CHDA EXAM 1 ACTUAL PAPER 2026
QUESTIONS AND SOLUTIONS GRADED A
PLUS
◉ Mary is a nursing student doing her senior project in community
health. Part of her assignment is to conduct an activity that
illustrates "social health" within a group in her community. The most
appropriate activity for Mary to organize would be a:
A. neighborhood block party.
B. food bank in a local church.
C. community yard sale.
D. school fundraiser for the school band.
Answer: B. Food bank in a local church
Social health is a positive interaction among groups with an
emphasis on health promotion and illness prevention. The correct
choice is a food bank in a local church because a food program
alleviates problems with hunger and nutrition that affect health. The
other options do not relate to health.
◉ It has been estimated that individual behaviors and
environmental factors are responsible for what percentage of all
premature deaths in the United States?
,A. 20%
B. 40%
C. 50%
D. 70%
Answer: C. 50%
According to Orleans and Cassidy (2011), 50% of all premature
deaths in the United States are a result of individual behaviors and
environmental factors. According to Mokdad, Marks, Stroup, and
Gerberding (2004), tobacco use leads the list of "actual causes of
death" at almost 20% of annual deaths in the United States.
◉ Early public health nurse Lillian Wald and her associates were
successful in addressing health and disease in the immigrant
community by:
A. supporting political activities to improve social and
environmental conditions of immigrant families.
B. administering bedside nursing care to immigrants and their
families.
C. teaching the immigrant family members to provide health care in
the home.
D. obtaining and administering medications to the immigrants and
their family members.
Answer: A. Supporting political activities to improve social and
environmental conditions of immigrant families
,These early public health nurses saw that neither administering
bedside clinical nursing, including obtaining and administering
medication, nor teaching family members to deliver care in the home
adequately addressed the true determinants of health and disease.
They resolved that collective political activity should focus on
advancing the health of aggregates and improving social and
environmental conditions by addressing the social and
environmental determinants of health. Wald and her colleagues
(1971) impacted the health of the community by organizing the
community, establishing school nursing, and taking impoverished
mothers to testify in Washington, DC.
◉ Disease prevention activities protect people from disease and the
effects of disease. An example of primary disease prevention is:
A. teaching people with diabetes how to prevent complications.
B. administering vaccines to children before kindergarten.
C. checking the skin of farm workers for signs of skin cancer.
D. identifying and testing individuals exposed to someone with
tuberculosis.
Answer: B. Administering vaccines to children before kindergarten
Primary prevention activities prevent a problem before it occurs; an
immunization is given to prevent a disease before it occurs.
Secondary prevention refers to early detection and prompt
intervention during the period of early disease pathogenesis, such as
checking the skin for signs of skin cancer or identifying and treating
individuals who have been exposed to contagious diseases. Aims of
tertiary prevention are to keep health problems from getting worse,
, reduce the effects of disease and injury, and restore individuals to
their optimal level of functioning. Examples of tertiary prevention
include teaching prevention of complications from disease or
referring a patient with a stroke for rehabilitation.
◉ Every 10 years, the U.S. Department of Health and Human
Services publishes a national prevention initiative titled Healthy
People. One of the new objectives for Healthy People 2020 is to:
A. achieve access to preventive services of all Americans.
B. improve the nation's ability to prevent, prepare for, respond to,
and recover from a major health incident.
C. reduce health disparities among Americans
D. increase independence of older Americans.
Answer: B. Improve the nation's ability to prevent, prepare for,
respond to, and recover from a major health incident
One of the new objectives for Healthy People 2020 focuses on
preparedness for major health incidents. Achieving access to
preventive services of all Americans and reducing health disparities
among Americans were goals of Healthy People 2000, and increasing
the independence of older Americans was a goal of the original 1979
Healthy People version.
◉ Which of the following is an example of "community health
nursing" rather than "community-based nursing"?
A. An RN assisting a doctor in a pediatrician's office
QUESTIONS AND SOLUTIONS GRADED A
PLUS
◉ Mary is a nursing student doing her senior project in community
health. Part of her assignment is to conduct an activity that
illustrates "social health" within a group in her community. The most
appropriate activity for Mary to organize would be a:
A. neighborhood block party.
B. food bank in a local church.
C. community yard sale.
D. school fundraiser for the school band.
Answer: B. Food bank in a local church
Social health is a positive interaction among groups with an
emphasis on health promotion and illness prevention. The correct
choice is a food bank in a local church because a food program
alleviates problems with hunger and nutrition that affect health. The
other options do not relate to health.
◉ It has been estimated that individual behaviors and
environmental factors are responsible for what percentage of all
premature deaths in the United States?
,A. 20%
B. 40%
C. 50%
D. 70%
Answer: C. 50%
According to Orleans and Cassidy (2011), 50% of all premature
deaths in the United States are a result of individual behaviors and
environmental factors. According to Mokdad, Marks, Stroup, and
Gerberding (2004), tobacco use leads the list of "actual causes of
death" at almost 20% of annual deaths in the United States.
◉ Early public health nurse Lillian Wald and her associates were
successful in addressing health and disease in the immigrant
community by:
A. supporting political activities to improve social and
environmental conditions of immigrant families.
B. administering bedside nursing care to immigrants and their
families.
C. teaching the immigrant family members to provide health care in
the home.
D. obtaining and administering medications to the immigrants and
their family members.
Answer: A. Supporting political activities to improve social and
environmental conditions of immigrant families
,These early public health nurses saw that neither administering
bedside clinical nursing, including obtaining and administering
medication, nor teaching family members to deliver care in the home
adequately addressed the true determinants of health and disease.
They resolved that collective political activity should focus on
advancing the health of aggregates and improving social and
environmental conditions by addressing the social and
environmental determinants of health. Wald and her colleagues
(1971) impacted the health of the community by organizing the
community, establishing school nursing, and taking impoverished
mothers to testify in Washington, DC.
◉ Disease prevention activities protect people from disease and the
effects of disease. An example of primary disease prevention is:
A. teaching people with diabetes how to prevent complications.
B. administering vaccines to children before kindergarten.
C. checking the skin of farm workers for signs of skin cancer.
D. identifying and testing individuals exposed to someone with
tuberculosis.
Answer: B. Administering vaccines to children before kindergarten
Primary prevention activities prevent a problem before it occurs; an
immunization is given to prevent a disease before it occurs.
Secondary prevention refers to early detection and prompt
intervention during the period of early disease pathogenesis, such as
checking the skin for signs of skin cancer or identifying and treating
individuals who have been exposed to contagious diseases. Aims of
tertiary prevention are to keep health problems from getting worse,
, reduce the effects of disease and injury, and restore individuals to
their optimal level of functioning. Examples of tertiary prevention
include teaching prevention of complications from disease or
referring a patient with a stroke for rehabilitation.
◉ Every 10 years, the U.S. Department of Health and Human
Services publishes a national prevention initiative titled Healthy
People. One of the new objectives for Healthy People 2020 is to:
A. achieve access to preventive services of all Americans.
B. improve the nation's ability to prevent, prepare for, respond to,
and recover from a major health incident.
C. reduce health disparities among Americans
D. increase independence of older Americans.
Answer: B. Improve the nation's ability to prevent, prepare for,
respond to, and recover from a major health incident
One of the new objectives for Healthy People 2020 focuses on
preparedness for major health incidents. Achieving access to
preventive services of all Americans and reducing health disparities
among Americans were goals of Healthy People 2000, and increasing
the independence of older Americans was a goal of the original 1979
Healthy People version.
◉ Which of the following is an example of "community health
nursing" rather than "community-based nursing"?
A. An RN assisting a doctor in a pediatrician's office
