PRINCIPLES IN COMMUNITY AND PUBLIC HEALTH NURSING EXAMS WITH
VERIFIED QUESTIONS AND CORRECT ANSWERS
A community health nurse is caring for a client who informs the nurse that they need a kidney
transplant but their insurance has been discontinued. Which ethical principle should the nurse be
aware of to provide resources for this client?
a. Veracity
b. Autonomy
c. Accountability
d. Justice
- ANSWERS-d. Justice
Rationale: The nurse is demonstrating the ethical principle of justice, which refers to fairness.
Community and public health nursing agree to strive for justice in health care and resources for all
clients' well-being.
A community health nurse is reinforcing education on insulin administration to a client who has
diabetes mellitus. Which of the following elements of Nursing's Social Contract is the nurse
demonstrating?
a. Collaboration
b. Ethical practice
c. Autonomy of practice
d. Promotion of the health of the public
- ANSWERS-c. Autonomy of practice
Rationale: The nurse is demonstrating the element of autonomy of practice of nursing's social
contract. Autonomy of practice involves providing education of disease management and insulin
administration within the scope and standards of practice for a community health nurse.
A community health nurse is reinforcing teaching to new nures on a scenario in which a nurse has
forgotten to refer a client to a social worker, causing a delay in medication coverage for the
client. Which of the following actions by the nurse demonstrates the element of responsibility and
accountability under nursing's social contract?
a. The nurse requests to speak to their supervisor to discuss workload.
b. The nurse explains the reason why the delay occurred.
c. The nurse makes excuses for the delay.
d. The nurse accepts fault in the delay of the client's medication coverage.
- ANSWERS-d. The nurse accepts fault in the delay of the client's medication coverage.
Rationale: In accepting the fault for the situation, the nurse is demonstrating the element of
responsibility and accountability of nursing's social contract. The nurse has accepted fault and is
transparent about the situation.
, A community health nurse is working in a clinic that treats many clients who do not have homes and
have mental health needs, but follow-up care is inadequate. How can the nurse implement
Provision 9 of the American Nurses Association (ANA) Code of Ethics?
a. Take responsibility for improving the safety of mental health care at the community clinic.
b. Allow mental health caregivers to address the issue to avoid crossing professional boundaries.
c. Improve commitment to providing the best mental health care possible through continuing
education.
d. Write a letter to the head of the clinic to report the need for mental health follow-up care.
- ANSWERS-d. Write a letter to the head of the clinic to report the need for mental health follow-
up care.
Rationale: Provision 9 of the Code of Ethics discusses the need for the nursing profession to
address national and global health concerns, as well as be involved with shaping policies through
political action, which includes writing a letter to report and address the issue. The nurse is
advocating for the need for mental health follow-up care.
A community health nurse reports that some families are in desperate need of basic preventative
health care services. Which of the following principles supports providing resources to families in
the community that are in need?
a. Justice
b. Beneficence
c. Autonomy
d. Nonmaleficence
- ANSWERS-b. Beneficence
Rationale: The nurse is demonstrating the ethical principle of beneficence. Beneficence is doing
what is in the best interest of the client and protecting them from harm.
A nurse is caring for a client who asks how their food choices might affect their blood pressure. To
which of the following members of the interprofessional team should the nurse refer this client?
a. Kinesiologist
b. Dietitian
c. Social worker
d. Pharmacist
- ANSWERS-b. Dietitian
Rationale: The nurse should request a referral for the client to see a dietitian. A dietitian is part of
the interprofessional team and can go through the client's list of foods to determine if they are
affecting their blood pressure.
A nurse is caring for a client who does not have proper understanding of a surgical procedure
that is scheduled for the next day. The nurse notifies the client's provider. Which of the following
concepts is the nurse demonstrating?
a. Client education
b. Client advocacy
VERIFIED QUESTIONS AND CORRECT ANSWERS
A community health nurse is caring for a client who informs the nurse that they need a kidney
transplant but their insurance has been discontinued. Which ethical principle should the nurse be
aware of to provide resources for this client?
a. Veracity
b. Autonomy
c. Accountability
d. Justice
- ANSWERS-d. Justice
Rationale: The nurse is demonstrating the ethical principle of justice, which refers to fairness.
Community and public health nursing agree to strive for justice in health care and resources for all
clients' well-being.
A community health nurse is reinforcing education on insulin administration to a client who has
diabetes mellitus. Which of the following elements of Nursing's Social Contract is the nurse
demonstrating?
a. Collaboration
b. Ethical practice
c. Autonomy of practice
d. Promotion of the health of the public
- ANSWERS-c. Autonomy of practice
Rationale: The nurse is demonstrating the element of autonomy of practice of nursing's social
contract. Autonomy of practice involves providing education of disease management and insulin
administration within the scope and standards of practice for a community health nurse.
A community health nurse is reinforcing teaching to new nures on a scenario in which a nurse has
forgotten to refer a client to a social worker, causing a delay in medication coverage for the
client. Which of the following actions by the nurse demonstrates the element of responsibility and
accountability under nursing's social contract?
a. The nurse requests to speak to their supervisor to discuss workload.
b. The nurse explains the reason why the delay occurred.
c. The nurse makes excuses for the delay.
d. The nurse accepts fault in the delay of the client's medication coverage.
- ANSWERS-d. The nurse accepts fault in the delay of the client's medication coverage.
Rationale: In accepting the fault for the situation, the nurse is demonstrating the element of
responsibility and accountability of nursing's social contract. The nurse has accepted fault and is
transparent about the situation.
, A community health nurse is working in a clinic that treats many clients who do not have homes and
have mental health needs, but follow-up care is inadequate. How can the nurse implement
Provision 9 of the American Nurses Association (ANA) Code of Ethics?
a. Take responsibility for improving the safety of mental health care at the community clinic.
b. Allow mental health caregivers to address the issue to avoid crossing professional boundaries.
c. Improve commitment to providing the best mental health care possible through continuing
education.
d. Write a letter to the head of the clinic to report the need for mental health follow-up care.
- ANSWERS-d. Write a letter to the head of the clinic to report the need for mental health follow-
up care.
Rationale: Provision 9 of the Code of Ethics discusses the need for the nursing profession to
address national and global health concerns, as well as be involved with shaping policies through
political action, which includes writing a letter to report and address the issue. The nurse is
advocating for the need for mental health follow-up care.
A community health nurse reports that some families are in desperate need of basic preventative
health care services. Which of the following principles supports providing resources to families in
the community that are in need?
a. Justice
b. Beneficence
c. Autonomy
d. Nonmaleficence
- ANSWERS-b. Beneficence
Rationale: The nurse is demonstrating the ethical principle of beneficence. Beneficence is doing
what is in the best interest of the client and protecting them from harm.
A nurse is caring for a client who asks how their food choices might affect their blood pressure. To
which of the following members of the interprofessional team should the nurse refer this client?
a. Kinesiologist
b. Dietitian
c. Social worker
d. Pharmacist
- ANSWERS-b. Dietitian
Rationale: The nurse should request a referral for the client to see a dietitian. A dietitian is part of
the interprofessional team and can go through the client's list of foods to determine if they are
affecting their blood pressure.
A nurse is caring for a client who does not have proper understanding of a surgical procedure
that is scheduled for the next day. The nurse notifies the client's provider. Which of the following
concepts is the nurse demonstrating?
a. Client education
b. Client advocacy
