(Graded A) – Questions and Answers
with Rationales (Latest 2020/2021
Edition)
1. Community and Population Health Concepts (Questions 1-9)
1. A community health nurse is assessing the health needs of a low-income urban
neighborhood. Which of the following factors should the nurse prioritize as contributing to
health disparities in this population?
○ A) Access to public transportation
○ B) Availability of recreational parks
○ C) High rates of chronic disease
○ D) Limited English proficiency Correct Answer: D) Limited English proficiency
Rationale: Language barriers hinder access to care and education, exacerbating
disparities in vulnerable populations.
2. A nurse is explaining the levels of prevention to a group of new public health students.
Which example best illustrates tertiary prevention?
○ A) Administering flu vaccines to school children
○ B) Teaching smoking cessation classes to at-risk adults
○ C) Providing rehabilitation services to stroke survivors
○ D) Screening for hypertension in community clinics Correct Answer: C)
Providing rehabilitation services to stroke survivors Rationale: Tertiary
prevention focuses on reducing complications and improving quality of life for
those with established disease.
3. During a population health assessment, a nurse identifies that 40% of residents in a rural
community have undiagnosed diabetes. What is the nurse's next step?
○ A) Implement a mass screening program
○ B) Advocate for policy changes in food subsidies
○ C) Conduct a root cause analysis
, ○ D) Distribute educational pamphlets Correct Answer: C) Conduct a root cause
analysis Rationale: Understanding determinants like access and lifestyle is
essential before interventions.
4. A nurse is evaluating the social determinants of health in a migrant worker camp. Which
intervention addresses economic stability?
○ A) Offering free health screenings
○ B) Partnering with employers for fair wage advocacy
○ C) Installing water purification systems
○ D) Providing mental health counseling Correct Answer: B) Partnering with
employers for fair wage advocacy Rationale: Economic stability is a core
social determinant affecting overall health access.
5. In a community with high infant mortality, a nurse notes cultural practices delaying
prenatal care. What concept does this highlight?
○ A) Health literacy
○ B) Cultural competence
○ C) Health equity
○ D) Population vulnerability Correct Answer: B) Cultural competence Rationale:
Tailoring care to cultural beliefs improves engagement and outcomes.
6. A public health nurse is analyzing demographic data for a diverse city district. Which
metric indicates population vulnerability?
○ A) Median household income above national average
○ B) High percentage of single-parent households
○ C) Low unemployment rate
○ D) Abundant green spaces Correct Answer: B) High percentage of
single-parent households Rationale: This increases stress and resource
strain, heightening health risks.
7. A nurse is teaching about aggregate care in community health. Which statement best
describes it?
○ A) Individualized treatment plans for each client
○ B) Interventions targeting groups with common needs
○ C) Focus on acute episodic care
○ D) Hospital-based follow-up visits Correct Answer: B) Interventions targeting
groups with common needs Rationale: Aggregate care addresses shared
population risks efficiently.
8. During a health fair, a nurse assesses community assets. Which is an example of a
human capital asset?
○ A) Local library resources
○ B) Trained volunteer health workers
○ C) Nearby hospital facility
○ D) Public transportation routes Correct Answer: B) Trained volunteer health
workers Rationale: Human capital includes skilled individuals contributing to
health promotion.
9. A nurse identifies lead poisoning as a population health issue in older housing stock.
What broad concept applies?