Wilkes University
Actual Questions and Answers
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Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Verified Expert Rationales
,1. A public health nurse makes a regularly scheduled home visit to a young pregnant woman
with the intention of discussing prenatal nutrition. Upon entering the home, the nurse finds
the client very anxious and distraught over losing her job. She is afraid she will not be able to
pay her rent. Which of the following theoretical frameworks would best assist the nurse in
adjusting her plan for the home visit?
A. Pender's Health Promotion Model
B. Maslow’s hierarchy of needs
C. Orem’s Self-Care Deficit Theory
D. Transtheoretical Model of Change
Answer: B. Maslow’s hierarchy of needs
Rationale:
Maslow’s hierarchy of needs provides a framework that prioritizes basic physiological and
safety needs before addressing higher-level concerns such as nutrition or self-actualization.
The nurse must respond to the client's immediate worries about housing and security, as
these are foundational needs that take precedence in care planning.
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2. Using the community-as-partner model, assessment begins at the community core. Select
the types of data sources that would be most useful to determine the characteristics and
internal functions of the community for your assessment. (Select 2)
A. Community history
,B. Public transportation schedules
C. Community culture and values
D. Weather reports
Answer: A. Community history; C. Community culture and values
Rationale:
Understanding the community core involves gathering information about the foundational
aspects of the community, such as its history and shared values. These data sources offer vital
context for interpreting patterns of health behavior, resource utilization, and community
priorities.
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3. As a part of a public health clinical practicum experience, nursing students are required to
complete a community assessment. Students notice that many clients are overweight or
obese and decide to investigate the problem further. Several staff members tell the students
that clients are overweight because they are unmotivated and not interested in improving
their health. Which of the following should the students do next to complete their
assessment? (Select 2)
A. Observe staff-client interactions
B. Conduct a medical record review to determine how many clients are overweight
C. Interview several clients to better understand how they view the problem
D. Recommend immediate staff training on obesity
, Answer: B. Conduct a medical record review to determine how many clients are
overweight; C. Interview several clients to better understand how they view the problem
Rationale:
A thorough assessment relies on data triangulation. Objective data from records quantifies
the problem, while client interviews provide insight into sociocultural and behavioral factors
influencing health outcomes. Ignoring client perspectives could perpetuate bias or lead to
ineffective interventions.
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4. Which of the following data sources is the most reliable objective indicator of the health
status of a community?
A. Voter turnout
B. Morbidity and mortality data
C. School attendance records
D. Newspaper editorials
Answer: B. Morbidity and mortality data
Rationale:
Morbidity and mortality statistics are evidence-based measures of population health status.
These quantifiable data sources reflect the prevalence, incidence, and consequences of
disease, allowing for comparative analyses, needs assessment, and public health planning.