Community Health Nursing
QUESTIONS AND ANSWERS GRADED
A+2024/2025
Community health nurse is training new nurses about the development of public
health programs to benefit community members. The nurse explains that even
though primary care focuses on caring for an individual, health promotion activities
need to focus on:
a) The family.
b) Each individual patient.
c) Good medical care.
d) The community. - Answer-d) the community.
A new school nurse is reviewing the procedures put in place by the prior nurse, a
woman with over 30 years of experience. The nurse notices that a school-wide
scoliosis screening occurs every fall. How does the new nurse proceed?
a) Continue performing the scoliosis screenings each year.
b) Only continue scoliosis screening on students who are symptomatic.
c) Eliminate scoliosis screenings altogether.
d) Check state screening guidelines to see what is required for school nurses in the
state. - Answer-d) Check state screening guidelines to see what is required for
school nurses in the state.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for
use in high-risk populations. Which population is most apt to be high-risk?
a) Pregnant women
b) Older adults
c) Children
d) All of the above - Answer-d) All of the above
A nurse encounters a young woman with her child in the community. They do not
speak English, but the nurse is fluent in Spanish and is able to communicate with
them in their native language. The woman is very frightened and states that she can't
go back to her country because the local government will harm her and her child if
she does not convert to Catholicism. The nurse takes the woman to the local
immigration office to apply for what status?
a)Asylee
b) Refugee
c) Immigrant
d) Permanent resident - Answer-a)Asylee
,A nurse has been contacted to consult with the coordinating health organization of
the U.N. This means that the nurse will be working with:
a) WHO
b) Global Health Center
c) World Bank
d) CDC - Answer-a) WHO
Indian health services - Answer-IHS: part of the U.S. Department of Health and
Human Services and is responsible for the medcial care provided to Native
Americans and Native Alsaskans. Established in 1954 and provides health care.
Indirect service - Answer-referring to someone, calling another professional to help
solve problem for client
Lead poisoning - Answer-affects CNS, old paint,
Leader - Answer-focuses on change, nurse becomes an agent of change, influence
people to think and behave differently about their health
Lillian Wald and Mary Brewster - Answer-started Henry Street Settlement to provide
nursing and welfare services
Local health department - Answer-carries out most state laws and policies, most
direct/immediate care
Maintaining balance - Answer-intimacy vs professional distance, risk and safety,
assisting and devaluing client, dependence and independence, cost containment
and quality
medicaid - Answer-a federally aided, state operated program that provides medical
benefits for low-income persons in need of medical care
medicare - Answer-A program added to the Social Security system in 1965 that
provides hospitalization insurance for the elderly and permits older Americans to
purchase inexpensive coverage for doctor fees and other health expenses.
Medicare prospective payment - Answer-"you will get 10 paid visits"
Medicare prospective payment - Answer-5 criteria will be met: OASIS form, centers
for Medicare and Medicaid Services (CMS), Medicare documentation (see page 894)
Medicare prospective payment - Answer-need a skilled service, not just "a bath",
services must be intermittent care
Medicare prospective payment - Answer-the payment plan usually last 60 days, then
needs to be re-evaluated.
Motor vehicle accidents - Answer-3 billion injuries and >42,000 deaths per year
,Multiplicity of problems - Answer-finding more then one problem
Nurse role overpopulation - Answer-teaching birth control, family planning,
preventing high risk pregnancies, sex education
OASIS - Answer-outcome, assessment information set: very detailed form
Overpopulation - Answer-exceeds ability of it's ecosystem to either support needs; 4
factors (starvation, disease, wars, aide from other countries)
Phases of survey method - Answer-planning, collection, analysis & presentation
Population - Answer-all the people occupying an area, or all those who share one
more characteristic, may not necessarily interact
Prevention of health problems - Answer-anticipating and averting problems or
discovering them as early as possible to minimize potential disability and impairment
Primary prevention - Answer-to keep illness from occurring, hand rails,
immunizations
Promotion of health - Answer-health education, preventative care services, healthy
people 2010, raise levels of wellness for individuals, families, populations and
communities
Psychological hazards - Answer-noise, overcrowding, lack of natural beauty
Public health nursing - Answer-1900-1970, health and welfare of general public, not
just the poor
Public health nursing - Answer-in the community, often alone, no monitors, labs, use
non-tangible skills like listening, assessing, planning
Radon - Answer-odorless, colorless, causes cancer
Referral sources - Answer-hospitals (MD, MSW, Case Mgr), Clinics (RN or MD),
Families (self)
Rehab - Answer-efforts to reduce disability and restore function as much as possible
Research - Answer-investigation to discover facts affecting community health and
community health practice, solve problems, and explore improved methods of health
science
A nurse has observed that a particular fifth grade student visits the office two to three
times each week with stomach aches, headaches, and vague complaints of not
feeling well. This has been continuing for several months. What is the most
appropriate action for the nurse to take?
a) Refuse to see the child anymore.
, b) Call his parents to discuss his symptoms and the need to be evaluated by his
pediatrician.
c) Send the child home until he obtains medical clearance to return.
d) Refer him to the school psychiatrist for mental evaluation. - Answer-b) Call his
parents to discuss his symptoms and the need to be evaluated by his pediatrician.
A nurse has worked at a community health center for many years. Over the last
several months, the nurse has noticed a significant decline in community members
using the resources available at the clinic. What is the first thing the nurse should
do?
a) Begin offering daycare services and free transportation to the clinic to make it
more convenient.
b) Reach out to former patients to determine why they are no longer returning to the
clinic.
c) Perform a community assessment.
d) Begin offering a new patient reduced fee rate. - Answer-b) Reach out to former
patients to determine why they are no longer returning to the clinic.
A nurse is assisting a primary health clinic in a rural South American country in
establishing a quality and inclusive primary care program. The nurse reviews the
WHO components of primary health care for guidance. Which of the following
components are included in the WHO guide?
a) Diminish social disparities in health.
b) Improve maternal and child health care.
c) Better organize health care around the needs of the community.
d) Improve funding for primary-care programs.
e) Increase collaborative relationships and stakeholder participation in public policy
development. - Answer-a) Diminish social disparities in health.
c) Better organize health care around the needs of the community.
e) Increase collaborative relationships and stakeholder participation in public policy
development.
A nurse is caring for a young homeless man on the medical floor of the local
hospital. He was admitted several days ago to safely detox from alcohol. He reports
having nowhere to go once he is discharged. Who should be involved in his
discharge planning?
a) Social worker
b) Addiction specialist
c) Psychiatrist
d) All of the above - Answer-d) All of the above
A nurse is caring for a young man in the emergency department. He presents with
severe headache, a rash, joint pain, and a fever of 10c.5° F. He reports having
traveled to India recently. What does the nurse suspect?
a) Leishmaniasis
b) Dengue fever
QUESTIONS AND ANSWERS GRADED
A+2024/2025
Community health nurse is training new nurses about the development of public
health programs to benefit community members. The nurse explains that even
though primary care focuses on caring for an individual, health promotion activities
need to focus on:
a) The family.
b) Each individual patient.
c) Good medical care.
d) The community. - Answer-d) the community.
A new school nurse is reviewing the procedures put in place by the prior nurse, a
woman with over 30 years of experience. The nurse notices that a school-wide
scoliosis screening occurs every fall. How does the new nurse proceed?
a) Continue performing the scoliosis screenings each year.
b) Only continue scoliosis screening on students who are symptomatic.
c) Eliminate scoliosis screenings altogether.
d) Check state screening guidelines to see what is required for school nurses in the
state. - Answer-d) Check state screening guidelines to see what is required for
school nurses in the state.
A new strain of flu has emerged, and the CDC has released a new vaccine that is for
use in high-risk populations. Which population is most apt to be high-risk?
a) Pregnant women
b) Older adults
c) Children
d) All of the above - Answer-d) All of the above
A nurse encounters a young woman with her child in the community. They do not
speak English, but the nurse is fluent in Spanish and is able to communicate with
them in their native language. The woman is very frightened and states that she can't
go back to her country because the local government will harm her and her child if
she does not convert to Catholicism. The nurse takes the woman to the local
immigration office to apply for what status?
a)Asylee
b) Refugee
c) Immigrant
d) Permanent resident - Answer-a)Asylee
,A nurse has been contacted to consult with the coordinating health organization of
the U.N. This means that the nurse will be working with:
a) WHO
b) Global Health Center
c) World Bank
d) CDC - Answer-a) WHO
Indian health services - Answer-IHS: part of the U.S. Department of Health and
Human Services and is responsible for the medcial care provided to Native
Americans and Native Alsaskans. Established in 1954 and provides health care.
Indirect service - Answer-referring to someone, calling another professional to help
solve problem for client
Lead poisoning - Answer-affects CNS, old paint,
Leader - Answer-focuses on change, nurse becomes an agent of change, influence
people to think and behave differently about their health
Lillian Wald and Mary Brewster - Answer-started Henry Street Settlement to provide
nursing and welfare services
Local health department - Answer-carries out most state laws and policies, most
direct/immediate care
Maintaining balance - Answer-intimacy vs professional distance, risk and safety,
assisting and devaluing client, dependence and independence, cost containment
and quality
medicaid - Answer-a federally aided, state operated program that provides medical
benefits for low-income persons in need of medical care
medicare - Answer-A program added to the Social Security system in 1965 that
provides hospitalization insurance for the elderly and permits older Americans to
purchase inexpensive coverage for doctor fees and other health expenses.
Medicare prospective payment - Answer-"you will get 10 paid visits"
Medicare prospective payment - Answer-5 criteria will be met: OASIS form, centers
for Medicare and Medicaid Services (CMS), Medicare documentation (see page 894)
Medicare prospective payment - Answer-need a skilled service, not just "a bath",
services must be intermittent care
Medicare prospective payment - Answer-the payment plan usually last 60 days, then
needs to be re-evaluated.
Motor vehicle accidents - Answer-3 billion injuries and >42,000 deaths per year
,Multiplicity of problems - Answer-finding more then one problem
Nurse role overpopulation - Answer-teaching birth control, family planning,
preventing high risk pregnancies, sex education
OASIS - Answer-outcome, assessment information set: very detailed form
Overpopulation - Answer-exceeds ability of it's ecosystem to either support needs; 4
factors (starvation, disease, wars, aide from other countries)
Phases of survey method - Answer-planning, collection, analysis & presentation
Population - Answer-all the people occupying an area, or all those who share one
more characteristic, may not necessarily interact
Prevention of health problems - Answer-anticipating and averting problems or
discovering them as early as possible to minimize potential disability and impairment
Primary prevention - Answer-to keep illness from occurring, hand rails,
immunizations
Promotion of health - Answer-health education, preventative care services, healthy
people 2010, raise levels of wellness for individuals, families, populations and
communities
Psychological hazards - Answer-noise, overcrowding, lack of natural beauty
Public health nursing - Answer-1900-1970, health and welfare of general public, not
just the poor
Public health nursing - Answer-in the community, often alone, no monitors, labs, use
non-tangible skills like listening, assessing, planning
Radon - Answer-odorless, colorless, causes cancer
Referral sources - Answer-hospitals (MD, MSW, Case Mgr), Clinics (RN or MD),
Families (self)
Rehab - Answer-efforts to reduce disability and restore function as much as possible
Research - Answer-investigation to discover facts affecting community health and
community health practice, solve problems, and explore improved methods of health
science
A nurse has observed that a particular fifth grade student visits the office two to three
times each week with stomach aches, headaches, and vague complaints of not
feeling well. This has been continuing for several months. What is the most
appropriate action for the nurse to take?
a) Refuse to see the child anymore.
, b) Call his parents to discuss his symptoms and the need to be evaluated by his
pediatrician.
c) Send the child home until he obtains medical clearance to return.
d) Refer him to the school psychiatrist for mental evaluation. - Answer-b) Call his
parents to discuss his symptoms and the need to be evaluated by his pediatrician.
A nurse has worked at a community health center for many years. Over the last
several months, the nurse has noticed a significant decline in community members
using the resources available at the clinic. What is the first thing the nurse should
do?
a) Begin offering daycare services and free transportation to the clinic to make it
more convenient.
b) Reach out to former patients to determine why they are no longer returning to the
clinic.
c) Perform a community assessment.
d) Begin offering a new patient reduced fee rate. - Answer-b) Reach out to former
patients to determine why they are no longer returning to the clinic.
A nurse is assisting a primary health clinic in a rural South American country in
establishing a quality and inclusive primary care program. The nurse reviews the
WHO components of primary health care for guidance. Which of the following
components are included in the WHO guide?
a) Diminish social disparities in health.
b) Improve maternal and child health care.
c) Better organize health care around the needs of the community.
d) Improve funding for primary-care programs.
e) Increase collaborative relationships and stakeholder participation in public policy
development. - Answer-a) Diminish social disparities in health.
c) Better organize health care around the needs of the community.
e) Increase collaborative relationships and stakeholder participation in public policy
development.
A nurse is caring for a young homeless man on the medical floor of the local
hospital. He was admitted several days ago to safely detox from alcohol. He reports
having nowhere to go once he is discharged. Who should be involved in his
discharge planning?
a) Social worker
b) Addiction specialist
c) Psychiatrist
d) All of the above - Answer-d) All of the above
A nurse is caring for a young man in the emergency department. He presents with
severe headache, a rash, joint pain, and a fever of 10c.5° F. He reports having
traveled to India recently. What does the nurse suspect?
a) Leishmaniasis
b) Dengue fever
