COMMUNITY HEALTH QUESTIONS EXAM
QUESTIONS WITH 100% COMPLETE
SOLUTIONS
Epidemiology is a primary tool used by the nurse scientist for researching which of the following topics?
a. Locations where family violence is increasing
b. Contributing factors to childhood obesity
c. Morbidity statistics
d. Population characteristics for healthy older adults - ANS-B
When doing which of the following activities does the community health nurse (CHN) act in the role of a
nurse epidemiologist?
a. Eliciting the health history of a client presenting with an illness
b. Performing a physical assessment of an ill client
c. Providing treatment and health education to a client with a disease
d. Evaluating the number of clients presenting with similar diseases - ANS-D
During the years 2005 to 2010, in a particular district, 1,000 of 10,000 girls aged 16 to 18 years tested
positive for a sexually transmitted infection (STI). Of the 1,000 diagnosed STIs, 300 were gonorrhea and
500 were Chlamydia. Which one of the following statements would the CHN recognize as being true?
a. The proportion of cases of gonorrhea to all STIs was 300:1300.
b. The proportion of cases of gonorrhea to Chlamydia was 300:500.
c. The proportion of STIs to the total population was 10 per 1,000.
d. The proportion of cases of gonorrhea to all STIs was 50%. - ANS-C
Which model best explains the reasons why homeless individuals are at increased risk of disease as a
result of multiple agent, host, and environmental factors?
a. The web of causality
b. The epidemiological triangle
c. The levels of prevention
d. The Health Promotion Model - ANS-A
Through which of the following actions would the CHN who wishes to decrease the incidence of obesity
in elementary school children provide secondary prevention?
a. Giving a presentation on the importance of exercise and physical fitness
b. Designing a game in which students need to make healthy food choices
c. Weighing students to identify those who are overweight
d. Putting students on a diet if they weigh more than 20% of their ideal weight - ANS-C
, Which of the following is a CHN implementing when advising a client with osteoporosis to have three
servings of milk or dairy products daily?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Treatment, but not prevention - ANS-C
Which one of the following would be the best choice for the nurse researcher who wishes to identify the
long-term benefits and risks of a treatment for hyperlipidemia?
a. A cross-sectional study
b. An ecological study
c. A clinical trial
d. A retrospective analysis - ANS-C
Of the following actions proposed by a CHN to prevent problems related to coronary artery disease
(CAD) in a region with a high prevalence, which one is most likely to have positive outcomes?
a. Introducing heart health information in the curriculum as early as grade 1, presentations on diet and
exercise for the community at large, and special education sessions for high-risk populations
b. Providing online activities related to the prevention of cardiac disease, smoking cessation programs,
and blood pressure screenings
c. Distributing handouts about age-appropriate games, self-assessments, and educational materials on
heart-healthy lifestyles, availability of community screenings for hyperlipidemia in persons age 35 years
and older, and walking programs for those affected by CAD
d. Enrolling clients with CAD into cardiac rehabilitation programs, routinely evaluating the effectiveness
of CAD treatment regimens, and p - ANS-C
People with immune deficiencies may have a negative tuberculosis (TB) skin test (Mantoux), even
though they are infected. Which of the following measurements will the CHN conclude to be low when
the TB skin test is given to persons with acquired immune deficiency syndrome (AIDS)?
a. Positive predictive value
b. Reliability
c. Sensitivity
d. Specificity - ANS-C
To find out about substance abuse among students in a local high school, a teacher recommends to the
CHN that questionnaires be given to students during various school programs, but the CHN rejects this
method. Which situation does the CHN think the teacher's recommendation would create?
a. Classification bias
b. Confounding bias
c. Personal bias
d. Selection bias - ANS-D
The CHN can enhance the sensitivity and specificity of a test by using its predictive value. Which one of
the following best defines positive predictive value?
a. The proportion of persons with a negative test who are actually disease-free
b. The variation inherent in the trait being measured
c. Any inconsistency in the testing instrument
QUESTIONS WITH 100% COMPLETE
SOLUTIONS
Epidemiology is a primary tool used by the nurse scientist for researching which of the following topics?
a. Locations where family violence is increasing
b. Contributing factors to childhood obesity
c. Morbidity statistics
d. Population characteristics for healthy older adults - ANS-B
When doing which of the following activities does the community health nurse (CHN) act in the role of a
nurse epidemiologist?
a. Eliciting the health history of a client presenting with an illness
b. Performing a physical assessment of an ill client
c. Providing treatment and health education to a client with a disease
d. Evaluating the number of clients presenting with similar diseases - ANS-D
During the years 2005 to 2010, in a particular district, 1,000 of 10,000 girls aged 16 to 18 years tested
positive for a sexually transmitted infection (STI). Of the 1,000 diagnosed STIs, 300 were gonorrhea and
500 were Chlamydia. Which one of the following statements would the CHN recognize as being true?
a. The proportion of cases of gonorrhea to all STIs was 300:1300.
b. The proportion of cases of gonorrhea to Chlamydia was 300:500.
c. The proportion of STIs to the total population was 10 per 1,000.
d. The proportion of cases of gonorrhea to all STIs was 50%. - ANS-C
Which model best explains the reasons why homeless individuals are at increased risk of disease as a
result of multiple agent, host, and environmental factors?
a. The web of causality
b. The epidemiological triangle
c. The levels of prevention
d. The Health Promotion Model - ANS-A
Through which of the following actions would the CHN who wishes to decrease the incidence of obesity
in elementary school children provide secondary prevention?
a. Giving a presentation on the importance of exercise and physical fitness
b. Designing a game in which students need to make healthy food choices
c. Weighing students to identify those who are overweight
d. Putting students on a diet if they weigh more than 20% of their ideal weight - ANS-C
, Which of the following is a CHN implementing when advising a client with osteoporosis to have three
servings of milk or dairy products daily?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Treatment, but not prevention - ANS-C
Which one of the following would be the best choice for the nurse researcher who wishes to identify the
long-term benefits and risks of a treatment for hyperlipidemia?
a. A cross-sectional study
b. An ecological study
c. A clinical trial
d. A retrospective analysis - ANS-C
Of the following actions proposed by a CHN to prevent problems related to coronary artery disease
(CAD) in a region with a high prevalence, which one is most likely to have positive outcomes?
a. Introducing heart health information in the curriculum as early as grade 1, presentations on diet and
exercise for the community at large, and special education sessions for high-risk populations
b. Providing online activities related to the prevention of cardiac disease, smoking cessation programs,
and blood pressure screenings
c. Distributing handouts about age-appropriate games, self-assessments, and educational materials on
heart-healthy lifestyles, availability of community screenings for hyperlipidemia in persons age 35 years
and older, and walking programs for those affected by CAD
d. Enrolling clients with CAD into cardiac rehabilitation programs, routinely evaluating the effectiveness
of CAD treatment regimens, and p - ANS-C
People with immune deficiencies may have a negative tuberculosis (TB) skin test (Mantoux), even
though they are infected. Which of the following measurements will the CHN conclude to be low when
the TB skin test is given to persons with acquired immune deficiency syndrome (AIDS)?
a. Positive predictive value
b. Reliability
c. Sensitivity
d. Specificity - ANS-C
To find out about substance abuse among students in a local high school, a teacher recommends to the
CHN that questionnaires be given to students during various school programs, but the CHN rejects this
method. Which situation does the CHN think the teacher's recommendation would create?
a. Classification bias
b. Confounding bias
c. Personal bias
d. Selection bias - ANS-D
The CHN can enhance the sensitivity and specificity of a test by using its predictive value. Which one of
the following best defines positive predictive value?
a. The proportion of persons with a negative test who are actually disease-free
b. The variation inherent in the trait being measured
c. Any inconsistency in the testing instrument
