NR442 FINAL EXAM/NR 442 COMMUNITY HEALTH NURSING
FINAL 2025/2026 ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Community health nurses must recognize the unique position they hold in
providing adequate health care for their clients. Which action would be a priority
for the community health nurse?
A. Identify which community leaders are most supportive of health care.
B. Work to make healthy choices more accessible.
C. Identify the needs of each client who comes through the clinic doors.
D. Bring in educators to help the clients. - ANSWER-B.
Work to make healthy choices more accessible.
Feedback:Community health nurses serve as a valuable partner in identifying
community health needs and connecting communities with available resources.
They also serve as community educators, empower people with information to
make healthy choices while working to create environments where healthy
choices are more accessible and affordable. While they do strive to help each
individual who comes for assistance, the main goal is to help the community as a
whole. They also strive to work with all community leaders to achieve the
common goal and not just a few who may be more supportive.
A community health nurse is working as part of a team providing care during a
disaster involving an explosion. The nurse is working to triage victims. Which
victim would the nurse categorize as green?
A. Person is conscious with numerous cuts and bruises that are superficial.
B. Person is unconscious with an open skull fracture with visible brain matter.
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C. Person is unconscious with signs of internal and external bleeding.
D. Person is conscious with a fracture of the upper arm. - ANSWER-A.
Person is conscious with numerous cuts and bruises that are superficial.
Feedback:A victim categorized as green is experiencing minor injuries and often is
referred to as the walking wounded. Victims in this category have sustained minor
injury or are presenting with minimal signs of illness (e.g., a conscious victim with
superficial cuts, scrapes, and bruises). Prolonged delay in care most likely will not
adversely affect their long-term outcome. A victim categorized as red is
considered urgent or critical and has injuries or medical problems that will likely
lead to death if not treated immediately. An unconscious person with signs of
internal and external bleeding would fit this category. A victim categorized as
yellow or delayed has injuries that will require medical attention (e.g., a conscious
victim with a fractured femur); however, time to medical treatment is not yet
critical. A victim categorized as black is obviously dead or has suffered mortal
wounds because of which death is imminent (e.g., an unconscious victim with an
open skull fracture with brain matter showing). Lifesaving heroics on this group of
victims will only delay medical care on more viable victims.
A group of community health nurses are evaluating the community to determine
which issues should be addressed. As the group complete various assessments,
they recognize that an assets assessment will be important to evaluate which
factor of the community?
A. Specific problem of the community
B. Key informants
C. Strengths of the community
D. Overall life of the community - ANSWER-C.
Strengths of the community
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Feedback:An assets assessment focuses on the strengths and capacities of a
community rather than its problems. Key informants are important sources of
information with a comprehensive assessment. Information about a specific
health problem is gathered during a problem-oriented assessment. Information
about an overall view of the community and its life is gathered with a
familiarization or windshield survey.
A community health nurse involved in assessing community health needs is
planning to get a group of approximately 10 similar individuals together to obtain
information about opinions on first pregnancies. The nurse is using which
assessment method?
A. Community forum
B. Focus group
C. Descriptive epidemiology
D. Survey - ANSWER-B.
Focus group
Feedback:The nurse is using a focus group, similar to the community forum or
town hall meeting in that it is designed to obtain grassroots opinion. Focus groups
usually have only a small group of participants, usually 5 to 15 people, and the
members chosen for the group are homogeneous with respect to specific
demographic variables. A survey involves a series of questions, often to provide a
broad range of data. Community forum is a qualitative method to obtain
community opinions; the members typically represent all segments of the
community involved with the issue. Descriptive epidemiologic studies examine the
amount and distribution of a disease or health condition in a population by
person, place, and time.
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A community health nurse is engaged in primary disaster prevention activities in
the community. Which action would the nurse most likely involved with?
A. Conducting disaster drills
B. Providing emergency assistance
C. Assisting with early evacuation
D. Implementing crisis counseling - ANSWER-A.
Conducting disaster drills
Feedback:Primary prevention involves anticipatory guidance, such as conducting
disaster drills. The community health nurse has a role in these disaster drills
through committee membership, organization of drills at the place of
employment, or activism at the grassroots level to assist in holding community-
wide disaster drills on a regular basis. Assisting with early evacuation and
providing emergency assistance are aspects of secondary prevention.
Implementing crisis counseling would be tertiary prevention.
The nursing instructor is discussing the concept of serving the community as the
client. The instructor recognizes that the students understand the teaching when
they identify which concepts are used to identify the health of a community?
A. Assessment, policy development, and assurance
B. Status/people, structure, and process
C. Primary, secondary, and tertiary
D. Function, structure, and process - ANSWER-B.
Status/people, structure, and process
Feedback:The three dimensions of the health of the community are
status/people, structure, and process. Assessment, policy development, and
assurance are the three core public health functions. Primary, secondary, and
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