PNR 208/PNR208 Exam 4 V3 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is conducting a educational session on primary prevention.
Which of the following activities should the nurse include?
A. Providing influenza immunizations
B. Performing skin cancer screenings
C. Leading a support group for stroke survivors
D. Providing physical therapy for a client with a fracture
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of
disease or injury. Immunizations are a classic example of primary prevention as they
protect individuals before they become ill. This contrasts with secondary prevention like
screenings and tertiary prevention like rehabilitation.
2. A nurse is performing a windshield survey of a new neighborhood. Which of the following
observations is a component of this assessment?
A. The types of food available in local grocery stores
B. Interviewing the local mayor about crime rates
C. Reviewing state health department statistics
,D. Analyzing the results of a community focus group
Correct Answer: A
Expert Explanation: A windshield survey is a subjective observation made by the nurse
while driving or walking through a community. Observing the availability of food sources
provides insight into the nutritional resources of the population. Other options like
interviews or reviewing statistics are considered secondary data collection methods rather
than direct observation.
3. Which element of the epidemiological triangle is represented by a virus that causes an
outbreak of influenza?
A. Host
B. Environment
C. Agent
D. Vector
Correct Answer: C
Expert Explanation: The agent is the physical, infectious, or chemical factor that causes
the disease. In this scenario, the influenza virus itself is the agent responsible for the illness.
The host is the individual affected, and the environment includes the external factors that
allow transmission.
, 4. A nurse is working with a vulnerable population in an urban area. Which factor is the
primary contributor to vulnerability?
A. Limited access to healthcare resources
B. High levels of health literacy
C. Stable housing conditions
D. Decreased exposure to environmental toxins
Correct Answer: A
Expert Explanation: Vulnerability in community health is often defined by a lack of
resources and increased exposure to risk. Limited access to healthcare facilities and
preventative services significantly increases the risk of poor health outcomes for these
groups. Nurses must identify these barriers to provide equitable care to disenfranchised
populations.
5. A nurse is teaching a client about secondary prevention for heart disease. Which of the
following should the nurse mention?
A. Blood pressure screening
B. Smoking cessation education
C. Cardiac rehabilitation
D. Low-sodium diet counseling
Correct Answer: A
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is conducting a educational session on primary prevention.
Which of the following activities should the nurse include?
A. Providing influenza immunizations
B. Performing skin cancer screenings
C. Leading a support group for stroke survivors
D. Providing physical therapy for a client with a fracture
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of
disease or injury. Immunizations are a classic example of primary prevention as they
protect individuals before they become ill. This contrasts with secondary prevention like
screenings and tertiary prevention like rehabilitation.
2. A nurse is performing a windshield survey of a new neighborhood. Which of the following
observations is a component of this assessment?
A. The types of food available in local grocery stores
B. Interviewing the local mayor about crime rates
C. Reviewing state health department statistics
,D. Analyzing the results of a community focus group
Correct Answer: A
Expert Explanation: A windshield survey is a subjective observation made by the nurse
while driving or walking through a community. Observing the availability of food sources
provides insight into the nutritional resources of the population. Other options like
interviews or reviewing statistics are considered secondary data collection methods rather
than direct observation.
3. Which element of the epidemiological triangle is represented by a virus that causes an
outbreak of influenza?
A. Host
B. Environment
C. Agent
D. Vector
Correct Answer: C
Expert Explanation: The agent is the physical, infectious, or chemical factor that causes
the disease. In this scenario, the influenza virus itself is the agent responsible for the illness.
The host is the individual affected, and the environment includes the external factors that
allow transmission.
, 4. A nurse is working with a vulnerable population in an urban area. Which factor is the
primary contributor to vulnerability?
A. Limited access to healthcare resources
B. High levels of health literacy
C. Stable housing conditions
D. Decreased exposure to environmental toxins
Correct Answer: A
Expert Explanation: Vulnerability in community health is often defined by a lack of
resources and increased exposure to risk. Limited access to healthcare facilities and
preventative services significantly increases the risk of poor health outcomes for these
groups. Nurses must identify these barriers to provide equitable care to disenfranchised
populations.
5. A nurse is teaching a client about secondary prevention for heart disease. Which of the
following should the nurse mention?
A. Blood pressure screening
B. Smoking cessation education
C. Cardiac rehabilitation
D. Low-sodium diet counseling
Correct Answer: A
