PNR 208/PNR208 Final Exam V3 |
Concepts of Community-Based Nursing
Q&A with Rationale | Fortis College
1. A nurse is explaining the difference between community-oriented nursing and community-
based nursing. Which statement by the nurse is accurate regarding community-based
nursing?
A. It focuses primarily on the health of the entire population in a region.
B. It emphasizes the preservation and protection of health for all citizens.
C. It involves managing acute and chronic conditions in individuals and families where they
live.
D. It is synonymous with public health nursing and policy development.
Answer: C
Rationale: Community-based nursing centers on the care of individuals and families in the
community to manage health conditions. This approach differs from community-oriented
nursing, which looks at the broader health of the population. By providing care in the home
or clinic, the nurse helps bridge the gap between acute care settings and daily life.
2. Which intervention is an example of primary prevention in the community?
A. Screening a patient for high blood pressure at a health fair.
B. Monitoring a patient’s blood glucose levels to adjust insulin dosage.
,C. Providing physical therapy for a client recovering from a stroke.
D. Teaching a group of teenagers about the dangers of smoking.
Answer: D
Rationale: Primary prevention aims to stop a disease or injury before it ever happens.
Education regarding lifestyle choices like smoking falls under this category because it
prevents the initiation of the habit. This proactive strategy is essential for reducing long-
term health complications in the population.
3. A community nurse is conducting a hearing screening for preschool children. What level of
prevention is being implemented?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Restorative prevention
Answer: A
Rationale: Secondary prevention involves early detection and intervention to limit the
impact of a condition. Screenings are the hallmark of this level because they identify issues
before symptoms become severe. Identifying hearing loss early allows for faster
intervention and better developmental outcomes for the child.
, 4. When assessing a community using the epidemiological triad, which of the following is
considered the ‘Agent’?
A. The presence of Mycobacterium tuberculosis.
B. The demographic characteristics of the residents.
C. The social and economic status of the neighborhood.
D. The climate and geography of the local area.
Answer: A
Rationale: The epidemiological triad consists of the host, the agent, and the environment.
The agent is the specific factor, such as a bacteria or virus, that causes the illness or health
problem. Understanding the interaction between these three elements helps nurses
develop strategies to break the chain of infection.
5. A nurse is working with a homeless population. Which characteristic is most common
among this vulnerable group?
A. High rates of private insurance coverage.
B. Consistent access to specialized medical clinics.
C. A higher incidence of chronic illnesses and mental health issues.
D. Decreased risk for infectious disease transmission.
Answer: C
Concepts of Community-Based Nursing
Q&A with Rationale | Fortis College
1. A nurse is explaining the difference between community-oriented nursing and community-
based nursing. Which statement by the nurse is accurate regarding community-based
nursing?
A. It focuses primarily on the health of the entire population in a region.
B. It emphasizes the preservation and protection of health for all citizens.
C. It involves managing acute and chronic conditions in individuals and families where they
live.
D. It is synonymous with public health nursing and policy development.
Answer: C
Rationale: Community-based nursing centers on the care of individuals and families in the
community to manage health conditions. This approach differs from community-oriented
nursing, which looks at the broader health of the population. By providing care in the home
or clinic, the nurse helps bridge the gap between acute care settings and daily life.
2. Which intervention is an example of primary prevention in the community?
A. Screening a patient for high blood pressure at a health fair.
B. Monitoring a patient’s blood glucose levels to adjust insulin dosage.
,C. Providing physical therapy for a client recovering from a stroke.
D. Teaching a group of teenagers about the dangers of smoking.
Answer: D
Rationale: Primary prevention aims to stop a disease or injury before it ever happens.
Education regarding lifestyle choices like smoking falls under this category because it
prevents the initiation of the habit. This proactive strategy is essential for reducing long-
term health complications in the population.
3. A community nurse is conducting a hearing screening for preschool children. What level of
prevention is being implemented?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Restorative prevention
Answer: A
Rationale: Secondary prevention involves early detection and intervention to limit the
impact of a condition. Screenings are the hallmark of this level because they identify issues
before symptoms become severe. Identifying hearing loss early allows for faster
intervention and better developmental outcomes for the child.
, 4. When assessing a community using the epidemiological triad, which of the following is
considered the ‘Agent’?
A. The presence of Mycobacterium tuberculosis.
B. The demographic characteristics of the residents.
C. The social and economic status of the neighborhood.
D. The climate and geography of the local area.
Answer: A
Rationale: The epidemiological triad consists of the host, the agent, and the environment.
The agent is the specific factor, such as a bacteria or virus, that causes the illness or health
problem. Understanding the interaction between these three elements helps nurses
develop strategies to break the chain of infection.
5. A nurse is working with a homeless population. Which characteristic is most common
among this vulnerable group?
A. High rates of private insurance coverage.
B. Consistent access to specialized medical clinics.
C. A higher incidence of chronic illnesses and mental health issues.
D. Decreased risk for infectious disease transmission.
Answer: C
