COHN Community Public Health Nursing 4

Question 1

A nurse is applying the Precede-Proceed model to plan a diabetes prevention program. Which phase involves identifying predisposing, reinforcing, and enabling factors?

Accepted Answer

Educational and ecological assessment

Answer

The educational and ecological assessment phase (Phase 3) of Precede-Proceed identifies predisposing, reinforcing, and enabling factors that influence behavior.

Question 2

Which criterion distinguishes a 'sentinel event' in public health surveillance?

Accepted Answer

A case whose occurrence signals a possible failure of prevention or control

Answer

A sentinel event is one that, by its occurrence, signals that something went wrong in the prevention system and warrants investigation.

Question 3

A community health nurse advocates for fluoridation of the municipal water supply. This is an example of which public health role?

Accepted Answer

Policy advocate

Answer

Advocating for evidence-based policy changes such as water fluoridation reflects the policy advocate role in community/public health nursing.

Question 4

Which outbreak investigation step occurs IMMEDIATELY after establishing the case definition?

Accepted Answer

Finding and counting cases

Answer

After defining a case, the next step is to systematically search for and count all cases meeting that definition.

Question 5

The healthy immigrant effect refers to the observation that:

Accepted Answer

Newly arrived immigrants are often healthier than native-born peers but health deteriorates over time

Answer

Newly arrived immigrants tend to be healthier than US-born counterparts due to self-selection, but this advantage diminishes with longer US residence.

COHN Exam Practice Test

COHN Exam Practice Test

COHN Community Public Health Nursing 4