1. Question:
A nurse manager is leading a team of nurses in a community health
clinic. One of the nurses on the team consistently arrives late for shifts.
How should the nurse manager address this issue?
A. Ignore the behavior, as the nurse is still performing well in other
areas.
B. Speak with the nurse privately to understand the cause of the
behavior and set expectations for punctuality.
C. Publicly reprimand the nurse in front of the team to ensure
accountability.
D. Write up the nurse for the behavior and give a formal warning.
Answer: B. Speak with the nurse privately to understand the cause of
the behavior and set expectations for punctuality.
Rationale: Addressing the issue privately allows for open
communication, helps understand any underlying reasons for the
behavior, and provides an opportunity to discuss expectations and
consequences. It also helps preserve the nurse's dignity. Ignoring the
behavior (Option A) or reprimanding publicly (Option C) could lead to
resentment or decreased morale. Writing up the nurse without
discussing the issue (Option D) is not the best first approach in
addressing workplace issues.
2. Question:
A community health nurse is planning a wellness event in a rural area.
Which of the following strategies would be most effective to ensure
high participation in the event?
,A. Use social media to advertise the event.
B. Send out invitations to local community leaders.
C. Provide transportation for attendees who may have difficulty getting
to the event.
D. Rely on word-of-mouth to spread the information.
Answer: C. Provide transportation for attendees who may have
difficulty getting to the event.
Rationale: Providing transportation addresses one of the most common
barriers to participation in rural areas: transportation access. While
social media (Option A) and word-of-mouth (Option D) can be useful,
they may not be as effective if participants cannot physically attend the
event. Sending invitations to community leaders (Option B) may help,
but direct solutions like transportation ensure better participation.
3. Question:
A community health nurse is working with a population of elderly
clients in an urban area. Which of the following actions would most
effectively promote health in this population?
A. Develop a smoking cessation program targeted at young adults.
B. Provide information about exercise and nutrition tailored to the
needs of the elderly.
C. Implement a prenatal care program to encourage early prenatal
visits.
D. Focus on teaching sexual health education to teenagers.
Answer: B. Provide information about exercise and nutrition tailored to
the needs of the elderly.
,Rationale: Tailoring health education to the specific needs of the
population is key. For the elderly, information about exercise and
nutrition can help prevent chronic illnesses and improve overall health.
The other options are not targeted to the elderly population, making
them less effective in promoting health for this group.
4. Question:
A nurse is conducting a needs assessment in a low-income
neighborhood. Which of the following methods would provide the most
useful data for determining the community’s health needs?
A. Conducting a survey of community members.
B. Observing community members during normal daily activities.
C. Reviewing health statistics and reports from local health
departments.
D. Interviewing local community leaders.
Answer: A. Conducting a survey of community members.
Rationale: A survey of community members allows for direct feedback
from the population that will benefit from the interventions. This data
provides firsthand insight into the community's perceptions of health
needs. While observation (Option B) and reviewing health reports
(Option C) can be helpful, they may not fully capture the unique needs
of the community. Interviewing leaders (Option D) provides valuable
input, but it may not reflect the needs of the broader community.
5. Question:
,A nurse is planning a community health program for a diverse
population. What is the most important consideration when developing
educational materials for this group?
A. Use simple language to ensure clarity for all literacy levels.
B. Focus only on the health conditions most common in the group.
C. Ensure that the materials are in the primary language of the
community.
D. Avoid using visuals to keep the materials professional.
Answer: C. Ensure that the materials are in the primary language of the
community.
Rationale: Providing materials in the community’s primary language is
crucial to ensure understanding and participation. While simple
language (Option A) and visuals (Option D) are also important for clarity,
language is the primary barrier to effective communication in diverse
populations. Focusing solely on common health conditions (Option B)
may overlook other relevant issues.
6. Question:
A nurse is leading a team that is responsible for a health promotion
campaign in a low-income urban neighborhood. Which leadership style
would best help the nurse manager guide the team?
A. Autocratic leadership, where the nurse makes all decisions.
B. Laissez-faire leadership, where the team works independently.
C. Transformational leadership, where the nurse motivates the team to
engage in the project.
D. Transactional leadership, where the nurse rewards the team for
completed tasks.
,Answer: C. Transformational leadership, where the nurse motivates the
team to engage in the project.
Rationale: Transformational leadership is effective in motivating and
inspiring a team to work towards a shared vision, which is essential in a
community health campaign. The nurse leader should encourage
participation, creativity, and enthusiasm to make the campaign
successful. Autocratic leadership (Option A) and laissez-faire leadership
(Option B) would not foster the necessary teamwork and collaboration.
Transactional leadership (Option D) may not be effective in a campaign
requiring high levels of motivation and community involvement.
7. Question:
A nurse in a community clinic is educating a group of patients with
diabetes about self-management. Which of the following actions would
be most important to ensure effective learning?
A. Provide written information about diabetes management.
B. Include information about other health conditions unrelated to
diabetes.
C. Encourage patients to manage their condition solely through diet.
D. Assess patients’ readiness to learn before beginning education.
Answer: D. Assess patients’ readiness to learn before beginning
education.
Rationale: Assessing readiness to learn ensures that the information
provided is timely, relevant, and suitable for the patient’s current
condition or understanding. This promotes better learning outcomes.
Simply providing written information (Option A) or focusing only on diet
(Option C) is not as comprehensive. Including unrelated health
,information (Option B) could detract from the focus on diabetes
management.
8. Question:
A nurse is working with a community health organization to provide
services to a homeless population. Which of the following strategies
would best improve access to care for this group?
A. Provide services only during regular clinic hours.
B. Offer mobile clinics to reach clients who are unable to travel.
C. Require clients to have insurance before receiving services.
D. Provide care only to individuals who can pay for services.
Answer: B. Offer mobile clinics to reach clients who are unable to
travel.
Rationale: Offering mobile clinics addresses one of the major barriers to
healthcare access for the homeless: transportation. By bringing services
to the community, nurses can ensure that more people are able to
receive care. The other options limit access and may not meet the
needs of the homeless population.
9. Question:
A nurse is working with a multicultural community. What is the best
way to ensure cultural competence when delivering care?
A. Assume that all individuals in the community have the same cultural
needs.
B. Educate the healthcare team about the general cultural values of the
community.
C. Involve community members in the planning and delivery of health
,services.
D. Provide care based on the nurse's personal cultural beliefs.
Answer: C. Involve community members in the planning and delivery of
health services.
Rationale: Involving community members ensures that the healthcare
services are culturally relevant and respectful. It helps the nurse
understand the specific needs and preferences of the population.
Assuming uniform cultural needs (Option A) or providing care based on
the nurse's personal beliefs (Option D) is ineffective and may not
respect individual differences. Educating the healthcare team (Option B)
is useful but must be combined with community involvement for full
cultural competence.
10. Question:
A nurse is preparing to implement a new health policy in a community
health setting. Which of the following actions would best help in
managing resistance to change?
A. Ignore concerns from staff and implement the policy.
B. Offer incentives to staff who comply with the new policy.
C. Involve staff in the decision-making process and provide clear
communication about the changes.
D. Set a deadline for compliance and enforce penalties for
noncompliance.
Answer: C. Involve staff in the decision-making process and provide
clear communication about the changes.
Rationale: Involving staff in the decision-making process helps reduce
resistance by ensuring that their concerns are heard and addressed.
,Clear communication about the reasons for the policy change and the
expected outcomes increases understanding and buy-in. Ignoring
concerns (Option A) or enforcing penalties without input (Option D) can
increase resistance. Offering incentives (Option B) is less effective than
addressing the root causes of resistance.
11. Question:
A nurse leader is planning to improve teamwork in a community health
setting. Which of the following strategies would be most effective in
fostering collaboration among the healthcare team?
A. Assign tasks based on each team member's strengths and
preferences.
B. Hold regular meetings to review progress and encourage team
members to share ideas.
C. Limit communication to emails to ensure everyone is on the same
page.
D. Give each team member autonomy to work independently without
group input.
Answer: B. Hold regular meetings to review progress and encourage
team members to share ideas.
Rationale: Regular meetings facilitate open communication and ensure
that all team members have the opportunity to share their ideas and
feedback, fostering collaboration and improving teamwork. Assigning
tasks based on preferences (Option A) may not always address the
team’s needs as effectively as working together. Limiting
communication to emails (Option C) and allowing team members to
work independently (Option D) could hinder team cohesion and
collaboration.
,12. Question:
A nurse manager in a community health setting is facing high staff
turnover. Which of the following actions is most likely to improve staff
retention?
A. Provide financial incentives for staff to stay with the organization.
B. Offer professional development opportunities and involve staff in
decision-making.
C. Ignore the staff’s concerns and focus on meeting organizational goals.
D. Increase the number of shifts required for staff each week to reduce
burnout.
Answer: B. Offer professional development opportunities and involve
staff in decision-making.
Rationale: Offering professional development opportunities and
involving staff in decision-making increases job satisfaction, promotes
engagement, and reduces turnover. Financial incentives (Option A) may
provide temporary motivation but don’t address underlying issues.
Ignoring staff concerns (Option C) can worsen morale, and increasing
workloads (Option D) could exacerbate burnout and decrease retention.
13. Question:
A nurse is planning a community education program to reduce smoking
among teenagers. Which of the following strategies would be most
effective in engaging this population?
A. Provide informational pamphlets with statistics about the dangers of
smoking.
B. Use interactive methods such as role-playing and peer discussions to
, address the topic.
C. Focus only on health consequences to instill fear and motivate
behavior change.
D. Deliver the program during school hours when students are required
to attend.
Answer: B. Use interactive methods such as role-playing and peer
discussions to address the topic.
Rationale: Interactive methods like role-playing and peer discussions
are more likely to engage teenagers by making the content relatable
and encouraging active participation. Informational pamphlets (Option
A) and fear-based approaches (Option C) are less effective with
teenagers who may be more influenced by peer interactions. Holding
the program during school hours (Option D) might limit engagement as
students may not feel motivated.
14. Question:
A nurse in a community health clinic is working with individuals from
various socioeconomic backgrounds. Which of the following actions
would best promote equity in healthcare delivery?
A. Offer the same treatment options to all individuals, regardless of
their financial situation.
B. Adjust treatment plans based on the socioeconomic status and
available resources of each individual.
C. Limit services to those who can afford to pay for them.
D. Focus only on the most affluent individuals to maximize clinic
resources.
Answer: B. Adjust treatment plans based on the socioeconomic status
and available resources of each individual.
A nurse manager is leading a team of nurses in a community health
clinic. One of the nurses on the team consistently arrives late for shifts.
How should the nurse manager address this issue?
A. Ignore the behavior, as the nurse is still performing well in other
areas.
B. Speak with the nurse privately to understand the cause of the
behavior and set expectations for punctuality.
C. Publicly reprimand the nurse in front of the team to ensure
accountability.
D. Write up the nurse for the behavior and give a formal warning.
Answer: B. Speak with the nurse privately to understand the cause of
the behavior and set expectations for punctuality.
Rationale: Addressing the issue privately allows for open
communication, helps understand any underlying reasons for the
behavior, and provides an opportunity to discuss expectations and
consequences. It also helps preserve the nurse's dignity. Ignoring the
behavior (Option A) or reprimanding publicly (Option C) could lead to
resentment or decreased morale. Writing up the nurse without
discussing the issue (Option D) is not the best first approach in
addressing workplace issues.
2. Question:
A community health nurse is planning a wellness event in a rural area.
Which of the following strategies would be most effective to ensure
high participation in the event?
,A. Use social media to advertise the event.
B. Send out invitations to local community leaders.
C. Provide transportation for attendees who may have difficulty getting
to the event.
D. Rely on word-of-mouth to spread the information.
Answer: C. Provide transportation for attendees who may have
difficulty getting to the event.
Rationale: Providing transportation addresses one of the most common
barriers to participation in rural areas: transportation access. While
social media (Option A) and word-of-mouth (Option D) can be useful,
they may not be as effective if participants cannot physically attend the
event. Sending invitations to community leaders (Option B) may help,
but direct solutions like transportation ensure better participation.
3. Question:
A community health nurse is working with a population of elderly
clients in an urban area. Which of the following actions would most
effectively promote health in this population?
A. Develop a smoking cessation program targeted at young adults.
B. Provide information about exercise and nutrition tailored to the
needs of the elderly.
C. Implement a prenatal care program to encourage early prenatal
visits.
D. Focus on teaching sexual health education to teenagers.
Answer: B. Provide information about exercise and nutrition tailored to
the needs of the elderly.
,Rationale: Tailoring health education to the specific needs of the
population is key. For the elderly, information about exercise and
nutrition can help prevent chronic illnesses and improve overall health.
The other options are not targeted to the elderly population, making
them less effective in promoting health for this group.
4. Question:
A nurse is conducting a needs assessment in a low-income
neighborhood. Which of the following methods would provide the most
useful data for determining the community’s health needs?
A. Conducting a survey of community members.
B. Observing community members during normal daily activities.
C. Reviewing health statistics and reports from local health
departments.
D. Interviewing local community leaders.
Answer: A. Conducting a survey of community members.
Rationale: A survey of community members allows for direct feedback
from the population that will benefit from the interventions. This data
provides firsthand insight into the community's perceptions of health
needs. While observation (Option B) and reviewing health reports
(Option C) can be helpful, they may not fully capture the unique needs
of the community. Interviewing leaders (Option D) provides valuable
input, but it may not reflect the needs of the broader community.
5. Question:
,A nurse is planning a community health program for a diverse
population. What is the most important consideration when developing
educational materials for this group?
A. Use simple language to ensure clarity for all literacy levels.
B. Focus only on the health conditions most common in the group.
C. Ensure that the materials are in the primary language of the
community.
D. Avoid using visuals to keep the materials professional.
Answer: C. Ensure that the materials are in the primary language of the
community.
Rationale: Providing materials in the community’s primary language is
crucial to ensure understanding and participation. While simple
language (Option A) and visuals (Option D) are also important for clarity,
language is the primary barrier to effective communication in diverse
populations. Focusing solely on common health conditions (Option B)
may overlook other relevant issues.
6. Question:
A nurse is leading a team that is responsible for a health promotion
campaign in a low-income urban neighborhood. Which leadership style
would best help the nurse manager guide the team?
A. Autocratic leadership, where the nurse makes all decisions.
B. Laissez-faire leadership, where the team works independently.
C. Transformational leadership, where the nurse motivates the team to
engage in the project.
D. Transactional leadership, where the nurse rewards the team for
completed tasks.
,Answer: C. Transformational leadership, where the nurse motivates the
team to engage in the project.
Rationale: Transformational leadership is effective in motivating and
inspiring a team to work towards a shared vision, which is essential in a
community health campaign. The nurse leader should encourage
participation, creativity, and enthusiasm to make the campaign
successful. Autocratic leadership (Option A) and laissez-faire leadership
(Option B) would not foster the necessary teamwork and collaboration.
Transactional leadership (Option D) may not be effective in a campaign
requiring high levels of motivation and community involvement.
7. Question:
A nurse in a community clinic is educating a group of patients with
diabetes about self-management. Which of the following actions would
be most important to ensure effective learning?
A. Provide written information about diabetes management.
B. Include information about other health conditions unrelated to
diabetes.
C. Encourage patients to manage their condition solely through diet.
D. Assess patients’ readiness to learn before beginning education.
Answer: D. Assess patients’ readiness to learn before beginning
education.
Rationale: Assessing readiness to learn ensures that the information
provided is timely, relevant, and suitable for the patient’s current
condition or understanding. This promotes better learning outcomes.
Simply providing written information (Option A) or focusing only on diet
(Option C) is not as comprehensive. Including unrelated health
,information (Option B) could detract from the focus on diabetes
management.
8. Question:
A nurse is working with a community health organization to provide
services to a homeless population. Which of the following strategies
would best improve access to care for this group?
A. Provide services only during regular clinic hours.
B. Offer mobile clinics to reach clients who are unable to travel.
C. Require clients to have insurance before receiving services.
D. Provide care only to individuals who can pay for services.
Answer: B. Offer mobile clinics to reach clients who are unable to
travel.
Rationale: Offering mobile clinics addresses one of the major barriers to
healthcare access for the homeless: transportation. By bringing services
to the community, nurses can ensure that more people are able to
receive care. The other options limit access and may not meet the
needs of the homeless population.
9. Question:
A nurse is working with a multicultural community. What is the best
way to ensure cultural competence when delivering care?
A. Assume that all individuals in the community have the same cultural
needs.
B. Educate the healthcare team about the general cultural values of the
community.
C. Involve community members in the planning and delivery of health
,services.
D. Provide care based on the nurse's personal cultural beliefs.
Answer: C. Involve community members in the planning and delivery of
health services.
Rationale: Involving community members ensures that the healthcare
services are culturally relevant and respectful. It helps the nurse
understand the specific needs and preferences of the population.
Assuming uniform cultural needs (Option A) or providing care based on
the nurse's personal beliefs (Option D) is ineffective and may not
respect individual differences. Educating the healthcare team (Option B)
is useful but must be combined with community involvement for full
cultural competence.
10. Question:
A nurse is preparing to implement a new health policy in a community
health setting. Which of the following actions would best help in
managing resistance to change?
A. Ignore concerns from staff and implement the policy.
B. Offer incentives to staff who comply with the new policy.
C. Involve staff in the decision-making process and provide clear
communication about the changes.
D. Set a deadline for compliance and enforce penalties for
noncompliance.
Answer: C. Involve staff in the decision-making process and provide
clear communication about the changes.
Rationale: Involving staff in the decision-making process helps reduce
resistance by ensuring that their concerns are heard and addressed.
,Clear communication about the reasons for the policy change and the
expected outcomes increases understanding and buy-in. Ignoring
concerns (Option A) or enforcing penalties without input (Option D) can
increase resistance. Offering incentives (Option B) is less effective than
addressing the root causes of resistance.
11. Question:
A nurse leader is planning to improve teamwork in a community health
setting. Which of the following strategies would be most effective in
fostering collaboration among the healthcare team?
A. Assign tasks based on each team member's strengths and
preferences.
B. Hold regular meetings to review progress and encourage team
members to share ideas.
C. Limit communication to emails to ensure everyone is on the same
page.
D. Give each team member autonomy to work independently without
group input.
Answer: B. Hold regular meetings to review progress and encourage
team members to share ideas.
Rationale: Regular meetings facilitate open communication and ensure
that all team members have the opportunity to share their ideas and
feedback, fostering collaboration and improving teamwork. Assigning
tasks based on preferences (Option A) may not always address the
team’s needs as effectively as working together. Limiting
communication to emails (Option C) and allowing team members to
work independently (Option D) could hinder team cohesion and
collaboration.
,12. Question:
A nurse manager in a community health setting is facing high staff
turnover. Which of the following actions is most likely to improve staff
retention?
A. Provide financial incentives for staff to stay with the organization.
B. Offer professional development opportunities and involve staff in
decision-making.
C. Ignore the staff’s concerns and focus on meeting organizational goals.
D. Increase the number of shifts required for staff each week to reduce
burnout.
Answer: B. Offer professional development opportunities and involve
staff in decision-making.
Rationale: Offering professional development opportunities and
involving staff in decision-making increases job satisfaction, promotes
engagement, and reduces turnover. Financial incentives (Option A) may
provide temporary motivation but don’t address underlying issues.
Ignoring staff concerns (Option C) can worsen morale, and increasing
workloads (Option D) could exacerbate burnout and decrease retention.
13. Question:
A nurse is planning a community education program to reduce smoking
among teenagers. Which of the following strategies would be most
effective in engaging this population?
A. Provide informational pamphlets with statistics about the dangers of
smoking.
B. Use interactive methods such as role-playing and peer discussions to
, address the topic.
C. Focus only on health consequences to instill fear and motivate
behavior change.
D. Deliver the program during school hours when students are required
to attend.
Answer: B. Use interactive methods such as role-playing and peer
discussions to address the topic.
Rationale: Interactive methods like role-playing and peer discussions
are more likely to engage teenagers by making the content relatable
and encouraging active participation. Informational pamphlets (Option
A) and fear-based approaches (Option C) are less effective with
teenagers who may be more influenced by peer interactions. Holding
the program during school hours (Option D) might limit engagement as
students may not feel motivated.
14. Question:
A nurse in a community health clinic is working with individuals from
various socioeconomic backgrounds. Which of the following actions
would best promote equity in healthcare delivery?
A. Offer the same treatment options to all individuals, regardless of
their financial situation.
B. Adjust treatment plans based on the socioeconomic status and
available resources of each individual.
C. Limit services to those who can afford to pay for them.
D. Focus only on the most affluent individuals to maximize clinic
resources.
Answer: B. Adjust treatment plans based on the socioeconomic status
and available resources of each individual.
