NR442/NR 442 Final Exam V3 | Community
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is conducting a program for a group of parents about child
safety. Which of the following actions represents primary prevention?
A. Performing lead screenings for toddlers in a high-risk neighborhood.
B. Teaching parents about the importance of using age-appropriate car seats.
C. Providing physical therapy for a child with a fractured leg.
D. Assessing a child for signs of abuse during a home visit.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Education regarding car seat safety is a proactive measure taken before
any injury occurs to ensure the well-being of the child. Lead screening and abuse
assessments are secondary prevention measures, while physical therapy falls under
tertiary prevention.
2. A nurse is working in a disaster area following a hurricane. Which activity should the nurse
prioritize during the recovery phase of disaster management?
A. Providing mental health counseling to residents affected by the loss of their homes.
B. Triaging victims to determine the level of immediate medical need.
,C. Conducting a community drill to prepare for future events.
D. Identifying potential hazards that could lead to another disaster.
Correct Answer: A
Expert Explanation: The recovery phase focuses on restoring the community to its normal
state and addressing long-term needs after the immediate threat has passed. Providing
mental health counseling helps individuals cope with the psychological impact of the
disaster. Triaging occurs during the response phase, while drills and hazard identification
are part of preparedness and mitigation.
3. Which of the following describes the ‘Agent’ in the epidemiological triad regarding a flu
outbreak in a nursing home?
A. The elderly residents with compromised immune systems.
B. The healthcare workers who may carry the virus between rooms.
C. The crowded communal dining room where residents gather.
D. The influenza virus responsible for the respiratory illness.
Correct Answer: D
Expert Explanation: In epidemiology, the agent is the animate or inanimate factor that
must be present or lacking for a disease or condition to develop. In this scenario, the
influenza virus is the causative agent of the outbreak. The residents represent the host, and
the dining room represents the environment.
, 4. A community health nurse is performing a windshield survey of a new neighborhood.
Which of the following findings should the nurse document as an indicator of community
health?
A. The prevalence of diabetes among the elderly residents.
B. The specific mortality rate of infants in the county.
C. Detailed demographic data from the latest national census.
D. The presence of well-maintained public parks and sidewalks.
Correct Answer: D
Expert Explanation: A windshield survey is an observational method of data collection
where the nurse drives or walks through a community to assess its physical environment.
Noticing parks and sidewalks provides insight into the community’s potential for physical
activity and overall safety. Quantitative data like mortality rates or census results are
gathered through secondary data sources rather than direct observation.
5. A nurse is teaching a client about environmental health risks using the I-PREPARE
mnemonic. What does the ‘E’ in ‘I-PREPARE’ stand for in the context of individual history?
A. Exercise habits.
B. Emergency contacts.
C. Environmental rating.
D. Environmental concerns.
Health Nursing Q&A with Rationale |
Chamberlain University
1. A community health nurse is conducting a program for a group of parents about child
safety. Which of the following actions represents primary prevention?
A. Performing lead screenings for toddlers in a high-risk neighborhood.
B. Teaching parents about the importance of using age-appropriate car seats.
C. Providing physical therapy for a child with a fractured leg.
D. Assessing a child for signs of abuse during a home visit.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Education regarding car seat safety is a proactive measure taken before
any injury occurs to ensure the well-being of the child. Lead screening and abuse
assessments are secondary prevention measures, while physical therapy falls under
tertiary prevention.
2. A nurse is working in a disaster area following a hurricane. Which activity should the nurse
prioritize during the recovery phase of disaster management?
A. Providing mental health counseling to residents affected by the loss of their homes.
B. Triaging victims to determine the level of immediate medical need.
,C. Conducting a community drill to prepare for future events.
D. Identifying potential hazards that could lead to another disaster.
Correct Answer: A
Expert Explanation: The recovery phase focuses on restoring the community to its normal
state and addressing long-term needs after the immediate threat has passed. Providing
mental health counseling helps individuals cope with the psychological impact of the
disaster. Triaging occurs during the response phase, while drills and hazard identification
are part of preparedness and mitigation.
3. Which of the following describes the ‘Agent’ in the epidemiological triad regarding a flu
outbreak in a nursing home?
A. The elderly residents with compromised immune systems.
B. The healthcare workers who may carry the virus between rooms.
C. The crowded communal dining room where residents gather.
D. The influenza virus responsible for the respiratory illness.
Correct Answer: D
Expert Explanation: In epidemiology, the agent is the animate or inanimate factor that
must be present or lacking for a disease or condition to develop. In this scenario, the
influenza virus is the causative agent of the outbreak. The residents represent the host, and
the dining room represents the environment.
, 4. A community health nurse is performing a windshield survey of a new neighborhood.
Which of the following findings should the nurse document as an indicator of community
health?
A. The prevalence of diabetes among the elderly residents.
B. The specific mortality rate of infants in the county.
C. Detailed demographic data from the latest national census.
D. The presence of well-maintained public parks and sidewalks.
Correct Answer: D
Expert Explanation: A windshield survey is an observational method of data collection
where the nurse drives or walks through a community to assess its physical environment.
Noticing parks and sidewalks provides insight into the community’s potential for physical
activity and overall safety. Quantitative data like mortality rates or census results are
gathered through secondary data sources rather than direct observation.
5. A nurse is teaching a client about environmental health risks using the I-PREPARE
mnemonic. What does the ‘E’ in ‘I-PREPARE’ stand for in the context of individual history?
A. Exercise habits.
B. Emergency contacts.
C. Environmental rating.
D. Environmental concerns.
