NR 442 EXAM 1 REVISION HANDBOOK 2026
PUBLIC HEALTH SYSTEMS AND COMMUNITY
ASSESSMENT
◉ Active Immunity.
Answer: - Natural contact and infection with the antigen
- acquiring measles
◉ Leading Cause of Preventable Death.
Answer: - smoking
- alcohol
- lifestyle choices
◉ 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
◉ Primary Failure of Vaccines.
Answer: - failure of a vaccine to stimulate any immune response
,- caused by improper storage that may render the vaccine
ineffective, improper administration route, or exposure of a light-
sensitive vaccine to light.
◉ 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.
◉ 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.
◉ High Walk Ability Communities.
Answer: - where people are able to walk to stores
- tend to be healthier than those who drive to where they need to go
◉ Demographic Data.
Answer: - Age, gender, race/ethnicity, socioeconomic status,
education level
- found in a census
,◉ Windshield Survey.
Answer: - driving through an area and making organized
observations
- nurse can gain an understanding of the environmental layout
◉ Shoe-Leather Survey.
Answer: walking through an area and making organized
observations
◉ How do you know if your interventions worked?.
Answer: - look at baseline data
- must be objective measurable goals
◉ What is the problem with Healthy People 2020?.
Answer: too much emphasis on personal responsibility while
ignoring social/environmental factors and changes
◉ How do you know that learning has occured?.
Answer: long term change in behavior
◉ What are two diseases that do not have a vaccine?.
Answer: - syphilis
, - gonorrhea
◉ Health Belief Model Assumption.
Answer: the major determinant of preventive health behavior is
disease avoidance.
◉ Affordable Care Act.
Answer: - access to preventative care
- allows child to be on parent's health care until 26
- decrease out of pocket spending on health care
- treats disease you already have
◉ Example of Community Program?.
Answer: healthy living program
◉ Disease Agent Factor.
Answer: - nutrition deficiency
- anemia
- b12 deficiency
◉ What are not contraindications for vaccinations?.
Answer: - multiple vaccinations
PUBLIC HEALTH SYSTEMS AND COMMUNITY
ASSESSMENT
◉ Active Immunity.
Answer: - Natural contact and infection with the antigen
- acquiring measles
◉ Leading Cause of Preventable Death.
Answer: - smoking
- alcohol
- lifestyle choices
◉ 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
◉ Primary Failure of Vaccines.
Answer: - failure of a vaccine to stimulate any immune response
,- caused by improper storage that may render the vaccine
ineffective, improper administration route, or exposure of a light-
sensitive vaccine to light.
◉ 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.
◉ 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.
◉ High Walk Ability Communities.
Answer: - where people are able to walk to stores
- tend to be healthier than those who drive to where they need to go
◉ Demographic Data.
Answer: - Age, gender, race/ethnicity, socioeconomic status,
education level
- found in a census
,◉ Windshield Survey.
Answer: - driving through an area and making organized
observations
- nurse can gain an understanding of the environmental layout
◉ Shoe-Leather Survey.
Answer: walking through an area and making organized
observations
◉ How do you know if your interventions worked?.
Answer: - look at baseline data
- must be objective measurable goals
◉ What is the problem with Healthy People 2020?.
Answer: too much emphasis on personal responsibility while
ignoring social/environmental factors and changes
◉ How do you know that learning has occured?.
Answer: long term change in behavior
◉ What are two diseases that do not have a vaccine?.
Answer: - syphilis
, - gonorrhea
◉ Health Belief Model Assumption.
Answer: the major determinant of preventive health behavior is
disease avoidance.
◉ Affordable Care Act.
Answer: - access to preventative care
- allows child to be on parent's health care until 26
- decrease out of pocket spending on health care
- treats disease you already have
◉ Example of Community Program?.
Answer: healthy living program
◉ Disease Agent Factor.
Answer: - nutrition deficiency
- anemia
- b12 deficiency
◉ What are not contraindications for vaccinations?.
Answer: - multiple vaccinations
