NUR 206/ NUR206 HESI– Community
Nursing Concepts | Fortis (Latest 2026/
2027 Updates STUDY WITH COMPLETE
SOLUTIONS) 100% Verified Questions &
Answers | Grade A.
**1. A community health nurse is analyzing county-level data and finds
that the incidence of type 2 diabetes has increased by 12% over five
years, while prevalence has increased by 8% over the same period.
Which interpretation best explains this discrepancy?**
A. Improved treatment and longer survival of individuals with diabetes
have increased prevalence relative to incidence.
B. The population at risk has decreased, causing incidence to rise faster
than prevalence.
C. A higher number of new cases are being diagnosed but many are
migrating out of the county, reducing prevalence.
D. Screening programs have reduced the number of undiagnosed cases,
increasing prevalence more than incidence.
**Answer: A**
**Rationale:** Prevalence depends on both incidence and disease
duration. When incidence rises faster than prevalence, it suggests
,shorter disease duration (higher case fatality or cure rate). Improved
treatment leading to longer survival would typically increase prevalence
more than incidence. Option A addresses the relationship between
incidence and prevalence, making it the best choice among the options.
**2. A community health nurse is evaluating the effectiveness of a
needle exchange program. Which outcome measure provides the
strongest evidence of population-level impact on reducing bloodborne
infections?**
A. Number of needles distributed per month
B. Self-reported reduction in needle sharing among participants
C. Decline in incidence of hepatitis C virus (HCV) infections in the
community
D. Increase in referrals to substance use treatment programs
**Answer: C**
**Rationale:** The ultimate goal of needle exchange programs is to
reduce transmission of bloodborne infections. While process measures
(needles distributed, referrals) and self-reported behaviors are
important, the most valid indicator of population-level impact is a
decline in disease incidence in the target community.
,**3. A community health nurse is using the Public Health Intervention
Wheel (PHIW) to plan interventions for a community with high rates of
opioid overdose. Which combination of interventions at the community
level of practice is most appropriate?**
A. Case management and counseling for individuals with substance use
disorder
B. Screening for opioid use disorder in primary care clinics and referral
to treatment
C. Coalition building to advocate for safe injection sites and policy
change to expand naloxone access
D. Outreach to homeless populations and provision of overdose
education
**Answer: C**
**Rationale:** The PHIW identifies three levels of practice:
individual/family, community, and systems. At the community level,
interventions target the entire population or community systems.
Coalition building and policy advocacy are community-level
interventions that can create structural changes to reduce overdose
risk. Options A and D are individual/family level; option B is systems
level.
, **4. A community health nurse is conducting a windshield survey in a
neighborhood identified as a food desert. Which observation would
most strongly suggest limited access to nutritious food?**
A. Presence of multiple fast-food restaurants and convenience stores
with limited fresh produce
B. A single grocery store located 2 miles from the nearest residential
area
C. High density of liquor stores and absence of supermarkets within
walking distance
D. A farmers' market that operates only on weekends
**Answer: C**
**Rationale:** A food desert is defined by limited access to affordable,
nutritious food, often characterized by an absence of supermarkets and
an abundance of liquor stores and fast-food outlets. Option C directly
describes high density of liquor stores and lack of supermarkets within
walking distance, which is a classic indicator.
**5. A community health nurse is reviewing community health
assessment results. Data show the age-adjusted mortality rate for heart
disease is 20% higher in the eastern district compared to the western
district. Which additional information is most critical to determine
whether this disparity is due to differences in access to care?**
Nursing Concepts | Fortis (Latest 2026/
2027 Updates STUDY WITH COMPLETE
SOLUTIONS) 100% Verified Questions &
Answers | Grade A.
**1. A community health nurse is analyzing county-level data and finds
that the incidence of type 2 diabetes has increased by 12% over five
years, while prevalence has increased by 8% over the same period.
Which interpretation best explains this discrepancy?**
A. Improved treatment and longer survival of individuals with diabetes
have increased prevalence relative to incidence.
B. The population at risk has decreased, causing incidence to rise faster
than prevalence.
C. A higher number of new cases are being diagnosed but many are
migrating out of the county, reducing prevalence.
D. Screening programs have reduced the number of undiagnosed cases,
increasing prevalence more than incidence.
**Answer: A**
**Rationale:** Prevalence depends on both incidence and disease
duration. When incidence rises faster than prevalence, it suggests
,shorter disease duration (higher case fatality or cure rate). Improved
treatment leading to longer survival would typically increase prevalence
more than incidence. Option A addresses the relationship between
incidence and prevalence, making it the best choice among the options.
**2. A community health nurse is evaluating the effectiveness of a
needle exchange program. Which outcome measure provides the
strongest evidence of population-level impact on reducing bloodborne
infections?**
A. Number of needles distributed per month
B. Self-reported reduction in needle sharing among participants
C. Decline in incidence of hepatitis C virus (HCV) infections in the
community
D. Increase in referrals to substance use treatment programs
**Answer: C**
**Rationale:** The ultimate goal of needle exchange programs is to
reduce transmission of bloodborne infections. While process measures
(needles distributed, referrals) and self-reported behaviors are
important, the most valid indicator of population-level impact is a
decline in disease incidence in the target community.
,**3. A community health nurse is using the Public Health Intervention
Wheel (PHIW) to plan interventions for a community with high rates of
opioid overdose. Which combination of interventions at the community
level of practice is most appropriate?**
A. Case management and counseling for individuals with substance use
disorder
B. Screening for opioid use disorder in primary care clinics and referral
to treatment
C. Coalition building to advocate for safe injection sites and policy
change to expand naloxone access
D. Outreach to homeless populations and provision of overdose
education
**Answer: C**
**Rationale:** The PHIW identifies three levels of practice:
individual/family, community, and systems. At the community level,
interventions target the entire population or community systems.
Coalition building and policy advocacy are community-level
interventions that can create structural changes to reduce overdose
risk. Options A and D are individual/family level; option B is systems
level.
, **4. A community health nurse is conducting a windshield survey in a
neighborhood identified as a food desert. Which observation would
most strongly suggest limited access to nutritious food?**
A. Presence of multiple fast-food restaurants and convenience stores
with limited fresh produce
B. A single grocery store located 2 miles from the nearest residential
area
C. High density of liquor stores and absence of supermarkets within
walking distance
D. A farmers' market that operates only on weekends
**Answer: C**
**Rationale:** A food desert is defined by limited access to affordable,
nutritious food, often characterized by an absence of supermarkets and
an abundance of liquor stores and fast-food outlets. Option C directly
describes high density of liquor stores and lack of supermarkets within
walking distance, which is a classic indicator.
**5. A community health nurse is reviewing community health
assessment results. Data show the age-adjusted mortality rate for heart
disease is 20% higher in the eastern district compared to the western
district. Which additional information is most critical to determine
whether this disparity is due to differences in access to care?**
