PNR 208/PNR208 Exam 4 V2 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A nurse is planning a primary prevention program for a local community. Which of the
following activities should the nurse include?
A. Teaching a class on healthy eating habits to elementary students
B. Providing skin cancer screenings at a local health fair
C. Leading a support group for individuals with chronic hypertension
D. Assisting with physical therapy for a patient recovering from a stroke
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of
disease or injury through education and health promotion. Teaching healthy eating habits
aims to prevent future health problems like obesity or diabetes before they occur. This
level of care precedes the development of signs and symptoms of a disease.
2. A community health nurse is conducting a windshield survey. Which of the following data
is collected during this type of assessment?
A. In-depth interviews with local government officials
B. Observing the condition of housing and presence of grocery stores
C. Vital statistics obtained from the local health department
,D. Focus group discussions with community residents
Correct Answer: B
Expert Explanation: A windshield survey involves an objective assessment of a
community while driving or walking through it. The nurse observes physical
characteristics such as housing conditions, public transportation, and the availability of
resources like grocery stores. This method provides an overview of the community’s
environment and potential health needs.
3. Which of the following describes the goal of tertiary prevention?
A. To maximize recovery and quality of life after an injury or illness
B. To prevent the development of risk factors for chronic illness
C. To identify diseases in their earliest stages through screening
D. To provide immunizations to high-risk populations
Correct Answer: A
Expert Explanation: Tertiary prevention aims to prevent further complications and
improve the quality of life for individuals already diagnosed with a condition. This includes
rehabilitation, support groups, and chronic disease management. The focus is on limiting
disability and promoting the highest level of functioning possible.
4. A nurse is working with a vulnerable population in a rural setting. Which factor is most
likely to act as a barrier to healthcare access?
A. Lack of public transportation options to reach clinics
, B. Excessive availability of specialized healthcare providers
C. High levels of health literacy among community members
D. A surplus of health insurance coverage options
Correct Answer: A
Expert Explanation: Rural populations often face significant barriers to healthcare, with
transportation being a primary issue due to long distances and lack of public transit.
Limited access to specialists and lower socioeconomic status further complicate health
outcomes in these areas. Addressing transportation is a critical component of community-
based nursing in rural regions.
5. In the epidemiological triangle, which of the following is considered an environmental
factor?
A. A virus causing the flu
B. A person with a weakened immune system
C. Poor sanitation and contaminated water
D. Genetics and age of the individual
Correct Answer: C
Expert Explanation: The environmental factor in the epidemiological triangle refers to the
physical or social surroundings that influence the spread of disease. Poor sanitation or
contaminated water are external conditions that facilitate the transmission of an agent to a
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A nurse is planning a primary prevention program for a local community. Which of the
following activities should the nurse include?
A. Teaching a class on healthy eating habits to elementary students
B. Providing skin cancer screenings at a local health fair
C. Leading a support group for individuals with chronic hypertension
D. Assisting with physical therapy for a patient recovering from a stroke
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of
disease or injury through education and health promotion. Teaching healthy eating habits
aims to prevent future health problems like obesity or diabetes before they occur. This
level of care precedes the development of signs and symptoms of a disease.
2. A community health nurse is conducting a windshield survey. Which of the following data
is collected during this type of assessment?
A. In-depth interviews with local government officials
B. Observing the condition of housing and presence of grocery stores
C. Vital statistics obtained from the local health department
,D. Focus group discussions with community residents
Correct Answer: B
Expert Explanation: A windshield survey involves an objective assessment of a
community while driving or walking through it. The nurse observes physical
characteristics such as housing conditions, public transportation, and the availability of
resources like grocery stores. This method provides an overview of the community’s
environment and potential health needs.
3. Which of the following describes the goal of tertiary prevention?
A. To maximize recovery and quality of life after an injury or illness
B. To prevent the development of risk factors for chronic illness
C. To identify diseases in their earliest stages through screening
D. To provide immunizations to high-risk populations
Correct Answer: A
Expert Explanation: Tertiary prevention aims to prevent further complications and
improve the quality of life for individuals already diagnosed with a condition. This includes
rehabilitation, support groups, and chronic disease management. The focus is on limiting
disability and promoting the highest level of functioning possible.
4. A nurse is working with a vulnerable population in a rural setting. Which factor is most
likely to act as a barrier to healthcare access?
A. Lack of public transportation options to reach clinics
, B. Excessive availability of specialized healthcare providers
C. High levels of health literacy among community members
D. A surplus of health insurance coverage options
Correct Answer: A
Expert Explanation: Rural populations often face significant barriers to healthcare, with
transportation being a primary issue due to long distances and lack of public transit.
Limited access to specialists and lower socioeconomic status further complicate health
outcomes in these areas. Addressing transportation is a critical component of community-
based nursing in rural regions.
5. In the epidemiological triangle, which of the following is considered an environmental
factor?
A. A virus causing the flu
B. A person with a weakened immune system
C. Poor sanitation and contaminated water
D. Genetics and age of the individual
Correct Answer: C
Expert Explanation: The environmental factor in the epidemiological triangle refers to the
physical or social surroundings that influence the spread of disease. Poor sanitation or
contaminated water are external conditions that facilitate the transmission of an agent to a
