NUR 216 COMMUNITY HEALTH NURSING UPDATED
2026 EDITION Q&A
A community health nurse is conducting a needs assessment for a
newly arrived refugee population. Which of the following should be the
nurse's FIRST priority?
A. Assessing the community's transportation access to healthcare
facilities
B. Identifying immediate health concerns and barriers to care
C. Developing a comprehensive health education program
D. Establishing partnerships with local community organizations
Correct Answer: B
Explanation: The first priority in community assessment is identifying
immediate health concerns and barriers to care, as this establishes the
foundation for all subsequent interventions. While transportation,
education, and partnerships are important, they follow after
understanding the most urgent health needs .
In a community with high rates of type 2 diabetes, which intervention
would be MOST effective according to the social determinants of health
framework?
A. Distributing free glucometers to all residents
B. Implementing a community-wide nutrition education program in
schools
C. Advocating for policy changes to improve access to healthy foods in
food deserts
D. Hosting weekly walking groups at the community center
,Correct Answer: C
Explanation: Addressing social determinants requires tackling root
causes like food insecurity and limited access to healthy foods. Policy
changes to improve food access in food deserts have the broadest and
most sustainable impact compared to individual-level interventions .
A community health nurse is planning a vaccination campaign for a rural
population with low immunization rates. Which strategy best
demonstrates the principle of cultural competence?
A. Using medical terminology to explain vaccine benefits
B. Hiring bilingual community health workers who share the
population's cultural background
C. Offering vaccinations only at the local clinic during business hours
D. Providing written materials in English only
Correct Answer: B
Explanation: Cultural competence involves understanding and
respecting cultural beliefs and practices. Hiring community health
workers who share the population's cultural background and language
builds trust and improves communication, leading to better vaccination
acceptance .
Which of the following best describes the difference between
prevalence and incidence in community health epidemiology?
A. Prevalence measures new cases; incidence measures total cases
B. Prevalence measures total cases at a point in time; incidence
measures new cases over time
C. Prevalence is used for chronic diseases; incidence is used for acute
,diseases only
D. Prevalence includes only hospitalized cases; incidence includes all
cases
Correct Answer: B
Explanation: Prevalence represents the total number of existing cases
(new and pre-existing) at a specific point in time, while incidence
measures only new cases that develop during a specified time period.
This distinction is crucial for understanding disease burden and risk .
A community health nurse is addressing a hepatitis A outbreak in a
homeless shelter. Which intervention aligns BEST with the primary
prevention level?
A. Providing treatment to infected individuals
B. Educating residents about hand hygiene and vaccination
C. Screening all residents for hepatitis A antibodies
D. Isolating confirmed cases to prevent spread
Correct Answer: B
Explanation: Primary prevention aims to prevent disease before it
occurs. Education about hand hygiene and vaccination prevents
hepatitis A infection. Treatment, screening, and isolation are secondary
or tertiary prevention measures .
When conducting a community windshield survey, which observation
would be MOST indicative of environmental health risks?
A. High number of closed businesses on main street
B. Presence of standing water, abandoned buildings, and poor street
lighting
, C. Low property values in the neighborhood
D. High percentage of rental properties versus owned homes
Correct Answer: B
Explanation: Standing water can breed mosquitoes (vector-borne
disease risk), abandoned buildings may harbor pests or pose safety
hazards, and poor lighting increases injury and crime risk. These are
direct environmental health hazards affecting community wellness .
A community health nurse is implementing the Health Belief Model to
increase高血压 (hypertension) screening participation. Which factor
should the nurse address FIRST?
A. Providing free screening events at convenient locations
B. Helping residents understand their personal susceptibility to
hypertension complications
C. Offering transportation to healthcare facilities
D. Creating a support group for those diagnosed with hypertension
Correct Answer: B
Explanation: The Health Belief Model emphasizes perceived
susceptibility as a key determinant of health behavior. Residents must
first believe they are at risk for hypertension and its complications
before they'll take action like screening .
Which of the following is the MOST appropriate indicator for measuring
the effectiveness of a community-based smoking cessation program?
A. Number of brochures distributed
B. Attendance at smoking cessation workshops
2026 EDITION Q&A
A community health nurse is conducting a needs assessment for a
newly arrived refugee population. Which of the following should be the
nurse's FIRST priority?
A. Assessing the community's transportation access to healthcare
facilities
B. Identifying immediate health concerns and barriers to care
C. Developing a comprehensive health education program
D. Establishing partnerships with local community organizations
Correct Answer: B
Explanation: The first priority in community assessment is identifying
immediate health concerns and barriers to care, as this establishes the
foundation for all subsequent interventions. While transportation,
education, and partnerships are important, they follow after
understanding the most urgent health needs .
In a community with high rates of type 2 diabetes, which intervention
would be MOST effective according to the social determinants of health
framework?
A. Distributing free glucometers to all residents
B. Implementing a community-wide nutrition education program in
schools
C. Advocating for policy changes to improve access to healthy foods in
food deserts
D. Hosting weekly walking groups at the community center
,Correct Answer: C
Explanation: Addressing social determinants requires tackling root
causes like food insecurity and limited access to healthy foods. Policy
changes to improve food access in food deserts have the broadest and
most sustainable impact compared to individual-level interventions .
A community health nurse is planning a vaccination campaign for a rural
population with low immunization rates. Which strategy best
demonstrates the principle of cultural competence?
A. Using medical terminology to explain vaccine benefits
B. Hiring bilingual community health workers who share the
population's cultural background
C. Offering vaccinations only at the local clinic during business hours
D. Providing written materials in English only
Correct Answer: B
Explanation: Cultural competence involves understanding and
respecting cultural beliefs and practices. Hiring community health
workers who share the population's cultural background and language
builds trust and improves communication, leading to better vaccination
acceptance .
Which of the following best describes the difference between
prevalence and incidence in community health epidemiology?
A. Prevalence measures new cases; incidence measures total cases
B. Prevalence measures total cases at a point in time; incidence
measures new cases over time
C. Prevalence is used for chronic diseases; incidence is used for acute
,diseases only
D. Prevalence includes only hospitalized cases; incidence includes all
cases
Correct Answer: B
Explanation: Prevalence represents the total number of existing cases
(new and pre-existing) at a specific point in time, while incidence
measures only new cases that develop during a specified time period.
This distinction is crucial for understanding disease burden and risk .
A community health nurse is addressing a hepatitis A outbreak in a
homeless shelter. Which intervention aligns BEST with the primary
prevention level?
A. Providing treatment to infected individuals
B. Educating residents about hand hygiene and vaccination
C. Screening all residents for hepatitis A antibodies
D. Isolating confirmed cases to prevent spread
Correct Answer: B
Explanation: Primary prevention aims to prevent disease before it
occurs. Education about hand hygiene and vaccination prevents
hepatitis A infection. Treatment, screening, and isolation are secondary
or tertiary prevention measures .
When conducting a community windshield survey, which observation
would be MOST indicative of environmental health risks?
A. High number of closed businesses on main street
B. Presence of standing water, abandoned buildings, and poor street
lighting
, C. Low property values in the neighborhood
D. High percentage of rental properties versus owned homes
Correct Answer: B
Explanation: Standing water can breed mosquitoes (vector-borne
disease risk), abandoned buildings may harbor pests or pose safety
hazards, and poor lighting increases injury and crime risk. These are
direct environmental health hazards affecting community wellness .
A community health nurse is implementing the Health Belief Model to
increase高血压 (hypertension) screening participation. Which factor
should the nurse address FIRST?
A. Providing free screening events at convenient locations
B. Helping residents understand their personal susceptibility to
hypertension complications
C. Offering transportation to healthcare facilities
D. Creating a support group for those diagnosed with hypertension
Correct Answer: B
Explanation: The Health Belief Model emphasizes perceived
susceptibility as a key determinant of health behavior. Residents must
first believe they are at risk for hypertension and its complications
before they'll take action like screening .
Which of the following is the MOST appropriate indicator for measuring
the effectiveness of a community-based smoking cessation program?
A. Number of brochures distributed
B. Attendance at smoking cessation workshops
