PNR 208/PNR208 Exam 1 V2 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a primary prevention program for a local high
school. Which of the following activities should the nurse include?
A. Screening students for scoliosis
B. Managing the care of a student with Type 1 Diabetes
C. Providing education on the importance of immunizations
D. Leading a support group for students with substance use disorders
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Education regarding immunizations helps students understand how to
avoid contracting communicable diseases before they occur. Secondary prevention
involves screening, while tertiary prevention involves managing existing conditions to
prevent further complications.
2. Which of the following descriptions best defines the concept of ‘community-oriented
nursing’?
A. Providing acute care to individuals within a hospital setting
B. Nursing care focused on individuals and families within a community setting
,C. Managing the financial resources of a community clinic
D. Focusing on the health of the entire population through health promotion and disease
prevention
Correct Answer: D
Expert Explanation: Community-oriented nursing emphasizes the health of the
community or population as a whole. Its primary goal is the promotion of health and the
prevention of disease through population-level interventions. This differs from community-
based nursing, which focuses more on clinical care for individuals and families in the
community.
3. A nurse is conducting a windshield survey of a neighborhood. Which of the following is an
example of data collected during this assessment?
A. The prevalence rate of asthma in the local elementary school
B. Interviews with local government officials about crime rates
C. Results from a community-wide survey regarding dietary habits
D. The physical condition of the local housing and public parks
Correct Answer: D
Expert Explanation: A windshield survey is an informal observation of a community while
driving or walking through it. It allows the nurse to assess the physical environment, such
as the condition of buildings, the availability of green spaces, and general safety. Other data
, sources like interviews and statistical reports provide different types of community data
but are not part of the physical windshield observation.
4. A nurse is working with a vulnerable population in an urban area. Which factor is the
primary contributor to health disparities in this group?
A. Lack of personal motivation to exercise
B. Limited access to high-quality healthcare services
C. Genetic predisposition to chronic illnesses
D. High levels of education within the household
Correct Answer: B
Expert Explanation: Vulnerable populations often face significant barriers to accessing
healthcare, which leads to health disparities. These barriers can include lack of insurance,
transportation issues, or living in areas with few providers. Addressing these systemic
issues is crucial for community health nurses to improve outcomes for marginalized
groups.
5. In the epidemiological triad, which of the following is considered an ‘agent’?
A. A person with a weakened immune system
B. A contaminated water supply system
C. A high-density urban living environment
D. The influenza virus
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a primary prevention program for a local high
school. Which of the following activities should the nurse include?
A. Screening students for scoliosis
B. Managing the care of a student with Type 1 Diabetes
C. Providing education on the importance of immunizations
D. Leading a support group for students with substance use disorders
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Education regarding immunizations helps students understand how to
avoid contracting communicable diseases before they occur. Secondary prevention
involves screening, while tertiary prevention involves managing existing conditions to
prevent further complications.
2. Which of the following descriptions best defines the concept of ‘community-oriented
nursing’?
A. Providing acute care to individuals within a hospital setting
B. Nursing care focused on individuals and families within a community setting
,C. Managing the financial resources of a community clinic
D. Focusing on the health of the entire population through health promotion and disease
prevention
Correct Answer: D
Expert Explanation: Community-oriented nursing emphasizes the health of the
community or population as a whole. Its primary goal is the promotion of health and the
prevention of disease through population-level interventions. This differs from community-
based nursing, which focuses more on clinical care for individuals and families in the
community.
3. A nurse is conducting a windshield survey of a neighborhood. Which of the following is an
example of data collected during this assessment?
A. The prevalence rate of asthma in the local elementary school
B. Interviews with local government officials about crime rates
C. Results from a community-wide survey regarding dietary habits
D. The physical condition of the local housing and public parks
Correct Answer: D
Expert Explanation: A windshield survey is an informal observation of a community while
driving or walking through it. It allows the nurse to assess the physical environment, such
as the condition of buildings, the availability of green spaces, and general safety. Other data
, sources like interviews and statistical reports provide different types of community data
but are not part of the physical windshield observation.
4. A nurse is working with a vulnerable population in an urban area. Which factor is the
primary contributor to health disparities in this group?
A. Lack of personal motivation to exercise
B. Limited access to high-quality healthcare services
C. Genetic predisposition to chronic illnesses
D. High levels of education within the household
Correct Answer: B
Expert Explanation: Vulnerable populations often face significant barriers to accessing
healthcare, which leads to health disparities. These barriers can include lack of insurance,
transportation issues, or living in areas with few providers. Addressing these systemic
issues is crucial for community health nurses to improve outcomes for marginalized
groups.
5. In the epidemiological triad, which of the following is considered an ‘agent’?
A. A person with a weakened immune system
B. A contaminated water supply system
C. A high-density urban living environment
D. The influenza virus
