NURS 340 | NURS340 Exam 1: RN Community
Health - WCU Updated and Latest Questions and
Correct Answers with Rationale
1. Which of the following activities best illustrates the primary focus of community-oriented
nursing?
A. Providing wound care for a patient in their home.
B. Administering physical therapy to an elderly man after a hip fracture.
C. Managing a caseload of patients recently discharged from the hospital.
D. Educating a group of high school students about the risks of vaping.
Correct Answer: D
Rationale: Community-oriented nursing focuses on the health of populations and
communities rather than individual-level clinical care. Educating a group of students
represents a population-level intervention aimed at health promotion and disease
prevention. This approach seeks to improve the health status of the collective aggregate
through education. While home care is important, it is typically classified as community-
based nursing because it focuses on individual illness. Therefore, group education is the
most accurate example of the community-oriented paradigm.
2. A nurse is conducting a windshield survey. Which of the following is a primary objective of
this assessment tool?
A. To interview key stakeholders and community leaders.
B. To obtain statistical data from the local health department.
C. To observe the community’s physical environment and general appearance.
D. To analyze birth and death records over the last decade.
Correct Answer: C
Rationale: A windshield survey is an informal tool used to gain an initial overview of a
community’s characteristics. Nurses use this method by driving or walking through an area
to observe physical surroundings and social dynamics. It helps identify the presence of
resources, such as grocery stores, and potential hazards, like pollution. This assessment
provides a ‘snapshot’ of the community’s lived experience without formal data collection.
Consequently, observing the environment is the core function of this specific nursing
activity.
3. According to the principles of social justice, which statement best describes the
distribution of health resources?
A. Resources should be allocated based on an individual’s ability to pay.
,B. Health is a collective responsibility and resources should be shared equitably.
C. Market forces should determine the availability of healthcare services.
D. Individuals are solely responsible for their own health outcomes and costs.
Correct Answer: B
Rationale: Social justice is a foundational concept in community health that emphasizes
collective responsibility for the well-being of all members. It suggests that health is a social
good rather than a commodity to be bought and sold. This perspective advocates for the
equitable distribution of resources to ensure everyone has access to basic care. In contrast,
market justice focuses on individual responsibility and the ability to pay for services.
Therefore, the communal sharing of health resources aligns perfectly with social justice
theory.
4. A community health nurse is planning a primary prevention program for a local
neighborhood. Which intervention should be included?
A. A blood pressure screening event at a local church.
B. A support group for residents living with chronic diabetes.
C. An immunization clinic for infants and toddlers.
D. A rehabilitation program for stroke survivors in the community.
Correct Answer: C
Rationale: Primary prevention focuses on preventing the initial onset of disease or injury
through health promotion. Immunizations are a classic example because they provide
immunity before exposure to a pathogen occurs. Secondary prevention involves screening
for early detection, such as blood pressure checks. Tertiary prevention focuses on
rehabilitation and management of existing conditions to prevent further decline. Thus, the
immunization clinic is the only primary prevention activity listed in the options.
5. Which of the following factors is considered a social determinant of health (SDOH)?
A. Access to affordable and safe housing.
B. Genetic predisposition to hypertension.
C. Biological age of the population.
D. Individual metabolic rate.
Correct Answer: A
Rationale: Social determinants of health are the conditions in which people are born,
grow, live, and work. Affordable housing is a critical social factor that directly impacts
physical safety and mental health stability. While genetics and age are determinants of
health, they are biological rather than social in nature. Addressing SDOH is essential for
, achieving health equity and improving population outcomes. Understanding these factors
allows community health nurses to address the root causes of health disparities.
6. In the epidemiological triad, which of the following represents the ‘host’?
A. A person with a weakened immune system.
B. A polluted water source.
C. The influenza virus.
D. The cold climate of a northern city.
Correct Answer: A
Rationale: The epidemiological triad consists of the agent, the host, and the environment.
The host is the human or animal that is susceptible to the disease or agent. Factors such as
age, genetics, and immune status influence the host’s vulnerability to infection. The agent is
the actual cause of the disease, like a virus or bacteria. By identifying host factors, nurses
can target interventions toward the most vulnerable members of a population.
7. A nurse is reviewing the ‘Healthy People 2030’ objectives. What is one of the overarching
goals of this initiative?
A. To increase the profit margins of private hospital systems.
B. To mandate universal health insurance for all citizens.
C. To eliminate health disparities and achieve health equity.
D. To reduce the number of public health nurses in rural areas.
Correct Answer: C
Rationale: Healthy People 2030 is a national initiative that sets measurable objectives for
improving the health of all Americans. One of its primary overarching goals is the
elimination of health disparities among different population groups. It strives to achieve
health equity by addressing social determinants and improving access to quality care. This
framework guides community health planning and resource allocation at the local and state
levels. Successful implementation of these goals leads to a healthier and more productive
national population.
8. Which statement correctly defines an ‘aggregate’ in the context of community health?
A. A group of people sharing a common geographic boundary.
B. A family unit living together in a single household.
C. A collection of individuals who share at least one common characteristic.
D. All the healthcare providers working in a specific hospital.
Correct Answer: C
Health - WCU Updated and Latest Questions and
Correct Answers with Rationale
1. Which of the following activities best illustrates the primary focus of community-oriented
nursing?
A. Providing wound care for a patient in their home.
B. Administering physical therapy to an elderly man after a hip fracture.
C. Managing a caseload of patients recently discharged from the hospital.
D. Educating a group of high school students about the risks of vaping.
Correct Answer: D
Rationale: Community-oriented nursing focuses on the health of populations and
communities rather than individual-level clinical care. Educating a group of students
represents a population-level intervention aimed at health promotion and disease
prevention. This approach seeks to improve the health status of the collective aggregate
through education. While home care is important, it is typically classified as community-
based nursing because it focuses on individual illness. Therefore, group education is the
most accurate example of the community-oriented paradigm.
2. A nurse is conducting a windshield survey. Which of the following is a primary objective of
this assessment tool?
A. To interview key stakeholders and community leaders.
B. To obtain statistical data from the local health department.
C. To observe the community’s physical environment and general appearance.
D. To analyze birth and death records over the last decade.
Correct Answer: C
Rationale: A windshield survey is an informal tool used to gain an initial overview of a
community’s characteristics. Nurses use this method by driving or walking through an area
to observe physical surroundings and social dynamics. It helps identify the presence of
resources, such as grocery stores, and potential hazards, like pollution. This assessment
provides a ‘snapshot’ of the community’s lived experience without formal data collection.
Consequently, observing the environment is the core function of this specific nursing
activity.
3. According to the principles of social justice, which statement best describes the
distribution of health resources?
A. Resources should be allocated based on an individual’s ability to pay.
,B. Health is a collective responsibility and resources should be shared equitably.
C. Market forces should determine the availability of healthcare services.
D. Individuals are solely responsible for their own health outcomes and costs.
Correct Answer: B
Rationale: Social justice is a foundational concept in community health that emphasizes
collective responsibility for the well-being of all members. It suggests that health is a social
good rather than a commodity to be bought and sold. This perspective advocates for the
equitable distribution of resources to ensure everyone has access to basic care. In contrast,
market justice focuses on individual responsibility and the ability to pay for services.
Therefore, the communal sharing of health resources aligns perfectly with social justice
theory.
4. A community health nurse is planning a primary prevention program for a local
neighborhood. Which intervention should be included?
A. A blood pressure screening event at a local church.
B. A support group for residents living with chronic diabetes.
C. An immunization clinic for infants and toddlers.
D. A rehabilitation program for stroke survivors in the community.
Correct Answer: C
Rationale: Primary prevention focuses on preventing the initial onset of disease or injury
through health promotion. Immunizations are a classic example because they provide
immunity before exposure to a pathogen occurs. Secondary prevention involves screening
for early detection, such as blood pressure checks. Tertiary prevention focuses on
rehabilitation and management of existing conditions to prevent further decline. Thus, the
immunization clinic is the only primary prevention activity listed in the options.
5. Which of the following factors is considered a social determinant of health (SDOH)?
A. Access to affordable and safe housing.
B. Genetic predisposition to hypertension.
C. Biological age of the population.
D. Individual metabolic rate.
Correct Answer: A
Rationale: Social determinants of health are the conditions in which people are born,
grow, live, and work. Affordable housing is a critical social factor that directly impacts
physical safety and mental health stability. While genetics and age are determinants of
health, they are biological rather than social in nature. Addressing SDOH is essential for
, achieving health equity and improving population outcomes. Understanding these factors
allows community health nurses to address the root causes of health disparities.
6. In the epidemiological triad, which of the following represents the ‘host’?
A. A person with a weakened immune system.
B. A polluted water source.
C. The influenza virus.
D. The cold climate of a northern city.
Correct Answer: A
Rationale: The epidemiological triad consists of the agent, the host, and the environment.
The host is the human or animal that is susceptible to the disease or agent. Factors such as
age, genetics, and immune status influence the host’s vulnerability to infection. The agent is
the actual cause of the disease, like a virus or bacteria. By identifying host factors, nurses
can target interventions toward the most vulnerable members of a population.
7. A nurse is reviewing the ‘Healthy People 2030’ objectives. What is one of the overarching
goals of this initiative?
A. To increase the profit margins of private hospital systems.
B. To mandate universal health insurance for all citizens.
C. To eliminate health disparities and achieve health equity.
D. To reduce the number of public health nurses in rural areas.
Correct Answer: C
Rationale: Healthy People 2030 is a national initiative that sets measurable objectives for
improving the health of all Americans. One of its primary overarching goals is the
elimination of health disparities among different population groups. It strives to achieve
health equity by addressing social determinants and improving access to quality care. This
framework guides community health planning and resource allocation at the local and state
levels. Successful implementation of these goals leads to a healthier and more productive
national population.
8. Which statement correctly defines an ‘aggregate’ in the context of community health?
A. A group of people sharing a common geographic boundary.
B. A family unit living together in a single household.
C. A collection of individuals who share at least one common characteristic.
D. All the healthcare providers working in a specific hospital.
Correct Answer: C
