Community Health Exam 1 Practice
Questions & Correct Verified Answers
2026-2027. Graded A
A community health nurse is driving through an area and notes that many
people appear to be under the influence of alcohol or drugs, sees many
dilapidated houses, and notices many mental health clinics and mostly fast-
food restaurants. What type of research is the nurse conducting?
a. focus group
b. needs assessment
c. windshield survey
d. community-based intervention - Ansc. windshield survey
Community health nurses sometimes perform community windshield
surveys by driving or walking through an area and making organized
observations. A focus group can be effective in gathering community views,
particularly for remote and vulnerable segments of a community and for
those with underdeveloped opinions. A needs assessment requires data
collected directly from an aggregate. The first step of a community-based
intervention is compiling a range of assessment data that support the
nursing diagnosis.
1
,A community health nurse is providing dietary instruction for a patient newly
diagnosed with hypertension. The patient asks the nurse, "Can I really do
this?" Based on the patient's statement, which component of the Health
Belief Model does this patient's statement reflect?
a. self-efficacy
b. cues to action
c. perceived barriers
d. perceived severity - Ansa. self-efficacy
The component of the Health Belief Model the patient's statement reflects
is self-efficacy, or one's belief in his or her ability to do something. Cues to
action include a patient questioning what might motivate taking action. A
patient's question that is representative of a perceived barrier is, "If I do
what is suggested, will it be unpleasant or costly?" An example of a
statement regarding perceived severity is, "If something does happen to
me, will it be a big problem?"
A community nurse wishes to start a home visiting nurse service to look in
on students who are frequently kept home from school because of illness.
Which benefits should the nurse include in the presentation to local
officials? Select all that apply.
a. decreased hospitalization
b. increased healthcare costs
c. increased attendance at schools
d. increased specialization of nurses
2
,e. decreased satisfaction with the healthcare system - Ansa. decreased
hospitalization
c. increased attendance at schools
Home health visiting would likely decrease hospitalization and increase
school attendance because of early intervention by educated nurses. It
would also cause decreased, not increased, healthcare costs. Both
specialized and general nurses participate in home health care. It would
likely increase satisfaction with the healthcare system rather than decrease
satisfaction.
A nurse is asked to develop a quality improvement project that correlates to
an objective of Mental Health Status Improvement of Healthy People 2020.
Which project topics would be appropriate? select all
a. researching the effect of integrative medicine on anxiety
b. improving support for patients struggling with eating disorders
c. reducing post-discharge suicide rates among individuals with severe
mental illness
d. fostering partnership between a hospital and a local school to develop
programming for children with autism
e. decreasing the number of re-admissions within 30 days for patients
experiencing major depressive episodes - Ansb. improving support for
patients struggling with eating disorders
c. reducing post-discharge suicide rates among individuals with severe
mental illness
3
, e. decreasing the number of re-admissions within 30 days for patients
experiencing major depressive episodes
The objectives of Healthy People 2020 are aimed at eating disorders,
suicide, adolescent suicide attempts, and major depressive episodes.
Developing a support program for patients struggling with eating disorders,
reducing post-discharge suicide rates among individuals with severe
mental illness, and decreasing the number of readmissions within 30 days
for patients experiencing major depressive episodes would be appropriate
goals of a quality improvement project that correlates with the objectives of
Healthy People 2020. Neither anxiety nor autism are specifically named in
the objectives for mental health status improvement in Healthy People
2020.
A nurse is developing an educational program for individuals with
uncontrolled diabetes and either stage 2 or stage 3 renal disease. The goal
of the program is to slow or prevent the progression of renal disease. What
type of intervention does this program describe?
a. primary prevention
b. tertiary prevention
c. secondary prevention
d. Quaternary prevention - Ansb. tertiary prevention
This program reflects tertiary prevention, which aims to keep health
problems from getting worse and to reduce the effects of disease or injury.
Secondary prevention calls for early diagnosis and treatment to reduce the
4
Questions & Correct Verified Answers
2026-2027. Graded A
A community health nurse is driving through an area and notes that many
people appear to be under the influence of alcohol or drugs, sees many
dilapidated houses, and notices many mental health clinics and mostly fast-
food restaurants. What type of research is the nurse conducting?
a. focus group
b. needs assessment
c. windshield survey
d. community-based intervention - Ansc. windshield survey
Community health nurses sometimes perform community windshield
surveys by driving or walking through an area and making organized
observations. A focus group can be effective in gathering community views,
particularly for remote and vulnerable segments of a community and for
those with underdeveloped opinions. A needs assessment requires data
collected directly from an aggregate. The first step of a community-based
intervention is compiling a range of assessment data that support the
nursing diagnosis.
1
,A community health nurse is providing dietary instruction for a patient newly
diagnosed with hypertension. The patient asks the nurse, "Can I really do
this?" Based on the patient's statement, which component of the Health
Belief Model does this patient's statement reflect?
a. self-efficacy
b. cues to action
c. perceived barriers
d. perceived severity - Ansa. self-efficacy
The component of the Health Belief Model the patient's statement reflects
is self-efficacy, or one's belief in his or her ability to do something. Cues to
action include a patient questioning what might motivate taking action. A
patient's question that is representative of a perceived barrier is, "If I do
what is suggested, will it be unpleasant or costly?" An example of a
statement regarding perceived severity is, "If something does happen to
me, will it be a big problem?"
A community nurse wishes to start a home visiting nurse service to look in
on students who are frequently kept home from school because of illness.
Which benefits should the nurse include in the presentation to local
officials? Select all that apply.
a. decreased hospitalization
b. increased healthcare costs
c. increased attendance at schools
d. increased specialization of nurses
2
,e. decreased satisfaction with the healthcare system - Ansa. decreased
hospitalization
c. increased attendance at schools
Home health visiting would likely decrease hospitalization and increase
school attendance because of early intervention by educated nurses. It
would also cause decreased, not increased, healthcare costs. Both
specialized and general nurses participate in home health care. It would
likely increase satisfaction with the healthcare system rather than decrease
satisfaction.
A nurse is asked to develop a quality improvement project that correlates to
an objective of Mental Health Status Improvement of Healthy People 2020.
Which project topics would be appropriate? select all
a. researching the effect of integrative medicine on anxiety
b. improving support for patients struggling with eating disorders
c. reducing post-discharge suicide rates among individuals with severe
mental illness
d. fostering partnership between a hospital and a local school to develop
programming for children with autism
e. decreasing the number of re-admissions within 30 days for patients
experiencing major depressive episodes - Ansb. improving support for
patients struggling with eating disorders
c. reducing post-discharge suicide rates among individuals with severe
mental illness
3
, e. decreasing the number of re-admissions within 30 days for patients
experiencing major depressive episodes
The objectives of Healthy People 2020 are aimed at eating disorders,
suicide, adolescent suicide attempts, and major depressive episodes.
Developing a support program for patients struggling with eating disorders,
reducing post-discharge suicide rates among individuals with severe
mental illness, and decreasing the number of readmissions within 30 days
for patients experiencing major depressive episodes would be appropriate
goals of a quality improvement project that correlates with the objectives of
Healthy People 2020. Neither anxiety nor autism are specifically named in
the objectives for mental health status improvement in Healthy People
2020.
A nurse is developing an educational program for individuals with
uncontrolled diabetes and either stage 2 or stage 3 renal disease. The goal
of the program is to slow or prevent the progression of renal disease. What
type of intervention does this program describe?
a. primary prevention
b. tertiary prevention
c. secondary prevention
d. Quaternary prevention - Ansb. tertiary prevention
This program reflects tertiary prevention, which aims to keep health
problems from getting worse and to reduce the effects of disease or injury.
Secondary prevention calls for early diagnosis and treatment to reduce the
4
