PNR 208/PNR208 Final Exam V3 |
Concepts of Community-Based Nursing
Q&A with Rationale | Fortis College
1. A community health nurse is conducting an educational session on primary prevention.
Which of the following activities should the nurse include?
A. Blood pressure screenings at a local health fair
B. Providing immunizations to children at a local clinic
C. Leading a support group for individuals with diabetes
D. Referring a client to physical therapy after a stroke
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are a classic example because they provide protection
before an individual is exposed to a pathogen. This level of care emphasizes health
promotion and protection from specific risks.
2. A nurse is performing a windshield survey of a new community. Which of the following
observations is a component of this assessment?
A. Reviewing local morbidity and mortality statistics
B. Interviewing the mayor regarding community concerns
C. Observing the types and condition of local housing
,D. Distributing health surveys to residents at a grocery store
Correct Answer: C
Expert Explanation: A windshield survey is an informal tool used to observe a
community’s characteristics while driving or walking through it. Observing the condition of
housing provides immediate visual data about the socioeconomic status and environment
of the area. This method is distinct from formal data collection like interviews or statistical
reviews.
3. Which level of prevention is a nurse practicing when they perform a Mantoux tuberculin
skin test on a group of factory workers?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and treatment of a
disease to limit its impact. Screening tests, such as the Mantoux test for tuberculosis, are
used to identify asymptomatic individuals who may have the condition. This allows for
early intervention and prevents further transmission of the disease within the community.
, 4. A home health nurse is visiting a client with heart failure. Which action represents tertiary
prevention?
A. Encouraging the client to get an annual influenza vaccine
B. Screening the client’s family members for high blood pressure
C. Teaching the client about a low-sodium diet to manage symptoms
D. Discussing smoke detectors and home safety hazards
Correct Answer: C
Expert Explanation: Tertiary prevention aims to minimize the effects of a long-term
permanent disease or disability. Teaching a client with an existing diagnosis of heart failure
how to manage symptoms through diet is an example of rehabilitation and management.
This level of care focuses on improving the quality of life and preventing further
complications.
5. A community nurse is investigating an outbreak of foodborne illness. Using the
epidemiological triad, which of the following is considered the ‘agent’?
A. The contaminated potato salad
B. A warm kitchen environment
C. The elderly individuals who became ill
D. Salmonella bacteria
Correct Answer: D
Concepts of Community-Based Nursing
Q&A with Rationale | Fortis College
1. A community health nurse is conducting an educational session on primary prevention.
Which of the following activities should the nurse include?
A. Blood pressure screenings at a local health fair
B. Providing immunizations to children at a local clinic
C. Leading a support group for individuals with diabetes
D. Referring a client to physical therapy after a stroke
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are a classic example because they provide protection
before an individual is exposed to a pathogen. This level of care emphasizes health
promotion and protection from specific risks.
2. A nurse is performing a windshield survey of a new community. Which of the following
observations is a component of this assessment?
A. Reviewing local morbidity and mortality statistics
B. Interviewing the mayor regarding community concerns
C. Observing the types and condition of local housing
,D. Distributing health surveys to residents at a grocery store
Correct Answer: C
Expert Explanation: A windshield survey is an informal tool used to observe a
community’s characteristics while driving or walking through it. Observing the condition of
housing provides immediate visual data about the socioeconomic status and environment
of the area. This method is distinct from formal data collection like interviews or statistical
reviews.
3. Which level of prevention is a nurse practicing when they perform a Mantoux tuberculin
skin test on a group of factory workers?
A. Secondary prevention
B. Primary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and treatment of a
disease to limit its impact. Screening tests, such as the Mantoux test for tuberculosis, are
used to identify asymptomatic individuals who may have the condition. This allows for
early intervention and prevents further transmission of the disease within the community.
, 4. A home health nurse is visiting a client with heart failure. Which action represents tertiary
prevention?
A. Encouraging the client to get an annual influenza vaccine
B. Screening the client’s family members for high blood pressure
C. Teaching the client about a low-sodium diet to manage symptoms
D. Discussing smoke detectors and home safety hazards
Correct Answer: C
Expert Explanation: Tertiary prevention aims to minimize the effects of a long-term
permanent disease or disability. Teaching a client with an existing diagnosis of heart failure
how to manage symptoms through diet is an example of rehabilitation and management.
This level of care focuses on improving the quality of life and preventing further
complications.
5. A community nurse is investigating an outbreak of foodborne illness. Using the
epidemiological triad, which of the following is considered the ‘agent’?
A. The contaminated potato salad
B. A warm kitchen environment
C. The elderly individuals who became ill
D. Salmonella bacteria
Correct Answer: D
