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NSG3480/NSG 3480 Exam 4 | Advanced Nursing Concepts | Galen College | Q & A | 2026/2027 Edition (PDF)

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,NSG3480/NSG 3480 Exam 4 | Advanced Nursing
Concepts | Galen College | Q & A | 2026/2027
Edition (PDF)
1. Which of the following best defines community health nursing?

A) A nursing specialty focused solely on caring for the elderly population in residential facilities

B) A synthesis of nursing practice and public health practice applied to promoting and preserving the
health of populations

C) The practice of nursing in home care settings for patients with chronic illnesses

D) A field that focuses exclusively on treating infectious diseases in hospital settings



Correct Answer: A synthesis of nursing practice and public health practice applied to promoting and
preserving the health of populations



Rationale: Community health nursing is a synthesis of nursing practice and public health practice applied
to promoting and preserving the health of populations. It focuses on the health of entire communities
rather than individuals in isolation. Unlike hospital-based or home care nursing, the emphasis is on
population-level health promotion and disease prevention.



2. What is the primary focus of public health nursing?

A) Individual curative care in acute settings

B) Population-based health promotion and disease prevention

C) Diagnostic testing and laboratory analysis

D) Management of chronic diseases in long-term care



Correct Answer: Population-based health promotion and disease prevention



Rationale: Public health nursing focuses on population-based health promotion and disease prevention,
targeting communities and population groups rather than individual curative care. This distinguishes it
from other nursing specialties that center on individual patient care.

,3. Which of the following is NOT a core function of public health as defined by the Institute of Medicine
(IOM)?

A) Assessment

B) Policy development

C) Assurance

D) Treatment of chronic disease



Correct Answer: Treatment of chronic disease



Rationale: The three core functions of public health are assessment, policy development, and assurance.
Treatment of chronic disease is not a core public health function; it falls under the domain of clinical
healthcare delivery.



4. What is the defining characteristic that distinguishes Community Health Nursing from hospital-based
nursing?

A) Providing direct bedside care to ill individuals

B) Caring for the individual within the context of their family and community

C) Managing complex, acute health conditions

D) Performing diagnostic tests and procedures



Correct Answer: Caring for the individual within the context of their family and community



Rationale: Community health nursing focuses on the individual, family, and community as a whole,
promoting health and addressing the needs of populations within their environmental and social
contexts. Hospital-based nursing focuses on acute, individual care.



5. What is the primary goal of community health nursing?

A) To provide direct care to individuals with chronic illnesses

B) To promote health and prevent disease at the population level

C) To ensure that healthcare resources are distributed fairly and equitably

D) To prioritize the needs of those who are most vocal

, Correct Answer: To ensure that healthcare resources are distributed fairly and equitably



Rationale: Social justice in community health nursing involves ensuring that healthcare resources are
distributed fairly and equitably, with attention to the needs of vulnerable and marginalized populations.



6. According to the Community Readiness Model, which stage indicates that the community is actively
working to address an issue?

A) Denial

B) Vague Awareness

C) Pre-planning

D) Action



Correct Answer: Action



Rationale: The Community Readiness Model includes stages from denial to action. The "Action" stage
indicates that the community is actively working to address the issue through specific efforts.



7. A public health nurse is working with a community to address a rise in opioid overdoses. The nurse
conducts a needs assessment, involves community stakeholders in planning, and 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



Correct Answer: The public health intervention wheel



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.

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