NR 442 Exam 1 Review

A community health nurse is working to improve population health in an urban area with high rates of hypertension. Which of the following interventions align with a population health approach?

• Implementing blood pressure screenings in community centers

• Offering health education programs on dietary modifications

• Providing one-on-one medication counseling for individual patients

• Advocating for policies that increase access to fresh food in underserved areas

• Referring patients to specialists for hypertension management

A rural community is experiencing a sudden increase in obesity and related health issues. Use the information provided to complete the diagram.

A nurse is conducting a windshield survey in a low-income neighborhood. Which observation is most concerning regarding community health?

• Multiple fast-food restaurants and few grocery stores

• A lack of sidewalks and parks for outdoor activities

• High traffic congestion near residential areas

• A newly opened urgent care clinic

A nurse is assessing a community with increased rates of respiratory illness due to air pollution. Classify the following factors as Physical, Social, or Economic determinants of health.

An outbreak of tuberculosis (TB) occurs in a homeless shelter. What priority action should the community health nurse take?

• Isolate all shelter residents immediately

• Conduct TB screenings and initiate treatment for affected individuals

• Close the shelter to prevent further spread

• Administer antibiotics to all residents as a precaution

A school reports an outbreak of measles. Choose the appropriate interventions.

• Notify public health officials, ,

• Immediately close the school

• Educate parents on vaccination importance

• Ensure exposed children receive post-exposure prophylaxis (PEP)

• Administer antibiotics to the affected children.

A nurse is assessing factors affecting health outcomes in a low-income urban community. Classify the following factors.

A nurse is planning a community-wide flu vaccination clinic. What is the most effective strategy to increase participation?

• Offer free vaccinations at local pharmacies and schools

• Mail flyers to all community members

• Provide vaccines only to high-risk populations

• Require all community members to receive vaccination

A mother refuses routine childhood vaccinations due to misinformation. What is the nurse’s best response?

• Address her specific concerns in a nonjudgmental manner

• Emphasize her role in protecting public health

• Report her to child protective services

• Provide evidence-based education on vaccine safety

• Force vaccination without consent

During a community health assessment, a nurse finds that a neighborhood has a high incidence of asthma. What factor should the nurse investigate first?

• Air pollution and environmental toxins

• Local rates of smoking and vaping

• Availability of primary care providers

• School nurse staffing levels