(2025/2026) COMMUNITY HEALTH NR442
EXAM 1 NEWEST QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE VERIFIED ANSWERS
Which of the following have been identified as part of the
core environmental health competencies? (Select all that
apply.)
a. Assurance
b. Assessment
c. Policy development
d. Management
e. Advocacy
f. Communication Correct Answer ANS: B, D, F
The National Center for Environmental Health, the
Centers for Disease Control and Prevention, and the
American Public Health Association have established
three core competencies for Environmental Health
professionals: (1) assessment, (2) management, and
(3) communication. Assurance, policy development,
and advocacy are not part of the core environmental
health competencies.
DIF: Cognitive Level: Understand (Comprehension)
REF: p. 264 | p. 265
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. Correct Answer 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 17.6% in 2009. 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
availablity, but will not necessarily be offering any free
services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
REF: p. 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. Correct Answer ANS: C
,As the largest group 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)
REF: p. 2
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. Correct Answer
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) REF:
p. 2
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. Correct Answer c
EXAM 1 NEWEST QUESTIONS AND
DETAILED CORRECT ANSWERS | A+
GRADE VERIFIED ANSWERS
Which of the following have been identified as part of the
core environmental health competencies? (Select all that
apply.)
a. Assurance
b. Assessment
c. Policy development
d. Management
e. Advocacy
f. Communication Correct Answer ANS: B, D, F
The National Center for Environmental Health, the
Centers for Disease Control and Prevention, and the
American Public Health Association have established
three core competencies for Environmental Health
professionals: (1) assessment, (2) management, and
(3) communication. Assurance, policy development,
and advocacy are not part of the core environmental
health competencies.
DIF: Cognitive Level: Understand (Comprehension)
REF: p. 264 | p. 265
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. Correct Answer 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 17.6% in 2009. 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
availablity, but will not necessarily be offering any free
services to Americans.
DIF: Cognitive Level: Understand (Comprehension)
REF: p. 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. Correct Answer ANS: C
,As the largest group 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)
REF: p. 2
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. Correct Answer
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) REF:
p. 2
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. Correct Answer c
