NR442 Final Exam/NR 442
Community Health Nursing
NR442 Exam 2 /NR 442 Community
Health Nursing Exam 2 Newest
2025/2026 Actual Exam Complete
Verified All Questions And Correct
Detailed Answers (Rationales )
|Already Graded A+
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.
- 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
A+ 1
, NR442 Final Exam/NR 442
Community Health Nursing
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 - 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.
A+ 2
, NR442 Final Exam/NR 442
Community Health Nursing
d. The new health care system offers free services to Americans.
- 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.
- 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
A+ 3
, NR442 Final Exam/NR 442
Community Health Nursing
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.
- 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.
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.
b. Because the environment has such long-term effects on health, research findings are not
yet available.
c. Research shows that a healthy environment has limited impact on one's health.
A+ 4
Community Health Nursing
NR442 Exam 2 /NR 442 Community
Health Nursing Exam 2 Newest
2025/2026 Actual Exam Complete
Verified All Questions And Correct
Detailed Answers (Rationales )
|Already Graded A+
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.
- 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
A+ 1
, NR442 Final Exam/NR 442
Community Health Nursing
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 - 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.
A+ 2
, NR442 Final Exam/NR 442
Community Health Nursing
d. The new health care system offers free services to Americans.
- 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.
- 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
A+ 3
, NR442 Final Exam/NR 442
Community Health Nursing
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.
- 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.
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.
b. Because the environment has such long-term effects on health, research findings are not
yet available.
c. Research shows that a healthy environment has limited impact on one's health.
A+ 4
