NR 222: Week 7 Community & Environmental Health 2026
|Chamberlain
1. Which of the following best defines community-oriented nursing?
A. Focusing on the health of individual patients within a clinical setting
B. Promoting health and preventing disease for an entire population
C. Managing acute illness symptoms in home-bound clients
D. Conducting surgical procedures in a community health center
Answer: B
Rationale: Community-oriented nursing emphasizes the health of the community or a
population as a whole, focusing on health promotion and disease prevention rather than
individual acute care.
2. When assessing a community, what is the primary purpose of a ‘windshield
survey’?
A. To interview key political leaders of the community
B. To review statistical data from the local health department
C. To perform physical exams on members of a specific neighborhood
D. To gather subjective and objective data by driving through the area
Answer: D
Rationale: A windshield survey involves driving or walking through a community to
observe its physical environment, people, and resources, providing a ‘snapshot’ of the area.
,3. A nurse is using the I-PREPARE mnemonic for environmental exposure
assessment. What does the ‘I’ represent?
A. Inform the public
B. Investigate potential exposures
C. Intervene immediately
D. Identify insurance coverage
Answer: B
Rationale: In the I-PREPARE mnemonic, ‘I’ stands for Investigate potential exposures,
which is the first step in assessing environmental health risks.
4. Which individual is considered part of a ‘vulnerable population’ in community
health?
A. A middle-aged man with a steady corporate job
B. An undocumented immigrant living in poverty
C. A college student living in a dormitory with health insurance
D. A retiree living in a high-income gated community
Answer: B
Rationale: Vulnerable populations include those at greater risk for poor health outcomes
due to social, economic, or environmental barriers, such as undocumented immigrants or
those in poverty.
5. Which of the following is an example of primary prevention in environmental
health?
A. Screening children for lead poisoning via blood tests
B. Educating parents about the dangers of lead-based paint
C. Providing chelation therapy for a child with high lead levels
D. Monitoring air quality after a factory chemical leak
Answer: B
, Rationale: Primary prevention focuses on preventing the problem before it occurs.
Education about lead hazards prevents exposure from happening in the first place.
6. A community nurse is screening a group of farmworkers for pesticide
exposure. This is an example of:
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: C
Rationale: Secondary prevention involves screening and early detection of a disease or
condition to provide early treatment.
7. Which environmental health hazard is most commonly associated with lung
cancer in non-smokers?
A. Mercury vapor
B. Carbon monoxide
C. Lead paint
D. Radon gas
Answer: D
Rationale: Radon is a naturally occurring radioactive gas that is the second leading cause
of lung cancer overall and the leading cause among non-smokers.
8. When providing health education to a population with low health literacy,
the nurse should:
A. Use medical terminology to ensure accuracy
B. Avoid using visual aids to prevent distraction
C. Give long, detailed written pamphlets for later review
D. Provide materials written at a 5th-grade reading level
Answer: D
|Chamberlain
1. Which of the following best defines community-oriented nursing?
A. Focusing on the health of individual patients within a clinical setting
B. Promoting health and preventing disease for an entire population
C. Managing acute illness symptoms in home-bound clients
D. Conducting surgical procedures in a community health center
Answer: B
Rationale: Community-oriented nursing emphasizes the health of the community or a
population as a whole, focusing on health promotion and disease prevention rather than
individual acute care.
2. When assessing a community, what is the primary purpose of a ‘windshield
survey’?
A. To interview key political leaders of the community
B. To review statistical data from the local health department
C. To perform physical exams on members of a specific neighborhood
D. To gather subjective and objective data by driving through the area
Answer: D
Rationale: A windshield survey involves driving or walking through a community to
observe its physical environment, people, and resources, providing a ‘snapshot’ of the area.
,3. A nurse is using the I-PREPARE mnemonic for environmental exposure
assessment. What does the ‘I’ represent?
A. Inform the public
B. Investigate potential exposures
C. Intervene immediately
D. Identify insurance coverage
Answer: B
Rationale: In the I-PREPARE mnemonic, ‘I’ stands for Investigate potential exposures,
which is the first step in assessing environmental health risks.
4. Which individual is considered part of a ‘vulnerable population’ in community
health?
A. A middle-aged man with a steady corporate job
B. An undocumented immigrant living in poverty
C. A college student living in a dormitory with health insurance
D. A retiree living in a high-income gated community
Answer: B
Rationale: Vulnerable populations include those at greater risk for poor health outcomes
due to social, economic, or environmental barriers, such as undocumented immigrants or
those in poverty.
5. Which of the following is an example of primary prevention in environmental
health?
A. Screening children for lead poisoning via blood tests
B. Educating parents about the dangers of lead-based paint
C. Providing chelation therapy for a child with high lead levels
D. Monitoring air quality after a factory chemical leak
Answer: B
, Rationale: Primary prevention focuses on preventing the problem before it occurs.
Education about lead hazards prevents exposure from happening in the first place.
6. A community nurse is screening a group of farmworkers for pesticide
exposure. This is an example of:
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: C
Rationale: Secondary prevention involves screening and early detection of a disease or
condition to provide early treatment.
7. Which environmental health hazard is most commonly associated with lung
cancer in non-smokers?
A. Mercury vapor
B. Carbon monoxide
C. Lead paint
D. Radon gas
Answer: D
Rationale: Radon is a naturally occurring radioactive gas that is the second leading cause
of lung cancer overall and the leading cause among non-smokers.
8. When providing health education to a population with low health literacy,
the nurse should:
A. Use medical terminology to ensure accuracy
B. Avoid using visual aids to prevent distraction
C. Give long, detailed written pamphlets for later review
D. Provide materials written at a 5th-grade reading level
Answer: D
