Complete Rationales 2026/2027 Edition.
The history and development of epidemiology has gone through several developmental phases.
The nursing student learns that these phases came about in history in what order?
a. Risk factor phase, infectious disease phase, and sanitary phase
b. Infectious disease phase, risk factor phase, and sanitary phase
c. Sanitary phase, infectious disease phase, and risk factor phase
d. Agent phase, host phase, and environment phase - Answer c. Sanitary phase, infectious
disease phase, and risk factor phase
An epidemiologist uses the epidemiological triangle to explain the occurrence of disease by
looking at the three main components of the model: the host, the environment, and the agent.
The PHN understands that the agent could be one of many types except:
a. Biological and chemical.
b. Nutritive.
C. Physical.
d. Ecological - Answer d. Ecological
A team of community members and Monique, a PHN from the public health department, have
come together to do a community assessment of an Italian American community located in a
large city. The community members ask Monique what type of data they will need to collect.
She explains that they should begin with demographic data that includes:
a. Insurance company preference
b. Vaccination rates
c. Educational levels
d. Disease rates - Answer c. Educational levels
Renee, a nurse working in a primary care clinic, is conducting a physical assessment of Adam,
age 42, who reports multiple medical issues. Renee is concerned and wonders what might
explain his poor health. During this visit, she asks Adam about his work history and discovers
that he is working in a chemical plant. This information is not sufficient to a direct causal link
between possible workplace exposure to toxins and his current medical issues because:
Select all that apply
a. Safety records of the plant do not pertain to the health records of the patient.
b. The patient has medical problems that could be caused by lifestyle decisions rather than by
working in the plant.
,c. Even if Adam has been exposed to toxic substances, the threshold required to have adverse or
fatal consequences might not have been reached.
d. There has been little progress on researching the relationship between exposure to toxins
and illne - Answer b. The patient has medical problems that could be caused by lifestyle
decisions rather than by working in the plant.
c. Even if Adam has been exposed to toxic substances, the threshold required to have adverse or
fatal consequences might not have been reached
A team of community members and Monique, a PHN from the public health department, have
come together to do a community assessment of an Italian American community located in a
large city. Monique and the community members discuss the type of assessment they are
conducting.
They have decided to complete an assessment to include the demographic data about the
people living within the community, the assets within the community, such as the local health
department capacity, and the identification of problems and issues in the community, such as
unmet needs, health disparities, and opportunities for action. The type of assessment they are
doing is called a:
a. Rapid needs assessment
b. Comprehensive community assessment
c. Population-focused assessment
d. Health impact assessment - Answer b. Comprehensive community assessment
To develop maintenance and survival strategies for a community in the event of an emergency,
a PHN looks for useful places, persons, and systems. This part of the assessment is called:
a. Capacity building.
b. Needs assessment.
C. Participatory research.
d. Asset mapping. - Answer d. Asset mapping
A PHN was asked to come to a town that was having some noticeable health problems. Driving
through town, the nurse noted that there were many for-sale signs, as well as very little green
space and some trash in the street. This pre-assessment phase is called a:
a. Community themes and strengths assessment.
b. Community Health Assessment and Group Evaluation (CHANGE).
c. Community health status assessment.
d. Windshield survey. - Answer d. Windshield survey
Once a community health assessment has been completed and the health priority has been
established, the first step is to:
a. Identify other effective programs aimed at addressing the identified health priority.
, b. Evaluate the capacity to address the health priority.
C. Understand the underlying factors contributing to the problem
d. Develop a program tailored to the community. - Answer C. Understand the underlying
factors contributing to the problem
In general, nurses using the program planning model would begin by:
a. Identifying primary health issues in the community.
b. Implementing an intervention.
C. Selecting effective interventions.
d. Developing measurable process and outcome measures. - Answer a. Identifying primary
health issues in the community.
A group of public health officials want to use the logic model for program design. In this model,
when a program's intended outcome is achieved, this is referred to as successful:
a. Input.
b. Output.
c. Outcome.
d. Impact. - Answer b. Output
Question 10
Nurse researchers concerned with families at risk for homelessness utilized the logic model to
help develop an outreach program in their city. The researchers found a main benefit to the
logic model was that they were able to:
a. Use one specific template because all versions of the logic model include the same
components.
b. Help stakeholders visualize how the program goal(s) related directly to the objectives.
c. Utilize a circular model for describing the components of the process.
d. Develop a program without having to heavily rely on their assessment findings. - Answer b.
Help stakeholders visualize how the program goal(s) related directly to the objectives.
Which of the following programs was specifically designed to work toward optimal health for all
Americans?
a. Racial and Ethnic Approaches to Health (REACH)
b. Universal Health Care
C.Healthy People
d. Agency for Health Care Research and Quality (AHRQ) - Answer C.Healthy People