NSG 3480 PRACTICE COMMUNITY HEALTH EXAM 4 (PDF) |
2026 EXAM QUESTIONS AND ANSWERS + RATIONALES |
STUDY GUIDE | 100% CORRECT
1. The community health nurse is teaching a family about disaster preparedness. Which
instruction is most appropriate regarding a family emergency plan?
A) Store enough food and water for 24 hours
B) Identify a single meeting place inside the home
C) Establish an out-of-state contact person all family members can call
D) Plan to rely on emergency shelters for all supplies
Correct Answer: C) Establish an out-of-state contact person all family members can call
Rationale: Local phone lines are often overwhelmed during disasters; an out-of-state contact
serves as a communication hub . Families should store at least a 3-day (72-hour) supply of food
and water, need two meeting places (one near home and one outside the neighborhood), and
shelters may have limited supplies .
2. A nurse is planning a staff development conference about disaster preparedness. Which
information about the role of the emergency support functions should the nurse include?
A) They take over federal authority during disasters
B) They group resources and capabilities into functional areas most frequently needed in a
national response
C) They only apply to natural disasters
D) They replace local emergency management agencies
Correct Answer: B) They group resources and capabilities into functional areas most frequently
needed in a national response
Rationale: Emergency Support Functions (ESFs) under the National Response Framework
organize capabilities (transportation, communications, mass care, etc.) into functional areas .
They support, not replace, federal authority structures, apply to all hazards, and supplement local
agencies .
,3. The nurse is caring for a client who witnessed a disaster involving a large number of injuries.
The client appears upset but states they are capable of dealing with their emotions. Which action
should the nurse take first?
A) Allow the client to talk in private until the client can get through the initial crisis
B) Discourage the client to take a leave of absence from their job to facilitate emotional healing
C) Encourage the client to return to normal social roles as soon as they feel ready
D) Initiate a referral to social work as an opt-best work right away for medical services
Correct Answer: C) Encourage the client to return to normal social roles as soon as they feel
ready
Rationale: Resuming normal roles and routines promotes resilience and recovery after disaster
exposure . Isolation can reinforce distress, and discouraging needed time off is inappropriate.
Since the client is coping adequately, immediate referral is not warranted at this stage .
4. The community health nurse manager is explaining the similarities and differences between
emergencies and disasters to a new nurse. Which statement is appropriate for the nurse manager
to include?
A) An emergency may be beyond the ability for a community to respond, whereas a disaster is
not
B) Both emergencies and disasters are failures resulting in extensive insurance claims in the
community
C) Both emergencies and disasters are devastating to everyone in the community
D) An emergency is personal, whereas a disaster is community-wide
Correct Answer: D) An emergency is personal, whereas a disaster is community-wide
Rationale: An emergency is personal, whereas a disaster is community-wide . A disaster exceeds
community capacity; an emergency does not. Insurance claims do not define either term, and
emergencies typically affect individuals, not everyone in the community .
,5. In the Community Readiness Model, which stage indicates that the community is actively
working to address a health issue?
A) Denial
B) Vague Awareness
C) Pre-planning
D) Action
Correct Answer: D) Action
Rationale: The Community Readiness Model includes stages from denial to action. The "Action"
stage indicates that the community is actively working to address the issue through specific
efforts . Pre-planning involves discussions without action, and vague awareness indicates limited
understanding .
6. Which of the following best describes the primary focus of community health nursing?
A) Treating acute illnesses in hospitalized patients
B) Providing direct care to individuals in their homes
C) Promoting health and preventing disease at the population level
D) Managing chronic diseases in long-term care facilities
Correct Answer: C) Promoting health and preventing disease at the population level
Rationale: Community health nursing focuses on population health, with an emphasis on health
promotion, disease prevention, and addressing determinants of health for entire communities .
While it includes individual and family care, the core focus is on the aggregate/population .
7. Which of the following is the core function of public health that involves the systematic
collection and analysis of data to identify health problems and assets within a community?
A) Assurance
B) Policy Development
C) Assessment
, D) Evaluation
Correct Answer: C) Assessment
Rationale: Assessment is the first core public health function. It includes activities like
surveillance, data analysis, and identifying community needs . Assurance focuses on ensuring
services are available, and Policy Development involves creating laws and regulations .
8. The "upstream" approach in public health focuses on:
A) Treating individuals after they become ill
B) Addressing the root causes and social determinants of health
C) Providing home health care to chronically ill patients
D) Immunizing children against vaccine-preventable diseases
Correct Answer: B) Addressing the root causes and social determinants of health
Rationale: The upstream approach addresses the fundamental social, economic, and
environmental determinants of health (e.g., poverty, education, housing) rather than waiting to
treat disease after it occurs . It is a proactive, population-level strategy .
9. Which of the following best describes a "population" in community health nursing?
A) A group of individuals living in the same geographical area
B) A collection of individuals who share one or more personal or environmental characteristics
C) Patients receiving care in a hospital setting
D) Individuals with the same health insurance
Correct Answer: B) A collection of individuals who share one or more personal or environmental
characteristics
2026 EXAM QUESTIONS AND ANSWERS + RATIONALES |
STUDY GUIDE | 100% CORRECT
1. The community health nurse is teaching a family about disaster preparedness. Which
instruction is most appropriate regarding a family emergency plan?
A) Store enough food and water for 24 hours
B) Identify a single meeting place inside the home
C) Establish an out-of-state contact person all family members can call
D) Plan to rely on emergency shelters for all supplies
Correct Answer: C) Establish an out-of-state contact person all family members can call
Rationale: Local phone lines are often overwhelmed during disasters; an out-of-state contact
serves as a communication hub . Families should store at least a 3-day (72-hour) supply of food
and water, need two meeting places (one near home and one outside the neighborhood), and
shelters may have limited supplies .
2. A nurse is planning a staff development conference about disaster preparedness. Which
information about the role of the emergency support functions should the nurse include?
A) They take over federal authority during disasters
B) They group resources and capabilities into functional areas most frequently needed in a
national response
C) They only apply to natural disasters
D) They replace local emergency management agencies
Correct Answer: B) They group resources and capabilities into functional areas most frequently
needed in a national response
Rationale: Emergency Support Functions (ESFs) under the National Response Framework
organize capabilities (transportation, communications, mass care, etc.) into functional areas .
They support, not replace, federal authority structures, apply to all hazards, and supplement local
agencies .
,3. The nurse is caring for a client who witnessed a disaster involving a large number of injuries.
The client appears upset but states they are capable of dealing with their emotions. Which action
should the nurse take first?
A) Allow the client to talk in private until the client can get through the initial crisis
B) Discourage the client to take a leave of absence from their job to facilitate emotional healing
C) Encourage the client to return to normal social roles as soon as they feel ready
D) Initiate a referral to social work as an opt-best work right away for medical services
Correct Answer: C) Encourage the client to return to normal social roles as soon as they feel
ready
Rationale: Resuming normal roles and routines promotes resilience and recovery after disaster
exposure . Isolation can reinforce distress, and discouraging needed time off is inappropriate.
Since the client is coping adequately, immediate referral is not warranted at this stage .
4. The community health nurse manager is explaining the similarities and differences between
emergencies and disasters to a new nurse. Which statement is appropriate for the nurse manager
to include?
A) An emergency may be beyond the ability for a community to respond, whereas a disaster is
not
B) Both emergencies and disasters are failures resulting in extensive insurance claims in the
community
C) Both emergencies and disasters are devastating to everyone in the community
D) An emergency is personal, whereas a disaster is community-wide
Correct Answer: D) An emergency is personal, whereas a disaster is community-wide
Rationale: An emergency is personal, whereas a disaster is community-wide . A disaster exceeds
community capacity; an emergency does not. Insurance claims do not define either term, and
emergencies typically affect individuals, not everyone in the community .
,5. In the Community Readiness Model, which stage indicates that the community is actively
working to address a health issue?
A) Denial
B) Vague Awareness
C) Pre-planning
D) Action
Correct Answer: D) Action
Rationale: The Community Readiness Model includes stages from denial to action. The "Action"
stage indicates that the community is actively working to address the issue through specific
efforts . Pre-planning involves discussions without action, and vague awareness indicates limited
understanding .
6. Which of the following best describes the primary focus of community health nursing?
A) Treating acute illnesses in hospitalized patients
B) Providing direct care to individuals in their homes
C) Promoting health and preventing disease at the population level
D) Managing chronic diseases in long-term care facilities
Correct Answer: C) Promoting health and preventing disease at the population level
Rationale: Community health nursing focuses on population health, with an emphasis on health
promotion, disease prevention, and addressing determinants of health for entire communities .
While it includes individual and family care, the core focus is on the aggregate/population .
7. Which of the following is the core function of public health that involves the systematic
collection and analysis of data to identify health problems and assets within a community?
A) Assurance
B) Policy Development
C) Assessment
, D) Evaluation
Correct Answer: C) Assessment
Rationale: Assessment is the first core public health function. It includes activities like
surveillance, data analysis, and identifying community needs . Assurance focuses on ensuring
services are available, and Policy Development involves creating laws and regulations .
8. The "upstream" approach in public health focuses on:
A) Treating individuals after they become ill
B) Addressing the root causes and social determinants of health
C) Providing home health care to chronically ill patients
D) Immunizing children against vaccine-preventable diseases
Correct Answer: B) Addressing the root causes and social determinants of health
Rationale: The upstream approach addresses the fundamental social, economic, and
environmental determinants of health (e.g., poverty, education, housing) rather than waiting to
treat disease after it occurs . It is a proactive, population-level strategy .
9. Which of the following best describes a "population" in community health nursing?
A) A group of individuals living in the same geographical area
B) A collection of individuals who share one or more personal or environmental characteristics
C) Patients receiving care in a hospital setting
D) Individuals with the same health insurance
Correct Answer: B) A collection of individuals who share one or more personal or environmental
characteristics
