WGU D450
Community Health
OA EXAM PREP
(400+ PRACTICE QS)
Actual Questions with Verified Answers
Take and pass the OA :)
What You Will Get:
➢400+ OA Practice Questions w/ Answers
➢Expert Rationales included.
➢EXAM Study Guide
, WGU D450 Community Health
Preview Pages Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any study resources,
feel free to Message me."
Digital Preview Sample
,Table of Contents
D450 OA PRACTICE SET 1 .............................................. 2
D450 OA PRACTICE SET 2 ............................................ 65
D450 OA PRACTICE SET 3 .......................................... 104
D450 EXAM STUDY GUIDE ........................................ 160
D450 OA PRACTICE SET 1
Question 1: A nurse in a clinic that provides direct care services to clients
with tuberculosis would be classified as practicing:
• a. community-based nursing.
• b. community-oriented nursing.
• c. institutional nursing.
• d. public health nursing.
Correct Answer: a. community-based nursing.
Rationale: The nurse practicing as a community-based nurse is more likely
to give direct care to people than are nurses who practice from a
community-oriented perspective.
,Question 2: Jennifer is a nurse in a family medicine clinic. Today she is
assessing Jose, a 4-year-old who is being seen for an earache. The type of
nursing Jennifer practices is:
• a. community-oriented nursing.
• b. community-based nursing.
• c. public health nursing.
• d. tertiary health nursing.
Correct Answer: b. community-based nursing.
Rationale: In community-based nursing, the nurse focuses on 'illness care'
of individuals and families across the lifespan.
Question 3: A school nurse teaches three middle school students with
asthma conditions techniques to minimize their incidence of bronchial
spasms. This is an application of:
• a. community-based nursing.
• b. community-oriented nursing.
• c. institutional nursing.
• d. public health nursing.
Correct Answer: a. community-based nursing.
Rationale: The goal of community-based nursing (CBN) is to manage acute
or chronic conditions while promoting self-care among individuals and
families.
Question 4: The public health nurse deals with the examination of a
community setting to determine the community's health status. Which of
the following activities should be considered in the assessment phase?
(Select all that apply)
, D450 OA PRACTICE SET 2
A client presents at a community-based clinic with complaints of shortness
of breath, headache, dizziness, and nausea. During the assessment, the
nurse learns that the client is a migrant worker who often uses a gasoline-
powered pressure washer to clean equipment and farm buildings. Which
type of poisoning is the most likely etiology of this client's symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide
d. carbon monoxide
The nurse is conducting a process evaluation of a prevention education
program for older adults who are risk for substance abuse. Which data
source provides the information the nurse needs to conduct this process
evaluation?
a. client's score on an alcohol screening instrument
b. results of a urine drug and alcohol screen
c. most recent community census data
d. documentation of client education in the nursing record
d. documentation of client education in the nursing record
A 17-year old unmarried, pregnant client with drug addiction is a high
school dropout, homeless, and has a history of past abuse arrives at the
clinic for her first prenatal visit. Which findings should the nurse document
as health risk factors for the client? (Select all that apply)
a. age
b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried
a. age
c. drug addiction
,d. history of abuse
e. pregnancy
f. homelessness
The nurse is designing a community health project based on a report
provided by the World Health Organization that describes healthcare
problems in the United States. Which healthcare issue should the nurse
give the highest priority when planning the project?
a. overuse of diagnostic technology
b. government-based health insurance
c. the neonatal and infant mortality rates
d. number of people without access to healthcare
d. number of people without access to healthcare
The nurse working in a community health clinic that serves recent Somali
immigrants notes that most mothers refuse to give permission for routine
immunizations of their preschoolers. Which individual is likely to have the
most influential on these women's perceptions about their children's
healthcare needs?
a. husbands
b. clinic healthcare provider
c. older females
d. tribal chief
d. tribal chief
The community health nurse is planning a series of educational courses
about the healthcare system and meeting healthcare needs for the
community center. Which adjunct issue should the nurse address for a
group of older adults.
a. peer concerns
b. adult daycare
c. retirement issues
d. vocational concerns
c. retirement issues
A female adult walks into a local community health clinic and tells the
nurse that she is homeless and cannot seem to find help. Which statement
indicates to the nurse that a client is feeling separated from society and
, D450 OA PRACTICE SET 3
The community health nurses is counseling a group of 14 year olds about
safe sexual practices. Which health teaching strategy would be most
effective for the nurse to use with this age group?
a. Encourage group members to describe personal experiences in
practicing safe sex
b. Provide the group with statistical data about behaviors leading to
venereal diseases
C. Tell the group that for aids prevention abstinence is the best safe sex
practice
D. Role play situations in which the adolescent is rewarded for practicing
safe sex
D. Role play situations in which the adolescent is rewarded for practicing safe
sex
A young adult man goes to an emergency treatment area after finishing a
marathon run. He is weak dizzy and remains thirsty after drinking a pint of
a flavored sports drink. What action should the nurse implement first?
a. Instruct the runner that a urine sample is needed
b. Send for the automatic external defibrillator
c. Determine if there are friends or family nearby
d.Give the runner another pint of fluids to drink
d. Give the runner another pint of fluids to drink
An older adult male who fractured his right hip is discharged to home one
week following an arthroplasty. Which adjustment to the clients home
environment is most important for the home health nurse to implement?
a. Lower the temperature on the clients water heater
b. Encourage the client to wear rubber soled shoes
c. Ensure that an elevated toilet seat is installed
d.Leave motion activated light in the living room
c. Ensure that an elevated toilet seat is installed
The nurse is caring for four clients in a women's health clinic. Which client
should the nurse assess for risk for pelvic inflammatory disease?
,a. A 30 year old with endometriosis
b. A 40 year old with leiomyoma
c. A 50 year old perimenopause
d. A 20 year old with gonorrhea
d. A 20 year old with gonorrhea
The nurse is teaching a group of adults at a health fair about healthy life
style choices. Which information is most important for the nurse to
emphasize?
a. Completely stop the use of cigarette and tobacco products
b. Eat a diet high in fruits vegetables and whole grains
c. Avoid the midday sun and use sunscreen
d. Perform monthly self examination of breasts and testes
a. Completely stop the use of cigarette and tobacco
The school nurse who is reviewing immunization records of students who
will start kindergarten within the next month notes that most of the
students have only received one does of the measles mumps rubella
vaccine. Which intervention should the nurse implement?
a. Note in the student records that the second dose of the mmr vaccine
should be administered prior to entering first grade
b. Send notices home with the children on the first day of class advising
that mmr vaccine series must be completed
c. Contact kindergarten parents to remind them that the second dose of
mmr is due at eh start of the school year
d. Speak at the next parent teacher association meeting to teach parents
the benefits of immunizing their childre
b. Send notices home with the children on the first day of class advising that mmr
vaccine series must be completed
A middle aged male client presents for his annual health visit at a
community clinic. He is 5 ft 10 in tall weighs 250 pounds, and works as an
accountant. He smokes at least one pack of cigarettes every day for the
last 15 years. Which secondary prevention measure should the nurse
recommend the client to follow?
a. Compliance with antihypertensive and lipid lowering agents.
b. Increase physical activity and diet low in saturated fat
c. Smoking cessation
d. Blood pressure and lipid screening
, D450 EXAM STUDY GUIDE
Community-Based Nursing
nurses acute on illness care for families throughout their life span
aim: manage acute and chronic conditions
Philosophy of nursing care. most likely to give direct care but is outside the walls
of the hospital
Community-orientated nursing
Focus: on community or populations
-care of individuals, families, and groups in mind
-goal: preserve, protect, maintain health, provide healthcare to promote wellness
of life.
-Broad focus
table 1-1
example: think of immunizations, based is in a clinic getting a flu vax, oriented
will have a drive through flu vax opportunity
Population focused nursing
-Focuses on the entire population
-Is based on assessment of the population's health status to find a problem
-Considers the broad determinants of health
-Emphasizes all levels of prevention
-Intervenes with communities, systems, individuals, and families
example: Headstart, the problem was early education lacked for low income
families
What is public health?
Scientific discipline which includes epidemiology, statistics, assessment
considering the behavioral cultural, environmental factors for policy development
and program planning
Mission: Generate and organize community effort to address public interest
in health by applying scientific and technical knowledge to prevent disease
and promote health
, POPULATION FOCUSED RATHER THEN INDIVIDUAL PATIENT
What does public health effect?
Health is influenced by:
-50% of premature death is due to LIFESTYLE
-20% to human biology
-20% environment
-10% inadequacies in health care
Life expectancy changes
-Sanitization, hand hygiene, tobacco use, prevention of communicable diseases
Prevention of early death
-70% is related to health promotion and disease prevention
National Health Care Expenditures
-only spend 3% of budget on prevention
Benefit vs Cost of Prevention
-prevention could increase cost by increasing lifespan (older cost more money)
What is the primary goal of public health?
prevention of disease and disability
What are the goals of public health nursing?
1. Promotion of health
2. prevention of disease and disability for all
3. Achieved in conditions in which people can remain healthy
What is the process of public health nursing?
1. Assess need of a population
2. Developing a plan and interventions
3. implement
4. evaluate
5. use results to take further action
Community
Community Health
OA EXAM PREP
(400+ PRACTICE QS)
Actual Questions with Verified Answers
Take and pass the OA :)
What You Will Get:
➢400+ OA Practice Questions w/ Answers
➢Expert Rationales included.
➢EXAM Study Guide
, WGU D450 Community Health
Preview Pages Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any study resources,
feel free to Message me."
Digital Preview Sample
,Table of Contents
D450 OA PRACTICE SET 1 .............................................. 2
D450 OA PRACTICE SET 2 ............................................ 65
D450 OA PRACTICE SET 3 .......................................... 104
D450 EXAM STUDY GUIDE ........................................ 160
D450 OA PRACTICE SET 1
Question 1: A nurse in a clinic that provides direct care services to clients
with tuberculosis would be classified as practicing:
• a. community-based nursing.
• b. community-oriented nursing.
• c. institutional nursing.
• d. public health nursing.
Correct Answer: a. community-based nursing.
Rationale: The nurse practicing as a community-based nurse is more likely
to give direct care to people than are nurses who practice from a
community-oriented perspective.
,Question 2: Jennifer is a nurse in a family medicine clinic. Today she is
assessing Jose, a 4-year-old who is being seen for an earache. The type of
nursing Jennifer practices is:
• a. community-oriented nursing.
• b. community-based nursing.
• c. public health nursing.
• d. tertiary health nursing.
Correct Answer: b. community-based nursing.
Rationale: In community-based nursing, the nurse focuses on 'illness care'
of individuals and families across the lifespan.
Question 3: A school nurse teaches three middle school students with
asthma conditions techniques to minimize their incidence of bronchial
spasms. This is an application of:
• a. community-based nursing.
• b. community-oriented nursing.
• c. institutional nursing.
• d. public health nursing.
Correct Answer: a. community-based nursing.
Rationale: The goal of community-based nursing (CBN) is to manage acute
or chronic conditions while promoting self-care among individuals and
families.
Question 4: The public health nurse deals with the examination of a
community setting to determine the community's health status. Which of
the following activities should be considered in the assessment phase?
(Select all that apply)
, D450 OA PRACTICE SET 2
A client presents at a community-based clinic with complaints of shortness
of breath, headache, dizziness, and nausea. During the assessment, the
nurse learns that the client is a migrant worker who often uses a gasoline-
powered pressure washer to clean equipment and farm buildings. Which
type of poisoning is the most likely etiology of this client's symptoms?
a. asbestos
b. silica dust
c. histoplasmosis
d. carbon monoxide
d. carbon monoxide
The nurse is conducting a process evaluation of a prevention education
program for older adults who are risk for substance abuse. Which data
source provides the information the nurse needs to conduct this process
evaluation?
a. client's score on an alcohol screening instrument
b. results of a urine drug and alcohol screen
c. most recent community census data
d. documentation of client education in the nursing record
d. documentation of client education in the nursing record
A 17-year old unmarried, pregnant client with drug addiction is a high
school dropout, homeless, and has a history of past abuse arrives at the
clinic for her first prenatal visit. Which findings should the nurse document
as health risk factors for the client? (Select all that apply)
a. age
b. school dropout
c. drug addiction
d. history of abuse
e. pregnancy
f. homelessness
g. unmarried
a. age
c. drug addiction
,d. history of abuse
e. pregnancy
f. homelessness
The nurse is designing a community health project based on a report
provided by the World Health Organization that describes healthcare
problems in the United States. Which healthcare issue should the nurse
give the highest priority when planning the project?
a. overuse of diagnostic technology
b. government-based health insurance
c. the neonatal and infant mortality rates
d. number of people without access to healthcare
d. number of people without access to healthcare
The nurse working in a community health clinic that serves recent Somali
immigrants notes that most mothers refuse to give permission for routine
immunizations of their preschoolers. Which individual is likely to have the
most influential on these women's perceptions about their children's
healthcare needs?
a. husbands
b. clinic healthcare provider
c. older females
d. tribal chief
d. tribal chief
The community health nurse is planning a series of educational courses
about the healthcare system and meeting healthcare needs for the
community center. Which adjunct issue should the nurse address for a
group of older adults.
a. peer concerns
b. adult daycare
c. retirement issues
d. vocational concerns
c. retirement issues
A female adult walks into a local community health clinic and tells the
nurse that she is homeless and cannot seem to find help. Which statement
indicates to the nurse that a client is feeling separated from society and
, D450 OA PRACTICE SET 3
The community health nurses is counseling a group of 14 year olds about
safe sexual practices. Which health teaching strategy would be most
effective for the nurse to use with this age group?
a. Encourage group members to describe personal experiences in
practicing safe sex
b. Provide the group with statistical data about behaviors leading to
venereal diseases
C. Tell the group that for aids prevention abstinence is the best safe sex
practice
D. Role play situations in which the adolescent is rewarded for practicing
safe sex
D. Role play situations in which the adolescent is rewarded for practicing safe
sex
A young adult man goes to an emergency treatment area after finishing a
marathon run. He is weak dizzy and remains thirsty after drinking a pint of
a flavored sports drink. What action should the nurse implement first?
a. Instruct the runner that a urine sample is needed
b. Send for the automatic external defibrillator
c. Determine if there are friends or family nearby
d.Give the runner another pint of fluids to drink
d. Give the runner another pint of fluids to drink
An older adult male who fractured his right hip is discharged to home one
week following an arthroplasty. Which adjustment to the clients home
environment is most important for the home health nurse to implement?
a. Lower the temperature on the clients water heater
b. Encourage the client to wear rubber soled shoes
c. Ensure that an elevated toilet seat is installed
d.Leave motion activated light in the living room
c. Ensure that an elevated toilet seat is installed
The nurse is caring for four clients in a women's health clinic. Which client
should the nurse assess for risk for pelvic inflammatory disease?
,a. A 30 year old with endometriosis
b. A 40 year old with leiomyoma
c. A 50 year old perimenopause
d. A 20 year old with gonorrhea
d. A 20 year old with gonorrhea
The nurse is teaching a group of adults at a health fair about healthy life
style choices. Which information is most important for the nurse to
emphasize?
a. Completely stop the use of cigarette and tobacco products
b. Eat a diet high in fruits vegetables and whole grains
c. Avoid the midday sun and use sunscreen
d. Perform monthly self examination of breasts and testes
a. Completely stop the use of cigarette and tobacco
The school nurse who is reviewing immunization records of students who
will start kindergarten within the next month notes that most of the
students have only received one does of the measles mumps rubella
vaccine. Which intervention should the nurse implement?
a. Note in the student records that the second dose of the mmr vaccine
should be administered prior to entering first grade
b. Send notices home with the children on the first day of class advising
that mmr vaccine series must be completed
c. Contact kindergarten parents to remind them that the second dose of
mmr is due at eh start of the school year
d. Speak at the next parent teacher association meeting to teach parents
the benefits of immunizing their childre
b. Send notices home with the children on the first day of class advising that mmr
vaccine series must be completed
A middle aged male client presents for his annual health visit at a
community clinic. He is 5 ft 10 in tall weighs 250 pounds, and works as an
accountant. He smokes at least one pack of cigarettes every day for the
last 15 years. Which secondary prevention measure should the nurse
recommend the client to follow?
a. Compliance with antihypertensive and lipid lowering agents.
b. Increase physical activity and diet low in saturated fat
c. Smoking cessation
d. Blood pressure and lipid screening
, D450 EXAM STUDY GUIDE
Community-Based Nursing
nurses acute on illness care for families throughout their life span
aim: manage acute and chronic conditions
Philosophy of nursing care. most likely to give direct care but is outside the walls
of the hospital
Community-orientated nursing
Focus: on community or populations
-care of individuals, families, and groups in mind
-goal: preserve, protect, maintain health, provide healthcare to promote wellness
of life.
-Broad focus
table 1-1
example: think of immunizations, based is in a clinic getting a flu vax, oriented
will have a drive through flu vax opportunity
Population focused nursing
-Focuses on the entire population
-Is based on assessment of the population's health status to find a problem
-Considers the broad determinants of health
-Emphasizes all levels of prevention
-Intervenes with communities, systems, individuals, and families
example: Headstart, the problem was early education lacked for low income
families
What is public health?
Scientific discipline which includes epidemiology, statistics, assessment
considering the behavioral cultural, environmental factors for policy development
and program planning
Mission: Generate and organize community effort to address public interest
in health by applying scientific and technical knowledge to prevent disease
and promote health
, POPULATION FOCUSED RATHER THEN INDIVIDUAL PATIENT
What does public health effect?
Health is influenced by:
-50% of premature death is due to LIFESTYLE
-20% to human biology
-20% environment
-10% inadequacies in health care
Life expectancy changes
-Sanitization, hand hygiene, tobacco use, prevention of communicable diseases
Prevention of early death
-70% is related to health promotion and disease prevention
National Health Care Expenditures
-only spend 3% of budget on prevention
Benefit vs Cost of Prevention
-prevention could increase cost by increasing lifespan (older cost more money)
What is the primary goal of public health?
prevention of disease and disability
What are the goals of public health nursing?
1. Promotion of health
2. prevention of disease and disability for all
3. Achieved in conditions in which people can remain healthy
What is the process of public health nursing?
1. Assess need of a population
2. Developing a plan and interventions
3. implement
4. evaluate
5. use results to take further action
Community
