NSG 3480: Community Health Unit 2, 3 & 4 Review: Most
Comprehensive Questions & Answers With Detailed
Rationales - to Pass the Exam, 100% Verified
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NSG 3480: Community Health
NSG 3480: Community Health Unit 2, 3 & 4 Review
Most Comprehensive Questions & Answers
Pass the Exam, 100% Verified
, NSG 3480: Community Health Unit 2, 3 & 4 Review:
Most Comprehensive Questions & Answers With
Detailed Rationales - to Pass the Exam, 100% Verified
1. A nurse was becoming frustrated. It had been 2 weeks, and although the
client had verbalized that the best time of day to take a 15-minute walk was
early in the morning, the client had not begun to exercise. Which of the
following principles of the Transtheoretical Model had the nurse
forgotten? (Select all that apply.)
a. A decision to act always occurs before action begins.
b. Behavior change is difficult and takes time.
c. Continuing to stress to the client how important exercise is will help the client
decide to exercise.
d. Discussing with the client why he or she is not yet exercising may help the
client recognize his or her own resistance.
e. The nurse should offer some reward if the person exercises for at least a
week.
f. Verbalizing compassion for how difficult it is to change is a crucial
intervention.
Answer: a. A decision to act always occurs before action begins.
b. Behavior change is difficult and takes time.
,Rationale: The Transtheoretical Model emphasizes that behavior change is a
staged process. First, an individual must make the decision to act; without this,
interventions are premature. Additionally, adopting a new behavior is rarely
instantaneous—change takes time, and relapse or delay is common. Simply
telling the client to exercise or stressing importance does not replace the
decision-making stage or the gradual nature of change. Recognizing the
difficulty of change and providing supportive guidance helps the client move
through the stages of precontemplation, contemplation, and preparation toward
actual action.
2. Which actions have been effective in reducing problems related to
alcohol use? (Select all that apply.)
a. Abstinence education programs in elementary schools
b. Enforcement of ban on sales of alcohol to minors
c. Increased taxes on alcoholic beverages
d. Media campaigns that show unpleasant behaviors such as vomiting after
drinking
e. Stringent laws on accurate labeling of alcoholic content in beverages
f. Suggesting children be taught appropriate use of alcohol in the home
Answer: b. Enforcement of ban on sales of alcohol to minors
c. Increased taxes on alcoholic beverages
, Rationale: Research has consistently shown that legal restrictions and
economic measures are among the most effective strategies for reducing
alcohol-related harm. Enforcing the ban on sales to minors directly limits early
access, which is associated with long-term patterns of abuse. Similarly,
increasing taxes raises the cost and reduces consumption. Educational
campaigns and labeling laws may help raise awareness but have less direct
impact. Early education programs have not consistently demonstrated a
measurable decrease in alcohol problems, and parental guidance is useful but
not as broadly effective at the population level.
3. A nurse asks a client how they have been sleeping. Which statement best
describes the rationale behind this question? (Select all that apply.)
a. Accidents and injury may occur with the sleep-deprived client at fault.
b. Interventions for sleep problems are primarily common sense.
c. Many adults report sleep problems or occasional lack of sleep.
d. Many important functions occur during sleep.
e. Nurses can determine whether the patient has a sleep disorder.
f. A sleep assessment is easy and inexpensive to complete.
Answer: a. Accidents and injury may occur with the sleep-deprived client at
fault.
c. Many adults report sleep problems or occasional lack of sleep.
d. Many important functions occur during sleep.