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NR 442 / NR442 COMMUNITY HEALTH
NURSING EXAM 2 QUESTIONS &
ANSWERS WITH RATIONALE UPDATED
CHAMBERLAIN UNIVERSITY
Exam Structure:
Subject: Community Health Nursing
Source: Chamberlain University, NR442 Community Health Nursing Exam 2
Format: Q&A Guide with Rationale
1: A community health nurse is reviewing disaster response agencies.
What is FEMA?
Correct Answer: The Federal Emergency Management Agency, charged
with providing assistance to communities hit by natural disasters. Its
mission is to support citizens and first responders to build, sustain, and
improve the capacity to prepare for, protect against, respond to, recover
from, and mitigate all hazards.
Rationale:
1. FEMA is the primary federal agency responsible for coordinating
disaster response and recovery efforts in the United States.
2. It ensures a unified national approach to emergencies.
2: A nurse is reviewing the disaster management framework. What are
the four stages of disaster management?
Correct Answer: Prevention, Preparedness, Response, Recovery
Rationale:
1. This staged model provides a systematic framework for organizing
community and national efforts.
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2. It guides actions before, during, and after a disaster to minimize harm
and promote effective recovery.
3: A nurse is participating in community disaster planning. What
activities occur in the Prevention stage?
Correct Answer: Identifying potential disaster risks, creating risk maps,
educating citizens, and developing disaster plans at individual, family, and
community levels.
Rationale:
1. Primary prevention focuses on mitigating risks and preventing
disasters.
2. It reduces potential impact through proactive planning and education.
4: A nurse is educating a family about disaster preparedness. What
activities are included in the Preparedness stage?
Correct Answer: Training in first aid, assembling disaster kits,
establishing meeting places, and making family communication plans.
Rationale:
1. Preparedness involves proactive measures to ensure readiness.
2. Individuals and communities can respond effectively when a disaster
occurs.
5: A nurse is responding to a mass casualty incident. What is the
START triage system?
Correct Answer: "Simple Triage And Rapid Treatment," a system used in
mass casualty incidents to quickly categorize victims in less than one
minute based on respirations, perfusion, and mental status.
Rationale:
1. START provides a standardized, rapid method to prioritize care.
2. It helps the greatest number of victims when resources are limited.
6: A nurse is triaging victims using the START system. What do the
triage tag colors signify?
Correct Answer:
Green: Walking wounded (minor injuries)
Yellow: Systemic but not yet life-threatening complications
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Red: Life-threatening conditions with high survival probability if
stabilized
Black: Deceased or unsalvageable injuries
Hazmat: Contaminated
Rationale:
1. Color-coding allows for quick visual identification of victim priority.
2. It streamlines the flow to appropriate treatment areas.
7: A community health nurse is assessing the psychological impact of a
disaster. What is psychological triage?
Correct Answer: Assessing the mental health impact of a disaster by
evaluating factors like extreme property damage, financial problems, high
trauma prevalence, and whether human intent caused the disaster.
Rationale:
1. Disasters cause significant psychological distress.
2. Early identification of those at highest risk allows for timely mental
health interventions.
8: A nursing student is learning about home health nursing. What is
its purpose?
Correct Answer: To provide nursing care to individuals and families in
their place of residence.
Rationale:
1. Home health nursing supports patient independence.
2. It manages chronic conditions and provides skilled care in a
comfortable environment.
3. It often prevents unnecessary hospitalizations.
9: A home health nurse is reviewing reimbursement policies. What
was the impact of the Balanced Budget Act of 1997 on home health?
Correct Answer: It changed Medicare reimbursement from a retrospective
payment system to a Prospective Payment System (PPS), where agencies
receive a fixed payment based on the patient's diagnosis.
Rationale:
1. The PPS was implemented to control Medicare costs.
2. It encourages efficiency in home health service delivery.
NR 442 / NR442 COMMUNITY HEALTH
NURSING EXAM 2 QUESTIONS &
ANSWERS WITH RATIONALE UPDATED
CHAMBERLAIN UNIVERSITY
Exam Structure:
Subject: Community Health Nursing
Source: Chamberlain University, NR442 Community Health Nursing Exam 2
Format: Q&A Guide with Rationale
1: A community health nurse is reviewing disaster response agencies.
What is FEMA?
Correct Answer: The Federal Emergency Management Agency, charged
with providing assistance to communities hit by natural disasters. Its
mission is to support citizens and first responders to build, sustain, and
improve the capacity to prepare for, protect against, respond to, recover
from, and mitigate all hazards.
Rationale:
1. FEMA is the primary federal agency responsible for coordinating
disaster response and recovery efforts in the United States.
2. It ensures a unified national approach to emergencies.
2: A nurse is reviewing the disaster management framework. What are
the four stages of disaster management?
Correct Answer: Prevention, Preparedness, Response, Recovery
Rationale:
1. This staged model provides a systematic framework for organizing
community and national efforts.
, 2|Page
2. It guides actions before, during, and after a disaster to minimize harm
and promote effective recovery.
3: A nurse is participating in community disaster planning. What
activities occur in the Prevention stage?
Correct Answer: Identifying potential disaster risks, creating risk maps,
educating citizens, and developing disaster plans at individual, family, and
community levels.
Rationale:
1. Primary prevention focuses on mitigating risks and preventing
disasters.
2. It reduces potential impact through proactive planning and education.
4: A nurse is educating a family about disaster preparedness. What
activities are included in the Preparedness stage?
Correct Answer: Training in first aid, assembling disaster kits,
establishing meeting places, and making family communication plans.
Rationale:
1. Preparedness involves proactive measures to ensure readiness.
2. Individuals and communities can respond effectively when a disaster
occurs.
5: A nurse is responding to a mass casualty incident. What is the
START triage system?
Correct Answer: "Simple Triage And Rapid Treatment," a system used in
mass casualty incidents to quickly categorize victims in less than one
minute based on respirations, perfusion, and mental status.
Rationale:
1. START provides a standardized, rapid method to prioritize care.
2. It helps the greatest number of victims when resources are limited.
6: A nurse is triaging victims using the START system. What do the
triage tag colors signify?
Correct Answer:
Green: Walking wounded (minor injuries)
Yellow: Systemic but not yet life-threatening complications
, 3|Page
Red: Life-threatening conditions with high survival probability if
stabilized
Black: Deceased or unsalvageable injuries
Hazmat: Contaminated
Rationale:
1. Color-coding allows for quick visual identification of victim priority.
2. It streamlines the flow to appropriate treatment areas.
7: A community health nurse is assessing the psychological impact of a
disaster. What is psychological triage?
Correct Answer: Assessing the mental health impact of a disaster by
evaluating factors like extreme property damage, financial problems, high
trauma prevalence, and whether human intent caused the disaster.
Rationale:
1. Disasters cause significant psychological distress.
2. Early identification of those at highest risk allows for timely mental
health interventions.
8: A nursing student is learning about home health nursing. What is
its purpose?
Correct Answer: To provide nursing care to individuals and families in
their place of residence.
Rationale:
1. Home health nursing supports patient independence.
2. It manages chronic conditions and provides skilled care in a
comfortable environment.
3. It often prevents unnecessary hospitalizations.
9: A home health nurse is reviewing reimbursement policies. What
was the impact of the Balanced Budget Act of 1997 on home health?
Correct Answer: It changed Medicare reimbursement from a retrospective
payment system to a Prospective Payment System (PPS), where agencies
receive a fixed payment based on the patient's diagnosis.
Rationale:
1. The PPS was implemented to control Medicare costs.
2. It encourages efficiency in home health service delivery.
