PNR 208/PNR208 Exam 4 V1 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a program for primary prevention of obesity. Which
of the following activities should the nurse include?
A. Educating parents about healthy snack options for toddlers.
B. Providing nutrition counseling for children with a BMI in the 95th percentile.
C. Screening students for hypertension at a local high school.
D. Developing a support group for adults who have undergone gastric bypass surgery.
Answer: A
Rationale: Primary prevention focuses on health promotion and the prevention of the
initial occurrence of disease. Educating parents about healthy food choices helps prevent
the development of obesity before it occurs. Other options represent secondary or tertiary
levels of prevention targeted at existing conditions.
2. A nurse is conducting a windshield survey of a community. Which of the following data
should the nurse collect as part of this assessment?
A. Personal health histories of residents in a high-rise apartment.
B. In-depth interviews with local religious leaders.
C. The presence of public transportation and sidewalks.
,D. A review of the last five years of local census data.
Answer: C
Rationale: A windshield survey is an observational assessment of a community while
driving or walking through it. Observing physical structures like public transportation and
sidewalks provides immediate data about the community’s environment and safety. This
method helps the nurse identify objective characteristics and resources available to the
population.
3. A home health nurse is visiting an older adult client who has diabetes. Which of the
following findings should the nurse identify as a priority to address for safety?
A. The client uses a weekly pill organizer for medications.
B. The bathroom has a grab bar installed near the toilet.
C. The client has multiple throw rugs in the hallways.
D. The kitchen has a small fire extinguisher on the counter.
Answer: C
Rationale: Safety in the home is a critical component of community-based nursing,
particularly for older adults with chronic conditions. Throw rugs are a major tripping
hazard that can lead to falls and serious injuries. The nurse must prioritize removing these
environmental risks to ensure the client remains safe in their home environment.
4. Which of the following describes the goal of tertiary prevention?
A. Reducing the incidence of new infections in the community.
, B. Identifying diseases in the early stages through screening.
C. Preventing further disability and restoring function in those with chronic illness.
D. Implementing laws that require seatbelt use in all vehicles.
Answer: C
Rationale: Tertiary prevention focuses on rehabilitation and preventing further
complications from an existing disease or injury. The goal is to maximize the individual’s
quality of life and restore as much function as possible. Examples include physical therapy
for stroke patients or support groups for those with chronic mental health issues.
5. An occupational health nurse is planning to screen employees for hearing loss. This is an
example of which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: C
Rationale: Secondary prevention involves the early detection and screening for a condition
so that treatment can begin as soon as possible. By screening employees for hearing loss,
the nurse is attempting to identify early signs of damage before it worsens. This level of
care is vital for limiting the progression of work-related injuries.
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a program for primary prevention of obesity. Which
of the following activities should the nurse include?
A. Educating parents about healthy snack options for toddlers.
B. Providing nutrition counseling for children with a BMI in the 95th percentile.
C. Screening students for hypertension at a local high school.
D. Developing a support group for adults who have undergone gastric bypass surgery.
Answer: A
Rationale: Primary prevention focuses on health promotion and the prevention of the
initial occurrence of disease. Educating parents about healthy food choices helps prevent
the development of obesity before it occurs. Other options represent secondary or tertiary
levels of prevention targeted at existing conditions.
2. A nurse is conducting a windshield survey of a community. Which of the following data
should the nurse collect as part of this assessment?
A. Personal health histories of residents in a high-rise apartment.
B. In-depth interviews with local religious leaders.
C. The presence of public transportation and sidewalks.
,D. A review of the last five years of local census data.
Answer: C
Rationale: A windshield survey is an observational assessment of a community while
driving or walking through it. Observing physical structures like public transportation and
sidewalks provides immediate data about the community’s environment and safety. This
method helps the nurse identify objective characteristics and resources available to the
population.
3. A home health nurse is visiting an older adult client who has diabetes. Which of the
following findings should the nurse identify as a priority to address for safety?
A. The client uses a weekly pill organizer for medications.
B. The bathroom has a grab bar installed near the toilet.
C. The client has multiple throw rugs in the hallways.
D. The kitchen has a small fire extinguisher on the counter.
Answer: C
Rationale: Safety in the home is a critical component of community-based nursing,
particularly for older adults with chronic conditions. Throw rugs are a major tripping
hazard that can lead to falls and serious injuries. The nurse must prioritize removing these
environmental risks to ensure the client remains safe in their home environment.
4. Which of the following describes the goal of tertiary prevention?
A. Reducing the incidence of new infections in the community.
, B. Identifying diseases in the early stages through screening.
C. Preventing further disability and restoring function in those with chronic illness.
D. Implementing laws that require seatbelt use in all vehicles.
Answer: C
Rationale: Tertiary prevention focuses on rehabilitation and preventing further
complications from an existing disease or injury. The goal is to maximize the individual’s
quality of life and restore as much function as possible. Examples include physical therapy
for stroke patients or support groups for those with chronic mental health issues.
5. An occupational health nurse is planning to screen employees for hearing loss. This is an
example of which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: C
Rationale: Secondary prevention involves the early detection and screening for a condition
so that treatment can begin as soon as possible. By screening employees for hearing loss,
the nurse is attempting to identify early signs of damage before it worsens. This level of
care is vital for limiting the progression of work-related injuries.
