NURS 480: COMMUNITY HEALTH NURSING EXAM 2 V2 2026/2027 | WEST
COAST UNIVERSITY (WCU) | 100% VERIFIED QUESTIONS & ANSWERS | GROUP
PERFORMANCE PROFILE ALIGNMENT | TOP RATED
1. A community health nurse is conducting a windshield survey of a neighbourhood.
Which observation BEST reflects a social determinant of health?
A. The presence of a community garden in a public park
B. Graffiti on buildings, abandoned lots, and minimal street lighting
C. A hospital located five miles from the neighbourhood
D. Residents jogging on the sidewalk in the morning
Answer: B — Graffiti, abandoned lots, and poor lighting are indicators of
neighbourhood disinvestment — a social determinant of health — affecting
safety, mental health, and access to resources.
2. Which epidemiological measure would a community health nurse use to determine
the probability that a person without a disease will develop that disease over a
specified period?
A. Prevalence rate
B. Attributable risk
C. Incidence rate
D. Mortality rate
Answer: C — Incidence rate measures the number of new cases of a disease
occurring in a population at risk over a defined time period, reflecting the
probability of developing the disease.
3. A nurse is reviewing data from the community needs assessment. The PRIORITY
diagnosis according to the community-as-partner model is based on which criterion?
A. The diagnosis with the highest media attention
B. The diagnosis that the nurse considers most clinically significant
C. The diagnosis validated by community members as most important to them
, D. The diagnosis that requires the fewest resources to address
Answer: C — In the community-as-partner model, community members are
active partners. Prioritization must be validated by the community, not imposed
by the nurse or the healthcare system.
4. During a focus group, community members report that fresh produce is unavailable
and too expensive in their neighborhood. This is an example of which concept?
A. Health literacy deficit
B. Food insecurity / food desert
C. Nutritional ignorance
D. Cultural food preference
Answer: B — A food desert is an area where residents have limited access to
affordable, nutritious food. This is a key social determinant of health linked to
chronic disease risk.
5. A school nurse notices an increase in asthma exacerbations among children living
near a new industrial facility. This type of investigation is an example of which level
of prevention?
A. Primary prevention through health promotion
B. Secondary prevention through early detection
C. Tertiary prevention through rehabilitation
D. Quaternary prevention through de-medicalization
Answer: B — Identifying a cluster of asthma cases following a change in the
environment is early detection — consistent with secondary prevention, which
aims to identify health problems before they become severe.
SECTION 2: Vulnerable Populations & Health Disparities
6. A community health nurse is working with a population that has disproportionately
high rates of hypertension and diabetes compared to the general population. Which
term BEST describes this group?
A. A high-risk aggregate
B. A vulnerable population experiencing health disparities
C. A culturally incompetent community
D. An underserved demographic group only
COAST UNIVERSITY (WCU) | 100% VERIFIED QUESTIONS & ANSWERS | GROUP
PERFORMANCE PROFILE ALIGNMENT | TOP RATED
1. A community health nurse is conducting a windshield survey of a neighbourhood.
Which observation BEST reflects a social determinant of health?
A. The presence of a community garden in a public park
B. Graffiti on buildings, abandoned lots, and minimal street lighting
C. A hospital located five miles from the neighbourhood
D. Residents jogging on the sidewalk in the morning
Answer: B — Graffiti, abandoned lots, and poor lighting are indicators of
neighbourhood disinvestment — a social determinant of health — affecting
safety, mental health, and access to resources.
2. Which epidemiological measure would a community health nurse use to determine
the probability that a person without a disease will develop that disease over a
specified period?
A. Prevalence rate
B. Attributable risk
C. Incidence rate
D. Mortality rate
Answer: C — Incidence rate measures the number of new cases of a disease
occurring in a population at risk over a defined time period, reflecting the
probability of developing the disease.
3. A nurse is reviewing data from the community needs assessment. The PRIORITY
diagnosis according to the community-as-partner model is based on which criterion?
A. The diagnosis with the highest media attention
B. The diagnosis that the nurse considers most clinically significant
C. The diagnosis validated by community members as most important to them
, D. The diagnosis that requires the fewest resources to address
Answer: C — In the community-as-partner model, community members are
active partners. Prioritization must be validated by the community, not imposed
by the nurse or the healthcare system.
4. During a focus group, community members report that fresh produce is unavailable
and too expensive in their neighborhood. This is an example of which concept?
A. Health literacy deficit
B. Food insecurity / food desert
C. Nutritional ignorance
D. Cultural food preference
Answer: B — A food desert is an area where residents have limited access to
affordable, nutritious food. This is a key social determinant of health linked to
chronic disease risk.
5. A school nurse notices an increase in asthma exacerbations among children living
near a new industrial facility. This type of investigation is an example of which level
of prevention?
A. Primary prevention through health promotion
B. Secondary prevention through early detection
C. Tertiary prevention through rehabilitation
D. Quaternary prevention through de-medicalization
Answer: B — Identifying a cluster of asthma cases following a change in the
environment is early detection — consistent with secondary prevention, which
aims to identify health problems before they become severe.
SECTION 2: Vulnerable Populations & Health Disparities
6. A community health nurse is working with a population that has disproportionately
high rates of hypertension and diabetes compared to the general population. Which
term BEST describes this group?
A. A high-risk aggregate
B. A vulnerable population experiencing health disparities
C. A culturally incompetent community
D. An underserved demographic group only
