2023
NR442 RN Community
Health Practice
Assessment A
, NR442 - Community Health Practice Exam A (50 Items)
1. A community health nurse is planning a presentation for adults who have a family history of
Alzheimer's disease. Which of the following behaviors should the nurse include as an early
manifestation of Alzheimer's disease
a. Withdrawal from social activities
b. Forgetting the location of common object
c. Experiencing incontinence
d. Neglecting personal hygiene
Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer's
disease.
2. A community health nurse identifies an increase in the occurrence of osteoporosis-related
fractures in women experiencing menopause. Which of the following primary prevention
strategies should the nurse implement?
a. Advise the women to keep their immunizations updated.
b. Encourage the women to participate in weight-bearing activities.
c. Educate the women about the importance of limiting sun exposure.
d. Instruct at-risk women to increase their intake of foods high in vitamin E.
Rationale: Weight-bearing exercises, such as weight lifting, walking, and running, have been
found to be beneficial in preventing osteoporosis.
3. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care.
Which of the following statements should the nurse identify as an indication that the client is in
the denial stage of the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke again."
d. "I'm going to plan my memorial service next week."
Rationale: During the denial stage of the grief process, the client rejects the reality of the
impending loss.
4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up and
newspapers cover the front steps. Which of the following questions should the nurse to ask the
client to determine if he is socially isolated?
a. "Why haven't you brought in your newspapers?"
b. "Do you need help completing your housework?”
c. "How often do you have visitors come to see you?"
d. "Have you considered moving to an assisted living facility?"
Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should
, ask this question because it addresses the issue of social isolation by determining the frequency
of contact between the client and others.
5. A community health nurse is discussing the role of a faith community nurse with a chaplain.
Which of the following information should the nurse include in the discussion?
a. The faith community nurse can provide pharmacologic pain management for clients
who have a terminal illness.
b. The faith community nurse can plan safety training for employees in a local factory.
c. The faith community nurse can provide wound care for clients in their homes.
d. The faith community nurse can facilitate substance abuse support groups.
Rationale: This is one of the roles of a faith community nurse.
6. A community health nurse is conducting a needs assessment of a community. The nurse
should identify that which of the following methods will yield direct data?
a. Health surveys
b. Medical records
c. Informant interviews
d. Morbidity/mortality statistics
Rationale: The nurse should identify that informant interviews of the community's leaders will
provide direct data. This information can help the nurse identify services needed by the
community.
7. A nurse is providing education regarding lead exposure to a group of clients who live in a
housing development built in 1968. Which of the following client statements indicates an
understanding of the teaching?
a. "I will use a dry-sanding technique when preparing to repaint my front door."
b. "I will vacuum our wood floors every week."
c. "I will increase the amount of red meat and milk in my child's diet."
d. "I will use hot tap water to prepare my baby's formula."
Rationale: Children should receive adequate amounts of iron and calcium in their diets to
prevent lead absorption from their environment.
8. A community health nurse is participating in a quality improvement plan for a local health
department. Which of the following techniques should the nurse use for process evaluation of
the facility? (Select all that apply).
a. Focus groups
b. Written audits
c. Satisfaction survey
d. Interviews
e. Values self-study
NR442 RN Community
Health Practice
Assessment A
, NR442 - Community Health Practice Exam A (50 Items)
1. A community health nurse is planning a presentation for adults who have a family history of
Alzheimer's disease. Which of the following behaviors should the nurse include as an early
manifestation of Alzheimer's disease
a. Withdrawal from social activities
b. Forgetting the location of common object
c. Experiencing incontinence
d. Neglecting personal hygiene
Rationale: Forgetting the location of common objects is an early manifestation of Alzheimer's
disease.
2. A community health nurse identifies an increase in the occurrence of osteoporosis-related
fractures in women experiencing menopause. Which of the following primary prevention
strategies should the nurse implement?
a. Advise the women to keep their immunizations updated.
b. Encourage the women to participate in weight-bearing activities.
c. Educate the women about the importance of limiting sun exposure.
d. Instruct at-risk women to increase their intake of foods high in vitamin E.
Rationale: Weight-bearing exercises, such as weight lifting, walking, and running, have been
found to be beneficial in preventing osteoporosis.
3. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care.
Which of the following statements should the nurse identify as an indication that the client is in
the denial stage of the grief process?
a. "I'm looking forward to my daughter's wedding next year."
b. "I don't deserve to die. This just isn't fair."
c. "If I could just make it through this, I'd never smoke again."
d. "I'm going to plan my memorial service next week."
Rationale: During the denial stage of the grief process, the client rejects the reality of the
impending loss.
4. A home care nurse is visiting an older adult and notes that unwashed dishes are piled up and
newspapers cover the front steps. Which of the following questions should the nurse to ask the
client to determine if he is socially isolated?
a. "Why haven't you brought in your newspapers?"
b. "Do you need help completing your housework?”
c. "How often do you have visitors come to see you?"
d. "Have you considered moving to an assisted living facility?"
Rationale: "How often do you have visitors come to see you?" MY ANSWER The nurse should
, ask this question because it addresses the issue of social isolation by determining the frequency
of contact between the client and others.
5. A community health nurse is discussing the role of a faith community nurse with a chaplain.
Which of the following information should the nurse include in the discussion?
a. The faith community nurse can provide pharmacologic pain management for clients
who have a terminal illness.
b. The faith community nurse can plan safety training for employees in a local factory.
c. The faith community nurse can provide wound care for clients in their homes.
d. The faith community nurse can facilitate substance abuse support groups.
Rationale: This is one of the roles of a faith community nurse.
6. A community health nurse is conducting a needs assessment of a community. The nurse
should identify that which of the following methods will yield direct data?
a. Health surveys
b. Medical records
c. Informant interviews
d. Morbidity/mortality statistics
Rationale: The nurse should identify that informant interviews of the community's leaders will
provide direct data. This information can help the nurse identify services needed by the
community.
7. A nurse is providing education regarding lead exposure to a group of clients who live in a
housing development built in 1968. Which of the following client statements indicates an
understanding of the teaching?
a. "I will use a dry-sanding technique when preparing to repaint my front door."
b. "I will vacuum our wood floors every week."
c. "I will increase the amount of red meat and milk in my child's diet."
d. "I will use hot tap water to prepare my baby's formula."
Rationale: Children should receive adequate amounts of iron and calcium in their diets to
prevent lead absorption from their environment.
8. A community health nurse is participating in a quality improvement plan for a local health
department. Which of the following techniques should the nurse use for process evaluation of
the facility? (Select all that apply).
a. Focus groups
b. Written audits
c. Satisfaction survey
d. Interviews
e. Values self-study
