NSG 3007 COMMUNITY HEALTH
NURSING FINAL EXAM
QUESTIONS AND ANSWERS 2026
- 2027
What CHN intervention would best serve a vulnerable
population? (Ch 15)
a. Addressing multiple health concerns, including preventive
education, when clients
present for treatment of an illness
b. Establishing a system of networks so that clients may be
referred to different
services such as preventive care, acute illness care, and chronic
treatment
c. Providing acute care services that focus on the client's main
health concern and
setting up appointments at discharge for other concerns
d. Referring clients to specialists to address specific health
concerns
a. Addressing multiple health concerns, including preventive
education, when clients
present for treatment of an illness
What definition accurately reflects the meaning of the term health
inequities? (Ch 15)
a. Health inequities are the accumulation of multiple factors that
lead to poor health.
,b. Health inequities occur when people are more inclined to
become ill and usually
do not seek appropriate care.
c. Health inequities are unfair differences in health that could be
avoided with
reasonable action.
d. Health inequities are wide variations in health status and
services among certain
population groups.
c. Health inequities are unfair differences in health that could be
avoided with reasonable action.
What is a primary cause of vulnerability? (Ch 15)
a. Breakdown of family structures
b. Poverty
c. Prejudice
d. Social isolation
b. Poverty
Which level of prevention is a CHN practising when she offers
homeless clients yearly tuberculosis (TB) screening and free
treatment for those who test positive? (Ch 15)
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Secondary and tertiary prevention
b. Secondary prevention
A CHN is orienting a new recruit to a health clinic that primarily
serves vulnerable populations. Which statement by the CHN
indicates a need for additional information? (Ch 15)
,a. "If a client who does not speak English comes in, you must
obtain an interpreter right away."
b. "We try to take care of as many problems as possible in one
visit, so when you check the client in, ask about additional
concerns."
c. "You will like working with Filipino immigrants because they
have close-knit family structures."
d. "You will need to assist the client by scheduling any referral or
follow-up appointments."
c. "You will like working with Filipino immigrants because they have
close-knit family structures."
While screening for diabetes at a community clinic, a CHN found
out that a new client had type 2 diabetes. The CHN then provided
counselling, referred the client to an endocrinologist for initial
assessment and treatment, helped with arrangements for financial
assistance, arranged transportation, and booked a follow-up
appointment. What role does this type of service exemplify? (Ch
15)
a. Case management
b. Client advocacy
c. Holistic care
d. Wrap-around services
a. Case management
CHNs at a clinic for homeless people are concerned that clients
rarely return for follow-up
after their TB skin (Mantoux) tests. What policy would be the
most appropriate one for
addressing this situation? (Ch 15)
, a. Call all homeless clients 48 hours after testing to remind them
to return to the
clinic for follow-up.
b. Have the homeless persons read the test result themselves and
then mail in the
results on a postage-paid card coded to protect privacy.
c. Readminister the test if the client returns later than scheduled
for follow-up.
d. Routinely refer all homeless clients for chest X-rays.
b. Have the homeless persons read the test result themselves and then
mail in the results on a postage-paid card coded to protect privacy.
What action should a CHN take when using the case management
approach with vulnerable populations? (Ch 15)
a. Be willing to enter into a long-term relationship with families.
b. Direct and control the client's care because the CHN knows
what is most needed.
c. Encourage families to become self-sufficient and less dependent
on nursing
personnel for advice and referrals.
d. Rotate assignments periodically, to prevent attachment and
codependency.
a. Be willing to enter into a long-term relationship with families.
Which one of the following is an example of tertiary prevention
by a CHN? (Ch 15)
a. Administering the Mantoux (skin) test to identify persons with
TB
b. Assessing for signs and symptoms of active TB
c. Directly observing clients with active TB as they take their
NURSING FINAL EXAM
QUESTIONS AND ANSWERS 2026
- 2027
What CHN intervention would best serve a vulnerable
population? (Ch 15)
a. Addressing multiple health concerns, including preventive
education, when clients
present for treatment of an illness
b. Establishing a system of networks so that clients may be
referred to different
services such as preventive care, acute illness care, and chronic
treatment
c. Providing acute care services that focus on the client's main
health concern and
setting up appointments at discharge for other concerns
d. Referring clients to specialists to address specific health
concerns
a. Addressing multiple health concerns, including preventive
education, when clients
present for treatment of an illness
What definition accurately reflects the meaning of the term health
inequities? (Ch 15)
a. Health inequities are the accumulation of multiple factors that
lead to poor health.
,b. Health inequities occur when people are more inclined to
become ill and usually
do not seek appropriate care.
c. Health inequities are unfair differences in health that could be
avoided with
reasonable action.
d. Health inequities are wide variations in health status and
services among certain
population groups.
c. Health inequities are unfair differences in health that could be
avoided with reasonable action.
What is a primary cause of vulnerability? (Ch 15)
a. Breakdown of family structures
b. Poverty
c. Prejudice
d. Social isolation
b. Poverty
Which level of prevention is a CHN practising when she offers
homeless clients yearly tuberculosis (TB) screening and free
treatment for those who test positive? (Ch 15)
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Secondary and tertiary prevention
b. Secondary prevention
A CHN is orienting a new recruit to a health clinic that primarily
serves vulnerable populations. Which statement by the CHN
indicates a need for additional information? (Ch 15)
,a. "If a client who does not speak English comes in, you must
obtain an interpreter right away."
b. "We try to take care of as many problems as possible in one
visit, so when you check the client in, ask about additional
concerns."
c. "You will like working with Filipino immigrants because they
have close-knit family structures."
d. "You will need to assist the client by scheduling any referral or
follow-up appointments."
c. "You will like working with Filipino immigrants because they have
close-knit family structures."
While screening for diabetes at a community clinic, a CHN found
out that a new client had type 2 diabetes. The CHN then provided
counselling, referred the client to an endocrinologist for initial
assessment and treatment, helped with arrangements for financial
assistance, arranged transportation, and booked a follow-up
appointment. What role does this type of service exemplify? (Ch
15)
a. Case management
b. Client advocacy
c. Holistic care
d. Wrap-around services
a. Case management
CHNs at a clinic for homeless people are concerned that clients
rarely return for follow-up
after their TB skin (Mantoux) tests. What policy would be the
most appropriate one for
addressing this situation? (Ch 15)
, a. Call all homeless clients 48 hours after testing to remind them
to return to the
clinic for follow-up.
b. Have the homeless persons read the test result themselves and
then mail in the
results on a postage-paid card coded to protect privacy.
c. Readminister the test if the client returns later than scheduled
for follow-up.
d. Routinely refer all homeless clients for chest X-rays.
b. Have the homeless persons read the test result themselves and then
mail in the results on a postage-paid card coded to protect privacy.
What action should a CHN take when using the case management
approach with vulnerable populations? (Ch 15)
a. Be willing to enter into a long-term relationship with families.
b. Direct and control the client's care because the CHN knows
what is most needed.
c. Encourage families to become self-sufficient and less dependent
on nursing
personnel for advice and referrals.
d. Rotate assignments periodically, to prevent attachment and
codependency.
a. Be willing to enter into a long-term relationship with families.
Which one of the following is an example of tertiary prevention
by a CHN? (Ch 15)
a. Administering the Mantoux (skin) test to identify persons with
TB
b. Assessing for signs and symptoms of active TB
c. Directly observing clients with active TB as they take their
