NSG 3480 PRACTICE COMMUNITY HEALTH EXAM 3 (PDF) |
2026 EXAM QUESTIONS AND ANSWERS + RATIONALES |
STUDY GUIDE | 100% CORRECT
1. A nurse arrives at a home at the appointment time established with the client over the phone.
However, no one answers the door. Finally, a teenager comes out and says, "My mom said she
couldn't see you and you should go away." Which action should the nurse take?
A) Demand the teen let the nurse into the home to talk to the mother
B) Interview the child as to how the family is doing
C) Leave a card with information on how to get in touch with the nurse
D) Point out that legally once an appointment has been made the mother needs to be seen
Correct Answer: C) Leave a card with information on how to get in touch with the nurse
Rationale: The contact may be terminated as requested if the nurse determines that services have
been obtained from another source . The nurse should leave open the possibility of future contact
but cannot force entrance into the home or coerce a child with misinformation .
2. A home health nurse is preparing to terminate the first home visit with teenage parents and
their new baby. Which action will the nurse take before leaving?
A) Determine the family's willingness for another home visit
B) Establish the purpose of the visit
C) Review the family's learning and other accomplishments of the visit
D) Review the family record and reason for referral
Correct Answer: C) Review the family's learning and other accomplishments of the visit
Rationale: During the termination phase, the nurse reviews the visit with the family, summarizes
what has occurred and what has been accomplished, and may make plans for future visits . The
incorrect options occur during the previsit phase .
,3. A nurse notes that the community has an unusually high prevalence of sexually transmitted
infections among teens. Which best describes a secondary prevention action the nurse could
take?
A) Conducting a sexual behavior survey with the adolescents
B) Establishing in-school education related to transmission of sexual infections
C) Providing free condoms at schools and universities
D) Providing follow-up educational programs for those diagnosed with an STI
Correct Answer: A) Conducting a sexual behavior survey with the adolescents
Rationale: Secondary prevention includes screening for risky behavior . Education and
distribution of condoms are primary prevention measures, and follow-up education for those
diagnosed is tertiary prevention .
4. A family asks the nurse to please meet at their home rather than at the clinic. Which reasons
explain why the family prefers to meet in their home? Select all that apply.
A) The family won't have to travel
B) It is cheaper for the family because of reimbursement requirements
C) Meeting at home is much more convenient for the family
D) The nurse won't be distracted by other clients or responsibilities
E) It would save money for the nurse and the clinic
Correct Answer: A) The family won't have to travel; C) Meeting at home is much more
convenient for the family
Rationale: Advantages of a home visit include client convenience and client control, as well as
the fact that it facilitates clients who are unable to travel; it allows more individualized services;
and it provides a natural relaxed environment for discussion . Home visits are expensive for the
nurse and employer .
5. Which factors may help determine how many home visits are made to a particular family?
Select all that apply.
,A) Agency's policies regarding eligibility for services
B) Family's feelings about the home visit and willingness to continue
C) Nurse's perception of the amount of time needed to complete required tasks
D) Reimbursement policies of third-party payers
E) Family's perception of need
Correct Answer: A) Agency's policies regarding eligibility for services; B) Family's feelings
about the home visit and willingness to continue; D) Reimbursement policies of third-party
payers
Rationale: The frequency and intensity of home visits vary with the needs of the family and also
with the eligibility for services as defined by agency policies and reimbursement policies . The
nurse cannot make visits unless the agency is being reimbursed .
6. A family is not able to cope with an event and becomes disorganized and dysfunctional.
Which term best describes this situation?
A) Contracting
B) Family crisis
C) Empowerment
D) Health risk reduction
Correct Answer: B) Family crisis
Rationale: A family crisis occurs when the family is not able to cope with an event and becomes
disorganized or dysfunctional . Contracting is making an agreement in a shared effort.
Empowerment reflects a family seeking help with access and control over needed resources .
7. A nurse wants to empower the family of a mother who has been newly diagnosed with breast
cancer. Which action would the nurse most likely take?
A) Apply for emergency financial assistance on the family's behalf
B) Arrange for community members to assist with child care
, C) Invite the mother to join a cancer support group
D) Teach the family how to navigate the health care system
Correct Answer: D) Teach the family how to navigate the health care system
Rationale: Definitions of empowerment reflect three characteristics of the empowered family
seeking help: access and control over needed resources, decision-making and problem-solving
abilities, and the ability to communicate and to obtain needed resources . Approaches should
focus on empowering, rather than giving direct help .
8. A school nurse wants to decrease the rate of obesity among children. Which action would be
most effective?
A) Lobby legislators to enact stronger legislation regarding school lunches and snack machines
in schools
B) Increase nutrition programs in schools that teach children to make healthy food choices
C) Involve the entire family in the planning and managing of nutrition, especially when a child in
the family is obese
D) Provide after-school and summer camps that focus on diet and exercise
Correct Answer: C) Involve the entire family in the planning and managing of nutrition,
especially when a child in the family is obese
Rationale: Interventions need to be based on goals of lifestyle changes for the entire family . The
goal is to modify the way the family eats, exercises, and plans daily activities. Changes at the
community level may not impact what is happening within the family .
9. A nurse wants to establish a program to decrease the death rate among adolescents. Which
program should be developed?
A) Antialcohol program
B) Antismoking program
C) Careful driving program
D) Antiviolence program
2026 EXAM QUESTIONS AND ANSWERS + RATIONALES |
STUDY GUIDE | 100% CORRECT
1. A nurse arrives at a home at the appointment time established with the client over the phone.
However, no one answers the door. Finally, a teenager comes out and says, "My mom said she
couldn't see you and you should go away." Which action should the nurse take?
A) Demand the teen let the nurse into the home to talk to the mother
B) Interview the child as to how the family is doing
C) Leave a card with information on how to get in touch with the nurse
D) Point out that legally once an appointment has been made the mother needs to be seen
Correct Answer: C) Leave a card with information on how to get in touch with the nurse
Rationale: The contact may be terminated as requested if the nurse determines that services have
been obtained from another source . The nurse should leave open the possibility of future contact
but cannot force entrance into the home or coerce a child with misinformation .
2. A home health nurse is preparing to terminate the first home visit with teenage parents and
their new baby. Which action will the nurse take before leaving?
A) Determine the family's willingness for another home visit
B) Establish the purpose of the visit
C) Review the family's learning and other accomplishments of the visit
D) Review the family record and reason for referral
Correct Answer: C) Review the family's learning and other accomplishments of the visit
Rationale: During the termination phase, the nurse reviews the visit with the family, summarizes
what has occurred and what has been accomplished, and may make plans for future visits . The
incorrect options occur during the previsit phase .
,3. A nurse notes that the community has an unusually high prevalence of sexually transmitted
infections among teens. Which best describes a secondary prevention action the nurse could
take?
A) Conducting a sexual behavior survey with the adolescents
B) Establishing in-school education related to transmission of sexual infections
C) Providing free condoms at schools and universities
D) Providing follow-up educational programs for those diagnosed with an STI
Correct Answer: A) Conducting a sexual behavior survey with the adolescents
Rationale: Secondary prevention includes screening for risky behavior . Education and
distribution of condoms are primary prevention measures, and follow-up education for those
diagnosed is tertiary prevention .
4. A family asks the nurse to please meet at their home rather than at the clinic. Which reasons
explain why the family prefers to meet in their home? Select all that apply.
A) The family won't have to travel
B) It is cheaper for the family because of reimbursement requirements
C) Meeting at home is much more convenient for the family
D) The nurse won't be distracted by other clients or responsibilities
E) It would save money for the nurse and the clinic
Correct Answer: A) The family won't have to travel; C) Meeting at home is much more
convenient for the family
Rationale: Advantages of a home visit include client convenience and client control, as well as
the fact that it facilitates clients who are unable to travel; it allows more individualized services;
and it provides a natural relaxed environment for discussion . Home visits are expensive for the
nurse and employer .
5. Which factors may help determine how many home visits are made to a particular family?
Select all that apply.
,A) Agency's policies regarding eligibility for services
B) Family's feelings about the home visit and willingness to continue
C) Nurse's perception of the amount of time needed to complete required tasks
D) Reimbursement policies of third-party payers
E) Family's perception of need
Correct Answer: A) Agency's policies regarding eligibility for services; B) Family's feelings
about the home visit and willingness to continue; D) Reimbursement policies of third-party
payers
Rationale: The frequency and intensity of home visits vary with the needs of the family and also
with the eligibility for services as defined by agency policies and reimbursement policies . The
nurse cannot make visits unless the agency is being reimbursed .
6. A family is not able to cope with an event and becomes disorganized and dysfunctional.
Which term best describes this situation?
A) Contracting
B) Family crisis
C) Empowerment
D) Health risk reduction
Correct Answer: B) Family crisis
Rationale: A family crisis occurs when the family is not able to cope with an event and becomes
disorganized or dysfunctional . Contracting is making an agreement in a shared effort.
Empowerment reflects a family seeking help with access and control over needed resources .
7. A nurse wants to empower the family of a mother who has been newly diagnosed with breast
cancer. Which action would the nurse most likely take?
A) Apply for emergency financial assistance on the family's behalf
B) Arrange for community members to assist with child care
, C) Invite the mother to join a cancer support group
D) Teach the family how to navigate the health care system
Correct Answer: D) Teach the family how to navigate the health care system
Rationale: Definitions of empowerment reflect three characteristics of the empowered family
seeking help: access and control over needed resources, decision-making and problem-solving
abilities, and the ability to communicate and to obtain needed resources . Approaches should
focus on empowering, rather than giving direct help .
8. A school nurse wants to decrease the rate of obesity among children. Which action would be
most effective?
A) Lobby legislators to enact stronger legislation regarding school lunches and snack machines
in schools
B) Increase nutrition programs in schools that teach children to make healthy food choices
C) Involve the entire family in the planning and managing of nutrition, especially when a child in
the family is obese
D) Provide after-school and summer camps that focus on diet and exercise
Correct Answer: C) Involve the entire family in the planning and managing of nutrition,
especially when a child in the family is obese
Rationale: Interventions need to be based on goals of lifestyle changes for the entire family . The
goal is to modify the way the family eats, exercises, and plans daily activities. Changes at the
community level may not impact what is happening within the family .
9. A nurse wants to establish a program to decrease the death rate among adolescents. Which
program should be developed?
A) Antialcohol program
B) Antismoking program
C) Careful driving program
D) Antiviolence program
