NR442 EXAM 1 COMMUNITY HEALTH ACTUAL QUESTIONS WITH
DETAILED VERIFIED ANSWERS; ALREADY GRADED A; 2025-2026
26. Which factor is most responsible for differences in an individual's health?
a. Culture of the majority of the community's citizens
b. Individual's education and income
c. Number of physicians and other health care providers in the community
d. Quality of the community health agency and hospital in the community -
correct answer- b
A 50-year-old woman comes to the clinic for her first mammogram. Which of the
following best describes the action of this client?
a. Disease prevention
b. Health improvement
c. Health protection
d. Primary health promotion - correct answer- c
A case of severe acute respiratory syndrome (SARS) was diagnosed immediately on
signs of illness at a tourist site in China. Which of the following actions should be
taken to protect the badly needed income from tourist dollars?
a. Close the airports and refuse to let the tourists in the area leave
b. Begin to immunize everyone in the immediate area with protective vaccine as
soon as possible
c. Quarantine the ill person and use isolation techniques when providing care
d. Screen everyone in the area by requiring a blood and urine sample - correct
answer- c
,A city that depended on tourist dollars had feedback that tourists were saying they
were never returning because of the constant mosquito bites. Which of the
following actions should be taken by the city?
a. Do not have any tourist events at dawn or dusk.
b. Have everyone in town search for and remove any standing stagnant water.
c. Give free bug repellent to each tourist.
d. Tell tourists to avoid wearing bright colors. - correct answer- b
A client has developed pellagra because of a lack of certain B vitamins. Which of
the following best describes the classification of the nutritional deficiency?
a. Relative risk factor
b. Agent factor
c. Environment factor
d. Host factor - correct answer- b
A community health clinic put a tax levy on the ballot. An angry man asks a nurse,
"How can you ask me to pay taxes to buy immunizations for parents who do not
want to pay for their kids to get their shots?" Which of the following is the most
appropriate response by the nurse?
a. "Don't you think ethically we should help if we can?"
b. "For many of us, our faith says we have to treat our neighbor as ourselves."
c. "Only by getting almost everyone immunized can we prevent epidemics that can
hurt us all."
d. "The law requires childhood immunizations, and, if parents can't afford it, you
and I will have to help pay." - correct answer- c
,A community health nurse determined exactly how many cases of a particular
disease were currently occurring in the community. Which of the following actions
should the nurse take before determining what interventions should be planned?
a. Analyze whether the disease was a priority to the nurse's agency
b. Compare the current rate with the previous rate of disease
c. Determine what resources are available to intervene
d. Share the findings with the public health agency leadership - correct answer-
b
A community health nurse found a very small number of families in the community
who were desperately in need of basic preventive health services. Which of the
following ethical approaches supports expending agency resources on these few,
but needy, families?
a. Beneficence suggests focusing on the most needy, so resources should be
expended on these families.
b. Deontological ethics suggest that the nurse must give priority to the intervention
that would have the broadest impact.
c. Utilitarianism (the most good for the largest number) would suggest continuing
to focus on broader community needs.
d. Virtue ethics would suggest focusing on these families to support the nurse's
own character development. - correct answer- a
A community health nurse has completed a community assessment and is now
writing a community diagnosis for the problem. Which component of the diagnosis
will be used to summarize the assessment data of the problem?
a. Identification of the health risk
b. Evidence supporting the choice of priority
c. The aggregate that needs the intervention
, d. The cause of the identified health problem - correct answer- a
A community health nurse has determined that the number one priority is to help
families in which one member has diabetes. Which of the following actions would
be most appropriate to maximize services to persons with diabetes?
a. Ask friends with diabetes about what services they want improved.
b. Duplicate the diabetic organization's services, because not all patients with
diabetes have yet received services.
c. Meet with the diabetic organization to see how the public health department
can augment what it is offering.
d. Submit a request for funding so that the public health department can also offer
services to patients with diabetes. - correct answer- c
A community health nurse is overwhelmed with all that needs to be done in one
day. Which task could most easily be postponed?
a. Reviewing the most recent hospital patient data collected by the local college of
nursing
b. Deciding which of several possible new clinic options would be most effective in
better meeting the needs of the local community
c. Evaluating the results of the most recent community-wide screening program
before planning for the next community health program
d. Giving testimony to the state legislature on a new health and safety bill -
correct answer- a
A day care center asked the nurse to come because they had several children out
as a result of chickenpox. Which of the following statements should the nurse
make to the staff?
a. "Chickenpox has low infectivity so few children will get sick."
DETAILED VERIFIED ANSWERS; ALREADY GRADED A; 2025-2026
26. Which factor is most responsible for differences in an individual's health?
a. Culture of the majority of the community's citizens
b. Individual's education and income
c. Number of physicians and other health care providers in the community
d. Quality of the community health agency and hospital in the community -
correct answer- b
A 50-year-old woman comes to the clinic for her first mammogram. Which of the
following best describes the action of this client?
a. Disease prevention
b. Health improvement
c. Health protection
d. Primary health promotion - correct answer- c
A case of severe acute respiratory syndrome (SARS) was diagnosed immediately on
signs of illness at a tourist site in China. Which of the following actions should be
taken to protect the badly needed income from tourist dollars?
a. Close the airports and refuse to let the tourists in the area leave
b. Begin to immunize everyone in the immediate area with protective vaccine as
soon as possible
c. Quarantine the ill person and use isolation techniques when providing care
d. Screen everyone in the area by requiring a blood and urine sample - correct
answer- c
,A city that depended on tourist dollars had feedback that tourists were saying they
were never returning because of the constant mosquito bites. Which of the
following actions should be taken by the city?
a. Do not have any tourist events at dawn or dusk.
b. Have everyone in town search for and remove any standing stagnant water.
c. Give free bug repellent to each tourist.
d. Tell tourists to avoid wearing bright colors. - correct answer- b
A client has developed pellagra because of a lack of certain B vitamins. Which of
the following best describes the classification of the nutritional deficiency?
a. Relative risk factor
b. Agent factor
c. Environment factor
d. Host factor - correct answer- b
A community health clinic put a tax levy on the ballot. An angry man asks a nurse,
"How can you ask me to pay taxes to buy immunizations for parents who do not
want to pay for their kids to get their shots?" Which of the following is the most
appropriate response by the nurse?
a. "Don't you think ethically we should help if we can?"
b. "For many of us, our faith says we have to treat our neighbor as ourselves."
c. "Only by getting almost everyone immunized can we prevent epidemics that can
hurt us all."
d. "The law requires childhood immunizations, and, if parents can't afford it, you
and I will have to help pay." - correct answer- c
,A community health nurse determined exactly how many cases of a particular
disease were currently occurring in the community. Which of the following actions
should the nurse take before determining what interventions should be planned?
a. Analyze whether the disease was a priority to the nurse's agency
b. Compare the current rate with the previous rate of disease
c. Determine what resources are available to intervene
d. Share the findings with the public health agency leadership - correct answer-
b
A community health nurse found a very small number of families in the community
who were desperately in need of basic preventive health services. Which of the
following ethical approaches supports expending agency resources on these few,
but needy, families?
a. Beneficence suggests focusing on the most needy, so resources should be
expended on these families.
b. Deontological ethics suggest that the nurse must give priority to the intervention
that would have the broadest impact.
c. Utilitarianism (the most good for the largest number) would suggest continuing
to focus on broader community needs.
d. Virtue ethics would suggest focusing on these families to support the nurse's
own character development. - correct answer- a
A community health nurse has completed a community assessment and is now
writing a community diagnosis for the problem. Which component of the diagnosis
will be used to summarize the assessment data of the problem?
a. Identification of the health risk
b. Evidence supporting the choice of priority
c. The aggregate that needs the intervention
, d. The cause of the identified health problem - correct answer- a
A community health nurse has determined that the number one priority is to help
families in which one member has diabetes. Which of the following actions would
be most appropriate to maximize services to persons with diabetes?
a. Ask friends with diabetes about what services they want improved.
b. Duplicate the diabetic organization's services, because not all patients with
diabetes have yet received services.
c. Meet with the diabetic organization to see how the public health department
can augment what it is offering.
d. Submit a request for funding so that the public health department can also offer
services to patients with diabetes. - correct answer- c
A community health nurse is overwhelmed with all that needs to be done in one
day. Which task could most easily be postponed?
a. Reviewing the most recent hospital patient data collected by the local college of
nursing
b. Deciding which of several possible new clinic options would be most effective in
better meeting the needs of the local community
c. Evaluating the results of the most recent community-wide screening program
before planning for the next community health program
d. Giving testimony to the state legislature on a new health and safety bill -
correct answer- a
A day care center asked the nurse to come because they had several children out
as a result of chickenpox. Which of the following statements should the nurse
make to the staff?
a. "Chickenpox has low infectivity so few children will get sick."
