FINAL EXAM
NSG420 COMMUNITY NURSING
FINAL EXAM
NSG420
COMMUNITY
NURSING
CH 1
1. A community is concerned about the threat of bioterrorism. Which of the following best describes
the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could cause the health care system to collapse.
c. The threat of bioterrorism may divert funds from other public safety health care
programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health care
programs. Because funds are diverted it is possible that community-based programs would be
eliminated, the health care system could experience changes, and that there would be an increase
in the need for shelter. However, all of these things would happen because of the diversion of
funds.
DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis
MSC: NCLEX: Psychosocial Integrity
2. A nurse provides for the availability of essential personal health services for people who would
otherwise not receive health care. Which of the public health core functions is being used?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: C
Assurance deals with the availability of health services. Prevention is not a core function,
assessment refers to systematic data collection, and policy development refers to the need to
provide leadership in developing health policies.
DIF: Cognitive level: Applying REF: p. 6
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
Revised 02/2019 1
, FINAL EXAM
NSG420 COMMUNITY NURSING
3. The nurse is investigating environmental health problems caused by contaminated ground water.
Which of the following types of nursing practice is being used?
a. Community-oriented
b. Community-based
c. Policy development
d. Tertiary care
ANS: A
Community-oriented nursing emphasizes the prevention of disease and disability. Community-
based nursing practice is a setting-specific practice whereby care is provided for clients and
families where they live, work, and attend school. Policy development seeks to build
constituencies that can help bring about change in public policy. Tertiary care focuses on highly
specialized medical care.
DIF: Cognitive level: Analyzing REF: p. 16 (Box 1-5)
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance
END CH 1
CH 4
4. A nurse is examining the income levels and social networks of individuals in a community. Which of
the following is the nurse investigating?
a. Culture
b. Development
c. Community
d. Determinants
ANS: D
Determinants are conditions and factors that are important considerations in population health.
Culture refers to the beliefs and customs of a certain group. Development refers to something
that is being created. Community is a group of people living in the same geographic location.
DIF: Cognitive level: Applying REF: p. 66
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Revised 02/2019 2
, FINAL EXAM
NSG420 COMMUNITY NURSING
5. A nurse is assessing a refugee who fled the genocide in Darfur. Which of the following
disease/disorder should the nurse anticipate finding?
a. TB
b. Post-traumatic stress disorder (PTSD)
c. Chronic obstructive pulmonary disorder (COPD)
d. Malnutrition
ANS: B
The biopsychological changes seen following genocide include physical stress reactions
(cardiovascular, neurological) and mental stress responses, especially PTSD and depression. The
biopsychosocial changes are the major concern over any physical illnesses that may be present.
DIF: Cognitive level: Analyzing REF: p. 87
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
End CH 4
CH 6
6. A nurse has used the steps of the ethical decision-making process when making a decision. Which of
the following is most similar to this process?
a. Healthy People 2010
b. Deontology
c. The nursing process
d. Advocacy
ANS: C
The steps of the ethical decision-making framework are to first identify the ethical issues and
dilemmas, then place them within a meaningful context, obtain all relevant facts, reformulate
ethical issues and dilemmas if needed, consider appropriate approaches to actions or options,
make decisions and take action, and evaluate decisions and action. The nursing process involves
the same basic steps: assessment, diagnosis, planning, implementation, and evaluation. Healthy
People 2010, deontology, and advocacy do not involve these multiple steps described by the
ethical decision-making framework and the nursing process.
DIF: Cognitive level: Analyzing REF: p. 124 (Table 6-1)
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Revised 02/2019 3
, FINAL EXAM
NSG420 COMMUNITY NURSING
7. A nurse is applying the ethical principle of non-maleficence. Which of the following describes the
action that the nurse is taking?
a. Administering medications using the “five rights”
b. Allowing clients to be active participants in their care
c. Providing patient privacy when delivering care
d. Referring a client to a physical therapist
ANS: A
Non-maleficence requires that one do no harm. It requires that health care professionals act
according to the standards of due care, always seeking to produce the least amount of harm
possible. Providing privacy when delivering care demonstrates the client’s right to privacy.
Allowing clients to be active participants in their care refers to the ethical principle of the right to
autonomy. Referring a client to a physical therapist demonstrates the nursing role of referral
agent.
DIF: Cognitive level: Analyzing REF: p. 126 (Box 6-2)
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. A nurse refers to the Code of Ethics for Nurses or the Public Health Code of Ethics. Which of the
following describes why the nurse has referred to this document?
a. To provide answers for ethical dilemmas
b. To guide professional practice related to ethics
c. To increase moral leadership in ethics
d. To find a framework for ethical decision making
ANS: B
These codes provide general ethical principles and guide personnel in thinking about the
underlying ethics of the profession. They do not provide answers for ethical dilemmas, only
serve as a guide. They do not increase moral leadership, nor do they provide a framework for
ethical decision making.
DIF: Cognitive level: Applying REF: p. 132
TOP: Nursing process: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
END CH 6
Revised 02/2019 4
NSG420 COMMUNITY NURSING
FINAL EXAM
NSG420
COMMUNITY
NURSING
CH 1
1. A community is concerned about the threat of bioterrorism. Which of the following best describes
the basis for this concern?
a. Bioterrorism has the potential to dissolve community-based programs.
b. This threat could cause the health care system to collapse.
c. The threat of bioterrorism may divert funds from other public safety health care
programs.
d. Fear of bioterrorism will increase the need for shelters.
ANS: C
Bioterrorism may have an impact on the availability of resources for public safety health care
programs. Because funds are diverted it is possible that community-based programs would be
eliminated, the health care system could experience changes, and that there would be an increase
in the need for shelter. However, all of these things would happen because of the diversion of
funds.
DIF: Cognitive level: Analyzing REF: p. 5 TOP: Nursing process: Diagnosis
MSC: NCLEX: Psychosocial Integrity
2. A nurse provides for the availability of essential personal health services for people who would
otherwise not receive health care. Which of the public health core functions is being used?
a. Assessment
b. Prevention
c. Assurance
d. Policy development
ANS: C
Assurance deals with the availability of health services. Prevention is not a core function,
assessment refers to systematic data collection, and policy development refers to the need to
provide leadership in developing health policies.
DIF: Cognitive level: Applying REF: p. 6
TOP: Nursing process: Assessment MSC: NCLEX: Health Promotion and Maintenance
Revised 02/2019 1
, FINAL EXAM
NSG420 COMMUNITY NURSING
3. The nurse is investigating environmental health problems caused by contaminated ground water.
Which of the following types of nursing practice is being used?
a. Community-oriented
b. Community-based
c. Policy development
d. Tertiary care
ANS: A
Community-oriented nursing emphasizes the prevention of disease and disability. Community-
based nursing practice is a setting-specific practice whereby care is provided for clients and
families where they live, work, and attend school. Policy development seeks to build
constituencies that can help bring about change in public policy. Tertiary care focuses on highly
specialized medical care.
DIF: Cognitive level: Analyzing REF: p. 16 (Box 1-5)
TOP: Nursing process: Implementation MSC: NCLEX: Health Promotion and Maintenance
END CH 1
CH 4
4. A nurse is examining the income levels and social networks of individuals in a community. Which of
the following is the nurse investigating?
a. Culture
b. Development
c. Community
d. Determinants
ANS: D
Determinants are conditions and factors that are important considerations in population health.
Culture refers to the beliefs and customs of a certain group. Development refers to something
that is being created. Community is a group of people living in the same geographic location.
DIF: Cognitive level: Applying REF: p. 66
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Revised 02/2019 2
, FINAL EXAM
NSG420 COMMUNITY NURSING
5. A nurse is assessing a refugee who fled the genocide in Darfur. Which of the following
disease/disorder should the nurse anticipate finding?
a. TB
b. Post-traumatic stress disorder (PTSD)
c. Chronic obstructive pulmonary disorder (COPD)
d. Malnutrition
ANS: B
The biopsychological changes seen following genocide include physical stress reactions
(cardiovascular, neurological) and mental stress responses, especially PTSD and depression. The
biopsychosocial changes are the major concern over any physical illnesses that may be present.
DIF: Cognitive level: Analyzing REF: p. 87
TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
End CH 4
CH 6
6. A nurse has used the steps of the ethical decision-making process when making a decision. Which of
the following is most similar to this process?
a. Healthy People 2010
b. Deontology
c. The nursing process
d. Advocacy
ANS: C
The steps of the ethical decision-making framework are to first identify the ethical issues and
dilemmas, then place them within a meaningful context, obtain all relevant facts, reformulate
ethical issues and dilemmas if needed, consider appropriate approaches to actions or options,
make decisions and take action, and evaluate decisions and action. The nursing process involves
the same basic steps: assessment, diagnosis, planning, implementation, and evaluation. Healthy
People 2010, deontology, and advocacy do not involve these multiple steps described by the
ethical decision-making framework and the nursing process.
DIF: Cognitive level: Analyzing REF: p. 124 (Table 6-1)
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
Revised 02/2019 3
, FINAL EXAM
NSG420 COMMUNITY NURSING
7. A nurse is applying the ethical principle of non-maleficence. Which of the following describes the
action that the nurse is taking?
a. Administering medications using the “five rights”
b. Allowing clients to be active participants in their care
c. Providing patient privacy when delivering care
d. Referring a client to a physical therapist
ANS: A
Non-maleficence requires that one do no harm. It requires that health care professionals act
according to the standards of due care, always seeking to produce the least amount of harm
possible. Providing privacy when delivering care demonstrates the client’s right to privacy.
Allowing clients to be active participants in their care refers to the ethical principle of the right to
autonomy. Referring a client to a physical therapist demonstrates the nursing role of referral
agent.
DIF: Cognitive level: Analyzing REF: p. 126 (Box 6-2)
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
8. A nurse refers to the Code of Ethics for Nurses or the Public Health Code of Ethics. Which of the
following describes why the nurse has referred to this document?
a. To provide answers for ethical dilemmas
b. To guide professional practice related to ethics
c. To increase moral leadership in ethics
d. To find a framework for ethical decision making
ANS: B
These codes provide general ethical principles and guide personnel in thinking about the
underlying ethics of the profession. They do not provide answers for ethical dilemmas, only
serve as a guide. They do not increase moral leadership, nor do they provide a framework for
ethical decision making.
DIF: Cognitive level: Applying REF: p. 132
TOP: Nursing process: Planning
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
END CH 6
Revised 02/2019 4
