1. Question: A nurse manager is planning a health promotion program
for a local community that has a high rate of hypertension. Which of
the following actions should the nurse manager include in the plan?
• A. Focus only on increasing access to healthcare providers
• B. Provide education on reducing sodium intake and managing
stress
• C. Address only the use of antihypertensive medications
• D. Encourage community members to engage in competitive
sports
Answer: B. Provide education on reducing sodium intake and managing
stress
Rationale: Hypertension management includes lifestyle changes such as
reducing sodium intake and managing stress, which are critical
components of a health promotion program. Focusing only on
healthcare access (A) and antihypertensive medications (C) is not
enough. Competitive sports (D) may not be accessible for everyone and
may not be the most effective strategy for managing hypertension.
2. Question: A community health nurse is working with a local school
to promote immunization awareness. Which of the following
strategies would be most effective in reaching the largest number of
children and parents?
• A. Hosting an informational seminar for parents
• B. Sending a letter to each child’s home
• C. Distributing educational flyers through teachers
• D. Scheduling one-on-one consultations with parents
,Answer: C. Distributing educational flyers through teachers
Rationale: Distributing educational flyers through teachers ensures that
information reaches a large number of children and their parents
quickly. Hosting a seminar (A) or holding one-on-one consultations (D)
may not be feasible for reaching a broad audience. Sending a letter (B)
may be overlooked or ignored by parents.
3. Question: During a community health assessment, a nurse is
conducting a survey regarding access to healthcare services. Which of
the following is an example of a secondary data source?
• A. Interviews with community members about healthcare barriers
• B. Review of hospital discharge data
• C. Survey of local healthcare providers
• D. Direct observations of the community’s health behaviors
Answer: B. Review of hospital discharge data
Rationale: Secondary data sources are those that are collected by
someone other than the researcher. Hospital discharge data (B) is
secondary data, as it is collected and recorded by healthcare facilities.
Interviews (A), surveys (C), and observations (D) are primary data
sources, as they involve direct collection from individuals or the
environment.
4. Question: A nurse is involved in creating a leadership development
program for new nurses in a community health setting. Which of the
following would be the most effective leadership style to encourage
teamwork and collaboration among the new nurses?
, • A. Autocratic leadership
• B. Transformational leadership
• C. Laissez-faire leadership
• D. Transactional leadership
Answer: B. Transformational leadership
Rationale: Transformational leadership encourages collaboration,
motivates and inspires others, and fosters teamwork, which is essential
for a community health setting. Autocratic leadership (A) is more
authoritative, which may stifle collaboration. Laissez-faire (C) is too
hands-off, and transactional leadership (D) focuses on rewards and
punishments, which is not as effective in fostering collaboration.
5. Question: A community health nurse is planning a program to
reduce smoking rates in a low-income neighborhood. Which of the
following strategies would be most effective in addressing this issue?
• A. Conducting educational sessions about the health risks of
smoking
• B. Providing free nicotine replacement therapy
• C. Organizing a smoking cessation group with peer support
• D. Mandating that all smokers attend the cessation group
Answer: C. Organizing a smoking cessation group with peer support
Rationale: Peer support groups are effective in smoking cessation
because they provide social support, accountability, and shared
experiences. Educational sessions (A) are helpful but may not be as
effective alone. Offering nicotine replacement therapy (B) is beneficial,
,but the social aspect of support groups has proven to be very effective.
Mandating participation (D) may lead to resistance and lack of
engagement.
6. Question: A nurse is reviewing data about the health disparities in a
community. Which of the following factors should the nurse consider
as a social determinant of health?
• A. Access to public transportation
• B. Availability of local hospitals
• C. Community crime rates
• D. All of the above
Answer: D. All of the above
Rationale: Social determinants of health include factors such as access
to transportation (A), availability of healthcare facilities (B), and
community safety (C). These factors significantly influence health
outcomes and health equity within a community.
7. Question: A nurse leader is implementing a new policy to improve
patient care in a community clinic. Which of the following is the most
important step in evaluating the effectiveness of the new policy?
• A. Collecting data on patient satisfaction
• B. Monitoring the clinic’s financial performance
• C. Observing staff compliance with the new policy
• D. Reviewing the policy’s alignment with state regulations
Answer: A. Collecting data on patient satisfaction
,Rationale: The ultimate goal of any healthcare policy is to improve
patient care. Collecting data on patient satisfaction (A) provides the
most direct feedback on how the policy is impacting care. While
monitoring compliance (C) and reviewing regulations (D) are important,
patient satisfaction reflects the quality of care provided. Financial
performance (B) may be a consideration, but it is not the primary
measure of policy effectiveness in patient care.
8. Question: A nurse is working in a community health center that
serves a culturally diverse population. Which of the following actions
should the nurse take to provide culturally competent care?
• A. Assume that all patients from the same culture have similar
health beliefs
• B. Use a translator for patients who speak a different language
• C. Focus only on the most prevalent cultural group in the
community
• D. Avoid discussing cultural differences to prevent offending
patients
Answer: B. Use a translator for patients who speak a different language
Rationale: Using a translator ensures clear communication and helps
overcome language barriers, enabling the nurse to provide culturally
competent care. Assuming all patients from the same culture are the
same (A) is inaccurate and culturally insensitive. Focusing on one
cultural group (C) and avoiding discussions about cultural differences
(D) can lead to missed opportunities for better understanding and care.
,9. Question: A nurse manager is overseeing a team of community
health nurses. One of the nurses consistently arrives late for shifts.
Which of the following actions is the most appropriate first step for
the nurse manager to take?
• A. Issue a formal written warning
• B. Hold a private meeting to discuss the issue
• C. Remove the nurse from the schedule
• D. Speak to the rest of the team about punctuality
Answer: B. Hold a private meeting to discuss the issue
Rationale: The nurse manager should first address the issue directly
with the individual by holding a private meeting to understand the
reasons for the tardiness and attempt to resolve the issue. Issuing a
written warning (A) or removing the nurse from the schedule (C) may
be premature. Speaking to the team (D) does not address the
individual’s behavior directly.
10. Question: A nurse is evaluating the success of a community health
intervention aimed at reducing childhood obesity. Which of the
following is the most effective method to measure the success of the
program?
• A. Conducting a survey of community members about their
awareness of the program
• B. Tracking the number of children who attend nutrition classes
• C. Measuring the BMI of children before and after the program
• D. Collecting feedback from parents about the program’s
usefulness
,Answer: C. Measuring the BMI of children before and after the program
Rationale: Measuring BMI (C) provides objective data about the
program’s impact on childhood obesity. While surveys (A), attendance
(B), and feedback (D) may provide valuable information about program
engagement, they do not directly assess the health outcomes, such as
changes in obesity rates.
11. Question: A nurse is developing a community health intervention
targeting adolescent mental health. Which of the following strategies
would be most effective in reducing stigma around mental health care
among teenagers?
• A. Promote mental health awareness through social media
campaigns
• B. Encourage parental involvement in mental health services
• C. Provide one-on-one counseling for teenagers experiencing
mental health issues
• D. Limit access to mental health resources until stigma is reduced
Answer: A. Promote mental health awareness through social media
campaigns
Rationale: Social media campaigns are an effective way to reduce
stigma, especially among adolescents, by normalizing mental health
care and encouraging open dialogue. Encouraging parental involvement
(B) is important but may not immediately address stigma. Providing
one-on-one counseling (C) is valuable but may not reduce stigma
broadly. Limiting access (D) would exacerbate the problem.
,12. Question: A nurse manager is considering a new program to
improve access to healthcare for underserved populations in the
community. Which of the following would be the most appropriate
strategy to ensure the program’s success?
• A. Offer free healthcare services only during business hours
• B. Provide services at community events and local gathering
places
• C. Limit program outreach to residents of high-income
neighborhoods
• D. Use a single method of communication to inform the
community
Answer: B. Provide services at community events and local gathering
places
Rationale: Providing services at community events and local gathering
places ensures that the underserved populations can easily access
healthcare. Offering services only during business hours (A) is not
effective for those with work or family commitments. Limiting outreach
to high-income neighborhoods (C) would exclude the target population.
Using multiple methods of communication (D) ensures broader
outreach.
13. Question: A nurse is involved in a leadership role in a community
clinic that is experiencing low staff morale. Which of the following
strategies should the nurse implement to improve staff engagement
and morale?
• A. Increase the workload of high-performing staff to motivate
others
, • B. Provide regular feedback and recognition for staff achievements
• C. Limit staff meetings to reduce the amount of time spent away
from patient care
• D. Focus only on resolving patient complaints to boost morale
Answer: B. Provide regular feedback and recognition for staff
achievements
Rationale: Regular feedback and recognition of staff achievements
foster a positive work environment, improving morale and engagement.
Increasing workload (A) can lead to burnout and resentment. Limiting
staff meetings (C) might not address the underlying morale issues, and
focusing only on patient complaints (D) ignores the importance of staff
well-being.
14. Question: A nurse is developing a plan to address the health needs
of a rural community. Which of the following strategies would best
address the unique healthcare challenges faced by this community?
• A. Develop a telemedicine program to increase access to
healthcare professionals
• B. Build a new hospital within the community to address
healthcare shortages
• C. Offer free transportation to larger urban healthcare centers
• D. Create a community garden to promote healthy eating
Answer: A. Develop a telemedicine program to increase access to
healthcare professionals
Rationale: Telemedicine is an effective strategy for increasing
healthcare access in rural communities by overcoming barriers such as
, distance and limited local healthcare providers. Building a hospital (B)
may be cost-prohibitive, and offering transportation (C) may still not
address the core issue of healthcare availability. A community garden
(D) is a good supplement but not a primary solution to healthcare
access.
15. Question: A nurse is preparing to evaluate the effectiveness of a
community-based program aimed at increasing physical activity
among older adults. Which of the following methods is the most
appropriate for assessing the program’s outcomes?
• A. Interviewing program participants about their satisfaction
• B. Reviewing attendance records for program sessions
• C. Conducting a pre- and post-program assessment of participants’
physical activity levels
• D. Collecting data on the number of volunteers who assist with
the program
Answer: C. Conducting a pre- and post-program assessment of
participants’ physical activity levels
Rationale: A pre- and post-program assessment directly measures
changes in physical activity levels, providing an objective evaluation of
the program's effectiveness. Interviews (A) and attendance records (B)
can provide useful insights but do not measure actual changes in
behavior. Data on volunteers (D) does not assess the program’s success
in meeting its goals.
16. Question: A nurse leader is tasked with overseeing a community
health initiative to reduce the incidence of diabetes. Which of the
for a local community that has a high rate of hypertension. Which of
the following actions should the nurse manager include in the plan?
• A. Focus only on increasing access to healthcare providers
• B. Provide education on reducing sodium intake and managing
stress
• C. Address only the use of antihypertensive medications
• D. Encourage community members to engage in competitive
sports
Answer: B. Provide education on reducing sodium intake and managing
stress
Rationale: Hypertension management includes lifestyle changes such as
reducing sodium intake and managing stress, which are critical
components of a health promotion program. Focusing only on
healthcare access (A) and antihypertensive medications (C) is not
enough. Competitive sports (D) may not be accessible for everyone and
may not be the most effective strategy for managing hypertension.
2. Question: A community health nurse is working with a local school
to promote immunization awareness. Which of the following
strategies would be most effective in reaching the largest number of
children and parents?
• A. Hosting an informational seminar for parents
• B. Sending a letter to each child’s home
• C. Distributing educational flyers through teachers
• D. Scheduling one-on-one consultations with parents
,Answer: C. Distributing educational flyers through teachers
Rationale: Distributing educational flyers through teachers ensures that
information reaches a large number of children and their parents
quickly. Hosting a seminar (A) or holding one-on-one consultations (D)
may not be feasible for reaching a broad audience. Sending a letter (B)
may be overlooked or ignored by parents.
3. Question: During a community health assessment, a nurse is
conducting a survey regarding access to healthcare services. Which of
the following is an example of a secondary data source?
• A. Interviews with community members about healthcare barriers
• B. Review of hospital discharge data
• C. Survey of local healthcare providers
• D. Direct observations of the community’s health behaviors
Answer: B. Review of hospital discharge data
Rationale: Secondary data sources are those that are collected by
someone other than the researcher. Hospital discharge data (B) is
secondary data, as it is collected and recorded by healthcare facilities.
Interviews (A), surveys (C), and observations (D) are primary data
sources, as they involve direct collection from individuals or the
environment.
4. Question: A nurse is involved in creating a leadership development
program for new nurses in a community health setting. Which of the
following would be the most effective leadership style to encourage
teamwork and collaboration among the new nurses?
, • A. Autocratic leadership
• B. Transformational leadership
• C. Laissez-faire leadership
• D. Transactional leadership
Answer: B. Transformational leadership
Rationale: Transformational leadership encourages collaboration,
motivates and inspires others, and fosters teamwork, which is essential
for a community health setting. Autocratic leadership (A) is more
authoritative, which may stifle collaboration. Laissez-faire (C) is too
hands-off, and transactional leadership (D) focuses on rewards and
punishments, which is not as effective in fostering collaboration.
5. Question: A community health nurse is planning a program to
reduce smoking rates in a low-income neighborhood. Which of the
following strategies would be most effective in addressing this issue?
• A. Conducting educational sessions about the health risks of
smoking
• B. Providing free nicotine replacement therapy
• C. Organizing a smoking cessation group with peer support
• D. Mandating that all smokers attend the cessation group
Answer: C. Organizing a smoking cessation group with peer support
Rationale: Peer support groups are effective in smoking cessation
because they provide social support, accountability, and shared
experiences. Educational sessions (A) are helpful but may not be as
effective alone. Offering nicotine replacement therapy (B) is beneficial,
,but the social aspect of support groups has proven to be very effective.
Mandating participation (D) may lead to resistance and lack of
engagement.
6. Question: A nurse is reviewing data about the health disparities in a
community. Which of the following factors should the nurse consider
as a social determinant of health?
• A. Access to public transportation
• B. Availability of local hospitals
• C. Community crime rates
• D. All of the above
Answer: D. All of the above
Rationale: Social determinants of health include factors such as access
to transportation (A), availability of healthcare facilities (B), and
community safety (C). These factors significantly influence health
outcomes and health equity within a community.
7. Question: A nurse leader is implementing a new policy to improve
patient care in a community clinic. Which of the following is the most
important step in evaluating the effectiveness of the new policy?
• A. Collecting data on patient satisfaction
• B. Monitoring the clinic’s financial performance
• C. Observing staff compliance with the new policy
• D. Reviewing the policy’s alignment with state regulations
Answer: A. Collecting data on patient satisfaction
,Rationale: The ultimate goal of any healthcare policy is to improve
patient care. Collecting data on patient satisfaction (A) provides the
most direct feedback on how the policy is impacting care. While
monitoring compliance (C) and reviewing regulations (D) are important,
patient satisfaction reflects the quality of care provided. Financial
performance (B) may be a consideration, but it is not the primary
measure of policy effectiveness in patient care.
8. Question: A nurse is working in a community health center that
serves a culturally diverse population. Which of the following actions
should the nurse take to provide culturally competent care?
• A. Assume that all patients from the same culture have similar
health beliefs
• B. Use a translator for patients who speak a different language
• C. Focus only on the most prevalent cultural group in the
community
• D. Avoid discussing cultural differences to prevent offending
patients
Answer: B. Use a translator for patients who speak a different language
Rationale: Using a translator ensures clear communication and helps
overcome language barriers, enabling the nurse to provide culturally
competent care. Assuming all patients from the same culture are the
same (A) is inaccurate and culturally insensitive. Focusing on one
cultural group (C) and avoiding discussions about cultural differences
(D) can lead to missed opportunities for better understanding and care.
,9. Question: A nurse manager is overseeing a team of community
health nurses. One of the nurses consistently arrives late for shifts.
Which of the following actions is the most appropriate first step for
the nurse manager to take?
• A. Issue a formal written warning
• B. Hold a private meeting to discuss the issue
• C. Remove the nurse from the schedule
• D. Speak to the rest of the team about punctuality
Answer: B. Hold a private meeting to discuss the issue
Rationale: The nurse manager should first address the issue directly
with the individual by holding a private meeting to understand the
reasons for the tardiness and attempt to resolve the issue. Issuing a
written warning (A) or removing the nurse from the schedule (C) may
be premature. Speaking to the team (D) does not address the
individual’s behavior directly.
10. Question: A nurse is evaluating the success of a community health
intervention aimed at reducing childhood obesity. Which of the
following is the most effective method to measure the success of the
program?
• A. Conducting a survey of community members about their
awareness of the program
• B. Tracking the number of children who attend nutrition classes
• C. Measuring the BMI of children before and after the program
• D. Collecting feedback from parents about the program’s
usefulness
,Answer: C. Measuring the BMI of children before and after the program
Rationale: Measuring BMI (C) provides objective data about the
program’s impact on childhood obesity. While surveys (A), attendance
(B), and feedback (D) may provide valuable information about program
engagement, they do not directly assess the health outcomes, such as
changes in obesity rates.
11. Question: A nurse is developing a community health intervention
targeting adolescent mental health. Which of the following strategies
would be most effective in reducing stigma around mental health care
among teenagers?
• A. Promote mental health awareness through social media
campaigns
• B. Encourage parental involvement in mental health services
• C. Provide one-on-one counseling for teenagers experiencing
mental health issues
• D. Limit access to mental health resources until stigma is reduced
Answer: A. Promote mental health awareness through social media
campaigns
Rationale: Social media campaigns are an effective way to reduce
stigma, especially among adolescents, by normalizing mental health
care and encouraging open dialogue. Encouraging parental involvement
(B) is important but may not immediately address stigma. Providing
one-on-one counseling (C) is valuable but may not reduce stigma
broadly. Limiting access (D) would exacerbate the problem.
,12. Question: A nurse manager is considering a new program to
improve access to healthcare for underserved populations in the
community. Which of the following would be the most appropriate
strategy to ensure the program’s success?
• A. Offer free healthcare services only during business hours
• B. Provide services at community events and local gathering
places
• C. Limit program outreach to residents of high-income
neighborhoods
• D. Use a single method of communication to inform the
community
Answer: B. Provide services at community events and local gathering
places
Rationale: Providing services at community events and local gathering
places ensures that the underserved populations can easily access
healthcare. Offering services only during business hours (A) is not
effective for those with work or family commitments. Limiting outreach
to high-income neighborhoods (C) would exclude the target population.
Using multiple methods of communication (D) ensures broader
outreach.
13. Question: A nurse is involved in a leadership role in a community
clinic that is experiencing low staff morale. Which of the following
strategies should the nurse implement to improve staff engagement
and morale?
• A. Increase the workload of high-performing staff to motivate
others
, • B. Provide regular feedback and recognition for staff achievements
• C. Limit staff meetings to reduce the amount of time spent away
from patient care
• D. Focus only on resolving patient complaints to boost morale
Answer: B. Provide regular feedback and recognition for staff
achievements
Rationale: Regular feedback and recognition of staff achievements
foster a positive work environment, improving morale and engagement.
Increasing workload (A) can lead to burnout and resentment. Limiting
staff meetings (C) might not address the underlying morale issues, and
focusing only on patient complaints (D) ignores the importance of staff
well-being.
14. Question: A nurse is developing a plan to address the health needs
of a rural community. Which of the following strategies would best
address the unique healthcare challenges faced by this community?
• A. Develop a telemedicine program to increase access to
healthcare professionals
• B. Build a new hospital within the community to address
healthcare shortages
• C. Offer free transportation to larger urban healthcare centers
• D. Create a community garden to promote healthy eating
Answer: A. Develop a telemedicine program to increase access to
healthcare professionals
Rationale: Telemedicine is an effective strategy for increasing
healthcare access in rural communities by overcoming barriers such as
, distance and limited local healthcare providers. Building a hospital (B)
may be cost-prohibitive, and offering transportation (C) may still not
address the core issue of healthcare availability. A community garden
(D) is a good supplement but not a primary solution to healthcare
access.
15. Question: A nurse is preparing to evaluate the effectiveness of a
community-based program aimed at increasing physical activity
among older adults. Which of the following methods is the most
appropriate for assessing the program’s outcomes?
• A. Interviewing program participants about their satisfaction
• B. Reviewing attendance records for program sessions
• C. Conducting a pre- and post-program assessment of participants’
physical activity levels
• D. Collecting data on the number of volunteers who assist with
the program
Answer: C. Conducting a pre- and post-program assessment of
participants’ physical activity levels
Rationale: A pre- and post-program assessment directly measures
changes in physical activity levels, providing an objective evaluation of
the program's effectiveness. Interviews (A) and attendance records (B)
can provide useful insights but do not measure actual changes in
behavior. Data on volunteers (D) does not assess the program’s success
in meeting its goals.
16. Question: A nurse leader is tasked with overseeing a community
health initiative to reduce the incidence of diabetes. Which of the
