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NUR 4355: NUR 4355 Community & Public Health
Nursing – Community Project Focus Questions and
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1. What is the primary goal of a community health needs assessment (CHNA)? A. To evaluate hospital staff performance B. To identify key health issues within a population C. To survey local school curricula D. To allocate city budgets The CHNA identifies priority health issues to inform targeted public health interventions. 2. Which of the following is a key component of the community-as-partner model? A. Government funding B. Private healthcare providers C. Core and subsystems D. International agencies This model involves assessing the core (population) and its surrounding subsystems (e.g., education, environment). 3. What is a windshield survey? A. A survey conducted by mailed questionnaires
B. A community observation done from a moving vehicle C. An online community forum D. A hospital-based health review Windshield surveys provide an overview of a community's physical and social environment.
4. Which of the following is considered a modifiable risk factor in a community project? A. Age B. Genetics C. Smoking D. Ethnicity Smoking is a behavior that can be changed through education and policy. 5. Which public health core function involves diagnosing and investigating health problems? A. Assessment B. Assurance C. Policy Development D. Evaluation Assessment includes data collection and investigation of health issues. 6. When implementing a community health project, which step should come first? A. Needs assessment B. Program evaluation C. Health screening
B. Local newspapers C. U.S. Census Bureau D. Hospital ER logs The Census Bureau offers comprehensive, accurate population data.
11. In community health, what is a coalition? A. A nursing union B. A group of organizations working toward a common goal C. A school committee D. A hospital management team Coalitions pool resources and expertise for greater impact. 12. Which level of prevention is represented by health education on safe sex practices? A. Secondary B. Tertiary C. Primary D. Emergency It aims to prevent the initial transmission of disease. 13. During a community health project, a nurse assesses air quality and transportation access. This evaluates which subsystem? A. Education B. Safety C. Physical environment
D. Politics The physical environment includes housing, pollution, and access to services.
14. What role does the nurse play in a community-based participatory research (CBPR) project? A. External evaluator B. Data gatekeeper C. Partner and facilitator D. Sole decision-maker Nurses collaborate with the community to identify and solve problems. 15. Which organization provides grant funding for community health nursing projects? A. CDC B. WHO C. NIH D. FDA The Centers for Disease Control and Prevention funds public health interventions. 16. Which of the following is an example of secondary prevention? A. Mammogram screening B. Vaccination clinics C. Teaching nutrition D. Rehabilitation Secondary prevention aims to detect disease early.
D. Reliance on external agencies Empowered communities take initiative to address their own needs.
21. The process of engaging stakeholders early in project planning ensures: A. More paperwork B. Higher costs C. Greater community buy-in and sustainability D. Less resistance Stakeholder engagement fosters relevance and ownership. 22. What tool is used to prioritize health issues in the planning phase? A. SOAP note B. Hanlon method C. SBAR D. PIE chart The Hanlon method ranks health problems by size, seriousness, and effectiveness. 23. In a community project, which factor is essential to evaluate feasibility? A. Nursing student interest B. Availability of time and resources C. Theoretical complexity D. The client's favorite activity Realistic planning ensures successful implementation. 24. Community health diagnosis includes which of the following components? A. Medical record review B. Health problem, population, and evidence
C. Pathophysiology and medications D. Insurance coverage It must be specific to the population and data-supported.
25. In a community setting, a nurse practicing upstream thinking focuses on: A. Tertiary care B. Root causes of health disparities C. Surgical interventions D. Emergency treatment Upstream thinking addresses social and environmental determinants. 26. Which approach best fosters sustainability in a community project? A. Individual efforts B. Grant dependence C. Training community leaders D. One-time education Building capacity within the community ensures long-term success. 27. What is the purpose of program evaluation in community projects? A. Create more paperwork B. Measure goal achievement and improve future planning C. Identify culprits D. Increase costs Evaluation determines if objectives were met and what to improve. 28. The nurse's role in advocacy includes: A. Telling clients what to do
32. Who is typically the target audience of a community health fair? A. Inpatients B. The general public C. Graduate nurses D. Health insurance companies Health fairs aim to educate and engage the wider community. 33. When evaluating health literacy in the community, the nurse should assess: A. BMI and weight B. Ability to understand and act on health information C. Level of education only D. Number of hospital visits Health literacy includes comprehension, not just reading level. 34. A logic model helps in community project planning by: A. Linking inputs, activities, and outcomes B. Showing disease prevalence C. Describing anatomy D. Calculating budgets only Logic models clarify the relationship between resources, actions, and results. 35. What best describes tertiary prevention? A. Education B. Screening C. Rehabilitation and management D. Policy development Tertiary prevention reduces the impact of chronic illness.
36. Which group is most vulnerable to health disparities? A. Low-income, minority populations B. College graduates C. Tech workers D. Urban planners These groups often face barriers to care and social determinants of health. 37. A community health nurse notices rising teen pregnancy. What’s the next step? A. Punish teens B. Conduct a needs assessment C. Refer to hospital D. Educate school nurses only You must assess before planning or implementing interventions. 38. Policy advocacy in public health nursing includes: A. Writing discharge summaries B. Promoting laws that support public health goals C. Teaching first aid D. Avoiding politics Nurses advocate for systemic change to improve community outcomes. 39. What type of data is "number of asthma-related ER visits"? A. Qualitative B. Quantitative C. Anecdotal
C. Disease etiology D. Medical pathology Social determinants influence health outcomes on a broader scale.
44. Which evaluation type measures immediate learning after an educational session? A. Summative B. Formative C. Longitudinal D. Meta-analysis Formative evaluation assesses real-time learning and feedback. 45. Which strategy best reduces food insecurity in a community? A. Community gardens and food pantries B. Restricting food ads C. Increasing fast food outlets D. Selling vitamins These increase access to nutritious food. 46. What is the final step in the community health nursing process? A. Planning B. Evaluation C. Implementation D. Diagnosis Evaluation ensures accountability and guides improvements.
47. Involving community members in decision-making is an example of: A. Authoritarian leadership B. Participatory planning C. Case management D. Power delegation It empowers and includes the voices of the community. 48. The community nurse should avoid which common pitfall in project planning? A. Using surveys B. Making assumptions without data C. Collecting demographics D. Collaborating with leaders Assumptions can lead to misaligned goals and interventions. 49. A major challenge in community health projects is: A. Too much time B. Excessive funding C. Limited participation and engagement D. Clear evaluation metrics Low participation can undermine the impact and sustainability. 50. Which best describes health promotion? A. Activities that improve health and prevent disease B. Medication adherence C. Tertiary care
54. What ethical principle is involved when nurses provide truthful information during a community intervention? A. Veracity B. Justice C. Fidelity D. Beneficence Veracity means telling the truth and maintaining honesty in communication. 55. The nurse uses GIS (Geographic Information System) in a community project to: A. Perform lab analysis B. Map health trends and identify geographic disparities C. Schedule appointments D. Review textbook definitions GIS helps visualize and analyze spatial data related to health. 56. What is an example of a structural barrier to health promotion? A. Poor motivation B. Lack of transportation C. Language preference D. Religious belief Structural barriers are systemic issues that hinder access to services. 57. Community-based interventions are most successful when: A. Directed solely by experts B. Based on global models
C. Co-developed with the target population D. Limited to online education Collaborating with the community ensures relevance and sustainability.
58. Which of the following is a qualitative data source in community assessment? A. Disease rates B. Mortality statistics C. Interview responses D. Birth records Qualitative data includes narratives, opinions, and personal experiences. 59. A nurse plans a community health fair. What is the most important first step? A. Set up booths B. Order snacks C. Assess community needs and interests D. Book a speaker Understanding needs ensures appropriate and impactful planning. 60. What is the primary purpose of community diagnosis? A. Provide individual medical treatment B. Launch political campaigns C. Identify community health problems and their determinants D. Register people for insurance Diagnosis helps in recognizing problems, populations affected, and contributing factors.
D. Assuming everyone is the same Cultural humility involves ongoing learning and respect for diverse perspectives.
65. A nurse evaluates whether the objectives of a health education session were met. This is an example of: A. Planning B. Outcome evaluation C. Assessment D. Screening Outcome evaluation measures the effects of an intervention. 66. The role of a community nurse in policy development includes: A. Writing prescriptions B. Collaborating with policymakers to advocate for health equity C. Enforcing laws D. Avoiding legislative work Nurses can use their expertise to inform and support health policies. 67. Which of the following is considered a social determinant of health? A. Blood pressure B. Income level C. Hemoglobin count D. BMI Social determinants are conditions in which people are born, live, work, and age. 68. The nurse uses the PRECEDE-PROCEED model to: A. Perform CPR
B. Plan and evaluate health promotion programs C. Provide medication D. Document vital signs This model guides structured development of public health programs.
69. What is a key advantage of using community health workers (CHWs)? A. They eliminate the need for nurses B. They bridge cultural and communication gaps C. They only provide technical services D. They avoid home visits CHWs are trusted members of the community and can deliver culturally sensitive care. 70. An example of an upstream community intervention is: A. Opening a clinic B. Implementing housing policy to reduce asthma triggers C. Providing antibiotics D. Offering CPR classes Upstream interventions address root causes of health issues. 71. Health disparity refers to: A. Uniform health outcomes B. Equal access to luxury services C. Preventable differences in health outcomes among groups D. Medical advancements Disparities are systematic and unjust differences in health.
