PNC Community Health & Wellness 2 — Questions and Answers
Question 1: A parish nurse is conducting a windshield survey of the congregation's neighborhood. Which observation is MOST relevant to identifying environmental health risks?
- Number of churches in the area
- Presence of abandoned buildings and visible rodent activity (Correct answer)
- Distance to the nearest hospital
- Average age of homes in the neighborhood
Correct answer: Presence of abandoned buildings and visible rodent activity
Abandoned buildings and rodent activity are direct environmental health hazards that a windshield survey should identify for community health planning.
Question 2: Which Healthy People 2030 leading health indicator is MOST directly addressed by a parish nurse running a weekly blood pressure screening clinic?
- Mental health
- Cardiovascular disease prevention (Correct answer)
- Substance use reduction
- Oral health
Correct answer: Cardiovascular disease prevention
Blood pressure screening directly supports cardiovascular disease prevention, a Healthy People 2030 leading health indicator.
Question 3: A parish nurse wants to assess the health literacy of congregation members before designing an educational program. Which tool is BEST suited for this purpose?
- CAGE questionnaire
- REALM-R (Rapid Estimate of Adult Literacy in Medicine) (Correct answer)
- PHQ-9
- AUDIT-C
Correct answer: REALM-R (Rapid Estimate of Adult Literacy in Medicine)
The REALM-R is a validated, brief screening tool specifically designed to assess adult health literacy levels.
Question 4: When applying the social-ecological model to community health, which level addresses policies and laws that regulate community health behaviors?
- Individual
- Interpersonal
- Community
- Societal (Correct answer)
Correct answer: Societal
The societal level of the social-ecological model encompasses laws, policies, and broad cultural norms that influence health behaviors.
Question 5: A parish nurse notices a significant increase in respiratory complaints among elderly congregants after local construction began. The FIRST step in addressing this community health issue is:
- Distribute surgical masks to all affected members
- Document the pattern and report findings to appropriate authorities (Correct answer)
- Advise all elderly members to stay indoors permanently
- Immediately contact the construction company
Correct answer: Document the pattern and report findings to appropriate authorities
Documenting the health pattern and reporting to public health authorities is the appropriate first step in addressing a potential environmental health hazard.
Question 6: Which primary prevention strategy would a parish nurse use to reduce the burden of Type 2 diabetes in the congregation?
- Hosting A1C screening events
- Teaching foot care to diabetic members
- Facilitating a 12-week lifestyle modification program for at-risk adults (Correct answer)
- Coordinating insulin assistance for uninsured members
Correct answer: Facilitating a 12-week lifestyle modification program for at-risk adults
A lifestyle modification program targeting at-risk adults prevents the onset of diabetes, making it a primary prevention strategy.
Question 7: The parish nurse wants to evaluate the effectiveness of a 6-month walking program. Which outcome measure BEST reflects a change in community health status?
- Number of participants who attended all sessions
- Average reduction in participants' BMI and blood pressure readings (Correct answer)
- Amount of money spent on program materials
- Satisfaction scores from a post-program survey
Correct answer: Average reduction in participants' BMI and blood pressure readings
Changes in BMI and blood pressure are objective health outcome measures that directly reflect improvements in community health status.
PNC Community Health & Wellness 2
A parish nurse is conducting a windshield survey of the congregation's neighborhood.
Which observation is MOST relevant to identifying environmental health risks?