NR 442 Exam 1, 2, and 3 | Community Health
Exam | Actual Exam Questions and Correct
Answers | 2025-2026 Versions | Chamberlain
University
NR442 Exam 1
Which of the following describe a problem with the U.S. water quality today?
(Select all that apply.)
a. Companies demand high reimbursement when asked to stop dumping heavy
metals into local water sources.
b. Many aquifers are contaminated with pesticides and fertilizers.
c. More than 45 million Americans drink untreated water.
d. Sediment from construction, agriculture, and deforestation is often present.
e. Underground water, if contaminated, cannot be cleansed.
f. Water-related diseases (cholera, typhoid, dysentery) frequently occur. ---------
CORRECT ANSWER-----------------ANS: B, C, D, E
More than 45 million Americans obtain water from private wells, which have no
treatment or monitoring guidelines. Water quality problems include dosing
reservoirs with chemicals to reduce algae, contaminating aquifers with
pesticides and fertilizers, and leaching lead from water pipes. Underground
water cannot be cleansed. Companies demand high reimbursement when asked
to stop dumping heavy metals into local water sources and the frequent
occurrence of water-related diseases (cholera, typhoid, dysentery) are not
current problems with the water quality in the United States.
,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 of the following statements best describes the relationship between the
environment and health?
a. Because of the large number of variables involved, the relationship between
environment and health cannot be researched.
Exam | Actual Exam Questions and Correct
Answers | 2025-2026 Versions | Chamberlain
University
NR442 Exam 1
Which of the following describe a problem with the U.S. water quality today?
(Select all that apply.)
a. Companies demand high reimbursement when asked to stop dumping heavy
metals into local water sources.
b. Many aquifers are contaminated with pesticides and fertilizers.
c. More than 45 million Americans drink untreated water.
d. Sediment from construction, agriculture, and deforestation is often present.
e. Underground water, if contaminated, cannot be cleansed.
f. Water-related diseases (cholera, typhoid, dysentery) frequently occur. ---------
CORRECT ANSWER-----------------ANS: B, C, D, E
More than 45 million Americans obtain water from private wells, which have no
treatment or monitoring guidelines. Water quality problems include dosing
reservoirs with chemicals to reduce algae, contaminating aquifers with
pesticides and fertilizers, and leaching lead from water pipes. Underground
water cannot be cleansed. Companies demand high reimbursement when asked
to stop dumping heavy metals into local water sources and the frequent
occurrence of water-related diseases (cholera, typhoid, dysentery) are not
current problems with the water quality in the United States.
,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 of the following statements best describes the relationship between the
environment and health?
a. Because of the large number of variables involved, the relationship between
environment and health cannot be researched.
