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NSG 3480
Community Health Nursing
Examination 2 Review
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Comprehensive Questions & Verified Solutions
2026/2027 Academic Cycle
Galen College of Nursing
NSG 3480 — Community Health Nursing
Examination 2
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, Abstract
This comprehensive review document for NSG 3480 Community Health Nursing Examination 2
encompasses 50 rigorously developed questions spanning nine critical domains of community and
public health nursing practice. The domains addressed include Community Health Assessment,
Planning, Implementation, and Evaluation; Health Disparities and Vulnerable Populations;
Immigrant and Refugee Health; Cultural Competence and LGBTQ+ Health; Domestic Violence and
Intimate Partner Violence; HIV Prevention and Care; Harm Reduction for People Who Use Drugs;
Human Trafficking and Violence as a Public Health Issue; and Public Health Emergency
Preparedness. Each question is designed at the application and analysis level of Bloom's taxonomy
and is accompanied by a verified correct answer and a detailed rationale citing current evidence-based
guidelines from the Centers for Disease Control and Prevention (CDC), Health Resources and Services
Administration (HRSA), United States Preventive Services Task Force (USPSTF), and the U.S.
Department of Health and Human Services (HHS). This review serves as an essential study resource
for nursing students preparing for the Examination 2 assessment, integrating theoretical frameworks
such as the MAP-IT framework, PRECEDE-PROCEED model, and the Intervention Wheel with
clinical practice applications. The document also addresses emerging public health priorities including
the Ending the HIV Epidemic Initiative, harm reduction strategies, and health equity considerations
for vulnerable and marginalized populations.
Keywords: Community Health Assessment, Vulnerable Populations, HIV Prevention, Harm
Reduction, Public Health Emergency Preparedness
II
, NSG 3480 — Community Health Nursing — Exam 2 Review
Domain 1: Community Health Assessment, Planning, Implementation & Evaluation
This domain addresses the systematic processes used by community health nurses to assess, plan,
implement, and evaluate health programs at the population level. Key frameworks include the MAP-
IT framework, the PRECEDE-PROCEED model, and the Intervention Wheel, which guide evidence-
based practice in community settings.
1. A community health nurse is using the MAP-IT framework to address childhood obesity. During
which phase would the nurse identify existing community resources and gaps in services?
A) Mobilize
B) Assess
C) Plan
D) Track
Answer: B) Assess
Rationale: The Assess phase of the MAP-IT framework involves collecting data on community
needs, existing resources, and gaps in services (CDC, 2023). During this phase, the nurse evaluates the
scope of the health problem, identifies community assets, and determines barriers to address
childhood obesity effectively. This assessment provides the foundation for the subsequent Plan phase,
where evidence-based interventions are designed. The Mobilize phase focuses on building
partnerships, while the Track phase monitors progress and outcomes over time [1][3].
2. Which component of the PRECEDE-PROCEED model focuses on identifying the health problem
and its impact on quality of life?
A) Predisposing factors
B) Enabling factors
C) Social assessment and epidemiological assessment
D) Administrative and policy assessment
Answer: C) Social assessment and epidemiological assessment
Rationale: In the PRECEDE-PROCEED model, Phase 1 (Social Assessment) and Phase 2
(Epidemiological Assessment) focus on identifying the health problem and its impact on the
community's quality of life (Green & Kreuter, 2005). The social assessment examines community
perceptions and priorities, while the epidemiological assessment identifies specific health problems,
their prevalence, and risk factors. Predisposing and enabling factors are evaluated later in the
educational and ecological assessment phases, and administrative/policy assessment occurs during
implementation planning [1][5].
3. A community health nurse is applying the Intervention Wheel. Which of the following interventions
represents the outermost ring of the wheel, addressing systems-level change?
A) Health teaching
B) Counseling
C) Advocacy
D) Case management
Answer: C) Advocacy
Rationale: The Intervention Wheel, developed by the Minnesota Department of Health, organizes 17
public health nursing interventions across three levels: individual/community (inner ring), systems
(middle ring), and population (outer ring). Advocacy operates at the population level and addresses
systems-level change by influencing policy, legislation, and resource allocation to improve health
outcomes for entire communities (Keller et al., 2004). Health teaching and counseling are individual-
focused interventions, while case management bridges individual and systems levels [1][5].
4. A nurse is developing a community diagnosis. Which statement best represents a community
health diagnosis?
1
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NSG 3480
Community Health Nursing
Examination 2 Review
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━━━━━━━━━━━━━━
Comprehensive Questions & Verified Solutions
2026/2027 Academic Cycle
Galen College of Nursing
NSG 3480 — Community Health Nursing
Examination 2
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━━━━━━━━━━━━━━
, Abstract
This comprehensive review document for NSG 3480 Community Health Nursing Examination 2
encompasses 50 rigorously developed questions spanning nine critical domains of community and
public health nursing practice. The domains addressed include Community Health Assessment,
Planning, Implementation, and Evaluation; Health Disparities and Vulnerable Populations;
Immigrant and Refugee Health; Cultural Competence and LGBTQ+ Health; Domestic Violence and
Intimate Partner Violence; HIV Prevention and Care; Harm Reduction for People Who Use Drugs;
Human Trafficking and Violence as a Public Health Issue; and Public Health Emergency
Preparedness. Each question is designed at the application and analysis level of Bloom's taxonomy
and is accompanied by a verified correct answer and a detailed rationale citing current evidence-based
guidelines from the Centers for Disease Control and Prevention (CDC), Health Resources and Services
Administration (HRSA), United States Preventive Services Task Force (USPSTF), and the U.S.
Department of Health and Human Services (HHS). This review serves as an essential study resource
for nursing students preparing for the Examination 2 assessment, integrating theoretical frameworks
such as the MAP-IT framework, PRECEDE-PROCEED model, and the Intervention Wheel with
clinical practice applications. The document also addresses emerging public health priorities including
the Ending the HIV Epidemic Initiative, harm reduction strategies, and health equity considerations
for vulnerable and marginalized populations.
Keywords: Community Health Assessment, Vulnerable Populations, HIV Prevention, Harm
Reduction, Public Health Emergency Preparedness
II
, NSG 3480 — Community Health Nursing — Exam 2 Review
Domain 1: Community Health Assessment, Planning, Implementation & Evaluation
This domain addresses the systematic processes used by community health nurses to assess, plan,
implement, and evaluate health programs at the population level. Key frameworks include the MAP-
IT framework, the PRECEDE-PROCEED model, and the Intervention Wheel, which guide evidence-
based practice in community settings.
1. A community health nurse is using the MAP-IT framework to address childhood obesity. During
which phase would the nurse identify existing community resources and gaps in services?
A) Mobilize
B) Assess
C) Plan
D) Track
Answer: B) Assess
Rationale: The Assess phase of the MAP-IT framework involves collecting data on community
needs, existing resources, and gaps in services (CDC, 2023). During this phase, the nurse evaluates the
scope of the health problem, identifies community assets, and determines barriers to address
childhood obesity effectively. This assessment provides the foundation for the subsequent Plan phase,
where evidence-based interventions are designed. The Mobilize phase focuses on building
partnerships, while the Track phase monitors progress and outcomes over time [1][3].
2. Which component of the PRECEDE-PROCEED model focuses on identifying the health problem
and its impact on quality of life?
A) Predisposing factors
B) Enabling factors
C) Social assessment and epidemiological assessment
D) Administrative and policy assessment
Answer: C) Social assessment and epidemiological assessment
Rationale: In the PRECEDE-PROCEED model, Phase 1 (Social Assessment) and Phase 2
(Epidemiological Assessment) focus on identifying the health problem and its impact on the
community's quality of life (Green & Kreuter, 2005). The social assessment examines community
perceptions and priorities, while the epidemiological assessment identifies specific health problems,
their prevalence, and risk factors. Predisposing and enabling factors are evaluated later in the
educational and ecological assessment phases, and administrative/policy assessment occurs during
implementation planning [1][5].
3. A community health nurse is applying the Intervention Wheel. Which of the following interventions
represents the outermost ring of the wheel, addressing systems-level change?
A) Health teaching
B) Counseling
C) Advocacy
D) Case management
Answer: C) Advocacy
Rationale: The Intervention Wheel, developed by the Minnesota Department of Health, organizes 17
public health nursing interventions across three levels: individual/community (inner ring), systems
(middle ring), and population (outer ring). Advocacy operates at the population level and addresses
systems-level change by influencing policy, legislation, and resource allocation to improve health
outcomes for entire communities (Keller et al., 2004). Health teaching and counseling are individual-
focused interventions, while case management bridges individual and systems levels [1][5].
4. A nurse is developing a community diagnosis. Which statement best represents a community
health diagnosis?
1
