Keiser University
Course Code: NUR602
Course Title: Primary Health Care of the Family I
Credit Hours:3.0
Exam: Final Exam
Date:2026
A community health nurse conducts a household survey and identifies that 38% of children under
five are underweight. Which principle of Primary Health Care is the nurse applying?
A. Curative focus
B. Community participation
C. Evidence-based planning
D. Institutional care
Answer: C
Rationale: Data collection and analysis guide evidence-based planning, a key PHC principle.
A nurse prioritizes interventions after mapping diarrheal disease hotspots using community
registers. This action demonstrates application of:
A. Secondary prevention
B. Community diagnosis
C. Tertiary care
D. Hospital referral system
Answer: B
Rationale: Community diagnosis involves systematic assessment and prioritization of community
health problems.
True or False: Community participation means the nurse independently designs interventions and
informs the community afterward.
Answer: False
Rationale: Community participation requires active involvement of community members in
planning, implementation, and evaluation.
During a home visit, a nurse identifies poor ventilation contributing to recurrent pneumonia in
children. This assessment reflects which PHC pillar promoted by the World Health Organization?
A. Intersectoral collaboration
B. Appropriate technology
C. Environmental health improvement
D. Rehabilitation
1
,Answer: C
Rationale: Improving environmental determinants such as ventilation aligns with PHC
environmental health strategies.
Fill in the blank: The systematic collection, analysis, and interpretation of health data to identify
community health needs is called __________.
Answer: Community diagnosis
Rationale: Community diagnosis guides planning and prioritization of interventions.
A nurse uses a genogram to assess hereditary hypertension patterns. This tool primarily supports:
A. Environmental assessment
B. Family structure analysis
C. Epidemiological mapping
D. Health promotion campaign
Answer: B
Rationale: A genogram illustrates family relationships and hereditary trends.
True or False: Primary prevention aims to detect disease early to prevent complications.
Answer: False
Rationale: That is secondary prevention; primary prevention aims to prevent disease occurrence.
A family declines immunization due to cultural beliefs. The most appropriate nursing action is:
A. Report to authorities immediately
B. Provide culturally sensitive health education
C. Document refusal and terminate visit
D. Insist on compliance
Answer: B
Rationale: PHC emphasizes culturally appropriate, respectful health education.
Fill in the blank: The Alma-Ata Declaration of 1978 emphasized “Health for All” through
__________ care.
Answer: Primary Health Care
Rationale: Alma-Ata established PHC as the strategy to achieve Health for All.
In a flood-prone area, a nurse coordinates with water and sanitation officers. This demonstrates:
A. Intersectoral collaboration
B. Clinical autonomy
C. Institutional bias
D. Case management
Answer: A
Rationale: PHC requires collaboration across sectors influencing health determinants.
True or False: The family is considered the basic unit of care in community health nursing.
Answer: True
Rationale: PHC focuses on family-centered care within the community context.
A nurse calculates crude birth rate during community profiling. This is part of:
A. Clinical audit
B. Epidemiological assessment
C. Home-based care
2
, D. Tertiary prevention
Answer: B
Rationale: Epidemiological indicators inform community health planning.
Fill in the blank: The level of prevention that limits disability after disease occurrence is called
__________ prevention.
Answer: Tertiary
Rationale: Tertiary prevention reduces complications and disability.
A nurse identifies unsafe water as the leading risk factor for cholera outbreaks. Which PHC
principle is most relevant?
A. Equity
B. Health promotion
C. Curative care
D. Institutionalization
Answer: B
Rationale: Addressing risk factors through health promotion prevents outbreaks.
True or False: Home visiting is primarily intended for treatment of acute emergencies.
Answer: False
Rationale: Home visits focus on assessment, prevention, and education.
A nurse applies the family APGAR tool. This tool assesses:
A. Nutritional status
B. Family functioning
C. Environmental sanitation
D. Economic income
Answer: B
Rationale: The Family APGAR evaluates Adaptation, Partnership, Growth, Affection, and
Resolve.
Fill in the blank: The process of ranking community health problems based on magnitude and
severity is known as __________.
Answer: Prioritization
Rationale: Prioritization ensures efficient allocation of resources.
A community health nurse conducts a transect walk before initiating a sanitation program. This
activity helps in:
A. Clinical diagnosis
B. Community mapping
C. Laboratory surveillance
D. Referral networking
Answer: B
Rationale: Transect walks help identify environmental and social health determinants.
True or False: Equity in PHC means equal distribution of resources regardless of need.
Answer: False
Rationale: Equity means fair distribution according to need.
A nurse identifies increased adolescent pregnancies. Which prevention level is school-based
3
Course Code: NUR602
Course Title: Primary Health Care of the Family I
Credit Hours:3.0
Exam: Final Exam
Date:2026
A community health nurse conducts a household survey and identifies that 38% of children under
five are underweight. Which principle of Primary Health Care is the nurse applying?
A. Curative focus
B. Community participation
C. Evidence-based planning
D. Institutional care
Answer: C
Rationale: Data collection and analysis guide evidence-based planning, a key PHC principle.
A nurse prioritizes interventions after mapping diarrheal disease hotspots using community
registers. This action demonstrates application of:
A. Secondary prevention
B. Community diagnosis
C. Tertiary care
D. Hospital referral system
Answer: B
Rationale: Community diagnosis involves systematic assessment and prioritization of community
health problems.
True or False: Community participation means the nurse independently designs interventions and
informs the community afterward.
Answer: False
Rationale: Community participation requires active involvement of community members in
planning, implementation, and evaluation.
During a home visit, a nurse identifies poor ventilation contributing to recurrent pneumonia in
children. This assessment reflects which PHC pillar promoted by the World Health Organization?
A. Intersectoral collaboration
B. Appropriate technology
C. Environmental health improvement
D. Rehabilitation
1
,Answer: C
Rationale: Improving environmental determinants such as ventilation aligns with PHC
environmental health strategies.
Fill in the blank: The systematic collection, analysis, and interpretation of health data to identify
community health needs is called __________.
Answer: Community diagnosis
Rationale: Community diagnosis guides planning and prioritization of interventions.
A nurse uses a genogram to assess hereditary hypertension patterns. This tool primarily supports:
A. Environmental assessment
B. Family structure analysis
C. Epidemiological mapping
D. Health promotion campaign
Answer: B
Rationale: A genogram illustrates family relationships and hereditary trends.
True or False: Primary prevention aims to detect disease early to prevent complications.
Answer: False
Rationale: That is secondary prevention; primary prevention aims to prevent disease occurrence.
A family declines immunization due to cultural beliefs. The most appropriate nursing action is:
A. Report to authorities immediately
B. Provide culturally sensitive health education
C. Document refusal and terminate visit
D. Insist on compliance
Answer: B
Rationale: PHC emphasizes culturally appropriate, respectful health education.
Fill in the blank: The Alma-Ata Declaration of 1978 emphasized “Health for All” through
__________ care.
Answer: Primary Health Care
Rationale: Alma-Ata established PHC as the strategy to achieve Health for All.
In a flood-prone area, a nurse coordinates with water and sanitation officers. This demonstrates:
A. Intersectoral collaboration
B. Clinical autonomy
C. Institutional bias
D. Case management
Answer: A
Rationale: PHC requires collaboration across sectors influencing health determinants.
True or False: The family is considered the basic unit of care in community health nursing.
Answer: True
Rationale: PHC focuses on family-centered care within the community context.
A nurse calculates crude birth rate during community profiling. This is part of:
A. Clinical audit
B. Epidemiological assessment
C. Home-based care
2
, D. Tertiary prevention
Answer: B
Rationale: Epidemiological indicators inform community health planning.
Fill in the blank: The level of prevention that limits disability after disease occurrence is called
__________ prevention.
Answer: Tertiary
Rationale: Tertiary prevention reduces complications and disability.
A nurse identifies unsafe water as the leading risk factor for cholera outbreaks. Which PHC
principle is most relevant?
A. Equity
B. Health promotion
C. Curative care
D. Institutionalization
Answer: B
Rationale: Addressing risk factors through health promotion prevents outbreaks.
True or False: Home visiting is primarily intended for treatment of acute emergencies.
Answer: False
Rationale: Home visits focus on assessment, prevention, and education.
A nurse applies the family APGAR tool. This tool assesses:
A. Nutritional status
B. Family functioning
C. Environmental sanitation
D. Economic income
Answer: B
Rationale: The Family APGAR evaluates Adaptation, Partnership, Growth, Affection, and
Resolve.
Fill in the blank: The process of ranking community health problems based on magnitude and
severity is known as __________.
Answer: Prioritization
Rationale: Prioritization ensures efficient allocation of resources.
A community health nurse conducts a transect walk before initiating a sanitation program. This
activity helps in:
A. Clinical diagnosis
B. Community mapping
C. Laboratory surveillance
D. Referral networking
Answer: B
Rationale: Transect walks help identify environmental and social health determinants.
True or False: Equity in PHC means equal distribution of resources regardless of need.
Answer: False
Rationale: Equity means fair distribution according to need.
A nurse identifies increased adolescent pregnancies. Which prevention level is school-based
3
