NR442 Exam 3 /NR 442 Community Health Nursing Exam 3
NR442 EXAM 3 /NR 442 COMMUNITY HEALTH NURSING EXAM 3
NEWEST 2025/2026 ACTUAL EXAM COMPLETE ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A mother confides to the nurse that her live-in boyfriend knocked down her 2-
year-old child because he was crying too much. She
begs the nurse not to tell anyone because her boyfriend has agreed to take anger
management classes. Which of the following
actions should be taken by the nurse?
a. Abide by the mother's wishes because this information was provided in
confidence.
b. Arrange for counseling for the boyfriend at the earliest possible availability.
c. Encourage the mother to take the child and find alternate housing right away.
d. Report the incident to child protective services or other appropriate legal
authority.
ANS: D
Nurses are mandatory reporters of child abuse, even when only suspected, in all
states. The incorrect options put the child's welfare
at risk, including encouraging the mother to seek alternatives, since encouraging
an action will not ensure that it will happen
Which of the following factors may lead to increased violence? (Select all that
apply.)
a. Minimal social support
b. Feelings of powerlessness
c. Violence shown in the media
d. Living in a crowded environment
e. A history of depression
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, NR442 Exam 3 /NR 442 Community Health Nursing Exam 3
ANS: A, B, C, D
Factors that increase violence include seeing violence in daily life or in the media,
living in poverty with few opportunities for
employment, and feelings of powerlessness. Crowded environments can be a
factor but can also lead to banding together for the
common good. While social support is a positive factor, an insufficient amount
may lead to increased violence. Depression is not
necessarily a trigger for violence
Which of the following best describes the primary difference between parish
nursing and all other nursing positions?
a. Affiliation with a church or congregation
b. Incorporation of spiritual aspects into nursing care
c. Provision of holistic nursing care
d. Residence within the community of service
ANS: A
In 1998, the American Nurses Association accepted parish nursing as the most
recognized term for the practice of nurses working
with congregations or faith communities. All nurses may choose to incorporate
spiritual aspects into holistic nursing care.
To help congregation members better meet their nutritional needs, the parish
nurse organized members to participate in activities
that focused on fellowship while providing healthy meals to homebound members
and serving "healthy heart" church suppers.
Which of the following activities is being completed?
a. Holistic care
b. Health ministries
c. Partnerships
d. Pastoral care practices
ANS: B
Health ministries are those activities and programs in faith communities organized
around health and healing to promote wholeness
2|Page
, NR442 Exam 3 /NR 442 Community Health Nursing Exam 3
in health across the life span. These services include activities such as visiting the
homebound, providing meals for families in
crisis or when returning home after hospitalization, organizing prayer circles,
serving "healthy heart" church suppers, and holding
regular grief support groups. Holistic care is concerned with the relationship of
body, mind, and spirit in a constantly changing
environment. Providing a healthy meal does not address these multiple
components. Partnerships may be among individuals,
groups, and health care professionals within the congregation. It may involve
partnerships to provide these meals; however, the
focus is on the overall health ministry provided by this activity, not the
partnerships which may be necessary to develop the
program. Pastoral care practices involve stressing the spiritual dimension of
nursing, lending support during times of joy and
sorrow, guiding the person through health and illness throughout life, and helping
identify the spiritual strengths that assist in
coping with particular events. These practices related to pastoral care are not
provided through this meal
Which of the following best describes why it is helpful to be a member of a faith
community?
a. Belief and traditions help with coping.
b. Members can ask others in the group for help.
c. It is a social outlet.
d. Members are able to get others to contribute to the causes they support.
ANS: A
Persons who encounter assaults with physical and emotional illness and
brokenness and who are able to call upon their faith beliefs
and religious traditions are able to increase coping skills and realize spiritual
growth even during adversity. Family communities do
allow for a social outlet, asking others for help, and getting others to contribute to
causes the support. However, the common
3|Page
, NR442 Exam 3 /NR 442 Community Health Nursing Exam 3
connect of faith and traditions is what connects the members together and allows
them to accomplish these other things
Which of the following principles is central to the role of the parish nurse?
a. Advanced nursing practice education and skills
b. Faith consistent with the community and its leadership
c. Spiritual dimension of care
d. Willingness to serve anyone in need
ANS: C
The spiritual dimension of health care is central to the practice of parish nursing.
Advanced nursing practice education and skills,
although helpful, is not necessary for a nurse to become a parish nurse. Having a
faith that is consistent with those who the nurse is
working with is helpful, but not essential to the role of the parish nurse.
Willingness to serve others is not specific to the role of the
parish nurse, but rather a role that all nurses should embrace
A young woman had been away from home several years before she returned
home sick and disheartened. Her mother called a
nurse to help. Which of the following behaviors would suggest that the caregiver
who arrived was a parish nurse?
a. Advanced nursing practice education and skills
b. Compassionate, skilled, dedicated touch
c. Offered a prayer with the daughter and mother
d. Willingness to do whatever was needed by mother or daughter
ANS: C
The spiritual dimension of health care is central to the practice of parish nursing.
Both nursing functions and pastoral care functions
are performed by parish nurses, whose visits often involve prayer and reference to
scripture, symbols, sacraments, and liturgy of the
faith community. Advanced nursing practice is not required for a parish nurse, so
this would not suggest that the nurse was a parish
nurse. All nurses should demonstrate compassionate, skilled, and dedicated
4|Page
NR442 EXAM 3 /NR 442 COMMUNITY HEALTH NURSING EXAM 3
NEWEST 2025/2026 ACTUAL EXAM COMPLETE ALL QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A mother confides to the nurse that her live-in boyfriend knocked down her 2-
year-old child because he was crying too much. She
begs the nurse not to tell anyone because her boyfriend has agreed to take anger
management classes. Which of the following
actions should be taken by the nurse?
a. Abide by the mother's wishes because this information was provided in
confidence.
b. Arrange for counseling for the boyfriend at the earliest possible availability.
c. Encourage the mother to take the child and find alternate housing right away.
d. Report the incident to child protective services or other appropriate legal
authority.
ANS: D
Nurses are mandatory reporters of child abuse, even when only suspected, in all
states. The incorrect options put the child's welfare
at risk, including encouraging the mother to seek alternatives, since encouraging
an action will not ensure that it will happen
Which of the following factors may lead to increased violence? (Select all that
apply.)
a. Minimal social support
b. Feelings of powerlessness
c. Violence shown in the media
d. Living in a crowded environment
e. A history of depression
1|Page
, NR442 Exam 3 /NR 442 Community Health Nursing Exam 3
ANS: A, B, C, D
Factors that increase violence include seeing violence in daily life or in the media,
living in poverty with few opportunities for
employment, and feelings of powerlessness. Crowded environments can be a
factor but can also lead to banding together for the
common good. While social support is a positive factor, an insufficient amount
may lead to increased violence. Depression is not
necessarily a trigger for violence
Which of the following best describes the primary difference between parish
nursing and all other nursing positions?
a. Affiliation with a church or congregation
b. Incorporation of spiritual aspects into nursing care
c. Provision of holistic nursing care
d. Residence within the community of service
ANS: A
In 1998, the American Nurses Association accepted parish nursing as the most
recognized term for the practice of nurses working
with congregations or faith communities. All nurses may choose to incorporate
spiritual aspects into holistic nursing care.
To help congregation members better meet their nutritional needs, the parish
nurse organized members to participate in activities
that focused on fellowship while providing healthy meals to homebound members
and serving "healthy heart" church suppers.
Which of the following activities is being completed?
a. Holistic care
b. Health ministries
c. Partnerships
d. Pastoral care practices
ANS: B
Health ministries are those activities and programs in faith communities organized
around health and healing to promote wholeness
2|Page
, NR442 Exam 3 /NR 442 Community Health Nursing Exam 3
in health across the life span. These services include activities such as visiting the
homebound, providing meals for families in
crisis or when returning home after hospitalization, organizing prayer circles,
serving "healthy heart" church suppers, and holding
regular grief support groups. Holistic care is concerned with the relationship of
body, mind, and spirit in a constantly changing
environment. Providing a healthy meal does not address these multiple
components. Partnerships may be among individuals,
groups, and health care professionals within the congregation. It may involve
partnerships to provide these meals; however, the
focus is on the overall health ministry provided by this activity, not the
partnerships which may be necessary to develop the
program. Pastoral care practices involve stressing the spiritual dimension of
nursing, lending support during times of joy and
sorrow, guiding the person through health and illness throughout life, and helping
identify the spiritual strengths that assist in
coping with particular events. These practices related to pastoral care are not
provided through this meal
Which of the following best describes why it is helpful to be a member of a faith
community?
a. Belief and traditions help with coping.
b. Members can ask others in the group for help.
c. It is a social outlet.
d. Members are able to get others to contribute to the causes they support.
ANS: A
Persons who encounter assaults with physical and emotional illness and
brokenness and who are able to call upon their faith beliefs
and religious traditions are able to increase coping skills and realize spiritual
growth even during adversity. Family communities do
allow for a social outlet, asking others for help, and getting others to contribute to
causes the support. However, the common
3|Page
, NR442 Exam 3 /NR 442 Community Health Nursing Exam 3
connect of faith and traditions is what connects the members together and allows
them to accomplish these other things
Which of the following principles is central to the role of the parish nurse?
a. Advanced nursing practice education and skills
b. Faith consistent with the community and its leadership
c. Spiritual dimension of care
d. Willingness to serve anyone in need
ANS: C
The spiritual dimension of health care is central to the practice of parish nursing.
Advanced nursing practice education and skills,
although helpful, is not necessary for a nurse to become a parish nurse. Having a
faith that is consistent with those who the nurse is
working with is helpful, but not essential to the role of the parish nurse.
Willingness to serve others is not specific to the role of the
parish nurse, but rather a role that all nurses should embrace
A young woman had been away from home several years before she returned
home sick and disheartened. Her mother called a
nurse to help. Which of the following behaviors would suggest that the caregiver
who arrived was a parish nurse?
a. Advanced nursing practice education and skills
b. Compassionate, skilled, dedicated touch
c. Offered a prayer with the daughter and mother
d. Willingness to do whatever was needed by mother or daughter
ANS: C
The spiritual dimension of health care is central to the practice of parish nursing.
Both nursing functions and pastoral care functions
are performed by parish nurses, whose visits often involve prayer and reference to
scripture, symbols, sacraments, and liturgy of the
faith community. Advanced nursing practice is not required for a parish nurse, so
this would not suggest that the nurse was a parish
nurse. All nurses should demonstrate compassionate, skilled, and dedicated
4|Page
