COHN Community Public Health Nursing 5 — Questions and Answers
Question 1: Which action BEST exemplifies a community health nurse functioning in the coalition builder role?
- Conducting blood pressure screenings at a health fair
- Convening local stakeholders to develop a shared asthma action plan (Correct answer)
- Writing a grant proposal for a new clinic
- Documenting patient encounters in the EHR
Correct answer: Convening local stakeholders to develop a shared asthma action plan
Coalition building involves bringing together diverse community partners to collectively address a health issue.
Question 2: A nurse is evaluating the cultural appropriateness of a health education brochure. Which element is MOST important to assess?
- Glossy paper quality
- Whether images and language reflect the target community's values and norms (Correct answer)
- Number of pages
- Font size only
Correct answer: Whether images and language reflect the target community's values and norms
Culturally appropriate materials must reflect the target group's cultural values, language, images, and health beliefs to be effective.
Question 3: An outbreak of gastrointestinal illness occurs at a community picnic. The epidemiological tool MOST useful for identifying the food source is:
- Cohort study with attack rates by food item (Correct answer)
- Case-control study comparing hospital records
- Cross-sectional survey of area restaurants
- Ecological study of neighborhood income
Correct answer: Cohort study with attack rates by food item
A retrospective cohort study calculating food-specific attack rates among picnic attendees is the standard method for foodborne outbreak investigation.
Question 4: Which document provides the national framework for disease prevention and health promotion for the decade 2021–2030?
- IOM Future of Nursing Report
- Healthy People 2030 (Correct answer)
- CDC Strategic Plan 2022–2027
- ANA Public Health Nursing Scope and Standards
Correct answer: Healthy People 2030
Healthy People 2030 sets science-based national objectives to improve health and well-being over the decade 2021–2030.
Question 5: A community nurse is addressing opioid overdose deaths. Distributing naloxone to at-risk individuals and their families BEST represents which harm reduction principle?
- Abstinence promotion
- Reducing the immediate risk of death without requiring sobriety (Correct answer)
- Criminalizing drug use
- Mandating treatment enrollment
Correct answer: Reducing the immediate risk of death without requiring sobriety
Harm reduction meets people where they are, prioritizing survival and reducing the severity of consequences without requiring abstinence.
Question 6: A nurse is collecting data to determine the health needs of a rural underserved population. Which data source provides community-level self-reported health behavior data by state?
- National Vital Statistics System
- Behavioral Risk Factor Surveillance System (BRFSS) (Correct answer)
- Hospital discharge data
- Medicare claims database
Correct answer: Behavioral Risk Factor Surveillance System (BRFSS)
The BRFSS is a state-based telephone survey that collects self-reported data on health behaviors, chronic conditions, and preventive service use.
Question 7: According to the nurse's role in emergency preparedness, which function does the COHN perform during the mitigation phase of the disaster cycle?
- Triaging injured workers after an explosion
- Identifying workplace structural hazards to prevent future disasters (Correct answer)
- Coordinating evacuation of employees during a fire
- Debriefing employees after a traumatic incident
Correct answer: Identifying workplace structural hazards to prevent future disasters
Mitigation involves identifying and correcting hazards before a disaster occurs to reduce its likelihood or impact.
COHN Community Public Health Nursing 5
Which action BEST exemplifies a community health nurse functioning in the coalition builder role?