NSG 3480 – Nursing Practice: Community Health
Nursing / Community Health Galen College of Nursing
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (Q1–20)
Question 1
A public health nurse (PHN) is working with a community to address a rise in opioid overdoses.
The nurse first conducts a needs assessment, then involves community stakeholders in
planning an education campaign, and finally implements a Narcan distribution program. This
process best describes:
A) The nursing process
B) Evidence-based practice
C) The public health intervention wheel
D) Community-based participatory research
Answer: C
Rationale: The Public Health Intervention Wheel outlines 17 interventions, including
assessment, planning, and implementation at the community level. The scenario describes a
systematic approach that aligns with the wheel's framework .
Question 2
Which of the following is the core function of public health that involves the systematic collection
and analysis of data to identify health problems and assets within a community?
A) Assurance
B) Policy Development
C) Assessment
D) Evaluation
Answer: C
Rationale: Assessment is the first core public health function. It includes activities like
surveillance, data analysis, and identifying community needs. Assurance focuses on ensuring
services are available, and Policy Development involves creating laws and regulations .
Question 3
A nurse is focusing on the "upstream" approach to community health. Which action best
exemplifies this perspective?
,A) Providing wound care at a homeless shelter
B) Advocating for a living wage policy to reduce poverty-related illness
C) Teaching a patient how to administer insulin
D) Screening clients for hypertension at a health fair
Answer: B
Rationale: The "upstream" approach focuses on addressing the root causes of illness (e.g.,
socioeconomic factors, policy) rather than treating the downstream effects (e.g., illness, injury) .
Question 4
Which is the single leading preventable cause of death in the United States?
A) Alcohol
B) Firearms
C) Overweight and obesity
D) Tobacco use
Answer: D
Rationale: Tobacco use is the single leading preventable cause of death in the United States,
contributing to numerous chronic diseases including lung cancer, heart disease, and COPD .
Question 5
A community health nurse is using the principles of "Health in All Policies" (HiAP). Which action
would be most consistent with this approach?
A) Focusing solely on clinical healthcare services
B) Working in isolation from other sectors
C) Collaborating with the city's transportation department to increase safe bike lanes
D) Limiting interventions to individual-level behavior change
Answer: C
Rationale: HiAP is a collaborative approach that integrates health considerations into
policymaking across sectors (e.g., transportation, housing, education) to improve population
health .
Question 6
,A nurse is applying the ethical principle of "distributive justice." What is the primary focus of this
principle?
A) Respecting a patient's right to make their own healthcare decisions
B) Ensuring a fair distribution of resources and benefits across the population
C) Doing good and acting in the best interest of the client
D) Avoiding harm to clients and communities
Answer: B
Rationale: Distributive justice is a key ethical concept in public health that focuses on the
equitable allocation of scarce resources, services, and benefits among all members of a
population .
Question 7
A nurse takes steps to challenge an assignment that may not be within the practice limits for
nurses in the state where she works. Which law defines the limits of each state's nursing
practice?
A) Food, Drug, and Cosmetic Act
B) Contract Law
C) National Labor Relations Act
D) Nurse Practice Act
Answer: D
Rationale: The Nurse Practice Act is a state law that defines the legal scope of nursing practice
within that state, including practice limits, educational requirements, and standards of care .
Question 8
After reviewing a client's chart, it is noted there was not an informed consent signed by the
patient that is scheduled for heart surgery. Failure to obtain this and perform the surgery would
be what tort?
A) False Imprisonment
B) Assault
C) Invasion of privacy
D) Battery
Answer: D
, Rationale: Battery is the intentional and unauthorized physical contact with another person.
Performing surgery without informed consent constitutes battery because the patient did not
authorize the procedure .
Question 9
Which of the following is the best example of a situation where a nurse could demonstrate
workforce advocacy?
A) Staff on one unit feel the nurse manager is showing favoritism to another unit
B) A client feels pressured by a physician to have a medical procedure done
C) A nurse volunteers to help in a fundraiser to provide toys for tots
D) A client wishes to be an organ donor against the family's wishes
Answer: B
Rationale: Workforce advocacy involves advocating for clients when they feel pressured or
coerced by others (including physicians) regarding their healthcare decisions. The nurse
protects the patient's autonomy and right to make informed choices .
Question 10
A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the
client reports pain in the insertion area. Which action should the nurse take?
A) Administer an analgesic PO
B) Remove the catheter and insert another into a different site
C) Administer a local anesthetic
D) Request a prescription for placement of a central venous access device
Answer: B
Rationale: Pain at the IV insertion site may indicate infiltration, phlebitis, or improper placement.
The catheter should be removed and a new one inserted at a different site to prevent
complications .
Question 11
A nurse is reviewing information about the Health Insurance Portability and Accountability Act
(HIPAA) with a newly licensed nurse. Which statement by the newly licensed nurse indicates a
need for further teaching?
A) "Information about a client can be disclosed to family members at any time."
B) "A client's address would be an example of personally identifiable information."
Nursing / Community Health Galen College of Nursing
SECTION 1: FOUNDATIONS OF COMMUNITY HEALTH NURSING (Q1–20)
Question 1
A public health nurse (PHN) is working with a community to address a rise in opioid overdoses.
The nurse first conducts a needs assessment, then involves community stakeholders in
planning an education campaign, and finally implements a Narcan distribution program. This
process best describes:
A) The nursing process
B) Evidence-based practice
C) The public health intervention wheel
D) Community-based participatory research
Answer: C
Rationale: The Public Health Intervention Wheel outlines 17 interventions, including
assessment, planning, and implementation at the community level. The scenario describes a
systematic approach that aligns with the wheel's framework .
Question 2
Which of the following is the core function of public health that involves the systematic collection
and analysis of data to identify health problems and assets within a community?
A) Assurance
B) Policy Development
C) Assessment
D) Evaluation
Answer: C
Rationale: Assessment is the first core public health function. It includes activities like
surveillance, data analysis, and identifying community needs. Assurance focuses on ensuring
services are available, and Policy Development involves creating laws and regulations .
Question 3
A nurse is focusing on the "upstream" approach to community health. Which action best
exemplifies this perspective?
,A) Providing wound care at a homeless shelter
B) Advocating for a living wage policy to reduce poverty-related illness
C) Teaching a patient how to administer insulin
D) Screening clients for hypertension at a health fair
Answer: B
Rationale: The "upstream" approach focuses on addressing the root causes of illness (e.g.,
socioeconomic factors, policy) rather than treating the downstream effects (e.g., illness, injury) .
Question 4
Which is the single leading preventable cause of death in the United States?
A) Alcohol
B) Firearms
C) Overweight and obesity
D) Tobacco use
Answer: D
Rationale: Tobacco use is the single leading preventable cause of death in the United States,
contributing to numerous chronic diseases including lung cancer, heart disease, and COPD .
Question 5
A community health nurse is using the principles of "Health in All Policies" (HiAP). Which action
would be most consistent with this approach?
A) Focusing solely on clinical healthcare services
B) Working in isolation from other sectors
C) Collaborating with the city's transportation department to increase safe bike lanes
D) Limiting interventions to individual-level behavior change
Answer: C
Rationale: HiAP is a collaborative approach that integrates health considerations into
policymaking across sectors (e.g., transportation, housing, education) to improve population
health .
Question 6
,A nurse is applying the ethical principle of "distributive justice." What is the primary focus of this
principle?
A) Respecting a patient's right to make their own healthcare decisions
B) Ensuring a fair distribution of resources and benefits across the population
C) Doing good and acting in the best interest of the client
D) Avoiding harm to clients and communities
Answer: B
Rationale: Distributive justice is a key ethical concept in public health that focuses on the
equitable allocation of scarce resources, services, and benefits among all members of a
population .
Question 7
A nurse takes steps to challenge an assignment that may not be within the practice limits for
nurses in the state where she works. Which law defines the limits of each state's nursing
practice?
A) Food, Drug, and Cosmetic Act
B) Contract Law
C) National Labor Relations Act
D) Nurse Practice Act
Answer: D
Rationale: The Nurse Practice Act is a state law that defines the legal scope of nursing practice
within that state, including practice limits, educational requirements, and standards of care .
Question 8
After reviewing a client's chart, it is noted there was not an informed consent signed by the
patient that is scheduled for heart surgery. Failure to obtain this and perform the surgery would
be what tort?
A) False Imprisonment
B) Assault
C) Invasion of privacy
D) Battery
Answer: D
, Rationale: Battery is the intentional and unauthorized physical contact with another person.
Performing surgery without informed consent constitutes battery because the patient did not
authorize the procedure .
Question 9
Which of the following is the best example of a situation where a nurse could demonstrate
workforce advocacy?
A) Staff on one unit feel the nurse manager is showing favoritism to another unit
B) A client feels pressured by a physician to have a medical procedure done
C) A nurse volunteers to help in a fundraiser to provide toys for tots
D) A client wishes to be an organ donor against the family's wishes
Answer: B
Rationale: Workforce advocacy involves advocating for clients when they feel pressured or
coerced by others (including physicians) regarding their healthcare decisions. The nurse
protects the patient's autonomy and right to make informed choices .
Question 10
A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the
client reports pain in the insertion area. Which action should the nurse take?
A) Administer an analgesic PO
B) Remove the catheter and insert another into a different site
C) Administer a local anesthetic
D) Request a prescription for placement of a central venous access device
Answer: B
Rationale: Pain at the IV insertion site may indicate infiltration, phlebitis, or improper placement.
The catheter should be removed and a new one inserted at a different site to prevent
complications .
Question 11
A nurse is reviewing information about the Health Insurance Portability and Accountability Act
(HIPAA) with a newly licensed nurse. Which statement by the newly licensed nurse indicates a
need for further teaching?
A) "Information about a client can be disclosed to family members at any time."
B) "A client's address would be an example of personally identifiable information."
