PNR 208/PNR208 Exam 2 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 senior
center. Which of the following activities should the nurse include?
A. Conducting blood pressure screenings for hypertension.
B. Providing influenza immunizations to the residents.
C. Teaching a class on managing insulin for diabetics.
D. Assisting with physical therapy for stroke recovery.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial onset of disease
or injury. Immunizations are a classic example of primary prevention as they provide
immunity before exposure occurs. This level of prevention aims to reduce the overall
incidence of health problems in a population.
2. When performing a windshield survey, which of the following is a component of the
assessment of the physical environment?
A. Interviewing a local store owner about neighborhood safety.
B. Observing the quality and condition of the housing in the area.
C. Reviewing the census data for the local zip code.
,D. Analyzing the crime rates reported by the local police department.
Correct Answer: B
Expert Explanation: A windshield survey involves an objective observation of the
community’s physical environment while driving or walking through it. Observing housing
conditions, public spaces, and general infrastructure provides immediate visual data about
the community’s health risks. Other methods like interviews or data review are important
but fall under different assessment categories such as informant interviews or secondary
data analysis.
3. A nurse is providing secondary prevention for a group of clients at a community clinic.
Which action is the nurse performing?
A. Referring a client with a positive tuberculosis skin test for a chest X-ray.
B. Applying a sterile dressing to a client’s chronic pressure ulcer.
C. Distributing pamphlets about the dangers of smoking to teenagers.
D. Organizing a support group for individuals with chronic heart failure.
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and screening to
identify diseases in their earliest stages. Referring a client for a chest X-ray after a positive
skin test is a form of diagnostic screening to confirm a disease. This allows for prompt
treatment and limits the spread of the condition to others.
, 4. A nurse is working in a home health setting. Which of the following is a requirement for a
client to receive Medicare-funded home health services?
A. The client must require assistance with all activities of daily living.
B. The client must be considered ‘homebound’ and require skilled nursing care.
C. The client must be unable to afford a private-duty caregiver.
D. The client must have a diagnosis of a terminal illness with less than 6 months to live.
Correct Answer: B
Expert Explanation: To qualify for Medicare home health benefits, the patient must be
homebound, meaning it is a taxing effort to leave the home. They must also require
intermittent skilled nursing care or therapy services prescribed by a physician. This
ensuring that the services provided are medically necessary and appropriate for the home
setting.
5. A community health nurse is investigating an outbreak of foodborne illness. Which of the
following is the ‘agent’ in the epidemiological triad?
A. The Salmonella bacteria found in the food sample.
B. The contaminated potato salad served at a picnic.
C. The humid weather conditions at the outdoor event.
D. The elderly individuals who consumed the contaminated food.
Correct Answer: A
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a primary prevention program for a local senior
center. Which of the following activities should the nurse include?
A. Conducting blood pressure screenings for hypertension.
B. Providing influenza immunizations to the residents.
C. Teaching a class on managing insulin for diabetics.
D. Assisting with physical therapy for stroke recovery.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial onset of disease
or injury. Immunizations are a classic example of primary prevention as they provide
immunity before exposure occurs. This level of prevention aims to reduce the overall
incidence of health problems in a population.
2. When performing a windshield survey, which of the following is a component of the
assessment of the physical environment?
A. Interviewing a local store owner about neighborhood safety.
B. Observing the quality and condition of the housing in the area.
C. Reviewing the census data for the local zip code.
,D. Analyzing the crime rates reported by the local police department.
Correct Answer: B
Expert Explanation: A windshield survey involves an objective observation of the
community’s physical environment while driving or walking through it. Observing housing
conditions, public spaces, and general infrastructure provides immediate visual data about
the community’s health risks. Other methods like interviews or data review are important
but fall under different assessment categories such as informant interviews or secondary
data analysis.
3. A nurse is providing secondary prevention for a group of clients at a community clinic.
Which action is the nurse performing?
A. Referring a client with a positive tuberculosis skin test for a chest X-ray.
B. Applying a sterile dressing to a client’s chronic pressure ulcer.
C. Distributing pamphlets about the dangers of smoking to teenagers.
D. Organizing a support group for individuals with chronic heart failure.
Correct Answer: A
Expert Explanation: Secondary prevention involves early detection and screening to
identify diseases in their earliest stages. Referring a client for a chest X-ray after a positive
skin test is a form of diagnostic screening to confirm a disease. This allows for prompt
treatment and limits the spread of the condition to others.
, 4. A nurse is working in a home health setting. Which of the following is a requirement for a
client to receive Medicare-funded home health services?
A. The client must require assistance with all activities of daily living.
B. The client must be considered ‘homebound’ and require skilled nursing care.
C. The client must be unable to afford a private-duty caregiver.
D. The client must have a diagnosis of a terminal illness with less than 6 months to live.
Correct Answer: B
Expert Explanation: To qualify for Medicare home health benefits, the patient must be
homebound, meaning it is a taxing effort to leave the home. They must also require
intermittent skilled nursing care or therapy services prescribed by a physician. This
ensuring that the services provided are medically necessary and appropriate for the home
setting.
5. A community health nurse is investigating an outbreak of foodborne illness. Which of the
following is the ‘agent’ in the epidemiological triad?
A. The Salmonella bacteria found in the food sample.
B. The contaminated potato salad served at a picnic.
C. The humid weather conditions at the outdoor event.
D. The elderly individuals who consumed the contaminated food.
Correct Answer: A
