PNR 208/PNR208 Exam 2 V1 | Concepts of
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a programs for high school students regarding
smoking cessation. Which level of prevention does this represent?
A. Tertiary Prevention
B. Secondary Prevention
C. Primary Prevention
D. Quaternary Prevention
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial onset of disease
or injury through education and health promotion. In this scenario, educating students to
avoid smoking prevents the habit and its subsequent health issues before they occur. This
approach addresses the root cause by modifying behaviors in a healthy population.
2. Which of the following is a primary requirement for a patient to receive Medicare-
reimbursed home health care services?
A. The patient must be considered homebound.
B. The patient must be unable to drive.
C. The patient must live alone.
,D. The patient must have a terminal diagnosis.
Correct Answer: A
Expert Explanation: To qualify for Medicare home health services, the patient must meet
the criteria for being homebound, meaning leaving the home requires a taxing effort. This
requirement ensures that the services are provided to those who truly cannot access
outpatient care easily. Documentation must clearly reflect the physical or cognitive
limitations that prevent normal travel.
3. A nurse is performing a windshield survey. Which of the following data collection methods
is being utilized?
A. Direct observation
B. Secondary data analysis
C. Focus groups
D. Surveying via mail
Correct Answer: A
Expert Explanation: A windshield survey is a form of direct observation where the nurse
drives or walks through a community to assess its environment. It allows the nurse to
gather objective data regarding the physical condition of buildings, availability of services,
and visible health hazards. This method provides a subjective yet informative ‘first look’ at
the community’s overall status.
, 4. What is the primary goal of hospice care in the community setting?
A. Curing the underlying disease
B. Promoting quality of life and comfort
C. Extending life through aggressive measures
D. Managing acute surgical recovery
Correct Answer: B
Expert Explanation: Hospice care focuses on palliative measures rather than curative
treatments for patients with terminal illnesses. The main objective is to provide comfort,
pain management, and emotional support to the patient and their family. It emphasizes the
quality of the remaining life rather than the quantity of time or medical intervention.
5. A nurse provides a support group for survivors of breast cancer. This intervention is
classified as:
A. Tertiary Prevention
B. Secondary Prevention
C. Primary Prevention
D. Health Screening
Correct Answer: A
Expert Explanation: Tertiary prevention involves interventions that occur after a
permanent disability or long-term condition is established. Support groups help survivors
Community-Based Nursing Q&A with
Rationale | Fortis College
1. A community health nurse is planning a programs for high school students regarding
smoking cessation. Which level of prevention does this represent?
A. Tertiary Prevention
B. Secondary Prevention
C. Primary Prevention
D. Quaternary Prevention
Correct Answer: C
Expert Explanation: Primary prevention focuses on preventing the initial onset of disease
or injury through education and health promotion. In this scenario, educating students to
avoid smoking prevents the habit and its subsequent health issues before they occur. This
approach addresses the root cause by modifying behaviors in a healthy population.
2. Which of the following is a primary requirement for a patient to receive Medicare-
reimbursed home health care services?
A. The patient must be considered homebound.
B. The patient must be unable to drive.
C. The patient must live alone.
,D. The patient must have a terminal diagnosis.
Correct Answer: A
Expert Explanation: To qualify for Medicare home health services, the patient must meet
the criteria for being homebound, meaning leaving the home requires a taxing effort. This
requirement ensures that the services are provided to those who truly cannot access
outpatient care easily. Documentation must clearly reflect the physical or cognitive
limitations that prevent normal travel.
3. A nurse is performing a windshield survey. Which of the following data collection methods
is being utilized?
A. Direct observation
B. Secondary data analysis
C. Focus groups
D. Surveying via mail
Correct Answer: A
Expert Explanation: A windshield survey is a form of direct observation where the nurse
drives or walks through a community to assess its environment. It allows the nurse to
gather objective data regarding the physical condition of buildings, availability of services,
and visible health hazards. This method provides a subjective yet informative ‘first look’ at
the community’s overall status.
, 4. What is the primary goal of hospice care in the community setting?
A. Curing the underlying disease
B. Promoting quality of life and comfort
C. Extending life through aggressive measures
D. Managing acute surgical recovery
Correct Answer: B
Expert Explanation: Hospice care focuses on palliative measures rather than curative
treatments for patients with terminal illnesses. The main objective is to provide comfort,
pain management, and emotional support to the patient and their family. It emphasizes the
quality of the remaining life rather than the quantity of time or medical intervention.
5. A nurse provides a support group for survivors of breast cancer. This intervention is
classified as:
A. Tertiary Prevention
B. Secondary Prevention
C. Primary Prevention
D. Health Screening
Correct Answer: A
Expert Explanation: Tertiary prevention involves interventions that occur after a
permanent disability or long-term condition is established. Support groups help survivors
