Wilkes University
Actual Questions and Answers
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Multiple-Choice (A–D).
Each Question Includes The Correct Answer
Verified Expert Rationales
,1. A public health nurse makes a regularly scheduled home visit to a young
pregnant woman with the inten on of discussing prenatal nutri on. Upon
entering the home, the nurse finds the client very anxious and distraught over
losing her job. She is afraid she will not be able to pay her rent. Which of the
following theore cal frameworks would best assist the nurse in adjus ng her
plan for the home visit?
A. Pender's Health Promo on Model
B. Maslow’s hierarchy of needs
C. Orem’s Self-Care Deficit Theory
D. Transtheore cal Model of Change
Answer: B. Maslow’s hierarchy of needs
Ra onale:
Maslow’s hierarchy of needs provides a framework that priori zes basic
physiological and safety needs before addressing higher-level concerns such as
nutri on or self-actualiza on. The nurse must respond to the client's immediate
worries about housing and security, as these are founda onal needs that take
precedence in care planning.
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2. Using the community-as-partner model, assessment begins at the community
core. Select the types of data sources that would be most useful to determine
the characteris cs and internal func ons of the community for your assessment.
(Select 2)
,A. Community history
B. Public transporta on schedules
C. Community culture and values
D. Weather reports
Answer: A. Community history; C. Community culture and values
Ra onale:
Understanding the community core involves gathering informa on about the
founda onal aspects of the community, such as its history and shared values.
These data sources offer vital context for interpre ng pa/erns of health behavior,
resource u liza on, and community priori es.
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3. As a part of a public health clinical prac cum experience, nursing students are
required to complete a community assessment. Students no ce that many
clients are overweight or obese and decide to inves gate the problem further.
Several staff members tell the students that clients are overweight because they
are unmo vated and not interested in improving their health. Which of the
following should the students do next to complete their assessment? (Select 2)
A. Observe staff-client interac ons
B. Conduct a medical record review to determine how many clients are
overweight
, C. Interview several clients to be/er understand how they view the problem
D. Recommend immediate staff training on obesity
Answer: B. Conduct a medical record review to determine how many clients are
overweight; C. Interview several clients to be/er understand how they view the
problem
Ra onale:
A thorough assessment relies on data triangula on. Objec ve data from records
quan fies the problem, while client interviews provide insight into sociocultural
and behavioral factors influencing health outcomes. Ignoring client perspec ves
could perpetuate bias or lead to ineffec ve interven ons.
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4. Which of the following data sources is the most reliable objec ve indicator of
the health status of a community?
A. Voter turnout
B. Morbidity and mortality data
C. School a/endance records
D. Newspaper editorials
Answer: B. Morbidity and mortality data