NSG 3480: COMMUNITY
HEALTH UNIT 2, 3, 4
REVIEW FOR EXAM 1
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This Exam contains: NSG 3480: Community Health
✓ Unit 2, 3, 4 Review for Exam 1
✓ 100% Accurate Questions and Answers
✓ 100% Guarantee Pass - Verified by Experts
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,Question 1
Which statement best summarizes the importance of Lillian Wald's achievements?
a. She suggested new nursing specialties.
b. She demonstrated how to improve health in communities.
c. She gave expert clinical nursing care to her clients.
d. She was appointed a national nursing leader.
Correct Answer
b. She demonstrated how to improve health in communities.
Rationale:
This statement is correct because it highlights Wald's focus on community health, which was a groundbreaking approach at the time,
as she sought to address health disparities and improve outcomes on a larger scale. This emphasis on community health is a key
aspect of her legacy and a significant contribution to the field of nursing.
Question 2
Which statement best describes the focus of macroscopic therapy "thinking upstream"?
a. Modifying economic, political, and environmental factors
b. Preparing for nursing career long-term goals by planning now
c. Seeking causes of water and air pollution "upstream" from cities
d. Trying to understand how or why someone got ill
Correct Answer
a. Modifying economic, political, and environmental factors
Rationale:
The concept of "thinking upstream" in macroscopic therapy involves recognizing that individual health issues are often linked to
broader societal and environmental factors, making it essential to address these underlying economic, political, and environmental
factors to create lasting change. By modifying these factors, healthcare professionals can prevent or mitigate health problems on a
larger scale, rather than just treating symptoms in individuals.
Question 3
Which statement best describes a weakness of early nursing theories?
a. Many nurses did not know or understand the theoretical basis of nursing practice.
b. Most nursing theories focused on microscopic individual concerns.
c. The theories did not reflect the actual world of nursing practice.
d. The theories had global applicability to nursing practice.
Correct Answer
b. Most nursing theories focused on microscopic individual concerns.
Rationale:
Early nursing theories primarily focused on individual patient care, addressing needs and concerns at a narrow, personal level, which
limited their scope and application in more complex and dynamic healthcare environments. This microscopic focus hindered the
development of nursing theories that could address broader, systemic issues and organizational aspects of healthcare.
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,Question 4
Which is the primary purpose of nursing theory?
a. To improve nursing practice
b. To demonstrate that nursing is a profession
c. To organize nursing knowledge
d. To serve as a basis for ongoing nursing research
Correct Answer
a. To improve nursing practice
Rationale:
Nursing theory provides a framework for developing and implementing evidence-based practices, which in turn enhances patient
outcomes and improves the quality of care. By providing a foundation for practice, nursing theory directly impacts the daily
experiences and decisions of nurses, making it the primary purpose of nursing theory.
Question 5
A client did not attend the clinic for required follow-up care after his extensive surgery. Using the Health Belief Model,
which would be the most appropriate conclusion for the nurse to make when a client does not attend the clinic for
required follow-up care after his extensive surgery?
a. The client is noncompliant.
b. The client is suffering from self-neglect.
c. The health care system is not meeting the client's perceived needs.
d. The health care system is not accessible for the client.
e. The nurse has not motivated the client appropriately.
Correct Answer
c. The health care system is not meeting the client's perceived needs.
Rationale:
The Health Belief Model suggests that an individual's health behaviors are influenced by their perceived susceptibility, severity,
benefits, and barriers to taking action. Therefore, if a client fails to attend required follow-up care, it is unlikely due to a lack of
motivation or compliance, but rather because the health care system may not be meeting their perceived needs, such as accessibility,
convenience, or clear communication of the importance of follow-up care.
Question 6
Which assumption makes Orem's theory difficult to implement?
a. That nurses will always be caring for families and groups
b. That clients are able to control their environment
c. That clients recognize the need for nursing intervention
d. That teaching clients self-care is the primary goal of nursing practice
Correct Answer
b. That clients are able to control their environment
Rationale:
Orem's theory emphasizes the importance of clients taking responsibility for their own self-care, which assumes they have the ability to
control their environment. This assumption is problematic as it overlooks the fact that many clients may not have the power or
resources to modify their environment, making it difficult to implement the theory in practice.
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, Question 7
Which statement best describes the major assumption of the Health Belief Model (HBM)?
a. People will act if action is both easy and convenient.
b. People will act if exposed to fear messages stressing their vulnerability.
c. The major determinant of preventive health behavior is avoiding disease.
d. The major determinant of preventive behavior is providing proper health education.
Correct Answer
c. The major determinant of preventive health behavior is avoiding disease.
Rationale:
The Health Belief Model (HBM) posits that individuals are more likely to engage in preventive health behaviors if they perceive a high
risk of contracting a disease and believe that taking action will effectively reduce that risk. Therefore, the major determinant of
preventive health behavior in the HBM is indeed avoiding disease, which aligns with statement c.
Question 8
Which assumption of the Health Belief Model (HBM) is problematic?
a. People have both free will and access to health resources.
b. People listen to the advice given by health care professionals.
c. People are influenced by health messages given over media channels.
d. People make what they perceive as rational decisions in a given situation.
Correct Answer
a. People have both free will and access to health resources.
Rationale:
This assumption is problematic because it oversimplifies the complex factors that influence an individual's health behaviors, neglecting
the role of socioeconomic and environmental determinants that can limit access to health resources and exacerbate health disparities.
Furthermore, it ignores the power dynamics at play, where individuals may not have the autonomy to make choices due to systemic
barriers, making it an overly optimistic and unrealistic assumption.
Question 9
A nurse is using Milio's framework for prevention to improve the health of clients. Which intervention would the nurse
most likely implement?
a. Creating appropriate national health policies
b. Developing health programs that make healthy choices the easiest choices
c. Promoting nationwide educational programs with information on making healthy choices
d. Stressing that clients are responsible for their own health
Correct Answer
a. Creating appropriate national health policies
Rationale:
Milio's framework for prevention emphasizes addressing the root causes of health issues, which involves environmental and structural
factors, rather than just individual actions. Creating appropriate national health policies aligns with this framework by influencing
environmental and structural factors that impact health outcomes, making it the most likely intervention for a nurse using Milio's
framework.
Trusted by thousands of students and professionals worldwide Page 4 of 44
HEALTH UNIT 2, 3, 4
REVIEW FOR EXAM 1
120+ (Fully Updated 2026) Exam
Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
This Exam contains: NSG 3480: Community Health
✓ Unit 2, 3, 4 Review for Exam 1
✓ 100% Accurate Questions and Answers
✓ 100% Guarantee Pass - Verified by Experts
✓ Each Question Includes The Correct Answer
✓ Expert-Verified
Trusted by thousands of students and professionals worldwide Page 1 of 44
,Question 1
Which statement best summarizes the importance of Lillian Wald's achievements?
a. She suggested new nursing specialties.
b. She demonstrated how to improve health in communities.
c. She gave expert clinical nursing care to her clients.
d. She was appointed a national nursing leader.
Correct Answer
b. She demonstrated how to improve health in communities.
Rationale:
This statement is correct because it highlights Wald's focus on community health, which was a groundbreaking approach at the time,
as she sought to address health disparities and improve outcomes on a larger scale. This emphasis on community health is a key
aspect of her legacy and a significant contribution to the field of nursing.
Question 2
Which statement best describes the focus of macroscopic therapy "thinking upstream"?
a. Modifying economic, political, and environmental factors
b. Preparing for nursing career long-term goals by planning now
c. Seeking causes of water and air pollution "upstream" from cities
d. Trying to understand how or why someone got ill
Correct Answer
a. Modifying economic, political, and environmental factors
Rationale:
The concept of "thinking upstream" in macroscopic therapy involves recognizing that individual health issues are often linked to
broader societal and environmental factors, making it essential to address these underlying economic, political, and environmental
factors to create lasting change. By modifying these factors, healthcare professionals can prevent or mitigate health problems on a
larger scale, rather than just treating symptoms in individuals.
Question 3
Which statement best describes a weakness of early nursing theories?
a. Many nurses did not know or understand the theoretical basis of nursing practice.
b. Most nursing theories focused on microscopic individual concerns.
c. The theories did not reflect the actual world of nursing practice.
d. The theories had global applicability to nursing practice.
Correct Answer
b. Most nursing theories focused on microscopic individual concerns.
Rationale:
Early nursing theories primarily focused on individual patient care, addressing needs and concerns at a narrow, personal level, which
limited their scope and application in more complex and dynamic healthcare environments. This microscopic focus hindered the
development of nursing theories that could address broader, systemic issues and organizational aspects of healthcare.
Trusted by thousands of students and professionals worldwide Page 2 of 44
,Question 4
Which is the primary purpose of nursing theory?
a. To improve nursing practice
b. To demonstrate that nursing is a profession
c. To organize nursing knowledge
d. To serve as a basis for ongoing nursing research
Correct Answer
a. To improve nursing practice
Rationale:
Nursing theory provides a framework for developing and implementing evidence-based practices, which in turn enhances patient
outcomes and improves the quality of care. By providing a foundation for practice, nursing theory directly impacts the daily
experiences and decisions of nurses, making it the primary purpose of nursing theory.
Question 5
A client did not attend the clinic for required follow-up care after his extensive surgery. Using the Health Belief Model,
which would be the most appropriate conclusion for the nurse to make when a client does not attend the clinic for
required follow-up care after his extensive surgery?
a. The client is noncompliant.
b. The client is suffering from self-neglect.
c. The health care system is not meeting the client's perceived needs.
d. The health care system is not accessible for the client.
e. The nurse has not motivated the client appropriately.
Correct Answer
c. The health care system is not meeting the client's perceived needs.
Rationale:
The Health Belief Model suggests that an individual's health behaviors are influenced by their perceived susceptibility, severity,
benefits, and barriers to taking action. Therefore, if a client fails to attend required follow-up care, it is unlikely due to a lack of
motivation or compliance, but rather because the health care system may not be meeting their perceived needs, such as accessibility,
convenience, or clear communication of the importance of follow-up care.
Question 6
Which assumption makes Orem's theory difficult to implement?
a. That nurses will always be caring for families and groups
b. That clients are able to control their environment
c. That clients recognize the need for nursing intervention
d. That teaching clients self-care is the primary goal of nursing practice
Correct Answer
b. That clients are able to control their environment
Rationale:
Orem's theory emphasizes the importance of clients taking responsibility for their own self-care, which assumes they have the ability to
control their environment. This assumption is problematic as it overlooks the fact that many clients may not have the power or
resources to modify their environment, making it difficult to implement the theory in practice.
Trusted by thousands of students and professionals worldwide Page 3 of 44
, Question 7
Which statement best describes the major assumption of the Health Belief Model (HBM)?
a. People will act if action is both easy and convenient.
b. People will act if exposed to fear messages stressing their vulnerability.
c. The major determinant of preventive health behavior is avoiding disease.
d. The major determinant of preventive behavior is providing proper health education.
Correct Answer
c. The major determinant of preventive health behavior is avoiding disease.
Rationale:
The Health Belief Model (HBM) posits that individuals are more likely to engage in preventive health behaviors if they perceive a high
risk of contracting a disease and believe that taking action will effectively reduce that risk. Therefore, the major determinant of
preventive health behavior in the HBM is indeed avoiding disease, which aligns with statement c.
Question 8
Which assumption of the Health Belief Model (HBM) is problematic?
a. People have both free will and access to health resources.
b. People listen to the advice given by health care professionals.
c. People are influenced by health messages given over media channels.
d. People make what they perceive as rational decisions in a given situation.
Correct Answer
a. People have both free will and access to health resources.
Rationale:
This assumption is problematic because it oversimplifies the complex factors that influence an individual's health behaviors, neglecting
the role of socioeconomic and environmental determinants that can limit access to health resources and exacerbate health disparities.
Furthermore, it ignores the power dynamics at play, where individuals may not have the autonomy to make choices due to systemic
barriers, making it an overly optimistic and unrealistic assumption.
Question 9
A nurse is using Milio's framework for prevention to improve the health of clients. Which intervention would the nurse
most likely implement?
a. Creating appropriate national health policies
b. Developing health programs that make healthy choices the easiest choices
c. Promoting nationwide educational programs with information on making healthy choices
d. Stressing that clients are responsible for their own health
Correct Answer
a. Creating appropriate national health policies
Rationale:
Milio's framework for prevention emphasizes addressing the root causes of health issues, which involves environmental and structural
factors, rather than just individual actions. Creating appropriate national health policies aligns with this framework by influencing
environmental and structural factors that impact health outcomes, making it the most likely intervention for a nurse using Milio's
framework.
Trusted by thousands of students and professionals worldwide Page 4 of 44
