Page 1 of 98
NSG 3480 FINAL EXAM – NURSING PRACTICE: COMMUNITY HEALTH AT
GALEN COLLEGE OF NURSING EXAM NEWEST UPDATED EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
1. Which of the following statements best describes the difference between
community health nursing and public health nursing?
A. There is no difference; the terms are interchangeable
B. Community health nursing focuses on populations, while public health nursing
focuses on individuals
C. Both are population-focused, but public health nursing is often broader and includes
policy/systems-level work, while community health nursing may emphasize direct
aggregate care
D. Community health nursing is hospital-based only
Answer: C
Rationale: Both community health nursing and public health nursing are population-
focused and share core functions, but public health nursing often emphasizes
governmental and systems-level roles (e.g., epidemiology, policy), while community
health nursing may include more direct service to aggregates in schools, homes, and
clinics .
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2. A nurse conducts a windshield survey and notes abandoned buildings, litter, and
few playgrounds. These observations primarily indicate problems in which social
determinants of health (SDOH) domain?
A. Economic stability
B. Neighborhood and built environment
C. Education access
D. Healthcare access
Answer: B
Rationale: The neighborhood and built environment domain includes housing quality,
safety, parks, walkability, and pollution. Poor conditions contribute to physical
inactivity, injury risk, mental health issues, and chronic disease .
3. Which of the following best describes community-based nursing?
A. A practice in which care is provided for individuals and families
B. Providing care with a focus on the group's needs
C. Giving care with a focus on the aggregate's needs
D. A value system in which all clients receive optimal care
Answer: A
Rationale: Community-based nursing is a setting-specific practice in which care is
provided for individuals and families where they live, work, and attend school. The
emphasis is on acute and chronic care for individuals and families, rather than on
groups or aggregates .
4. Which of the following best describes community-oriented nursing?
A. Focusing on the provision of care to individuals and families
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B. Providing care to manage acute or chronic conditions
C. Giving direct care to ill individuals within their family setting
D. Having the goal of health promotion and disease prevention
Answer: D
Rationale: Community-oriented nursing has the goal of preserving, protecting, or
maintaining health and preventing disease to promote the quality of life at the
population level .
5. The defining characteristic of community health nursing, as opposed to hospital-
based nursing, is its primary focus on:
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
Answer: B
Rationale: Community health nursing focuses on the individual, family, and community
as a whole, with an emphasis on promoting health, preventing disease, and addressing
the health needs of populations within their environmental and social contexts .
6. A nurse is developing a plan to decrease premature deaths in the community.
Which intervention would most likely be implemented?
A. Increase the community's knowledge about hospice care
B. Promote healthy lifestyle behavior choices among community members
C. Encourage employers to have wellness centers at each industrial site
D. Ensure timely and effective medical intervention for community members
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Answer: B
Rationale: Public health approaches help prevent premature deaths by influencing how
people eat, drink, drive, exercise, and treat the environment through health promotion
strategies .
7. Which action would most likely be performed by a public health nurse working at
the population level?
A. Asking community leaders what interventions should be chosen
B. Assessing the community and deciding on appropriate interventions
C. Using data from main health care institutions to determine needed services
D. Working with community groups to create policies to improve the environment
Answer: D
Rationale: The public health nurse works primarily with members of the community to
create policies and environmental changes that improve population health .
8. Which of the following is responsible for the dramatic increase in life expectancy
during the 20th century?
A. Technology increases in medical laboratory research
B. Advances in surgical techniques and procedures
C. Sanitation and other population-based prevention programs
D. Use of antibiotics to fight infections
Answer: C
Rationale: Improvements in control of infectious diseases through immunizations,
sanitation, and other population-based prevention programs led to the increase in life
expectancy from less than 50 years in 1900 to more than 78 years in 2013 .
NSG 3480 FINAL EXAM – NURSING PRACTICE: COMMUNITY HEALTH AT
GALEN COLLEGE OF NURSING EXAM NEWEST UPDATED EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
1. Which of the following statements best describes the difference between
community health nursing and public health nursing?
A. There is no difference; the terms are interchangeable
B. Community health nursing focuses on populations, while public health nursing
focuses on individuals
C. Both are population-focused, but public health nursing is often broader and includes
policy/systems-level work, while community health nursing may emphasize direct
aggregate care
D. Community health nursing is hospital-based only
Answer: C
Rationale: Both community health nursing and public health nursing are population-
focused and share core functions, but public health nursing often emphasizes
governmental and systems-level roles (e.g., epidemiology, policy), while community
health nursing may include more direct service to aggregates in schools, homes, and
clinics .
, Page 2 of 98
2. A nurse conducts a windshield survey and notes abandoned buildings, litter, and
few playgrounds. These observations primarily indicate problems in which social
determinants of health (SDOH) domain?
A. Economic stability
B. Neighborhood and built environment
C. Education access
D. Healthcare access
Answer: B
Rationale: The neighborhood and built environment domain includes housing quality,
safety, parks, walkability, and pollution. Poor conditions contribute to physical
inactivity, injury risk, mental health issues, and chronic disease .
3. Which of the following best describes community-based nursing?
A. A practice in which care is provided for individuals and families
B. Providing care with a focus on the group's needs
C. Giving care with a focus on the aggregate's needs
D. A value system in which all clients receive optimal care
Answer: A
Rationale: Community-based nursing is a setting-specific practice in which care is
provided for individuals and families where they live, work, and attend school. The
emphasis is on acute and chronic care for individuals and families, rather than on
groups or aggregates .
4. Which of the following best describes community-oriented nursing?
A. Focusing on the provision of care to individuals and families
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B. Providing care to manage acute or chronic conditions
C. Giving direct care to ill individuals within their family setting
D. Having the goal of health promotion and disease prevention
Answer: D
Rationale: Community-oriented nursing has the goal of preserving, protecting, or
maintaining health and preventing disease to promote the quality of life at the
population level .
5. The defining characteristic of community health nursing, as opposed to hospital-
based nursing, is its primary focus on:
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
Answer: B
Rationale: Community health nursing focuses on the individual, family, and community
as a whole, with an emphasis on promoting health, preventing disease, and addressing
the health needs of populations within their environmental and social contexts .
6. A nurse is developing a plan to decrease premature deaths in the community.
Which intervention would most likely be implemented?
A. Increase the community's knowledge about hospice care
B. Promote healthy lifestyle behavior choices among community members
C. Encourage employers to have wellness centers at each industrial site
D. Ensure timely and effective medical intervention for community members
, Page 4 of 98
Answer: B
Rationale: Public health approaches help prevent premature deaths by influencing how
people eat, drink, drive, exercise, and treat the environment through health promotion
strategies .
7. Which action would most likely be performed by a public health nurse working at
the population level?
A. Asking community leaders what interventions should be chosen
B. Assessing the community and deciding on appropriate interventions
C. Using data from main health care institutions to determine needed services
D. Working with community groups to create policies to improve the environment
Answer: D
Rationale: The public health nurse works primarily with members of the community to
create policies and environmental changes that improve population health .
8. Which of the following is responsible for the dramatic increase in life expectancy
during the 20th century?
A. Technology increases in medical laboratory research
B. Advances in surgical techniques and procedures
C. Sanitation and other population-based prevention programs
D. Use of antibiotics to fight infections
Answer: C
Rationale: Improvements in control of infectious diseases through immunizations,
sanitation, and other population-based prevention programs led to the increase in life
expectancy from less than 50 years in 1900 to more than 78 years in 2013 .
