Community

A community health nurse is assisting patients to access health care. Which of the following

individuals would most likely experience a barrier when accessing health care?

A. A 25-year-old female with health insurance.

B. A 30-year-old male who is unemployed.

C. A 40-year-old female who speaks English.

D. A 50-year-old male with hypertension.

B

A community health nurse is reviewing the levels of disease prevention. Which of the following

activities is an example of tertiary prevention?

A. Providing treatment for patients who have chronic obstructive pulmonary disease.

B. Performing screening for sexually transmitted infections.

C. Administering influenza immunizations at a local health fair.

D. Testing new nurses for exposure to tuberculosis.

A

A community health nurse is reviewing the levels of disease prevention. Which of the following

activities is an example of secondary prevention?

A. Providing treatment for patients who have chronic obstructive pulmonary disease.

B. Performing screening for sexually transmitted infections.

C. Administering influenza immunizations at a local health fair.

D. Education about yearly immunizations at a local health fair.

B

A community health nurse wants to obtain an overview of the community but has limited time

and resources. Which method would the nurse most likely use to obtain this information?

A. Engage in a windshield survey.

B. Establish a health department committee of community leaders willing to fill out

periodic surveys related to various health issues in the community.

C. Live in the community for several years.

D. Review public health department records from up to 5 years ago.

A

A nurse at an urban community health agency is developing an education program for city

leaders about homelessness. Which of the following groups should the nurse include as the

fastest growing segment of the homeless population?

A. Families with children

B. Adolescent runaways

C. Individuals who have experienced spouse or domestic violence

D. Older adults

A

A nurse in a rural county health department recognizes which of the following is a barrier to

obtaining care?

A. Available specialists.

B. Inadequate provider understanding about rural health needs.

C. Short distances to healthcare facilities.

D. Readily available transportation.

B

A nurse is caring for a member of the LGBTQ+ community. What is an appropriate response for

the nurse to make?

A. Use the name given in the medical record.

B. Ask the client their preferred name and pronoun.

C. Ask what sexual orientation the client is.

D. Ask the client about previous experiences with the health care system.

B

A nurse is caring for a patient who is from a different culture than the nurse. When considering

the cultural assessment, which of the following actions should the nurse take first?

A. Determine the patient's perception of their current health status.

B. Gather data about the patient’s cultural beliefs

C. Determine how the patient's culture can affect the effectiveness of nursing actions.

D. Gather information about previous patient interactions with the health care system.

B

A nurse is completing the first phase of a risk assessment. Which of the following questions

would the nurse most likely try to answer?

A. How much and by which route of entry can the chemical enter the body?

B. What is the prediction for potential harm?

C. Has the chemical been released into the environment?

D. Is the chemical known to be associated with a negative health effect?

D

A nurse is planning primary prevention activities related to the emergence of tuberculosis (TB) in

the local community. Which activity would the nurse implement?

A. Offer screening tests for TB in the community.

B. Discuss the referral process with community members diagnosed with TB.

C. Educate community members about TB infection and transmission.

D. Monitor medication compliance for community members diagnosed with TB

C

A nurse is preparing a community health program for adults at risk for cardiovascular disease.

Which of the following should the nurse include as a modifiable risk factor?

A. Diagnosis of diabetes mellitus

B. Family history of cardiac disease

C. Advanced age

D. Cigarette smoking

D

A nurse is providing education to a mother about the importance of having her infant immunized

for measles, mumps, and rubella. Which of the following best describes the type of immunity

that will be provided?A. Acquire

B. Passive

C. Active

D. Natural

C

A nurse is teaching members of the community about vertical transmission of a disease. Which

of the following would the nurse most likely discuss?

A. Transmission from mosquitos

B. Transmission through sexual contact

C. Transmission through contaminated food

D. Transmission through breast milk

D

A public health nurse collects data and monitors the health status of the population. Which of

the following core public health functions is being implemented?

A. Policy development

B. Assurance

C. Assessment

D. Prevention

C

An emergency department nurse assesses a 25-year-old patient with tachycardia, headache,

and nausea. The patient denies drug use, heart problems, and smoking. She states that she

works from home and the nurse notices that the patient lives in the historic section of the town.

What environmental hazard should the nurse primarily be concerned about?

A. Food quality

B. Housing quality

C. Water quality

D. Occupational risks

B

An occupational health nurse in the clinic of an industrial plant is developing a guidebook for

clinic workers. Which of the following actions should the nurse include as a secondary

prevention strategy?

A. Teach plant workers about proper lifting techniques.

B. Set up an influenza immunization campaign

C. Help plant workers identify signs of carpal tunnel syndrome.

D. Collaborate with physical therapists to develop programs for injured employees to return to work.

C

As the nurse is completing a community assessment, it is important for the nurse to recognize

which group has the highest rate of poverty?

A. Teenagers

B. Older adults

C. Children

D. Women

C

The nurse identified that which of the following is the cause of the most preventable deaths in

the United States?

A. Alcohol

B. Drug addiction

C. Sexually transmitted infections

D. Tobacco

D

The nurse recalls that the interactions between the agent, a host, and the environment is called?

A. The epidemiologic triangle

B. The natural history of disease

C. Risk

D. The web of causality

A

Which disaster would most likely cause the most long-lasting mental health concerns for its

victims

A. For the fourth year in a row a flood hit an area, demolishing several houses, but families heard the warning siren and evacuated in time.

B. A forest fire was deliberately set but was not a major concern until the fire suddenly changed direction and people attempting to evacuate at the last minute were burned in their cars.

C. A tsunami hit the beach with unbelievable force, water sweeping over the entire harbor, although most boats had been moved to deep water

D. A volcano erupted, and lava destroyed the main road to the village where several houses burned, but no one died in the eruption

B