PNR 208/PNR208 Exam 1 V1 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. Which of the following best describes the primary focus of community-based nursing?
A. Managing the health of populations and groups within a specific geographic area.
B. Focusing on the health of the community as a whole through policy development.
C. Conducting epidemiological research to determine the cause of disease outbreaks.
D. Providing illness care to individuals and families where they live, work, and attend
school.
Correct Answer: D
Expert Explanation: Community-based nursing focuses on the ‘illness care’ of individuals
and families across the life span. This nursing practice deals with acute and chronic health
conditions in settings such as homes, clinics, and schools. It differs from community-
oriented nursing, which emphasizes health promotion and disease prevention for the
entire population.
2. A nurse is providing an influenza vaccination to a client at a local health clinic. Which level
of prevention is being implemented?
A. Primary prevention
B. Secondary prevention
,C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are a classic example of this level because they provide
immunity before an individual is exposed to the pathogen. By reducing the incidence of
disease, primary prevention helps decrease the overall burden on the healthcare system.
3. Which nursing intervention is an example of secondary prevention?
A. Teaching a client with diabetes how to self-administer insulin injections.
B. Performing a scoliosis screening for students at a middle school.
C. Leading a support group for individuals recovering from substance abuse.
D. Advocating for new legislation to mandate seatbelt use in all vehicles.
Correct Answer: B
Expert Explanation: Secondary prevention involves the early detection and treatment of
disease with the goal of limiting severity and adverse effects. Screenings, such as scoliosis
checks or mammograms, are designed to identify health problems in their earliest stages.
Early intervention following a screening can significantly improve patient outcomes and
reduce long-term disability.
, 4. The nurse is helping a client who has had a stroke to perform range-of-motion exercises.
This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Primordial prevention
D. Tertiary prevention
Correct Answer: D
Expert Explanation: Tertiary prevention focuses on rehabilitation and the management of
chronic conditions to prevent further disability or complications. By assisting a stroke
patient with exercises, the nurse aims to restore function and improve the client’s quality
of life. This level of care is essential for clients who have already experienced a permanent
or irreversible health event.
5. In the epidemiological triangle, which of the following represents the ‘agent’?
A. A person’s genetic susceptibility to a specific virus.
B. The humid climate that allows mosquitoes to thrive.
C. A bacteria, virus, or chemical toxin that causes disease.
D. The socioeconomic status of a community experiencing an outbreak.
Correct Answer: C
Community-Based Nursing Q&A with
Rationale | Fortis College
1. Which of the following best describes the primary focus of community-based nursing?
A. Managing the health of populations and groups within a specific geographic area.
B. Focusing on the health of the community as a whole through policy development.
C. Conducting epidemiological research to determine the cause of disease outbreaks.
D. Providing illness care to individuals and families where they live, work, and attend
school.
Correct Answer: D
Expert Explanation: Community-based nursing focuses on the ‘illness care’ of individuals
and families across the life span. This nursing practice deals with acute and chronic health
conditions in settings such as homes, clinics, and schools. It differs from community-
oriented nursing, which emphasizes health promotion and disease prevention for the
entire population.
2. A nurse is providing an influenza vaccination to a client at a local health clinic. Which level
of prevention is being implemented?
A. Primary prevention
B. Secondary prevention
,C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations are a classic example of this level because they provide
immunity before an individual is exposed to the pathogen. By reducing the incidence of
disease, primary prevention helps decrease the overall burden on the healthcare system.
3. Which nursing intervention is an example of secondary prevention?
A. Teaching a client with diabetes how to self-administer insulin injections.
B. Performing a scoliosis screening for students at a middle school.
C. Leading a support group for individuals recovering from substance abuse.
D. Advocating for new legislation to mandate seatbelt use in all vehicles.
Correct Answer: B
Expert Explanation: Secondary prevention involves the early detection and treatment of
disease with the goal of limiting severity and adverse effects. Screenings, such as scoliosis
checks or mammograms, are designed to identify health problems in their earliest stages.
Early intervention following a screening can significantly improve patient outcomes and
reduce long-term disability.
, 4. The nurse is helping a client who has had a stroke to perform range-of-motion exercises.
This is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Primordial prevention
D. Tertiary prevention
Correct Answer: D
Expert Explanation: Tertiary prevention focuses on rehabilitation and the management of
chronic conditions to prevent further disability or complications. By assisting a stroke
patient with exercises, the nurse aims to restore function and improve the client’s quality
of life. This level of care is essential for clients who have already experienced a permanent
or irreversible health event.
5. In the epidemiological triangle, which of the following represents the ‘agent’?
A. A person’s genetic susceptibility to a specific virus.
B. The humid climate that allows mosquitoes to thrive.
C. A bacteria, virus, or chemical toxin that causes disease.
D. The socioeconomic status of a community experiencing an outbreak.
Correct Answer: C
