NUR 206/NUR206 Exam 1 V2 | Community
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is conducting a health education session for a group of parents
regarding childhood immunizations. Which level of prevention is the nurse implementing?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Primary prevention involves activities that prevent the initial
occurrence of a disease or injury. Immunization programs are classic examples of this level
because they aim to protect individuals before exposure occurs. By educating parents on
the benefits of vaccines, the nurse is actively working to reduce the incidence of
communicable diseases within the community population.
2. Which historical figure is credited with founding the Henry Street Settlement and is
considered the pioneer of public health nursing?
A. Florence Nightingale
B. Clara Barton
,C. Lillian Wald
D. Mary Brewster
Correct Answer: C
Expert Explanation: Lillian Wald established the Henry Street Settlement in New York
City during the late 19th century. She is widely recognized as the individual who coined the
term ‘public health nurse’ to describe the broad scope of nursing care provided to the
community. Her work focused on social justice, environmental conditions, and healthcare
access for the poor and immigrant populations.
3. A nurse is performing a windshield survey of a local neighborhood. Which of the following
observations would be most useful in assessing the community’s environmental health?
A. The number of residents attending a local church service
B. The dietary habits of a specific family in the neighborhood
C. Individual medical records from a local clinic
D. The presence of lead pipes and age of the housing structures
Correct Answer: D
Expert Explanation: A windshield survey is an objective observation of a community’s
physical environment while driving or walking through it. Identifying the age of housing
and infrastructure allows the nurse to assess risks such as lead paint or outdated plumbing
systems. This assessment provides a general overview of the community’s characteristics
and potential health hazards without intrusive data collection.
,4. The nurse identifies that the incidence of influenza in a specific county has increased
significantly over the last month. What does ‘incidence’ specifically refer to in epidemiology?
A. The number of new cases of a disease in a specific period
B. The total number of existing cases in a population
C. The proportion of the population that has died from the disease
D. The geographical distribution of the disease
Correct Answer: A
Expert Explanation: Incidence measures the number of new cases of a disease that
develop in a population during a specific timeframe. This metric is essential for
understanding the rate at which a disease is spreading and for evaluating the effectiveness
of prevention programs. In contrast, prevalence refers to the total number of both new and
existing cases at a single point in time.
5. A nurse is working with a patient who has been diagnosed with chronic obstructive
pulmonary disease (COPD). The nurse provides instruction on pulmonary rehabilitation. This
is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
, Correct Answer: C
Expert Explanation: Tertiary prevention aims to manage and rehabilitate individuals who
already have a diagnosed condition or permanent disability. Pulmonary rehabilitation
helps patients with COPD maximize their functional capacity and prevent further
complications from their disease. The goal at this level is to improve the quality of life and
reduce the impact of long-term illness.
6. Using the epidemiological triangle, which of the following is considered an ‘agent’ factor?
A. Age and genetic susceptibility
B. Climate and socioeconomic status
C. Bacteria or chemical toxins
D. Access to healthcare facilities
Correct Answer: C
Expert Explanation: The epidemiological triangle consists of the host, the agent, and the
environment. The agent is the animate or inanimate factor that must be present or lacking
for a disease or condition to develop, such as biological organisms or chemical substances.
Age and genetics fall under host factors, while climate and healthcare access fall under
environmental factors.
7. A community nurse is utilizing the ‘I-PREPARE’ mnemonic to assess a patient’s
environmental exposure. What does the ‘I’ in the mnemonic stand for?
A. Investigate
Nursing Concepts Q&A with Rationale |
Fortis College
1. A community health nurse is conducting a health education session for a group of parents
regarding childhood immunizations. Which level of prevention is the nurse implementing?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Expert Explanation: Primary prevention involves activities that prevent the initial
occurrence of a disease or injury. Immunization programs are classic examples of this level
because they aim to protect individuals before exposure occurs. By educating parents on
the benefits of vaccines, the nurse is actively working to reduce the incidence of
communicable diseases within the community population.
2. Which historical figure is credited with founding the Henry Street Settlement and is
considered the pioneer of public health nursing?
A. Florence Nightingale
B. Clara Barton
,C. Lillian Wald
D. Mary Brewster
Correct Answer: C
Expert Explanation: Lillian Wald established the Henry Street Settlement in New York
City during the late 19th century. She is widely recognized as the individual who coined the
term ‘public health nurse’ to describe the broad scope of nursing care provided to the
community. Her work focused on social justice, environmental conditions, and healthcare
access for the poor and immigrant populations.
3. A nurse is performing a windshield survey of a local neighborhood. Which of the following
observations would be most useful in assessing the community’s environmental health?
A. The number of residents attending a local church service
B. The dietary habits of a specific family in the neighborhood
C. Individual medical records from a local clinic
D. The presence of lead pipes and age of the housing structures
Correct Answer: D
Expert Explanation: A windshield survey is an objective observation of a community’s
physical environment while driving or walking through it. Identifying the age of housing
and infrastructure allows the nurse to assess risks such as lead paint or outdated plumbing
systems. This assessment provides a general overview of the community’s characteristics
and potential health hazards without intrusive data collection.
,4. The nurse identifies that the incidence of influenza in a specific county has increased
significantly over the last month. What does ‘incidence’ specifically refer to in epidemiology?
A. The number of new cases of a disease in a specific period
B. The total number of existing cases in a population
C. The proportion of the population that has died from the disease
D. The geographical distribution of the disease
Correct Answer: A
Expert Explanation: Incidence measures the number of new cases of a disease that
develop in a population during a specific timeframe. This metric is essential for
understanding the rate at which a disease is spreading and for evaluating the effectiveness
of prevention programs. In contrast, prevalence refers to the total number of both new and
existing cases at a single point in time.
5. A nurse is working with a patient who has been diagnosed with chronic obstructive
pulmonary disease (COPD). The nurse provides instruction on pulmonary rehabilitation. This
is an example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Health promotion
, Correct Answer: C
Expert Explanation: Tertiary prevention aims to manage and rehabilitate individuals who
already have a diagnosed condition or permanent disability. Pulmonary rehabilitation
helps patients with COPD maximize their functional capacity and prevent further
complications from their disease. The goal at this level is to improve the quality of life and
reduce the impact of long-term illness.
6. Using the epidemiological triangle, which of the following is considered an ‘agent’ factor?
A. Age and genetic susceptibility
B. Climate and socioeconomic status
C. Bacteria or chemical toxins
D. Access to healthcare facilities
Correct Answer: C
Expert Explanation: The epidemiological triangle consists of the host, the agent, and the
environment. The agent is the animate or inanimate factor that must be present or lacking
for a disease or condition to develop, such as biological organisms or chemical substances.
Age and genetics fall under host factors, while climate and healthcare access fall under
environmental factors.
7. A community nurse is utilizing the ‘I-PREPARE’ mnemonic to assess a patient’s
environmental exposure. What does the ‘I’ in the mnemonic stand for?
A. Investigate
