NURS COMMUNITY PUBLIC HEALTH EXAM QUESTIONS AND
ANSWERS 2025 GRADED A+
MULTIPLE .CHOICE
1. Which .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.
ANS: . C
The .primary .reason .for .the .focus .on .health .care .is .the .constantly .increasing .costs, .which
.cannot .be .sustained. .The .costs .of .caring .for .the .sick .accounted .for .the .majority .of
.escalating .health .care .dollars, .which .increased .from .5.7% .of .the .gross .domestic .product .in
.1965 .to .17.8% .in .2015. .Politicians .and .the .media .both .influence .Americans’ .perceptions
.about .health .care; .however, .they .are .not .the .primary .reason .why .Americans .are .concerned.
.The .new .health .care .system .will .change .the .health .care .access .and .availability, .but .will
.not .necessarily .be .offering .any .free .services .to .Americans.
DIF: Cognitive .Level: .Understand .(Comprehension)
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 .segment .of .health .care .providers.
d. Nurses .are .the .only .group .that .is .employed .both .inside .and .outside .of .hospitals.
ANS: . C
As .the .largest .segment .of .health .care .providers, .nurses .are .informed .about .the .current
.health .care .system .and .all .the .problems .that .result .from .people .not .seeking .care .until .they
.are .desperately .ill. .Nurses, .as .the .American .Nurses .Association .(ANA) .emphasize, .usually
.believe .that .health .care .is .a .right, .not .a .privilege. .Therefore, .nurses, .whose .work .is .central
.to .our .current .health .care .delivery .system, .can .also .be .instrumental .in .working .politically
.to .create .a .health .care .delivery .system .that .will .meet .health .needs. .While .nurses .are .in
.several .current .TV .series .and .are .employed .both .inside .and .outside .of .hospitals, .physicians
.and .other .health .care .providers .are .as .well. .Nurses .are .often .managers, .but .managers .often
.have .other .backgrounds, .such .as .business .administration.
DIF: Cognitive .Level: .Understand .(Comprehension)
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.
ANS: . B
MCOs .are .employing .nurses .in .many .capacities. .Although .hospitals .are .closing .and .acute
.care .is .increasingly .found .in .central .medical .centers, .the .same .trend .may .be .seen .in .an
.increase .in .neighborhood-based .practice .centers. .While .positions .are .cut .in .most
.industries, .health .care .is .recognized .as .an .area .where .growth .in .employment .is .expected.
.However, .nurses .are .increasingly .employed .in .community .settings .as .opposed .to .hospitals.
.This .change .reflects .the .move .toward .community-based .care .rather .than .hospital-based
.tertiary .care. .To .help .decrease .the .continued .rise .in .health .care .costs, .the .increased
.emphasis .is .on .disease .prevention .rather .than .high-cost .treatment.
DIF: Cognitive .Level: .Understand .(Comprehension)
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.
ANS: . C
Public .health .recognizes .the .necessity .of .collective .action .in .keeping .the .environment .safe
.and .in .egalitarian .tradition .and .vision. .An .overinvestment .in .technology .and .seeking .of
.cures .within .the .market .justice .system .has .stifled .the .evolution .of .a .health .system .to
.protect .and .preserve .the .health .of .the .population. .Although .individual .autonomy .and
.freedom .of .choice .are .important, .so .is .the .recognition .of .collective .responsibility .in
.ensuring .social .justice, . which .entitles .all .people .to .basic .necessities.
DIF: Cognitive .Level: .Apply .(Application)
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.
d. Public .policy .emphasizes .personal .responsibility .but .ignores
.social .and .environmental .changes .needed .for .well-being.
ANS: . D
Although .all .responses .are .accurate, .the .primary .problem .is .the .emphasis .on .personal
.choices .in .the .Healthy .People .2020 .objectives. .Emphasis .on .personal .choices .ignores .the
.need .for .community .responsibility .and .action .that .addresses .environmental .or .cultural
.restraints .to .health.
DIF: Cognitive .Level: .Apply .(Application)
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.
ANS: . C
The .ANA .Code .of .Ethics .promotes .social .reform .by .focusing .on .health .policy .and
.legislation .to .positively .affect .accessibility, .quality, .and .cost .of .health .care. .The .code .does
.not .directly .address .workplace .issues, .such .as .work .schedules .or .need .for .overtime.
DIF: Cognitive .Level: .Analyze .(Analysis)
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 .safety .and .well-being.
ANS: . D
The .text .stresses .that .health .is .not .just .the .result .of .an .individual’s .choices, .but .choices .and
.actions .of .individuals, .families, .groups, .and .communities .that .lead .to .better .health.
DIF: Cognitive .Level: .Apply .(Application)
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 .persons .who .work .together .to .meet .common .goals
d. A .group .of .persons .who .resolve .a .community .concern
ANS: . B
Community .health .nurses .work .with .both .geopolitical .groups .(within .specific .geographic
.boundaries) .and .phenomenological .groups .(who .have .a .common .identity .based .on
.culture, .history, .or .goals). .A .particular .phenomenological .group .may .or .may .not .have
.been .a . planned .group—that .is, .a .group .that .came .together .to .resolve .a .recognized
.common .problem .or .to .meet .a .common .goal. .However, .of .all .the .choices, .a .group .of
.persons .who .share .a .common .identity .(phenomenological .group) .and .environment .(which
.implies .a .specific .geographic .setting) .is .the .broadest .and .most .complete .definition.
DIF: Cognitive .Level: .Apply .(Application)
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 .the .public .safety .officers .(police .officers, .firefighters, .etc.)
ANSWERS 2025 GRADED A+
MULTIPLE .CHOICE
1. Which .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.
ANS: . C
The .primary .reason .for .the .focus .on .health .care .is .the .constantly .increasing .costs, .which
.cannot .be .sustained. .The .costs .of .caring .for .the .sick .accounted .for .the .majority .of
.escalating .health .care .dollars, .which .increased .from .5.7% .of .the .gross .domestic .product .in
.1965 .to .17.8% .in .2015. .Politicians .and .the .media .both .influence .Americans’ .perceptions
.about .health .care; .however, .they .are .not .the .primary .reason .why .Americans .are .concerned.
.The .new .health .care .system .will .change .the .health .care .access .and .availability, .but .will
.not .necessarily .be .offering .any .free .services .to .Americans.
DIF: Cognitive .Level: .Understand .(Comprehension)
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 .segment .of .health .care .providers.
d. Nurses .are .the .only .group .that .is .employed .both .inside .and .outside .of .hospitals.
ANS: . C
As .the .largest .segment .of .health .care .providers, .nurses .are .informed .about .the .current
.health .care .system .and .all .the .problems .that .result .from .people .not .seeking .care .until .they
.are .desperately .ill. .Nurses, .as .the .American .Nurses .Association .(ANA) .emphasize, .usually
.believe .that .health .care .is .a .right, .not .a .privilege. .Therefore, .nurses, .whose .work .is .central
.to .our .current .health .care .delivery .system, .can .also .be .instrumental .in .working .politically
.to .create .a .health .care .delivery .system .that .will .meet .health .needs. .While .nurses .are .in
.several .current .TV .series .and .are .employed .both .inside .and .outside .of .hospitals, .physicians
.and .other .health .care .providers .are .as .well. .Nurses .are .often .managers, .but .managers .often
.have .other .backgrounds, .such .as .business .administration.
DIF: Cognitive .Level: .Understand .(Comprehension)
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.
ANS: . B
MCOs .are .employing .nurses .in .many .capacities. .Although .hospitals .are .closing .and .acute
.care .is .increasingly .found .in .central .medical .centers, .the .same .trend .may .be .seen .in .an
.increase .in .neighborhood-based .practice .centers. .While .positions .are .cut .in .most
.industries, .health .care .is .recognized .as .an .area .where .growth .in .employment .is .expected.
.However, .nurses .are .increasingly .employed .in .community .settings .as .opposed .to .hospitals.
.This .change .reflects .the .move .toward .community-based .care .rather .than .hospital-based
.tertiary .care. .To .help .decrease .the .continued .rise .in .health .care .costs, .the .increased
.emphasis .is .on .disease .prevention .rather .than .high-cost .treatment.
DIF: Cognitive .Level: .Understand .(Comprehension)
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.
ANS: . C
Public .health .recognizes .the .necessity .of .collective .action .in .keeping .the .environment .safe
.and .in .egalitarian .tradition .and .vision. .An .overinvestment .in .technology .and .seeking .of
.cures .within .the .market .justice .system .has .stifled .the .evolution .of .a .health .system .to
.protect .and .preserve .the .health .of .the .population. .Although .individual .autonomy .and
.freedom .of .choice .are .important, .so .is .the .recognition .of .collective .responsibility .in
.ensuring .social .justice, . which .entitles .all .people .to .basic .necessities.
DIF: Cognitive .Level: .Apply .(Application)
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.
d. Public .policy .emphasizes .personal .responsibility .but .ignores
.social .and .environmental .changes .needed .for .well-being.
ANS: . D
Although .all .responses .are .accurate, .the .primary .problem .is .the .emphasis .on .personal
.choices .in .the .Healthy .People .2020 .objectives. .Emphasis .on .personal .choices .ignores .the
.need .for .community .responsibility .and .action .that .addresses .environmental .or .cultural
.restraints .to .health.
DIF: Cognitive .Level: .Apply .(Application)
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.
ANS: . C
The .ANA .Code .of .Ethics .promotes .social .reform .by .focusing .on .health .policy .and
.legislation .to .positively .affect .accessibility, .quality, .and .cost .of .health .care. .The .code .does
.not .directly .address .workplace .issues, .such .as .work .schedules .or .need .for .overtime.
DIF: Cognitive .Level: .Analyze .(Analysis)
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 .safety .and .well-being.
ANS: . D
The .text .stresses .that .health .is .not .just .the .result .of .an .individual’s .choices, .but .choices .and
.actions .of .individuals, .families, .groups, .and .communities .that .lead .to .better .health.
DIF: Cognitive .Level: .Apply .(Application)
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 .persons .who .work .together .to .meet .common .goals
d. A .group .of .persons .who .resolve .a .community .concern
ANS: . B
Community .health .nurses .work .with .both .geopolitical .groups .(within .specific .geographic
.boundaries) .and .phenomenological .groups .(who .have .a .common .identity .based .on
.culture, .history, .or .goals). .A .particular .phenomenological .group .may .or .may .not .have
.been .a . planned .group—that .is, .a .group .that .came .together .to .resolve .a .recognized
.common .problem .or .to .meet .a .common .goal. .However, .of .all .the .choices, .a .group .of
.persons .who .share .a .common .identity .(phenomenological .group) .and .environment .(which
.implies .a .specific .geographic .setting) .is .the .broadest .and .most .complete .definition.
DIF: Cognitive .Level: .Apply .(Application)
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 .the .public .safety .officers .(police .officers, .firefighters, .etc.)
