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Exam (elaborations)

NR 442 community Exam Questions with Verified Answers (Correct Update)

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NR 442 community Exam Questions with Verified Answers (Correct Update)

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NR 442 community Exam Questions with Verified Answers
(Correct Update)
Question 1: public health goal

Answer: preserve health of the community and surrounding populations by focusing on health
promotion and health maintenance of individuals, families, and groups within the community.

Question 2: Community

Answer: A group of or collection of individuals interacting in social units and sharing common interests,
characteristics, values and goals.
- PRIMARY FOCUS OF COMMUNITY HEALTH

Question 3: System/group Level of Practice Example

Answer: community health nurse working with the state health department and federal vaccine program
to coordinate a response to an outbreak of measles in a migrant population.

Question 4: Community/Population Level of Practice Example

Answer: public health nurses working with area high schools to give each student a profile of his or her
health to promote nutritional and physical activity lifestyle changes to improve the student's health.

Question 5: Individual Level of Practice Example

Answer: nurse receives a referral to care for an individual with a diagnosed mental illness who would
require regular monitoring of his medication compliance to prevent rehospitalization

Question 6: Core Functions of Public Health

Answer: - assessment
- policy development
- assurance of availability

Question 7: Primary Prevention

Answer: - prevention of problem before it occurs
- immunization

Question 8: Secondary Prevention

Answer: - early detection and intervention
- screening for an STD
- for diseases that can be controlled




Page 1

,Question 9: Tertiary Prevention

Answer: - correction and prevention of deterioration of a disease state
- teaching insulin administration at home

Question 10: What is the main focus of Public Health?

Answer: PREVENTION

Question 11: What has the greatest influence on Community Health?

Answer: behavioral choices

Question 12: What are the 3 elements of the Epidemiology Triangle?

Answer: - agent - host - environment

Question 13: Epidemiology Triangle

Answer: - depends on the extent of the host's exposure to an agent, the strength or virulence of the agent,
and the host's genetic or immunological susceptibility.
- also depends on the environmental conditions existing at the time of exposure

Question 14: Incidence Rate

Answer: describe the occurrence of new cases of a disease or condition in a community over a period of
time relative to the size of the population at risk for that disease or condition during that same time
period. ex) detecting short term chances in acute diseases like the flu

Question 15: Prevalence Rate

Answer: the number of all cases of a specific disease or condition in a population at a given point in time
relative to the population at the same point in time. Increase of incidence rate increase prevalence rate.

Question 16: Endemic

Answer: Diseases that are always present in a population (e.g., colds and pneumonia)

Question 17: Epidemic

Answer: Diseases that are not always present in a population but flare up on occasion
(e.g., diphtheria and measles)

Question 18: Pandemic

Answer: The existence of disease in a large proportion of the population: a global epidemic (e.g., human
immunodeficiency virus, acquired immunodeficiency syndrome, and annual outbreaks of influenza type
A)



Page 2

, Question 19: Chronic vs Acute (prevalence)

Answer: chronic always has a higher prevalence than acute disease

Question 20: Passive Immunity

Answer: - natural contact with antibody
- hep a --) immunoglobin
- through blood or plasma

Question 21: EXAMPLE: Infant born with temporary antibodies to measles. Temporary or
through colostrum

Answer: and breast milk

Question 22: Active-natural Immunity

Answer: - Natural contact and infection with the antigen
- acquiring measles

Question 23: Leading Cause of Preventable Death

Answer: - smoking
- alcohol
- lifestyle choices

Question 24: Herd Immunity

Answer: those not immune to an infectious agent are protected if a certain proportion of the population
has been vaccinated or is otherwise immune

Question 25: ANA - Code of Ethics

Answer: promotes social reform by focusing on health policy and legislation to positively affect
accessibility, quality, and cost of health care.

Question 26: Social Justice

Answer: - Mission of Public Health
- entitles all people to basic necessities such as adequate income and health protection and accepts
collective burdens to make it possible.

Question 27: Demographic Data

Answer: - Age, gender, race/ethnicity, socioeconomic status, education level
- found in a census




Page 3

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