Community 206 Study Guide

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Sample questions from Community 206 Study Guide

This material has 24 questions with answers and rationales. Here are the first 5.

1. 1.A community nurse plans four activities. Which activity is an example of primary prevention?

   • A.D. Coordinating rehabilitation after a stroke
   • B.C. Teaching foot care to clients with diabetic neuropathy
   • C.A. Providing influenza vaccination at a neighborhood clinic
   • D.B. Screening adults for elevated blood pressure

   Rationale: A is correct because vaccination prevents disease before it occurs. B is secondary prevention because screening detects possible disease. C and D are tertiary prevention because they reduce complications or disability after disease is established.

2. 2.A nurse is asked to develop a community program to reduce falls among older adults. No immediate hazard has been reported. Which action should occur first?

   • A.D. Evaluate whether the program reduced emergency visits
   • B.B. Schedule weekly lectures about aging
   • C.A. Purchase walkers for all residents older than 70
   • D.C. Review local fall data and interview residents about needs and barriers

   Rationale: C is correct because community assessment precedes priority setting and program design when no emergency exists. A assumes identical equipment needs. B selects an intervention before identifying causes and preferences. D is an outcome evaluation that occurs after implementation.

3. 3.A county recorded 120 new cases of a disease among residents at risk during the past year. Which epidemiologic measure does this information contribute to?

   • A.B. Incidence
   • B.A. Point prevalence
   • C.D. Positive predictive value
   • D.C. Specificity

   Rationale: B is correct because incidence concerns new cases arising during a defined period. A includes existing cases at a point in time. C describes correct identification of people without disease. D describes the probability of disease among people with a positive test.

4. 4.A client has a positive interferon-gamma release assay and denies respiratory symptoms. Which response by the nurse is most appropriate?

   • A.A. 'This confirms that you are currently contagious.'
   • B.D. 'Additional evaluation is needed to distinguish latent infection from active disease.'
   • C.C. 'You should begin leftover antibiotics from your last illness.'
   • D.B. 'No further evaluation is needed because you have no cough.'

   Answer and rationale are in the full material.

5. 5.An adult arrives for a scheduled vaccine and reports mild nasal congestion without fever or systemic illness. What should the nurse do?

   • A.C. Require antibiotic treatment before vaccination
   • B.A. Automatically postpone vaccination for one month
   • C.D. Give half the vaccine dose
   • D.B. Assess routine contraindications and administer the vaccine if otherwise appropriate

   Answer and rationale are in the full material.