PNR 208/PNR208 Exam 3 V2 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a primary prevention program for a local high
school. Which of the following activities should the nurse include?
A. Testing students for tuberculosis exposure
B. Conducting scoliosis screenings for students
C. Leading a support group for students with asthma
D. Providing education on the importance of immunization
Correct Answer: D
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Providing education on immunizations is a classic example of primary
prevention because it stops the disease before it starts. Screenings and testing are
considered secondary prevention, while support groups for chronic conditions are tertiary
prevention.
2. Which criteria must a patient meet to be eligible for home health care services under
Medicare Part A?
A. The patient must be able to drive themselves to the clinic
B. The patient must require constant 24-hour nursing care
,C. The patient must have a terminal illness with 6 months to live
D. The patient must be considered homebound
Correct Answer: D
Expert Explanation: To qualify for Medicare-covered home health care, a patient must be
under the care of a doctor and be certified as homebound. This means leaving home takes a
considerable and taxing effort. Additionally, the patient must need intermittent skilled
nursing care or therapy services.
3. During a disaster response, a nurse uses the START triage system. Which tag color should
be assigned to a victim with a broken arm who is able to walk?
A. Red
B. Yellow
C. Black
D. Green
Correct Answer: D
Expert Explanation: Victims who are ambulatory and have minor injuries are tagged
green, often referred to as the walking wounded. This allows resources to be focused on
more critical patients first. Green tagged patients can often wait several hours for definitive
care without significant risk.
, 4. A nurse is performing a windshield survey of a community. Which of the following data
points is relevant to the ‘physical environment’ category?
A. The presence of parks and green spaces
B. The average income level of the residents
C. The ethnicity of the people on the street
D. The number of community clinics available
Correct Answer: A
Expert Explanation: A windshield survey involves observing the community from a
vehicle to gather objective data. The physical environment includes things like air quality,
noise levels, and the presence of open spaces or parks. Information such as income and
ethnicity usually requires secondary data collection or direct interviews.
5. What is the primary goal of hospice care in a community-based setting?
A. To provide aggressive treatment for a cure
B. To maximize the quality of life for a dying patient
C. To assist with long-term rehabilitation after a stroke
D. To perform surgical procedures in the home
Correct Answer: B
Expert Explanation: Hospice care focuses on palliative care rather than curative
treatment for patients nearing the end of life. The goal is to provide comfort and support to
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a primary prevention program for a local high
school. Which of the following activities should the nurse include?
A. Testing students for tuberculosis exposure
B. Conducting scoliosis screenings for students
C. Leading a support group for students with asthma
D. Providing education on the importance of immunization
Correct Answer: D
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Providing education on immunizations is a classic example of primary
prevention because it stops the disease before it starts. Screenings and testing are
considered secondary prevention, while support groups for chronic conditions are tertiary
prevention.
2. Which criteria must a patient meet to be eligible for home health care services under
Medicare Part A?
A. The patient must be able to drive themselves to the clinic
B. The patient must require constant 24-hour nursing care
,C. The patient must have a terminal illness with 6 months to live
D. The patient must be considered homebound
Correct Answer: D
Expert Explanation: To qualify for Medicare-covered home health care, a patient must be
under the care of a doctor and be certified as homebound. This means leaving home takes a
considerable and taxing effort. Additionally, the patient must need intermittent skilled
nursing care or therapy services.
3. During a disaster response, a nurse uses the START triage system. Which tag color should
be assigned to a victim with a broken arm who is able to walk?
A. Red
B. Yellow
C. Black
D. Green
Correct Answer: D
Expert Explanation: Victims who are ambulatory and have minor injuries are tagged
green, often referred to as the walking wounded. This allows resources to be focused on
more critical patients first. Green tagged patients can often wait several hours for definitive
care without significant risk.
, 4. A nurse is performing a windshield survey of a community. Which of the following data
points is relevant to the ‘physical environment’ category?
A. The presence of parks and green spaces
B. The average income level of the residents
C. The ethnicity of the people on the street
D. The number of community clinics available
Correct Answer: A
Expert Explanation: A windshield survey involves observing the community from a
vehicle to gather objective data. The physical environment includes things like air quality,
noise levels, and the presence of open spaces or parks. Information such as income and
ethnicity usually requires secondary data collection or direct interviews.
5. What is the primary goal of hospice care in a community-based setting?
A. To provide aggressive treatment for a cure
B. To maximize the quality of life for a dying patient
C. To assist with long-term rehabilitation after a stroke
D. To perform surgical procedures in the home
Correct Answer: B
Expert Explanation: Hospice care focuses on palliative care rather than curative
treatment for patients nearing the end of life. The goal is to provide comfort and support to
