PNR 208/PNR208 Exam 3 V1 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a program to provide influenza immunizations to
seniors at a local community center. This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Primary prevention focuses on health promotion and the prevention
of the onset of disease. Immunizations are a classic example of primary prevention as they
protect individuals before they become ill. This level of care aims to reduce the incidence of
disease within a population.
2. A nurse is performing a skin assessment on a client with a history of melanoma during a
community health fair. Which level of prevention does this represent?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
,D. Rehabilitative prevention
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and screening to
identify diseases in their earliest stages. By performing skin assessments, the nurse is
looking for early signs of recurrence or new lesions. This intervention allows for prompt
treatment and limits disability.
3. Which of the following activities should the community health nurse classify as tertiary
prevention?
A. Educating students about the dangers of smoking
B. Teaching a client with diabetes how to perform daily foot exams
C. Providing lead screening for toddlers in a low-income area
D. Administering a tetanus booster to an injured worker
Correct Answer: B
Expert Explanation: Tertiary prevention aims to prevent further complications or
deterioration in individuals who already have a chronic disease. Teaching a diabetic client
about foot care helps prevent ulcers and potential amputations. It focuses on rehabilitation
and restoration of health to the highest possible level.
4. In the epidemiological triangle, a virus that causes an outbreak of measles is considered
which component?
A. The environment
, B. The host
C. The vector
D. The agent
Correct Answer: D
Expert Explanation: The agent is the animate or inanimate factor that must be present or
lacking for a disease or condition to develop. In this scenario, the measles virus is the
biological agent responsible for the illness. Understanding the agent is crucial for
developing targeted interventions to stop transmission.
5. When a community health nurse evaluates the impact of local water quality on a sudden
increase in gastrointestinal illness, which part of the epidemiological triangle is being
assessed?
A. Environment
B. Agent
C. Host
D. Determinant
Correct Answer: A
Expert Explanation: The environment refers to all external factors surrounding the host
that might influence vulnerability or resistance. Water quality is an environmental factor
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a program to provide influenza immunizations to
seniors at a local community center. This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Primary prevention focuses on health promotion and the prevention
of the onset of disease. Immunizations are a classic example of primary prevention as they
protect individuals before they become ill. This level of care aims to reduce the incidence of
disease within a population.
2. A nurse is performing a skin assessment on a client with a history of melanoma during a
community health fair. Which level of prevention does this represent?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
,D. Rehabilitative prevention
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and screening to
identify diseases in their earliest stages. By performing skin assessments, the nurse is
looking for early signs of recurrence or new lesions. This intervention allows for prompt
treatment and limits disability.
3. Which of the following activities should the community health nurse classify as tertiary
prevention?
A. Educating students about the dangers of smoking
B. Teaching a client with diabetes how to perform daily foot exams
C. Providing lead screening for toddlers in a low-income area
D. Administering a tetanus booster to an injured worker
Correct Answer: B
Expert Explanation: Tertiary prevention aims to prevent further complications or
deterioration in individuals who already have a chronic disease. Teaching a diabetic client
about foot care helps prevent ulcers and potential amputations. It focuses on rehabilitation
and restoration of health to the highest possible level.
4. In the epidemiological triangle, a virus that causes an outbreak of measles is considered
which component?
A. The environment
, B. The host
C. The vector
D. The agent
Correct Answer: D
Expert Explanation: The agent is the animate or inanimate factor that must be present or
lacking for a disease or condition to develop. In this scenario, the measles virus is the
biological agent responsible for the illness. Understanding the agent is crucial for
developing targeted interventions to stop transmission.
5. When a community health nurse evaluates the impact of local water quality on a sudden
increase in gastrointestinal illness, which part of the epidemiological triangle is being
assessed?
A. Environment
B. Agent
C. Host
D. Determinant
Correct Answer: A
Expert Explanation: The environment refers to all external factors surrounding the host
that might influence vulnerability or resistance. Water quality is an environmental factor
