NR442 / NR 442 Community Health Nursing Exam 1
Chapter 1: Health: A Community View
1. Which of the following best describes the primary reason that Americans are concerned about
health care?
A. Politicians are discussing how to improve health care.
B. The media has provided mixed messages about the health care system.
C. Our national health care costs keep increasing.
D. The new health care system offers free services to Americans.
Answer:C
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
A. Nurses, as central characters in several popular TV series, are currently very visible in
American media.
B. Nurses are primarily responsible for managing the various units in our health care system.
C. Nurses are the largest group of health care providers.
D. Nurses are the only group that is employed both inside and outside of hospitals.
Answer: C
3. What conclusion can be drawn from examining where nurses are employed?
A. There is a trend toward consolidation of health care into large central medical centers.
B. There is an increased emphasis on community-based health care.
C. There is an obvious need to decrease health care costs by cutting positions.
D. Managed care organizations (MCOs) are employing nurses to improve customer relations.
Answer:B
4. Which ethical belief would be most helpful in the current health care crisis?
A. Emphasis should be on individual and corporation freedom in the marketplace.
B. Emphasis should be on individual autonomy and freedom of choice.
C. Emphasis should be on social justice and collective responsibility.
D. Emphasis should be on the effectiveness of technology in resolving problems.
Answer:C
5. What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy lifestyle
behaviors, such as daily exercise or healthy food choices?
A. Emphasis on other lifestyle choices, such as not smoking and minimal use of alcohol or drugs,
is also needed.
B. All of us must work together to make unhealthy behaviors socially unacceptable.
C. It costs more to make healthy choices, such as buying and eating fresh fruits and vegetables
as opposed to quick and cheap fast-food choices.
ignite
,D. Public policy emphasizes personal responsibility but ignores social and environmental
changes needed for well-being. Answer:D
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of the
nurse beyond giving excellent care to patients?
A. Accept longer work schedules to ensure that professional care is always available to clients B.
Recognize the need for experienced nurses to mentor new graduates to help increase and
expand the number of professionals available
C. Support health legislation to improve accessibility and cost of health care
D. Volunteer to work overtime as needed to ensure maximum quality of care Answer:C
7. What is the community health nursing definition of health?
A. Health is a person's goal-directed purposeful process toward well-being or wholeness.
B. Health is an individual's physical, mental, and social well-being, not merely the absence of
disease or infirmity.
C. Health is the mutual adaptation between a person and his or her environment in meeting daily
existence.
D. Health is families and aggregates choosing actions to ensure the safety and well-being.
Answer:D
8. How does community health nursing define community?
A. A group of persons living within specific geographic boundaries
B. A group of persons who share a common identity and environment
C. A group of people who work together to meet common goals
D. Persons who form a group to resolve a common concern Answer: B
9. Which variable has a major influence on a community's health?
A. Behavior choices made by persons in the community
B. Number of health care providers and hospitals in the community
C. Quality of public safety officers (police officers, firefighters, etc.)
D. The number and credentials of public health officials in the community Answer:A
10. What change would most effectively lead to a longer life span in Americans?
A. Parenting and sexual behavior classes in all public school systems
B. Legislation restricting alcohol and drug use
C. Notably reducing speed limits on all state and federal highways, and changing the age limit for
driving to 21 years of age
D. The belief that smoking is shameful and disgusting, as well as expensive, becoming the social
norm
Answer:D
11. What is the health issue causing the most concern in the United States today?
Diabetes epidemic
A.
B.
C.
D.
, Increase in cardiac disease
Increase in obesity
Rise in cancer rates
Answer: C
12. What factors are most responsible for the increasing length of life of Americans over the past
100 years?
A. Better nutrition and family planning options
B. Education concerning the need to reduce salt and fat in the diet
C. Improved medical care, including exciting new technologies
D. More efficient cancer screenings and early intervention Answer:A
13. Why would a public health nurse want to know about morbidity and mortality statistics on the
local, state, and national level?
A. To be able to share current trends in health problems with the community
B. To be able to observe the community's statistics over time and compare the community with
other communities
C. To justify local budgets and the need for increased income from citizens
D. To publicize current health issues and suggest appropriate actions to citizens Answer:B
14. How do public health efforts differ from medical efforts in improving the health of our citizens?
A. Medical care providers autonomously choose appropriate interventions, whereas public health
care providers must engage in whatever actions legislation requires.
B. Medical care providers are self-employed or agency employed, whereas public health care
providers are employed by and paid through the government.
C. Medical care providers focus only on individuals, whereas public health care providers focus
only on aggregates.
D. Medical care providers focus on disease diagnosis and management, whereas public health
care providers focus on health promotion and disease prevention. Answer:D
15. Which primary prevention would the school nurse choose to address the school's number of
unwed pregnancies?
A. Create a class on parenting for both moms-to-be and the dads-to-be
B. Convince the school board to allow sex education classes to include birth control measures C.
Employ the moms-to-be as 1-hour-a-day employees in the school day care center for children
born to school students
D. Establish a class where all the unwed moms-to-be can learn infant care Answer: B
16. What would be the proper term for the action of the school health nurse arranging for all the
students in the elementary school to receive H1N1 immunizations?
Health education
Secondary prevention
Specific protection
Tertiary prevention
A.
B.
C.
D.
, Answer:C
17. Which action would probably result in the largest change in health care outcomes for
Americans?
A. Establish large numbers of scholarships for education of nurses, physicians, and other health
care providers
B. Fund a one-time extremely large stimulus to allow all health care providers and agencies to
create and integrate computer network systems for client health care records
C. Increase funding for hospitals and medical centers to expand their neighborhood clinics D.
Redirect a large portion of federal funding from acute care to health promotion activities
Answer:D
18. Which task will be most helpful in meeting the public health agency's goals?
A. Complete staff evaluations in preparation for individual meetings to plan their agency and
individual goals for the next year
B. Actively participate in community agencies' collaborative action plan to meet the community's
health goals for the year
C. Meet with the college of nursing faculty to finalize student objectives and schedules for the
next semester
D. Teach a free course in healthful living for community residents Answer:B
19. A community health nurse is overwhelmed with all that needs to be done in one day. Which
task could most easily be postponed?
A. Reviewing the most recent hospital patient data collected by the local college of nursing B.
Deciding which of several possible new clinic options would be most effective in better
meeting the needs of the local community
C. Evaluating the results of the most recent community-wide screening program before
planning for the next community health program
D. Giving testimony to the state legislature on a new health and safety bill Answer:A
20. A nurse who works on the surgical unit at the local hospital was asked by the home health unit
to make a home visit to a patient who had been discharged the previous day and to give followup
care (for overload pay). What kind of nursing would this nurse be doing?
A. Acute care hospital nursing
B. Community-based nursing
C. Community health nursing
D. Public health nursing Answer: B
21. Which task is most crucial for the community health nurse to do well?
Review the most recent morbidity and mortality data
Create a new clinic to better meet local health needs
Evaluate the results of the recent screening program
Give testimony regarding proposed state health legislation
Answer:D
A.
B.
C.
D.
Chapter 1: Health: A Community View
1. Which of the following best describes the primary reason that Americans are concerned about
health care?
A. Politicians are discussing how to improve health care.
B. The media has provided mixed messages about the health care system.
C. Our national health care costs keep increasing.
D. The new health care system offers free services to Americans.
Answer:C
2. A nurse has begun to lobby with politicians for changes to the health care system. Why is this
involvement important?
A. Nurses, as central characters in several popular TV series, are currently very visible in
American media.
B. Nurses are primarily responsible for managing the various units in our health care system.
C. Nurses are the largest group of health care providers.
D. Nurses are the only group that is employed both inside and outside of hospitals.
Answer: C
3. What conclusion can be drawn from examining where nurses are employed?
A. There is a trend toward consolidation of health care into large central medical centers.
B. There is an increased emphasis on community-based health care.
C. There is an obvious need to decrease health care costs by cutting positions.
D. Managed care organizations (MCOs) are employing nurses to improve customer relations.
Answer:B
4. Which ethical belief would be most helpful in the current health care crisis?
A. Emphasis should be on individual and corporation freedom in the marketplace.
B. Emphasis should be on individual autonomy and freedom of choice.
C. Emphasis should be on social justice and collective responsibility.
D. Emphasis should be on the effectiveness of technology in resolving problems.
Answer:C
5. What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy lifestyle
behaviors, such as daily exercise or healthy food choices?
A. Emphasis on other lifestyle choices, such as not smoking and minimal use of alcohol or drugs,
is also needed.
B. All of us must work together to make unhealthy behaviors socially unacceptable.
C. It costs more to make healthy choices, such as buying and eating fresh fruits and vegetables
as opposed to quick and cheap fast-food choices.
ignite
,D. Public policy emphasizes personal responsibility but ignores social and environmental
changes needed for well-being. Answer:D
6. What responsibility does the American Nurses Association (ANA) Code of Ethics require of the
nurse beyond giving excellent care to patients?
A. Accept longer work schedules to ensure that professional care is always available to clients B.
Recognize the need for experienced nurses to mentor new graduates to help increase and
expand the number of professionals available
C. Support health legislation to improve accessibility and cost of health care
D. Volunteer to work overtime as needed to ensure maximum quality of care Answer:C
7. What is the community health nursing definition of health?
A. Health is a person's goal-directed purposeful process toward well-being or wholeness.
B. Health is an individual's physical, mental, and social well-being, not merely the absence of
disease or infirmity.
C. Health is the mutual adaptation between a person and his or her environment in meeting daily
existence.
D. Health is families and aggregates choosing actions to ensure the safety and well-being.
Answer:D
8. How does community health nursing define community?
A. A group of persons living within specific geographic boundaries
B. A group of persons who share a common identity and environment
C. A group of people who work together to meet common goals
D. Persons who form a group to resolve a common concern Answer: B
9. Which variable has a major influence on a community's health?
A. Behavior choices made by persons in the community
B. Number of health care providers and hospitals in the community
C. Quality of public safety officers (police officers, firefighters, etc.)
D. The number and credentials of public health officials in the community Answer:A
10. What change would most effectively lead to a longer life span in Americans?
A. Parenting and sexual behavior classes in all public school systems
B. Legislation restricting alcohol and drug use
C. Notably reducing speed limits on all state and federal highways, and changing the age limit for
driving to 21 years of age
D. The belief that smoking is shameful and disgusting, as well as expensive, becoming the social
norm
Answer:D
11. What is the health issue causing the most concern in the United States today?
Diabetes epidemic
A.
B.
C.
D.
, Increase in cardiac disease
Increase in obesity
Rise in cancer rates
Answer: C
12. What factors are most responsible for the increasing length of life of Americans over the past
100 years?
A. Better nutrition and family planning options
B. Education concerning the need to reduce salt and fat in the diet
C. Improved medical care, including exciting new technologies
D. More efficient cancer screenings and early intervention Answer:A
13. Why would a public health nurse want to know about morbidity and mortality statistics on the
local, state, and national level?
A. To be able to share current trends in health problems with the community
B. To be able to observe the community's statistics over time and compare the community with
other communities
C. To justify local budgets and the need for increased income from citizens
D. To publicize current health issues and suggest appropriate actions to citizens Answer:B
14. How do public health efforts differ from medical efforts in improving the health of our citizens?
A. Medical care providers autonomously choose appropriate interventions, whereas public health
care providers must engage in whatever actions legislation requires.
B. Medical care providers are self-employed or agency employed, whereas public health care
providers are employed by and paid through the government.
C. Medical care providers focus only on individuals, whereas public health care providers focus
only on aggregates.
D. Medical care providers focus on disease diagnosis and management, whereas public health
care providers focus on health promotion and disease prevention. Answer:D
15. Which primary prevention would the school nurse choose to address the school's number of
unwed pregnancies?
A. Create a class on parenting for both moms-to-be and the dads-to-be
B. Convince the school board to allow sex education classes to include birth control measures C.
Employ the moms-to-be as 1-hour-a-day employees in the school day care center for children
born to school students
D. Establish a class where all the unwed moms-to-be can learn infant care Answer: B
16. What would be the proper term for the action of the school health nurse arranging for all the
students in the elementary school to receive H1N1 immunizations?
Health education
Secondary prevention
Specific protection
Tertiary prevention
A.
B.
C.
D.
, Answer:C
17. Which action would probably result in the largest change in health care outcomes for
Americans?
A. Establish large numbers of scholarships for education of nurses, physicians, and other health
care providers
B. Fund a one-time extremely large stimulus to allow all health care providers and agencies to
create and integrate computer network systems for client health care records
C. Increase funding for hospitals and medical centers to expand their neighborhood clinics D.
Redirect a large portion of federal funding from acute care to health promotion activities
Answer:D
18. Which task will be most helpful in meeting the public health agency's goals?
A. Complete staff evaluations in preparation for individual meetings to plan their agency and
individual goals for the next year
B. Actively participate in community agencies' collaborative action plan to meet the community's
health goals for the year
C. Meet with the college of nursing faculty to finalize student objectives and schedules for the
next semester
D. Teach a free course in healthful living for community residents Answer:B
19. A community health nurse is overwhelmed with all that needs to be done in one day. Which
task could most easily be postponed?
A. Reviewing the most recent hospital patient data collected by the local college of nursing B.
Deciding which of several possible new clinic options would be most effective in better
meeting the needs of the local community
C. Evaluating the results of the most recent community-wide screening program before
planning for the next community health program
D. Giving testimony to the state legislature on a new health and safety bill Answer:A
20. A nurse who works on the surgical unit at the local hospital was asked by the home health unit
to make a home visit to a patient who had been discharged the previous day and to give followup
care (for overload pay). What kind of nursing would this nurse be doing?
A. Acute care hospital nursing
B. Community-based nursing
C. Community health nursing
D. Public health nursing Answer: B
21. Which task is most crucial for the community health nurse to do well?
Review the most recent morbidity and mortality data
Create a new clinic to better meet local health needs
Evaluate the results of the recent screening program
Give testimony regarding proposed state health legislation
Answer:D
A.
B.
C.
D.
