NUR 206/NUR206 Final Exam V3 |
Community Nursing Concepts Q&A with
Rationale | Fortis College
1. A community health nurse is conducting an educational session on primary prevention.
Which of the following activities should the nurse include?
A. Providing skin cancer screenings at a local health fair.
B. Administering influenza vaccines to seniors at a community center.
C. Teaching a class on insulin administration for newly diagnosed diabetics.
D. Referring a client to a physical therapy clinic after a stroke.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations, such as the influenza vaccine, are classic examples of
primary prevention because they protect individuals before they become ill. Screenings
represent secondary prevention, while rehabilitation and chronic disease management
represent tertiary prevention.
2. When performing a windshield survey, which of the following data points is the nurse
primarily collecting?
A. Vital statistics from the local health department.
B. Observable characteristics of the community’s environment and people.
,C. Personal health histories of individual residents.
D. Analysis of census data regarding income levels.
Correct Answer: B
Expert Explanation: A windshield survey is an informal tool used by community nurses to
observe the physical and social conditions of a neighborhood while driving or walking
through it. This method provides subjective data regarding the condition of housing,
availability of services, and general demographics. It differs from formal data collection like
census analysis or vital statistics which provide quantitative objective data.
3. An occupational health nurse is assessing a workplace for potential hazards. Using the
epidemiological triad, which of the following represents the ‘agent’?
A. The employee working with hazardous chemicals.
B. The high humidity levels in the warehouse.
C. The lack of personal protective equipment.
D. A toxic pesticide used in the facility.
Correct Answer: D
Expert Explanation: In the epidemiological triad, the agent is the factor that causes the
disease or injury, which in this case is the pesticide. The host is the human worker who is
susceptible to the agent. The environment includes the external factors like humidity or
workplace policies that facilitate the interaction between the host and the agent.
, 4. A nurse is investigating a foodborne illness outbreak. To determine the risk of becoming ill
after eating a specific food, which of the following measures should be calculated?
A. Prevalence rate
B. Crude mortality rate
C. Attack rate
D. Incidence proportion
Correct Answer: C
Expert Explanation: The attack rate is a specialized form of incidence used during
outbreaks to measure the proportion of people who become ill after a specific exposure. It
is calculated by dividing the number of new cases by the total number of people exposed to
the risk factor. This allows the nurse to identify the specific source of contamination in a
community setting.
5. Which intervention is appropriate for a nurse to implement during the ‘Recovery’ phase of
a disaster management cycle?
A. Performing triage at the site of a mass casualty event.
B. Identifying potential flood zones in the local area.
C. Conducting a community drill for a simulated hurricane.
D. Providing long-term mental health counseling for survivors.
Correct Answer: D
Community Nursing Concepts Q&A with
Rationale | Fortis College
1. A community health nurse is conducting an educational session on primary prevention.
Which of the following activities should the nurse include?
A. Providing skin cancer screenings at a local health fair.
B. Administering influenza vaccines to seniors at a community center.
C. Teaching a class on insulin administration for newly diagnosed diabetics.
D. Referring a client to a physical therapy clinic after a stroke.
Correct Answer: B
Expert Explanation: Primary prevention focuses on preventing the initial occurrence of a
disease or injury. Immunizations, such as the influenza vaccine, are classic examples of
primary prevention because they protect individuals before they become ill. Screenings
represent secondary prevention, while rehabilitation and chronic disease management
represent tertiary prevention.
2. When performing a windshield survey, which of the following data points is the nurse
primarily collecting?
A. Vital statistics from the local health department.
B. Observable characteristics of the community’s environment and people.
,C. Personal health histories of individual residents.
D. Analysis of census data regarding income levels.
Correct Answer: B
Expert Explanation: A windshield survey is an informal tool used by community nurses to
observe the physical and social conditions of a neighborhood while driving or walking
through it. This method provides subjective data regarding the condition of housing,
availability of services, and general demographics. It differs from formal data collection like
census analysis or vital statistics which provide quantitative objective data.
3. An occupational health nurse is assessing a workplace for potential hazards. Using the
epidemiological triad, which of the following represents the ‘agent’?
A. The employee working with hazardous chemicals.
B. The high humidity levels in the warehouse.
C. The lack of personal protective equipment.
D. A toxic pesticide used in the facility.
Correct Answer: D
Expert Explanation: In the epidemiological triad, the agent is the factor that causes the
disease or injury, which in this case is the pesticide. The host is the human worker who is
susceptible to the agent. The environment includes the external factors like humidity or
workplace policies that facilitate the interaction between the host and the agent.
, 4. A nurse is investigating a foodborne illness outbreak. To determine the risk of becoming ill
after eating a specific food, which of the following measures should be calculated?
A. Prevalence rate
B. Crude mortality rate
C. Attack rate
D. Incidence proportion
Correct Answer: C
Expert Explanation: The attack rate is a specialized form of incidence used during
outbreaks to measure the proportion of people who become ill after a specific exposure. It
is calculated by dividing the number of new cases by the total number of people exposed to
the risk factor. This allows the nurse to identify the specific source of contamination in a
community setting.
5. Which intervention is appropriate for a nurse to implement during the ‘Recovery’ phase of
a disaster management cycle?
A. Performing triage at the site of a mass casualty event.
B. Identifying potential flood zones in the local area.
C. Conducting a community drill for a simulated hurricane.
D. Providing long-term mental health counseling for survivors.
Correct Answer: D
