PNR 208/PNR208 Final Exam V1 |
Concepts of Community-Based Nursing
Q&A with Rationale | Fortis College
1. A community health nurse is planning a primary prevention strategy for a local senior
center. Which of the following activities should the nurse include?
A. Conducting physical therapy for stroke survivors.
B. Screening clients for early signs of skin cancer.
C. Providing influenza immunizations to residents.
D. Monitoring blood glucose levels in diabetic patients.
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Providing immunizations is a classic example of this because it protects
the individual before any illness develops. Secondary and tertiary preventions focus on
screening and rehabilitation, respectively.
2. A nurse is conducting a community assessment using the ‘Windshield Survey’ method.
Which of the following observations is a priority to document?
A. The types of flowers planted in the park.
B. The number of luxury cars parked in driveways.
C. The color of the local high school uniforms.
,D. The presence of open sewage or environmental hazards.
Correct Answer: D
Expert Explanation: A windshield survey is an informal tool used to assess the
environment and general health of a community through observation. Identifying
environmental hazards like open sewage is critical for assessing the health risks posed to
the population. This information helps the nurse prioritize interventions that address
sanitation and safety.
3. A home health nurse is evaluating a client’s home for safety. Which finding represents the
greatest risk for a fall?
A. Throw rugs placed on top of hardwood floors.
B. Handrails installed in the bathroom.
C. A bright light in the hallway.
D. A non-slip mat inside the bathtub.
Correct Answer: A
Expert Explanation: Unsecured throw rugs are a major environmental hazard that
frequently leads to falls, especially in the elderly. Safety assessments in the home prioritize
removing tripping hazards and improving lighting. Ensuring the floor is clear and stable is
a fundamental aspect of community-based injury prevention.
4. In epidemiology, the ‘host’ in the epidemiological triangle refers to which of the following?
A. The physical environment where the disease occurs.
, B. The individual or population affected by the disease.
C. The chemical or biological factor causing the disease.
D. The healthcare provider treating the disease.
Correct Answer: B
Expert Explanation: The epidemiological triangle consists of the agent, the host, and the
environment. The host is the living being that the agent or environment influences,
potentially leading to disease. Understanding the host’s susceptibility is vital for developing
targeted nursing interventions.
5. A community nurse is educating a group on secondary prevention. Which of the following
is an example of this level of prevention?
A. Educating teenagers about the dangers of vaping.
B. Advocating for legislation to ban lead paint.
C. Attending a support group for alcohol recovery.
D. Performing monthly breast self-examinations.
Correct Answer: D
Expert Explanation: Secondary prevention aims at early detection and rapid intervention
to limit the impact of a disease. Breast self-examinations are screening tools used to
identify potential issues before they become severe. This differs from primary prevention,
Concepts of Community-Based Nursing
Q&A with Rationale | Fortis College
1. A community health nurse is planning a primary prevention strategy for a local senior
center. Which of the following activities should the nurse include?
A. Conducting physical therapy for stroke survivors.
B. Screening clients for early signs of skin cancer.
C. Providing influenza immunizations to residents.
D. Monitoring blood glucose levels in diabetic patients.
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Providing immunizations is a classic example of this because it protects
the individual before any illness develops. Secondary and tertiary preventions focus on
screening and rehabilitation, respectively.
2. A nurse is conducting a community assessment using the ‘Windshield Survey’ method.
Which of the following observations is a priority to document?
A. The types of flowers planted in the park.
B. The number of luxury cars parked in driveways.
C. The color of the local high school uniforms.
,D. The presence of open sewage or environmental hazards.
Correct Answer: D
Expert Explanation: A windshield survey is an informal tool used to assess the
environment and general health of a community through observation. Identifying
environmental hazards like open sewage is critical for assessing the health risks posed to
the population. This information helps the nurse prioritize interventions that address
sanitation and safety.
3. A home health nurse is evaluating a client’s home for safety. Which finding represents the
greatest risk for a fall?
A. Throw rugs placed on top of hardwood floors.
B. Handrails installed in the bathroom.
C. A bright light in the hallway.
D. A non-slip mat inside the bathtub.
Correct Answer: A
Expert Explanation: Unsecured throw rugs are a major environmental hazard that
frequently leads to falls, especially in the elderly. Safety assessments in the home prioritize
removing tripping hazards and improving lighting. Ensuring the floor is clear and stable is
a fundamental aspect of community-based injury prevention.
4. In epidemiology, the ‘host’ in the epidemiological triangle refers to which of the following?
A. The physical environment where the disease occurs.
, B. The individual or population affected by the disease.
C. The chemical or biological factor causing the disease.
D. The healthcare provider treating the disease.
Correct Answer: B
Expert Explanation: The epidemiological triangle consists of the agent, the host, and the
environment. The host is the living being that the agent or environment influences,
potentially leading to disease. Understanding the host’s susceptibility is vital for developing
targeted nursing interventions.
5. A community nurse is educating a group on secondary prevention. Which of the following
is an example of this level of prevention?
A. Educating teenagers about the dangers of vaping.
B. Advocating for legislation to ban lead paint.
C. Attending a support group for alcohol recovery.
D. Performing monthly breast self-examinations.
Correct Answer: D
Expert Explanation: Secondary prevention aims at early detection and rapid intervention
to limit the impact of a disease. Breast self-examinations are screening tools used to
identify potential issues before they become severe. This differs from primary prevention,
