NUR 444 Practice Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
1. Which of the following best describes community-based nursing?
a. A philosophy that guides family-centered illness care
b. Providing care with a focus on the groups needs
c. Giving care with a focus on the aggregates needs
d. A value system in which all clients receive optimal care - CORRECT
ANSWER ANS: A
By definition, community-based nursing is nursing that focuses on family-centered illness
care to individuals and families in the community.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
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 - CORRECT
ANSWER ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or
maintaining health to promote the quality of life. All nurses may focus on individuals and
families, give direct care to ill persons within their family setting, and help manage acute or
chronic conditions.
,3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals within the family unit
d. Promotion of quality of life - CORRECT ANSWER ANS: D
The key difference between community-based and community-oriented nursing is that
community-based nurses deal primarily with illness-oriented care, whereas community-
oriented nursesor public health nursesprovide health care to promote quality of life.
4. Which of the following is responsible for the dramatic increase in life expectancy during
the twentieth century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other public health activities
d. Use of antibiotics to fight infections - CORRECT ANSWER ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and other
public health activities led to the increase in life expectancy from less than 50 years in 1900
to more than 77 years in 2002.
5. A nurse is developing a plan to decrease the number of premature deaths in the community.
Which of the following interventions would most likely be implemented by the nurse?
,a. Increase the communitys knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for community members. -
CORRECT ANSWER ANS: B
Public health approaches could help prevent about 70% of early deaths by influencing the
way people eat, drink, drive, engage in exercise, and treat the environment.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans. - CORRECT
ANSWER ANS: C
Public health can be described as what society collectively does to ensure that conditions
exist in which people can be healthy.
7. Which of the following actions would most likely be performed by a public health nurse?
a. Asking community leaders what interventions should be chosen
, b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine needed
health services
d. Working with community groups to create policies to improve the environment -
CORRECT ANSWER ANS: D
Although the public health nurse might engage in any of the tasks listed, he or she works
primarily with members of the community to carry out core public health functions, including
assessment of the population as a whole and engaging in promoting health and improving the
environment.
8. Which of the following public health nurses most clearly fulfills the responsibilities of this
role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television - CORRECT
ANSWER ANS: B
Any of these descriptions might represent a nurse communicating, cooperating, or
collaborating with community residents or groups about health concerns. However, the nurse
who spent the day attending meetings of various health agencies is the most representative,
because in public health, concerns are broader than recreation, individual concerns are not as
important as aggregate priorities, and watching television (a one-way form of
communication) is less effective than interacting with others.
9. Which of the following best defines aggregate?
QUESTIONS AND CORRECT ANSWERS
1. Which of the following best describes community-based nursing?
a. A philosophy that guides family-centered illness care
b. Providing care with a focus on the groups needs
c. Giving care with a focus on the aggregates needs
d. A value system in which all clients receive optimal care - CORRECT
ANSWER ANS: A
By definition, community-based nursing is nursing that focuses on family-centered illness
care to individuals and families in the community.
2. Which of the following best describes community-oriented nursing?
a. Focusing on the provision of care to individuals and families
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 - CORRECT
ANSWER ANS: D
By definition, community-oriented nursing has the goal of preserving, protecting, or
maintaining health to promote the quality of life. All nurses may focus on individuals and
families, give direct care to ill persons within their family setting, and help manage acute or
chronic conditions.
,3. Which of the following is the primary focus of public health nursing?
a. Families and groups
b. Illness-oriented care
c. Individuals within the family unit
d. Promotion of quality of life - CORRECT ANSWER ANS: D
The key difference between community-based and community-oriented nursing is that
community-based nurses deal primarily with illness-oriented care, whereas community-
oriented nursesor public health nursesprovide health care to promote quality of life.
4. Which of the following is responsible for the dramatic increase in life expectancy during
the twentieth century?
a. Technology increases in the field of medical laboratory research
b. Advances in surgical techniques and procedures
c. Sanitation and other public health activities
d. Use of antibiotics to fight infections - CORRECT ANSWER ANS: C
Improvement in control of infectious diseases through immunizations, sanitation, and other
public health activities led to the increase in life expectancy from less than 50 years in 1900
to more than 77 years in 2002.
5. A nurse is developing a plan to decrease the number of premature deaths in the community.
Which of the following interventions would most likely be implemented by the nurse?
,a. Increase the communitys knowledge about hospice care.
b. Promote healthy lifestyle behavior choices among the community members.
c. Encourage employers to have wellness centers at each industrial site.
d. Ensure timely and effective medical intervention and treatment for community members. -
CORRECT ANSWER ANS: B
Public health approaches could help prevent about 70% of early deaths by influencing the
way people eat, drink, drive, engage in exercise, and treat the environment.
6. Which of the following is a basic assumption of public health efforts?
a. Health disparities among any groups are morally and legally wrong.
b. Health care is the most important priority in government planning and funding.
c. The health of individuals cannot be separated from the health of the community.
d. The government is responsible for lengthening the life span of Americans. - CORRECT
ANSWER ANS: C
Public health can be described as what society collectively does to ensure that conditions
exist in which people can be healthy.
7. Which of the following actions would most likely be performed by a public health nurse?
a. Asking community leaders what interventions should be chosen
, b. Assessing the community and deciding on appropriate interventions
c. Using data from the main health care institutions in the community to determine needed
health services
d. Working with community groups to create policies to improve the environment -
CORRECT ANSWER ANS: D
Although the public health nurse might engage in any of the tasks listed, he or she works
primarily with members of the community to carry out core public health functions, including
assessment of the population as a whole and engaging in promoting health and improving the
environment.
8. Which of the following public health nurses most clearly fulfills the responsibilities of this
role?
a. The nurse who met with several groups to discuss community recreation issues
b. The nurse who spent the day attending meetings of various health agencies
c. The nurse who talked to several people about their particular health concerns
d. The nurse who watched the city council meeting on local cable television - CORRECT
ANSWER ANS: B
Any of these descriptions might represent a nurse communicating, cooperating, or
collaborating with community residents or groups about health concerns. However, the nurse
who spent the day attending meetings of various health agencies is the most representative,
because in public health, concerns are broader than recreation, individual concerns are not as
important as aggregate priorities, and watching television (a one-way form of
communication) is less effective than interacting with others.
9. Which of the following best defines aggregate?
