NUR 388 MIDTERM EXAM - MODULES 1-3 NEWEST 2026/2027
ACTUAL EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
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When talking to a women's group at the senior citizens' center, the nurse
reminded them that the only way the center would be able to afford to provide
transportation services for them would be for them to continue to write letters to
their local city council representatives requesting funding for such a service. What
was the nurse trying to accomplish through this action?
a. Ensure that the women did not expect the nurse to solve their problem.
b. Demonstrate that the nurse understood the women's concerns and needs.
c. Express empathy, support, and concern.
d. Help the women engage in political action. - Correct Answer-d. Help the women
engage in political action.
Public health nurses engage themselves and others in policy development and
encourage and assist persons to communicate their needs to those with the power
to take action. The nurse is demonstrating the role of advocate through this
action, it goes beyond merely understanding the women's concern, and instead
mobilizes them to take action. This action does not demonstrate the nurse
showing empathy rather the nurse is empowering these women.
The public health nurse has a clear vision of what needs to be done and where to
begin to improve the health of the community. Why would the nurse spend time
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meeting with community groups to discuss the most important task to be
addressed first?
a. To increase the group's self-esteem
b. To maintain communication links with the groups
c. To make the groups feel good about their contribution
d. To work with the groups, not for the groups - Correct Answer-d. To work with
the groups, not for the groups
Historically, health care providers have been accused of providing care for or to
people without actually involving the recipients in the decisions. Public health
nursing is a "with the people"—not a "to the people" or "for the people"—
approach to planning. There is an imperative to work with members of the
community to carry out core public health functions. The purpose of meeting with
community groups is not to increase their self-esteem or make them feel good
about their contribution, rather it is to allow them to act for themselves to solve
the problems they are facing. The first task of working with the group should occur
before addressing maintaining communication links.
The nurse often has to make resource allocation decisions. Which of the following
best describes the criterion the nurse should use in such cases?
a. The specific moral or ethical principle related to the situation
b. The cheapest, most economical approach
c. The most rational probable outcome
d. The needs of the aggregate rather than a few individuals - Correct Answer-d.
The needs of the aggregate rather than a few individuals
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The dominant needs of the population outweigh the expressed needs of one or a
few people. All of the choices represent components of a decision that the nurse
might consider in determining the needs of the aggregate.
Which of the following actions best represents public health nursing?
a. Assessing the effectiveness of the high school health clinic
b. Caring for clients in their home following their outpatient surgeries
c. Providing care to children and their families at the school clinic
d. Administering follow-up care for pediatric clients at an outpatient clinic -
Correct Answer-a. Assessing the effectiveness of the high school health clinic
A public health or population-focused approach would look at the entire group of
children being served to determine whether available services are effective in
achieving the goal of improving the health of the school population. Caring for
clients and their families focuses on individuals and families and not on the entire
population. Public health focuses on care of populations.
Two nurses plan to walk under a huge downtown bridge where various homeless
persons live. Why would the nurses go to such an unsafe area?
a. To assess the needs of the homeless who live there
b. To demonstrate their courage and commitment
c. To distribute some of their own surplus clothes to those who can use them
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d. To share with various churches and other charities what is needed - Correct
Answer-a. To assess the needs of the homeless who live there
In most nursing practices, the client seeks out and requests assistance. In public
health nursing, the nurse often reaches out to those who might benefit from a
service or intervention, beginning with assessment of needs. The other answers
reflect responses where the nurse is trying to give assistance to this population
that may or may not be helpful or welcomed.
Which statement best describes community-based nursing?
a. A practice in which care is provided for individuals and families.
b. Providing care with a focus on the group's needs.
c. Giving care with a focus on the aggregate's needs.
d. A value system in which all clients receive optimal care. - Correct Answer-a. A
practice in which care is provided for individuals and families.
By definition, community-based nursing is a setting-specific practice in which care
is provided for "sick" individuals and families where they live, work, and attend
school. The emphasis is on acute and chronic care and the provision of
comprehensive, coordinated, and continuous care. These nurses may be
generalists or specialists in maternal-infant, pediatric, adult, or psychiatric mental
health nursing. Community-based nursing emphasizes acute and chronic care to
individuals and families, rather than focusing on groups, aggregates, or systems.
Which statement best describes the goal of community-oriented nursing?
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