NUR 426 EXAM 4 STUDY GUIDE | NUR 426 EXAM 4 PRACTICE QUESTIONS &
ANSWERS | COMPREHENSIVE COMMUNITY HEALTH NURSING REVIEW
2026/2027
When providing care within the context of primary health care, the most important person is/are:
1.
The individual/family
2.
The population
3.
The primary-care physician
4.
The medical specialist - correct answer ✔✔The individual/ Family
A nurse is looking to reduce the number of adolescents in her community that are using tobacco. The
nurse implements a community-wide program to raise awareness about the dangers of nicotine use and
creates a support group specifically aimed at teens looking to quit smoking. This is an example of:
1.
Health protection.
2.
Health promotion.
3.
Risk reduction.
4.
Tertiary prevention. - correct answer ✔✔Health Promotion
The nurse at a community-based primary care organization is educating newly hired nurses about the
process used at the clinic for developing public health programs aimed at benefiting community
members whether they attend the clinic or not. The nurse explains that even though the primary care
offered at the clinic focuses on caring for an individual, the health promotion activities that they are
developing for the community are focused on:
1.
The family.
2.
The health-care provider.
3.
The health-care organization.
4.
The population. - correct answer ✔✔The population
A young woman presents to her primary care provider. Her mother has just been diagnosed with
Huntington's disease, and several other members of her family have been diagnosed with the condition
as well. She wants to know her options regarding testing to see if she is a genetic carrier. From an ethical
perspective, what issue would be most important to discuss with the patient?
1.
,The cost of Huntington's disease screening
2.
Whether the test is available at the local lab
3.
What will happen when her insurance finds out the results
4.
The fact that there is no known treatment that can alter the progression of the disease - correct answer
✔✔The fact there there is no known treatment that can alter the progression of the disease.
A nurse is working with a community center that primarily serves a nearby Native American tribe. The
nurse knows that many of the tribe members suffer from type 2 diabetes. which of the following
interventions is an example of tertiary prevention?
1.
Teaching school-aged children healthy exercise.
2.
Conducting a blood glucose screening for program for the adults in the community.
3.
Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye, and hemoglobin A1C
screening tests every 3 months.
4.
Publishing a culturally grounded guide about preventing diabetes using input from the tribal leaders and
distributing it to all persons who come to the clinic. - correct answer ✔✔Actively encouraging patients
diagnosed with type 2 diabetes to have foot, eye, and hemoglobin A1C screening tests every 3 months.
A nurse is speaking with her accountant about opening a free clinic as a 501(c)(3) organization. The
accountant advises the nurse:
1.
To charge patients his or her regular fees.
2.
To waive her professional fees but charge for testing and more advanced care.
3.
To charge a nominal fee if the patient can afford to pay but provide services regardless.
4.
To charge a small fee, usually around 25% of the service value. - correct answer ✔✔To charge a nominal
fee if the patient can afford to pay but provide services regardless.
The public health department (PHD) is concerned about an outbreak of measles that has occurred in a
country adjacent to theirs. Although there are currently no reported cases, as one of their actions the
PHD reaches out to all the primary care providers to encourage all of their unvaccinated patients to get
vaccinated and to encourage the parents of unvaccinated children to get their vaccinations up to date.
Such a public health initiative is an example of:
1.
A secondary prevention approach related to screening.
2.
A primary prevention approach focused on health protection.
3.
A primary prevention approach focused on health promotion.
4.
,A primary prevention approach focused on screening. - correct answer ✔✔Primary prevention approach
focused on health protection.
A nurse working in an inner-city community health clinic is concerned that her patient education efforts
related to achieving a healthy lifestyle are not resulting in any substantial changes in her patients. When
she discussed this with one mother whose children are struggling with obesity, the mother explained
that she is unable to find fresh fruits and vegetables in their neighborhood and resorts to the use of fast
food. This information makes the nurse wonder if this is true for other families. What should she do
next?
1.
Ask families she sees to keep a food journal to see what food substitutions could be made.
2.
Perform a problem- or health-issue-based assessment beginning with an assessment of sources of
healthy foods such as supermarkets and farmers markets available in the community.
3.
Arrange for free bussing from the community center to the closest supermarket.
4.
Refer them to the local supplemental nutri - correct answer ✔✔Perform a problem or health issue based
assessment beginning with an assessment of sources of healthy foods such as supermarkets and farmers
markets available in the community.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for use in high-risk
populations. which population is most apt to be high-risk?
1.
Pregnant women
2.
Older adults
3.
Children
4.
All of the above - correct answer ✔✔Pregnant women, older adults, and children
A nurse has worked at a community health center for many years. Over the last several months, the
nurse has noticed a significant decline in community members using the resources available at the clinic.
What is the first thing the nurse should do?
1.
Begin offering day care services and free transportation to the clinic to make it more convenient.
2.
Reach out to former patients to determine why they are no longer returning to the clinic.
3.
Perform a community assessment.
4.
Begin offering a new patient reduced fee rate. - correct answer ✔✔Reach out to former patients to
determine why they are no longer returning to the clinic.
A nurse is meeting with a patient with no history of IV drug use after he has spoken with the doctor and
received a diagnosis of hepatitis B and E/ The patient expresses concern that someone will find out
, about his diagnosis. How does the nurse respond? "I can understand that you are concerned about
this.."
1.
"You do not need to worry because this patient information is protected by HIPAA, and I am not allowed
to provide this information to anyone who is not responsible for your clinical care."
2.
"However, it is your responsibility to inform all of your previous sexual partners."
3.
"However, this is a reportable disease in this state. This means the public health department will ask you
for all your possible contacts that might requiring counseling and/or post-exposure prophylaxis."
4.
None of the above. - correct answer ✔✔However, This is a reportable disease in this state. This means
the public health department will ask you for all your possible contacts that might require counseling
and/or post exposure prophylaxis
A primary Health nurse has observed an increase in the rate of patients being treated for pertussis in her
community. The nurse has seen multiple news reports on the issue and knows that this isn't an isolated
problem. The nurse decides to brainstorm strategies to reduce the pertussis rate in her community. First,
the nurse should:
1.
Consult with local pediatricians about increasing vaccination rates in children.
2.
Begin creating patient education materials to distribute in the waiting room.
3.
Perform a health and cultural evaluation of her community.
4.
Begin offering vaccinations free of charge. - correct answer ✔✔Perform a health and cultural evaluation
of her community.
A primary care nurse works at the Native American Health Center, a nonprofit organization serving the
California Bay Area Native Population. The center has asked her to put together a comprehensive
prevention plan related to type 2 diabetes. Which of the following interventions is an example of primary
intervention?
1.
Regular foot and eye care
2.
Encouraging a healthy diet and weight loss if appropriate
3.
Tight blood sugar control with every meal
4.
Screening blood glucose yearly - correct answer ✔✔Encouraging a health diet and weight loss if
appropriate.
In response to the increase in opioid overdoses within their community, a primary care clinic could
implement which of the following with patients who are experiencing chronic pain?
1.
Screen appropriately.
2.
ANSWERS | COMPREHENSIVE COMMUNITY HEALTH NURSING REVIEW
2026/2027
When providing care within the context of primary health care, the most important person is/are:
1.
The individual/family
2.
The population
3.
The primary-care physician
4.
The medical specialist - correct answer ✔✔The individual/ Family
A nurse is looking to reduce the number of adolescents in her community that are using tobacco. The
nurse implements a community-wide program to raise awareness about the dangers of nicotine use and
creates a support group specifically aimed at teens looking to quit smoking. This is an example of:
1.
Health protection.
2.
Health promotion.
3.
Risk reduction.
4.
Tertiary prevention. - correct answer ✔✔Health Promotion
The nurse at a community-based primary care organization is educating newly hired nurses about the
process used at the clinic for developing public health programs aimed at benefiting community
members whether they attend the clinic or not. The nurse explains that even though the primary care
offered at the clinic focuses on caring for an individual, the health promotion activities that they are
developing for the community are focused on:
1.
The family.
2.
The health-care provider.
3.
The health-care organization.
4.
The population. - correct answer ✔✔The population
A young woman presents to her primary care provider. Her mother has just been diagnosed with
Huntington's disease, and several other members of her family have been diagnosed with the condition
as well. She wants to know her options regarding testing to see if she is a genetic carrier. From an ethical
perspective, what issue would be most important to discuss with the patient?
1.
,The cost of Huntington's disease screening
2.
Whether the test is available at the local lab
3.
What will happen when her insurance finds out the results
4.
The fact that there is no known treatment that can alter the progression of the disease - correct answer
✔✔The fact there there is no known treatment that can alter the progression of the disease.
A nurse is working with a community center that primarily serves a nearby Native American tribe. The
nurse knows that many of the tribe members suffer from type 2 diabetes. which of the following
interventions is an example of tertiary prevention?
1.
Teaching school-aged children healthy exercise.
2.
Conducting a blood glucose screening for program for the adults in the community.
3.
Actively encouraging patients diagnosed with type 2 diabetes to have foot, eye, and hemoglobin A1C
screening tests every 3 months.
4.
Publishing a culturally grounded guide about preventing diabetes using input from the tribal leaders and
distributing it to all persons who come to the clinic. - correct answer ✔✔Actively encouraging patients
diagnosed with type 2 diabetes to have foot, eye, and hemoglobin A1C screening tests every 3 months.
A nurse is speaking with her accountant about opening a free clinic as a 501(c)(3) organization. The
accountant advises the nurse:
1.
To charge patients his or her regular fees.
2.
To waive her professional fees but charge for testing and more advanced care.
3.
To charge a nominal fee if the patient can afford to pay but provide services regardless.
4.
To charge a small fee, usually around 25% of the service value. - correct answer ✔✔To charge a nominal
fee if the patient can afford to pay but provide services regardless.
The public health department (PHD) is concerned about an outbreak of measles that has occurred in a
country adjacent to theirs. Although there are currently no reported cases, as one of their actions the
PHD reaches out to all the primary care providers to encourage all of their unvaccinated patients to get
vaccinated and to encourage the parents of unvaccinated children to get their vaccinations up to date.
Such a public health initiative is an example of:
1.
A secondary prevention approach related to screening.
2.
A primary prevention approach focused on health protection.
3.
A primary prevention approach focused on health promotion.
4.
,A primary prevention approach focused on screening. - correct answer ✔✔Primary prevention approach
focused on health protection.
A nurse working in an inner-city community health clinic is concerned that her patient education efforts
related to achieving a healthy lifestyle are not resulting in any substantial changes in her patients. When
she discussed this with one mother whose children are struggling with obesity, the mother explained
that she is unable to find fresh fruits and vegetables in their neighborhood and resorts to the use of fast
food. This information makes the nurse wonder if this is true for other families. What should she do
next?
1.
Ask families she sees to keep a food journal to see what food substitutions could be made.
2.
Perform a problem- or health-issue-based assessment beginning with an assessment of sources of
healthy foods such as supermarkets and farmers markets available in the community.
3.
Arrange for free bussing from the community center to the closest supermarket.
4.
Refer them to the local supplemental nutri - correct answer ✔✔Perform a problem or health issue based
assessment beginning with an assessment of sources of healthy foods such as supermarkets and farmers
markets available in the community.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for use in high-risk
populations. which population is most apt to be high-risk?
1.
Pregnant women
2.
Older adults
3.
Children
4.
All of the above - correct answer ✔✔Pregnant women, older adults, and children
A nurse has worked at a community health center for many years. Over the last several months, the
nurse has noticed a significant decline in community members using the resources available at the clinic.
What is the first thing the nurse should do?
1.
Begin offering day care services and free transportation to the clinic to make it more convenient.
2.
Reach out to former patients to determine why they are no longer returning to the clinic.
3.
Perform a community assessment.
4.
Begin offering a new patient reduced fee rate. - correct answer ✔✔Reach out to former patients to
determine why they are no longer returning to the clinic.
A nurse is meeting with a patient with no history of IV drug use after he has spoken with the doctor and
received a diagnosis of hepatitis B and E/ The patient expresses concern that someone will find out
, about his diagnosis. How does the nurse respond? "I can understand that you are concerned about
this.."
1.
"You do not need to worry because this patient information is protected by HIPAA, and I am not allowed
to provide this information to anyone who is not responsible for your clinical care."
2.
"However, it is your responsibility to inform all of your previous sexual partners."
3.
"However, this is a reportable disease in this state. This means the public health department will ask you
for all your possible contacts that might requiring counseling and/or post-exposure prophylaxis."
4.
None of the above. - correct answer ✔✔However, This is a reportable disease in this state. This means
the public health department will ask you for all your possible contacts that might require counseling
and/or post exposure prophylaxis
A primary Health nurse has observed an increase in the rate of patients being treated for pertussis in her
community. The nurse has seen multiple news reports on the issue and knows that this isn't an isolated
problem. The nurse decides to brainstorm strategies to reduce the pertussis rate in her community. First,
the nurse should:
1.
Consult with local pediatricians about increasing vaccination rates in children.
2.
Begin creating patient education materials to distribute in the waiting room.
3.
Perform a health and cultural evaluation of her community.
4.
Begin offering vaccinations free of charge. - correct answer ✔✔Perform a health and cultural evaluation
of her community.
A primary care nurse works at the Native American Health Center, a nonprofit organization serving the
California Bay Area Native Population. The center has asked her to put together a comprehensive
prevention plan related to type 2 diabetes. Which of the following interventions is an example of primary
intervention?
1.
Regular foot and eye care
2.
Encouraging a healthy diet and weight loss if appropriate
3.
Tight blood sugar control with every meal
4.
Screening blood glucose yearly - correct answer ✔✔Encouraging a health diet and weight loss if
appropriate.
In response to the increase in opioid overdoses within their community, a primary care clinic could
implement which of the following with patients who are experiencing chronic pain?
1.
Screen appropriately.
2.
