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NUR 4390 FINAL EXAM | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE QUESTIONS AND ANSWERS 2026/2027

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NUR 4390 FINAL EXAM | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE PRACTICE QUESTIONS AND ANSWERS 2026/2027

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NUR 4390 FINAL EXAM | COMPREHENSIVE STUDY GUIDE, NCLEX-STYLE
PRACTICE QUESTIONS AND ANSWERS 2026/2027


Health - correct answer ✔✔holistic state of well-being, state of complete physical, mental, &
social well-being



Wellness - correct answer ✔✔dynamic balance among physical, psychological, social, spiritual
aspects of a person's life



Aggregate - correct answer ✔✔a population or group



Population - correct answer ✔✔a collection of people who share one or more personal or
environmental characteristics



Community-Based Nursing - correct answer ✔✔focuses on "illness care" of individuals and
families



Community-Oriented Nursing - correct answer ✔✔focuses on promoting quality of life, focuses
on the healthcare of community as a "whole" in addition to individuals, families, and groups



Public Health - correct answer ✔✔goal is to organize community efforts that will use scientific
and technical knowledge to prevent disease and promote health



Benefits from Public Health - correct answer ✔✔increase in life expectancy, decreased deaths
from stroke, CAD, and cancer, declines in death rates in adults and kids



Public Health Core Functions - correct answer ✔✔assessment, policy development, assurance

,Assessment - correct answer ✔✔systematic data collection on the population, monitoring
health statuses, and publishing info on community health



Policy Development - correct answer ✔✔the need to provide leadership in developing policies
that support the health of the population



Assurance - correct answer ✔✔the way public health practice ensures the availability of
essential community-wide health services, includes ensuring the availability of a competent
public health and personal health care workforce



Primary Prevention - correct answer ✔✔health promotion and assessing risk factors



Secondary Prevention - correct answer ✔✔screening of at risk individuals, control of risk
factors, early interventions



Tertiary Prevention - correct answer ✔✔rehabilitation, preventing complications and improving
quality of life



Autonomy - correct answer ✔✔individuals select actions that fulfill their goals, right to self-
determination



Nonmaleficence - correct answer ✔✔do no harm



Beneficence - correct answer ✔✔maximize possible benefits and minimize harm



Distributive Justice - correct answer ✔✔fair distribution of benefits and burden in society based
on the needs and contributions of its members (i.e determining who will be eligible for
healthcare based on income)

, Healthy People 2030 - correct answer ✔✔10 year plan to address most critical public health
priorities and challenges, designed to measure progress over time



Social Determinants of Health - correct answer ✔✔education, economic status, social support,
transportation, neighborhood and physical environment, employment



Elizabethan Poor Law - correct answer ✔✔gave local government the power to raise taxes and
use the funds to build and maintain almshouses (provided relief for aged, handicapped, and the
poor)



Shattuck Report - correct answer ✔✔first use of demographic data to look at birth and death
records, most illness was found to be related to unsanitary conditions, established first state
and local health departments



Florence Nightingale - correct answer ✔✔political activist, first nursing school, introduced the
principles of asepsis and infection control through EBP



Lillian Wald - correct answer ✔✔developed a viable practice for PH nursing (Henry Street
Settlement), provided well baby care, health ed, disease prevention, and tx of minor illnesses,
developed the first nursing service for occupational health (Metropolitan Life Insurance)



John Snow - correct answer ✔✔father of epidemiology, determined the cause of cholera by
going door to door collecting data on daily habits ("Shoe Leather" method), used disease plot
mapping



Mary Breckinridge - correct answer ✔✔frontier nursing services to provide rural healthcare



Dorothea Dix - correct answer ✔✔first hospital for the mentally ill

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