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NR 442 Exam 1 Study Guide 2025: Community Health Nursing Practice Questions

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Prepare for your NR 442 Exam 1 in 2025. Get comprehensive review materials, practice questions, and key concepts for community health nursing, population-focused care, and health promotion.

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Page 1 of 72


EXAM 1: NR442 / NR-442 COMMUNITY HEALTH

NURSING EXAM (LATEST 2025 UPDATES STUDY

BUNDLE WITH COMPLETE SOLUTIONS) | 100%

CORRECT | GRADE A - CHAMBERLAIN

Community .....ANSWER.....- a group of people who share

something in common and interact with one another, who may

exhibit a commitment with one another and may share a

geographic boundary

- PRIMARY FOCUS OF COMMUNITY HEALTH

Public Health Intervention Wheel: Levels of Practice

.....ANSWER.....- Community

- Individual

- System

System/group Level of Practice Example

.....ANSWER.....community health nurse working with the state

,Page 2 of 72


health department and federal vaccine program to coordinate a

response to an outbreak of measles in a migrant population.

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.

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

Core Functions of Public Health .....ANSWER.....- assessment

- policy development

- assurance of availability

,Page 3 of 72


Primary Prevention .....ANSWER.....- prevention of problem

before it occurs

- immunization

Secondary Prevention .....ANSWER.....- early detection and

intervention

- screening for an STD

- for diseases that can be controlled

Tertiary Prevention .....ANSWER.....- correction and prevention of

deterioration of a disease state

- teaching insulin administration at home

What is the main focus of Public Health?

.....ANSWER.....PREVENTION

What is the main focus of Medicine? .....ANSWER.....disease

management and diagnosis

Childhood Obesity .....ANSWER.....- focus on a healthier lifestyle

, Page 4 of 72


- reduce the rate the childhood obesity

- education

What causes more than half of Premature Deaths?

.....ANSWER.....behavior and environment reasons

What has the greatest influence on Community Health?

.....ANSWER.....behavioral choices

What are the 3 elements of the Epidemiology Triangle?

.....ANSWER.....- agent

- host

- environment

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
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