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
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Get the Complete PDF After Purchase
STUDENT PREVIEW
If you require further clarification
or in need of any study resources,
feel free to Message me.
Preview the selected pages below before purchase.
,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)
,• a. Assisting communities to implement and evaluate plans and projects.
• b. Building constituencies to work with the community.
• c. Collecting, analyzing, and disseminating information.
• d. Evaluating the social, economic, and environmental characteristics of
the population.
• e. Questioning the availability of health services to the community.
Correct Answer: c, d, e
Rationale: Collecting, analyzing, and disseminating information; evaluating
social, economic, and environmental characteristics; and questioning
availability of health services are key assessment activities.
Question 5: In a federally funded preschool program such as Head Start,
nursing services that include conducting developmental-level screening for
cognitive and psychomotor development of individual children would most
likely be considered community-oriented nursing care when:
• a. individual results are compared with established standards for
children of the same age group.
• b. program characteristics are assessed for their effectiveness in making
the school population healthier.
• c. referral is provided for a child identified with delayed psychomotor
development.
• d. treatment is initiated for a child with an identified learning disability.
Correct Answer: a. individual results are compared with established
standards for children of the same age group.
Rationale: Within federally funded programs for preschool children, from a
community-oriented nursing care perspective, nursing services could be
provided to individual children by conducting developmental-level screening
tests to evaluate each child's level of cognitive and psychomotor
,development in comparison with established standards for children of the
same age. This is population-focused.
Question 6: Public health nursing is a specialty with a distinct focus and
scope of practice and requires a special knowledge base different from
other specialty areas of nursing. A public health nurse would first be
interested in:
• a. drug treatments for diabetes.
• b. populations with the highest rate of diabetes.
• c. educational materials for individuals with diabetes.
• d. new technology for diabetic care.
Correct Answer: b. populations with the highest rate of diabetes.
Rationale: The primary focus that has differentiated public health nursing
from other specialties has been the emphasis on the population rather than
on individuals or families.
Question 7: A state agency has received multiple complaints regarding the
availability of elder transportation services to a specific county senior
center. The state agency assigns a public health nurse to work with the
community to evaluate its program for elder transportation services to
publicly sponsored elder care programs. The public health core function
applied is:
• a. assurance.
• b. policy development.
• c. primary prevention.
• d. public health nursing.
Correct Answer: a. assurance.
, 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
,helpless?
a. "I'm feeling really isolated from everyone and scared."
b. "I feel like I cannot get enough food to live any longer."
c. "I know that I will always be poor so what's the use of trying?"
d. "People like me are never respected, no matter how well we do."
a. "I'm feeling really isolated from everyone and scared."
A community health nurse is planning to implement an outreach program
for a community group. Which criteria should the nurse clarify about the
program when examining sources for funding?
a. focuses on multiple health problems and concerns
b. identifies populations and individuals in need of healthcare services
c. evaluations variations in health services and health status among
populations
d. offers healthcare services to community members in local factories,
schools, and churches
d. offers healthcare services to community members in local factories, schools,
and churches
The home health nursing director is conducting an educational program for
registered nurses and practice nurses about Medicare reimbursement. To
obtain payment for Medicare services, what must be included in the client's
record?
a. a prescription from the healthcare provider for each visit made
b. documentation of a skilled care service provided during the visit
c. a copy of the client's health history and social security card
d. a record of the preventive healthcare services provided during the visit
b. documentation of a skilled care service provided during the visit
The home health care agency can expect to obtain Medicare
reimbursement for which home visit performed by a registered nurse or a
practical nurse?
a. assessment of the speech pattern of a mobile adult who had a mild
stroke last year
b. safety teaching for an older male client whose wife complains that he
uses an unsafe ladder while painting
, 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?
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
, Preview Pages Below
Get the Complete PDF After Purchase
STUDENT PREVIEW
If you require further clarification
or in need of any study resources,
feel free to Message me.
Preview the selected pages below before purchase.
,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)
,• a. Assisting communities to implement and evaluate plans and projects.
• b. Building constituencies to work with the community.
• c. Collecting, analyzing, and disseminating information.
• d. Evaluating the social, economic, and environmental characteristics of
the population.
• e. Questioning the availability of health services to the community.
Correct Answer: c, d, e
Rationale: Collecting, analyzing, and disseminating information; evaluating
social, economic, and environmental characteristics; and questioning
availability of health services are key assessment activities.
Question 5: In a federally funded preschool program such as Head Start,
nursing services that include conducting developmental-level screening for
cognitive and psychomotor development of individual children would most
likely be considered community-oriented nursing care when:
• a. individual results are compared with established standards for
children of the same age group.
• b. program characteristics are assessed for their effectiveness in making
the school population healthier.
• c. referral is provided for a child identified with delayed psychomotor
development.
• d. treatment is initiated for a child with an identified learning disability.
Correct Answer: a. individual results are compared with established
standards for children of the same age group.
Rationale: Within federally funded programs for preschool children, from a
community-oriented nursing care perspective, nursing services could be
provided to individual children by conducting developmental-level screening
tests to evaluate each child's level of cognitive and psychomotor
,development in comparison with established standards for children of the
same age. This is population-focused.
Question 6: Public health nursing is a specialty with a distinct focus and
scope of practice and requires a special knowledge base different from
other specialty areas of nursing. A public health nurse would first be
interested in:
• a. drug treatments for diabetes.
• b. populations with the highest rate of diabetes.
• c. educational materials for individuals with diabetes.
• d. new technology for diabetic care.
Correct Answer: b. populations with the highest rate of diabetes.
Rationale: The primary focus that has differentiated public health nursing
from other specialties has been the emphasis on the population rather than
on individuals or families.
Question 7: A state agency has received multiple complaints regarding the
availability of elder transportation services to a specific county senior
center. The state agency assigns a public health nurse to work with the
community to evaluate its program for elder transportation services to
publicly sponsored elder care programs. The public health core function
applied is:
• a. assurance.
• b. policy development.
• c. primary prevention.
• d. public health nursing.
Correct Answer: a. assurance.
, 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
,helpless?
a. "I'm feeling really isolated from everyone and scared."
b. "I feel like I cannot get enough food to live any longer."
c. "I know that I will always be poor so what's the use of trying?"
d. "People like me are never respected, no matter how well we do."
a. "I'm feeling really isolated from everyone and scared."
A community health nurse is planning to implement an outreach program
for a community group. Which criteria should the nurse clarify about the
program when examining sources for funding?
a. focuses on multiple health problems and concerns
b. identifies populations and individuals in need of healthcare services
c. evaluations variations in health services and health status among
populations
d. offers healthcare services to community members in local factories,
schools, and churches
d. offers healthcare services to community members in local factories, schools,
and churches
The home health nursing director is conducting an educational program for
registered nurses and practice nurses about Medicare reimbursement. To
obtain payment for Medicare services, what must be included in the client's
record?
a. a prescription from the healthcare provider for each visit made
b. documentation of a skilled care service provided during the visit
c. a copy of the client's health history and social security card
d. a record of the preventive healthcare services provided during the visit
b. documentation of a skilled care service provided during the visit
The home health care agency can expect to obtain Medicare
reimbursement for which home visit performed by a registered nurse or a
practical nurse?
a. assessment of the speech pattern of a mobile adult who had a mild
stroke last year
b. safety teaching for an older male client whose wife complains that he
uses an unsafe ladder while painting
, 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?
