PNR 208/PNR208 Exam 2 V3 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A nurse is explaining the difference between community-oriented nursing and community-
based nursing. Which statement by the nurse is correct?
A. Community-based nursing focuses on the health of the entire population.
B. Community-based nursing is primarily concerned with environmental health factors.
C. Community-oriented nursing focuses on health promotion and disease prevention in the
community.
D. Community-oriented nursing deals only with acute care for individuals.
Correct Answer: C
Expert Explanation: Community-oriented nursing focuses on the health of the population
or community as a whole through health promotion. Community-based nursing, however,
focuses on the ‘illness care’ of individuals and families within the community setting.
Understanding this distinction is vital for nursing students at Fortis College as it defines the
scope of practice.
2. A community health nurse is planning a primary prevention activity. Which of the following
should the nurse include?
A. Providing influenza vaccines at a local community center.
,B. Screening school-aged children for scoliosis.
C. Teaching a client how to use an inhaler after an asthma diagnosis.
D. Conducting a support group for individuals with chronic heart failure.
Correct Answer: A
Expert Explanation: Primary prevention aims to prevent disease or injury before it ever
occurs. Administering vaccines is a hallmark of primary prevention because it builds
immunity against pathogens before exposure. Secondary and tertiary levels involve
screening and management of existing conditions, respectively.
3. Which of the following actions represents secondary prevention in a community setting?
A. Performing blood pressure screenings at a health fair.
B. Advocating for new laws regarding seatbelt use.
C. Leading a rehabilitation exercise class for stroke survivors.
D. Educating high school students about the dangers of vaping.
Correct Answer: A
Expert Explanation: Secondary prevention focuses on early detection and rapid
intervention to limit the impact of a disease. Blood pressure screening identifies individuals
who may have hypertension but are not yet symptomatic. This allows for early treatment
to prevent complications like heart attack or stroke.
, 4. A nurse is working with a patient who has a long-term disability. The goal is to maximize
the patient’s functional capacity. This is an example of:
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Tertiary prevention aims to soften the impact of an ongoing illness or
injury that has lasting effects. By focusing on rehabilitation and maximizing functional
capacity, the nurse helps the client live as independently as possible. This stage of care
occurs after a condition has already been diagnosed and treated in its acute phase.
5. A nurse is conducting a windshield survey. Which of the following is a component of this
type of assessment?
A. Interviewing local government officials about the budget.
B. Reviewing state health records for mortality rates.
C. Observing the condition of housing and presence of open spaces.
D. Distributing questionnaires to residents at a shopping mall.
Correct Answer: C
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A nurse is explaining the difference between community-oriented nursing and community-
based nursing. Which statement by the nurse is correct?
A. Community-based nursing focuses on the health of the entire population.
B. Community-based nursing is primarily concerned with environmental health factors.
C. Community-oriented nursing focuses on health promotion and disease prevention in the
community.
D. Community-oriented nursing deals only with acute care for individuals.
Correct Answer: C
Expert Explanation: Community-oriented nursing focuses on the health of the population
or community as a whole through health promotion. Community-based nursing, however,
focuses on the ‘illness care’ of individuals and families within the community setting.
Understanding this distinction is vital for nursing students at Fortis College as it defines the
scope of practice.
2. A community health nurse is planning a primary prevention activity. Which of the following
should the nurse include?
A. Providing influenza vaccines at a local community center.
,B. Screening school-aged children for scoliosis.
C. Teaching a client how to use an inhaler after an asthma diagnosis.
D. Conducting a support group for individuals with chronic heart failure.
Correct Answer: A
Expert Explanation: Primary prevention aims to prevent disease or injury before it ever
occurs. Administering vaccines is a hallmark of primary prevention because it builds
immunity against pathogens before exposure. Secondary and tertiary levels involve
screening and management of existing conditions, respectively.
3. Which of the following actions represents secondary prevention in a community setting?
A. Performing blood pressure screenings at a health fair.
B. Advocating for new laws regarding seatbelt use.
C. Leading a rehabilitation exercise class for stroke survivors.
D. Educating high school students about the dangers of vaping.
Correct Answer: A
Expert Explanation: Secondary prevention focuses on early detection and rapid
intervention to limit the impact of a disease. Blood pressure screening identifies individuals
who may have hypertension but are not yet symptomatic. This allows for early treatment
to prevent complications like heart attack or stroke.
, 4. A nurse is working with a patient who has a long-term disability. The goal is to maximize
the patient’s functional capacity. This is an example of:
A. Tertiary prevention
B. Secondary prevention
C. Primary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Tertiary prevention aims to soften the impact of an ongoing illness or
injury that has lasting effects. By focusing on rehabilitation and maximizing functional
capacity, the nurse helps the client live as independently as possible. This stage of care
occurs after a condition has already been diagnosed and treated in its acute phase.
5. A nurse is conducting a windshield survey. Which of the following is a component of this
type of assessment?
A. Interviewing local government officials about the budget.
B. Reviewing state health records for mortality rates.
C. Observing the condition of housing and presence of open spaces.
D. Distributing questionnaires to residents at a shopping mall.
Correct Answer: C
