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“COMMUNITY HEALTH NURSING “ LATEST 2025
FINAL EXAM UPDATED 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED
A+ (LATEST VERSION)
Community Health Nursing Multiple Choices
A CHN presents a proposal for a program for preventing teen pregnancy to a
group of parents. In the discussion that follows the presentation, which of the
following responses by a parent indicates the need for additional teaching by
the CHN?
a) "I do not know if my son is sexually active; however, I have decided that I
am going to talk to him about birth control, just in case."
b) "I have found that being very strict and checking on my daughter whenever
she is out are the best ways to prevent trouble."
c) "I plan to sit down with my daughter and have an honest talk about sexuality
and potential risks."
d) "I will start spending more time with my teens when I get home from work."
B- Parents who are extremely demanding and controlling or neglectful, and who
have low expectations, are the least successful in instilling good values in their
children.
By which of the following actions can the CHN best ensure long-term positive
health outcomes in pregnant teens from low-income groups and their
children?
a) Help teen mothers learn about body changes during pregnancy.
b) Develop programs that enable teen mothers to complete their education.
c) Offer courses in proper care of babies.
d) Monitor pregnant teens for early detection of problems in pregnancy.
B- Programs that enable the teen mother to complete her education increase her
chances for a better future and improved health care over the long term, across the
lifespan.
A CHN who works at a clinic for homeless persons wants to institute a more
efficient treatment for chronic wounds. Which of the following actions offers
the best way to improve outcomes for these clients?
a) Administer antibiotics to all homeless persons with chronic, non-healing
wounds.
b) Facilitate daily access to a room with soap, water, and bandages.
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c) Provide free bandaging supplies to clients at each clinic visit.
d) Regularly monitor the wound condition of clients.
B- Health problems faced by homeless people often are related directly to poor
access to preventive health care services.
What information is most important to keep in mind when caring for a
pregnant teen?
a) All teen pregnancies are considered high risk.
b) Limited knowledge can lead to pregnancy complications.
c) Pregnant teens are less likely to focus on proper prenatal nutrition.
d) Pregnant teens who are poor are more likely to have poorer health
outcomes.
C- The nutritional needs of a pregnant teenager are especially important.
Which of the following actions is a way in which the CHN can help prevent
depression in older adults who are at high risk for it?
a) Encourage them to move to a nursing home where they will have the
company of others in the same age group.
b) Monitor for signs and symptoms of depression.
c) Organize a health promotion program for older adults at the local centre.
d) Encourage older adult clients to focus on their strengths rather than their
weaknesses.
C- It is important for CHNs to recognize that older adults who are depressed usually
have a clinically different presentation from that of clients in other age groups.
A CHN is concerned about caregiver stress in the children of older clients with
health concerns. Which of the following secondary prevention strategies can
the CHN implement to limit caregiver stress?
a) Asking caregivers how they are coping with their role
b) Encouraging caregivers to periodically take a few hours away from their
duties
c) Establishing support groups for caregivers of older adult parents
d) Referring some caregiving responsibilities to home health nurses (HHNs) or
professional caregivers
A- Secondary prevention includes screening that allows for early recognition of
health concerns so that prompt interventions can prevent long-term disabilities. By
asking caregivers how they are coping (thus screening) the CHN can identify
problems early so that interventions can be made to limit the extent of stress.
Which of the following actions can a CHN take to potentially increase
accessibility to health care services for mentally ill homeless clients?
a) Apply for a grant to fund a mobile clinic to take health care to the clients.
b) Distribute flyers to homeless persons that detail the location of various
healthcare services.
c) Refer homeless clients to temporary housing facilities.
d) Solicit donations for food and clothing to be distributed to the homeless.
A- Accessibility refers to the ability of clients to access needed health care services.
Only a mobile health clinic can potentially improve accessibility to health care.
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A CHN suspects that an elementary school student is being physically abused.
Which action would be the most appropriate one for the CHN to take?
a) Ask the student about the abuse.
b) Document findings in the student's school record.
c) Discuss the suspicions of abuse with the student's teachers or the family's
spiritual leader.
d) Notify legal authorities.
D- All individuals in Canada who suspect child abuse are required to report it to the
proper child protection agencies, as mandated by law.
Which of the following actions by a case manager would be classified as
primary prevention?
a) Advocating for the client whose values conflict with those of the medical
service provider
b) Collaborating between nursing and occupational health personnel
c) Educating a group regarding community services that are available if they
are ever needed
d) Resolving conflict between a primary care clinic and a tertiary care facility
C- Primary prevention involves the use of the information exchange process to
increase the client's understanding of the health care system.
A client reports that the narcotic she took for pain on a regular basis made her
feel bad and that when she tried an alternative analgesic, she experienced
withdrawal symptoms. What is this client suffering from?
a) Drug abuse
b) Drug addiction
c) Drug dependence
d) Substance abuse
C- Drug dependence is a state of neuro-adaptation caused by the chronic, regular
use of a drug. People who are dependent on drugs must continue using them to
prevent withdrawal symptoms.
A CHN is asked by a parent group to explain the risk factors for alcoholism.
Which of the following statements should the CHN include in the explanation?
a) Alcoholism is determined solely by environment.
b) Alcoholism is determined partly by genes.
c) Alcoholism is higher in women.
d) Persons born with fetal alcohol syndrome are alcoholics from birth.
B- Research has shown conclusively that alcoholism is, at least in part, genetic and
not just the result of family environment.
At a district board meeting, the CHN requests funding for an after-school
recreation program that promotes healthy, fun activities in an effort to
decrease drug abuse. Which level of prevention does this exemplify?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primary and secondary prevention
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A- Primary prevention includes the promotion of healthy lifestyles and resiliency
factors.
An intravenous (IV) drug abuser admits to the CHN that he has no desire to
give up his addiction, so the CHN counsels him on the importance of
sterilizing his needles to prevent infection and transmission of blood-borne
diseases. Which level of prevention does this action represent?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primary and tertiary prevention
C- Tertiary prevention is implemented in people who already have a health concern
or problem to prevent complications.
A CHN suspects that a new client may be a drug addict. When getting the
health history of the client, the CHN needs to keep in mind that the client may
not admit to drug use. Which one of the following is a primary symptom of
addiction?
a) Confusion
b) Denial
c) Forgetfulness
d) Mental status changes
B- A primary symptom of addiction involves refusal to acknowledge that a drug use
or substance use problem exists.
Which one of the following actions is the best example of enabling in a family
with an alcoholic father?
a) The father asks the CHN to explain why his continued drinking is
dangerous.
b) The son threatens to leave the home because he finds his father's behaviour
embarrassing.
c) The teenage daughter turns to a favourite teacher for support.
d) The wife tells her husband's boss that her husband is sick when he is
actually inebriated.
D- Enabling is the act of shielding or preventing the addict from experiencing the
consequences of his or her addiction.
Which of the following statements made by a parent indicates a need for more
education about child abuse?
a) "I have stopped slapping my child, and I am learning to count to 10 before
reacting."
b) "I never spank or hit my children; I yell at them to stop being stupid and if
they don't, I tell them that the boogeyman will steal them away at night if they
don't obey."
c) "I use 'time out' when my child acts out or is naughty. Sometimes, my child
doesn't cope well with this, but I am persistent."
d) "When my child misbehaves, I distract him and try to focus his attention on
“COMMUNITY HEALTH NURSING “ LATEST 2025
FINAL EXAM UPDATED 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED
A+ (LATEST VERSION)
Community Health Nursing Multiple Choices
A CHN presents a proposal for a program for preventing teen pregnancy to a
group of parents. In the discussion that follows the presentation, which of the
following responses by a parent indicates the need for additional teaching by
the CHN?
a) "I do not know if my son is sexually active; however, I have decided that I
am going to talk to him about birth control, just in case."
b) "I have found that being very strict and checking on my daughter whenever
she is out are the best ways to prevent trouble."
c) "I plan to sit down with my daughter and have an honest talk about sexuality
and potential risks."
d) "I will start spending more time with my teens when I get home from work."
B- Parents who are extremely demanding and controlling or neglectful, and who
have low expectations, are the least successful in instilling good values in their
children.
By which of the following actions can the CHN best ensure long-term positive
health outcomes in pregnant teens from low-income groups and their
children?
a) Help teen mothers learn about body changes during pregnancy.
b) Develop programs that enable teen mothers to complete their education.
c) Offer courses in proper care of babies.
d) Monitor pregnant teens for early detection of problems in pregnancy.
B- Programs that enable the teen mother to complete her education increase her
chances for a better future and improved health care over the long term, across the
lifespan.
A CHN who works at a clinic for homeless persons wants to institute a more
efficient treatment for chronic wounds. Which of the following actions offers
the best way to improve outcomes for these clients?
a) Administer antibiotics to all homeless persons with chronic, non-healing
wounds.
b) Facilitate daily access to a room with soap, water, and bandages.
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c) Provide free bandaging supplies to clients at each clinic visit.
d) Regularly monitor the wound condition of clients.
B- Health problems faced by homeless people often are related directly to poor
access to preventive health care services.
What information is most important to keep in mind when caring for a
pregnant teen?
a) All teen pregnancies are considered high risk.
b) Limited knowledge can lead to pregnancy complications.
c) Pregnant teens are less likely to focus on proper prenatal nutrition.
d) Pregnant teens who are poor are more likely to have poorer health
outcomes.
C- The nutritional needs of a pregnant teenager are especially important.
Which of the following actions is a way in which the CHN can help prevent
depression in older adults who are at high risk for it?
a) Encourage them to move to a nursing home where they will have the
company of others in the same age group.
b) Monitor for signs and symptoms of depression.
c) Organize a health promotion program for older adults at the local centre.
d) Encourage older adult clients to focus on their strengths rather than their
weaknesses.
C- It is important for CHNs to recognize that older adults who are depressed usually
have a clinically different presentation from that of clients in other age groups.
A CHN is concerned about caregiver stress in the children of older clients with
health concerns. Which of the following secondary prevention strategies can
the CHN implement to limit caregiver stress?
a) Asking caregivers how they are coping with their role
b) Encouraging caregivers to periodically take a few hours away from their
duties
c) Establishing support groups for caregivers of older adult parents
d) Referring some caregiving responsibilities to home health nurses (HHNs) or
professional caregivers
A- Secondary prevention includes screening that allows for early recognition of
health concerns so that prompt interventions can prevent long-term disabilities. By
asking caregivers how they are coping (thus screening) the CHN can identify
problems early so that interventions can be made to limit the extent of stress.
Which of the following actions can a CHN take to potentially increase
accessibility to health care services for mentally ill homeless clients?
a) Apply for a grant to fund a mobile clinic to take health care to the clients.
b) Distribute flyers to homeless persons that detail the location of various
healthcare services.
c) Refer homeless clients to temporary housing facilities.
d) Solicit donations for food and clothing to be distributed to the homeless.
A- Accessibility refers to the ability of clients to access needed health care services.
Only a mobile health clinic can potentially improve accessibility to health care.
, Page 3 of 124
A CHN suspects that an elementary school student is being physically abused.
Which action would be the most appropriate one for the CHN to take?
a) Ask the student about the abuse.
b) Document findings in the student's school record.
c) Discuss the suspicions of abuse with the student's teachers or the family's
spiritual leader.
d) Notify legal authorities.
D- All individuals in Canada who suspect child abuse are required to report it to the
proper child protection agencies, as mandated by law.
Which of the following actions by a case manager would be classified as
primary prevention?
a) Advocating for the client whose values conflict with those of the medical
service provider
b) Collaborating between nursing and occupational health personnel
c) Educating a group regarding community services that are available if they
are ever needed
d) Resolving conflict between a primary care clinic and a tertiary care facility
C- Primary prevention involves the use of the information exchange process to
increase the client's understanding of the health care system.
A client reports that the narcotic she took for pain on a regular basis made her
feel bad and that when she tried an alternative analgesic, she experienced
withdrawal symptoms. What is this client suffering from?
a) Drug abuse
b) Drug addiction
c) Drug dependence
d) Substance abuse
C- Drug dependence is a state of neuro-adaptation caused by the chronic, regular
use of a drug. People who are dependent on drugs must continue using them to
prevent withdrawal symptoms.
A CHN is asked by a parent group to explain the risk factors for alcoholism.
Which of the following statements should the CHN include in the explanation?
a) Alcoholism is determined solely by environment.
b) Alcoholism is determined partly by genes.
c) Alcoholism is higher in women.
d) Persons born with fetal alcohol syndrome are alcoholics from birth.
B- Research has shown conclusively that alcoholism is, at least in part, genetic and
not just the result of family environment.
At a district board meeting, the CHN requests funding for an after-school
recreation program that promotes healthy, fun activities in an effort to
decrease drug abuse. Which level of prevention does this exemplify?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primary and secondary prevention
, Page 4 of 124
A- Primary prevention includes the promotion of healthy lifestyles and resiliency
factors.
An intravenous (IV) drug abuser admits to the CHN that he has no desire to
give up his addiction, so the CHN counsels him on the importance of
sterilizing his needles to prevent infection and transmission of blood-borne
diseases. Which level of prevention does this action represent?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) Primary and tertiary prevention
C- Tertiary prevention is implemented in people who already have a health concern
or problem to prevent complications.
A CHN suspects that a new client may be a drug addict. When getting the
health history of the client, the CHN needs to keep in mind that the client may
not admit to drug use. Which one of the following is a primary symptom of
addiction?
a) Confusion
b) Denial
c) Forgetfulness
d) Mental status changes
B- A primary symptom of addiction involves refusal to acknowledge that a drug use
or substance use problem exists.
Which one of the following actions is the best example of enabling in a family
with an alcoholic father?
a) The father asks the CHN to explain why his continued drinking is
dangerous.
b) The son threatens to leave the home because he finds his father's behaviour
embarrassing.
c) The teenage daughter turns to a favourite teacher for support.
d) The wife tells her husband's boss that her husband is sick when he is
actually inebriated.
D- Enabling is the act of shielding or preventing the addict from experiencing the
consequences of his or her addiction.
Which of the following statements made by a parent indicates a need for more
education about child abuse?
a) "I have stopped slapping my child, and I am learning to count to 10 before
reacting."
b) "I never spank or hit my children; I yell at them to stop being stupid and if
they don't, I tell them that the boogeyman will steal them away at night if they
don't obey."
c) "I use 'time out' when my child acts out or is naughty. Sometimes, my child
doesn't cope well with this, but I am persistent."
d) "When my child misbehaves, I distract him and try to focus his attention on
