Clinical Nurse Leader Exam Clinical Prevention & Population Health 3

Question 1

A CNL develops a program to increase mammography screening rates. Which behavior change theory would BEST guide the intervention design?

Accepted Answer

Health Belief Model

Answer

Maslow's hierarchy of needs

Answer

Orem's self-care deficit theory

Answer

Lewin's change theory

Question 2

In the context of CNL practice, what does 'health literacy' refer to?

Accepted Answer

The degree to which individuals can obtain, process, and understand health information to make appropriate decisions

Answer

A patient's level of formal education

Answer

The ability to read medication labels correctly

Answer

A nurse's knowledge of health promotion guidelines

Question 3

A CNL reviews county health data and identifies that hypertension rates are highest in census tracts with the fewest grocery stores. This relationship reflects which concept?

Accepted Answer

Food desert as a social determinant of health

Answer

Individual behavioral risk factor

Answer

Genetic predisposition to cardiovascular disease

Answer

Hospital quality gap

Question 4

Which epidemiological measure would a CNL use to determine the proportion of a population that has a disease at a specific point in time?

Accepted Answer

Prevalence

Answer

Incidence

Answer

Mortality rate

Answer

Relative risk

Question 5

A CNL is establishing a care coordination program for high-risk patients. Which patient group should be prioritized for enrollment?

Accepted Answer

Patients with multiple chronic conditions, frequent ED visits, and poor health literacy

Answer

Patients who request care coordination services

Answer

Patients with the highest medication costs

Answer

Patients admitted for elective surgical procedures

Question 6

Which of the following is the BEST example of a primary prevention strategy for cardiovascular disease?

Accepted Answer

Community-wide physical activity promotion campaigns

Answer

Cardiac rehabilitation for post-MI patients

Answer

Aspirin therapy for patients with established coronary artery disease

Answer

Hypertension management clinics