C. Pender’s Health Promotion Model
D. Theory of Reasoned Action
Correct Answer: A
Explanation: The Health Belief Model (HBM) is specifically designed to understand why
individuals do or do not engage in health-related behaviors. It examines perceived
susceptibility, severity, benefits, and barriers to change. This model is widely used in
nursing to predict patient compliance and guide health education strategies.
3. The nurse is conducting a community assessment using the ‘windshield survey’ method.
Which of the following components are observed during this process? (Select all that apply)
A. Housing quality and age
B. Individual medical records
C. Availability of grocery stores
D. Common areas where people gather
E. Presence of police or security services
Correct Answer: A, C, D, E
, Explanation: A windshield survey is an objective way to assess the community’s
environment, infrastructure, and social climate from a vehicle. It includes observing the
physical condition of buildings, the availability of food sources, and visible public safety
measures. Individual medical records are private and would not be observable during a
community-wide environmental scan.
4. According to the Transtheoretical Model (TTM), a client who is actively gathering
information about a local exercise program and intends to join within the next 30 days is in
which stage of change?
A. Preparation
B. Contemplation
C. Precontemplation
D. Action
Correct Answer: A
Explanation: The preparation stage occurs when an individual intends to take action in the
immediate future, typically within the next month. They often have a plan of action, such as
joining a gym or buying equipment. This stage follows contemplation, where the person is
only thinking about change, and precedes the action stage.
5. A nurse is teaching a community group about the determinants of health. Which factor
should the nurse identify as a social determinant? (Select all that apply)
A. Economic stability
and Population Health | Actual Q&A with Rationale
(NRS425 Exam 1) | Grand Canyon University
1. A community health nurse is planning a primary prevention program for a group of older
adults. Which of the following interventions should the nurse include? (Select all that apply)
A. Influenza immunization clinic
B. Blood pressure screening
C. Education on smoking cessation
D. Rehabilitation after a stroke
E. Nutrition counseling for weight management
F. Fecal occult blood testing
Correct Answer: A, C, E
Explanation: Primary prevention aims to prevent disease or injury before it occurs by
modifying risk factors or building resistance. Influenza immunizations, smoking cessation
education, and nutrition counseling are all proactive measures intended to prevent the
onset of illness. In contrast, screenings represent secondary prevention, and rehabilitation
represents tertiary prevention levels of care.
,2. Which theory focuses on the individual’s perception of the threat of a health problem and
the appraisal of recommended behaviors for preventing or managing that problem?
A. Health Belief Model
B. Transtheoretical Model
C. Pender’s Health Promotion Model
D. Theory of Reasoned Action
Correct Answer: A
Explanation: The Health Belief Model (HBM) is specifically designed to understand why
individuals do or do not engage in health-related behaviors. It examines perceived
susceptibility, severity, benefits, and barriers to change. This model is widely used in
nursing to predict patient compliance and guide health education strategies.
3. The nurse is conducting a community assessment using the ‘windshield survey’ method.
Which of the following components are observed during this process? (Select all that apply)
A. Housing quality and age
B. Individual medical records
C. Availability of grocery stores
D. Common areas where people gather
E. Presence of police or security services
Correct Answer: A, C, D, E
, Explanation: A windshield survey is an objective way to assess the community’s
environment, infrastructure, and social climate from a vehicle. It includes observing the
physical condition of buildings, the availability of food sources, and visible public safety
measures. Individual medical records are private and would not be observable during a
community-wide environmental scan.
4. According to the Transtheoretical Model (TTM), a client who is actively gathering
information about a local exercise program and intends to join within the next 30 days is in
which stage of change?
A. Preparation
B. Contemplation
C. Precontemplation
D. Action
Correct Answer: A
Explanation: The preparation stage occurs when an individual intends to take action in the
immediate future, typically within the next month. They often have a plan of action, such as
joining a gym or buying equipment. This stage follows contemplation, where the person is
only thinking about change, and precedes the action stage.
5. A nurse is teaching a community group about the determinants of health. Which factor
should the nurse identify as a social determinant? (Select all that apply)
A. Economic stability
