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Graded
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING
(QUESTIONS 1-18)
Q1. A public health nurse is conducting a community assessment to identify health
needs and resources in a rural county. The nurse analyzes census data, mortality
statistics, and environmental health reports. This activity BEST exemplifies which public
health core function?
A. Policy development
B. Assurance
C. Assessment
D. Direct care provision
Rationale: Assessment is the systematic collection and analysis of data about the
health of a community, including epidemiological, environmental, and demographic
data. Policy development involves creating policies based on assessment data,
assurance ensures services are available, and direct care provision is a clinical
intervention, not a public health core function. Correct Answer: C
Q2. A nurse is working at a mobile health clinic providing immunizations to children in
an underserved neighborhood. This nursing activity is BEST described as:
,A. Community-oriented nursing
B. Community-based nursing
C. Population-focused nursing
D. Public health administration
Rationale: Community-based nursing focuses on providing direct care to individuals and
families within a community setting, such as mobile clinics, schools, and homes.
Community-oriented nursing focuses on the health of the population as a whole. This
nurse is providing direct care, not population-level interventions. Correct Answer: B
Q3. A community health nurse is developing a program to reduce teen pregnancy rates
by implementing comprehensive sex education in local schools. According to the levels
of prevention framework, this intervention represents:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Rationale: Primary prevention aims to prevent disease or injury before it occurs through
education, immunization, and environmental modifications. Comprehensive sex
education prevents teen pregnancy before it happens. Secondary prevention involves
screening and early detection, while tertiary prevention focuses on rehabilitation and
minimizing complications. Correct Answer: A
Q4. A nurse is conducting a home visit for a postpartum mother and newborn. During
the visit, the nurse observes unsafe sleeping conditions (loose bedding, prone
positioning) and provides education on safe sleep practices. According to ATI
priority-setting frameworks, the nurse's FIRST action should be:
A. Assess the mother's postpartum depression screening
,B. Address the immediate safety risk to the infant
C. Review infant feeding practices
D. Schedule the next well-child visit
Rationale: ATI priority-setting framework prioritizes safety and risk reduction first.
Unsafe sleep practices pose an immediate risk of sudden infant death syndrome (SIDS).
The nurse must address life-threatening and safety issues before other health
promotion activities. Correct Answer: B
Q5. A public health nurse is using the LEARN model to communicate with a Hmong
family about their child's asthma management. The "L" in LEARN stands for:
A. Listen to the patient's perception of the problem
B. Label the medical diagnosis
C. Link the patient to community resources
D. Learn about the patient's cultural background
Rationale: The LEARN model for cultural communication stands for: Listen, Explain,
Acknowledge, Recommend, and Negotiate. The first step is to listen to the patient's
perception of the problem, which respects their explanatory model of illness and builds
trust. Correct Answer: A
Q6. A community health nurse is planning a health fair for a predominantly Hispanic
community. To ensure cultural competence, the nurse should FIRST:
A. Assume all Hispanic community members share the same health beliefs
B. Conduct a cultural assessment to understand the community's health beliefs,
practices, and preferences
C. Provide all materials in English only
D. Focus exclusively on biomedical explanations of disease
, Rationale: Cultural competence requires understanding the unique health beliefs,
practices, and preferences of a specific community rather than making assumptions. A
cultural assessment is the foundation for culturally appropriate care. Providing
materials in English only and focusing exclusively on biomedical models are culturally
insensitive practices. Correct Answer: B
Q7. A nurse is working in an occupational health setting. An employee is exposed to a
chemical spill and develops respiratory symptoms. The nurse's role in this situation is
BEST described as:
A. Primary prevention through health education
B. Secondary prevention through screening
C. Tertiary prevention through rehabilitation
D. Primary prevention through environmental modification
Rationale: In occupational health, responding to an acute chemical exposure and
providing immediate care for respiratory symptoms is secondary prevention (early
detection and treatment of injury/illness). Primary prevention would involve preventing
the spill, and tertiary prevention would involve long-term rehabilitation. Correct Answer:
B
Q8. A community health nurse is using the BELIEF tool to assess a patient's cultural
health beliefs. The "B" in BELIEF stands for:
A. Background
B. Beliefs about health and illness
C. Barriers to care
D. Biomedical assessment
Rationale: The BELIEF tool for spiritual and cultural assessment stands for: Beliefs,
Ethics/values, Lifestyle, Involvement, Economics, and Faith/religious affiliation. The "B"