NUR 442 Ch 1 Practice Questions and
Complete Solutions
Jennifer is a community health nurse in a large metropolitan area. According to the
American Nurses Association's Code of Ethics (2001), community health nurses must
align themselves with public health programs that promote and preserve the health of
populations by influencing:
a. socioeconomic issues.
b. psychosocial issues.
c. sociocultural issues.
d. developmental issues. ✅c. Sociocultural issues
The Code of Ethics of the American Nurses Association (2001) promotes social reform
by focusing on health policy and legislation to positively affect accessibility, quality, and
cost of health care. Community health nurses must align themselves with public health
programs that promote and preserve the health of populations by influencing
sociocultural issues, such as human rights, homelessness, violence, and stigma of
illness. Directing care toward socioeconomic issues, psychosocial issues, or
developmental issues focuses on individuals, families, or groups, which in turn
contributes to the health of the total population.
Mary is a nursing student doing her senior project in community health. Part of her
assignment is to conduct an activity that illustrates "social health" within a group in her
community. The most appropriate activity for Mary to organize would be a:
a. neighborhood block party.
b. food bank in a local church.
c. community yard sale.
d. school fundraiser for the school band. ✅b. Food bank in a local church
Social health is a positive interaction among groups with an emphasis on health
promotion and illness prevention. The correct choice is a food bank in a local church
because a food program alleviates problems with hunger and nutrition that affect health.
The other options do not relate to health.
It has been estimated that individual behaviors and environmental factors are
responsible for what percentage of all premature deaths in the United States?
a. 20%
b. 40%
c. 50%
d. 70% ✅c. 50%
According to Orleans and Cassidy (2011), 50% of all premature deaths in the United
States are a result of individual behaviors and environmental factors. According to
, Mokdad, Marks, Stroup, and Gerberding (2004), tobacco use leads the list of "actual
causes of death" at almost 20% of annual deaths in the United States.
Early public health nurse Lillian Wald and her associates were successful in addressing
health and disease in the immigrant community by:
a. supporting political activities to improve social and environmental conditions of
immigrant families.
b. administering bedside nursing care to immigrants and their families.
c. teaching the immigrant family members to provide health care in the home.
d. obtaining and administering medications to the immigrants and their family members.
✅a. supporting political activities to improve social and environmental conditions of
immigrant families
These early public health nurses saw that neither administering bedside clinical nursing,
including obtaining and administering medication, nor teaching family members to
deliver care in the home adequately addressed the true determinants of health and
disease. They resolved that collective political activity should focus on advancing the
health of aggregates and improving social and environmental conditions by addressing
the social and environmental determinants of health. Wald and her colleagues (1971)
impacted the health of the community by organizing the community, establishing school
nursing, and taking impoverished mothers to testify in Washington, DC.
Disease prevention activities protect people from disease and the effects of disease. An
example of primary disease prevention is:
A. teaching people with diabetes how to prevent complications.
B. administering vaccines to children before kindergarten.
C. checking the skin of farm workers for signs of skin cancer.
D. identifying and testing individuals exposed to someone with tuberculosis. ✅B.
administering vaccines to children before kindergarten
Primary prevention activities prevent a problem before it occurs; an immunization is
given to prevent a disease before it occurs. Secondary prevention refers to early
detection and prompt intervention during the period of early disease pathogenesis, such
as checking the skin for signs of skin cancer or identifying and treating individuals who
have been exposed to contagious diseases. Aims of tertiary prevention are to keep
health problems from getting worse, reduce the effects of disease and injury, and
restore individuals to their optimal level of functioning. Examples of tertiary prevention
include teaching prevention of complications from disease or referring a patient with a
stroke for rehabilitation.
Every 10 years, the U.S. Department of Health and Human Services publishes a
national prevention initiative titled Healthy People. One of the new objectives for Healthy
People 2020 is to:
a. achieve access to preventive services of all Americans.
b. improve the nation's ability to prevent, prepare for, respond to, and recover from a
major health incident.
Complete Solutions
Jennifer is a community health nurse in a large metropolitan area. According to the
American Nurses Association's Code of Ethics (2001), community health nurses must
align themselves with public health programs that promote and preserve the health of
populations by influencing:
a. socioeconomic issues.
b. psychosocial issues.
c. sociocultural issues.
d. developmental issues. ✅c. Sociocultural issues
The Code of Ethics of the American Nurses Association (2001) promotes social reform
by focusing on health policy and legislation to positively affect accessibility, quality, and
cost of health care. Community health nurses must align themselves with public health
programs that promote and preserve the health of populations by influencing
sociocultural issues, such as human rights, homelessness, violence, and stigma of
illness. Directing care toward socioeconomic issues, psychosocial issues, or
developmental issues focuses on individuals, families, or groups, which in turn
contributes to the health of the total population.
Mary is a nursing student doing her senior project in community health. Part of her
assignment is to conduct an activity that illustrates "social health" within a group in her
community. The most appropriate activity for Mary to organize would be a:
a. neighborhood block party.
b. food bank in a local church.
c. community yard sale.
d. school fundraiser for the school band. ✅b. Food bank in a local church
Social health is a positive interaction among groups with an emphasis on health
promotion and illness prevention. The correct choice is a food bank in a local church
because a food program alleviates problems with hunger and nutrition that affect health.
The other options do not relate to health.
It has been estimated that individual behaviors and environmental factors are
responsible for what percentage of all premature deaths in the United States?
a. 20%
b. 40%
c. 50%
d. 70% ✅c. 50%
According to Orleans and Cassidy (2011), 50% of all premature deaths in the United
States are a result of individual behaviors and environmental factors. According to
, Mokdad, Marks, Stroup, and Gerberding (2004), tobacco use leads the list of "actual
causes of death" at almost 20% of annual deaths in the United States.
Early public health nurse Lillian Wald and her associates were successful in addressing
health and disease in the immigrant community by:
a. supporting political activities to improve social and environmental conditions of
immigrant families.
b. administering bedside nursing care to immigrants and their families.
c. teaching the immigrant family members to provide health care in the home.
d. obtaining and administering medications to the immigrants and their family members.
✅a. supporting political activities to improve social and environmental conditions of
immigrant families
These early public health nurses saw that neither administering bedside clinical nursing,
including obtaining and administering medication, nor teaching family members to
deliver care in the home adequately addressed the true determinants of health and
disease. They resolved that collective political activity should focus on advancing the
health of aggregates and improving social and environmental conditions by addressing
the social and environmental determinants of health. Wald and her colleagues (1971)
impacted the health of the community by organizing the community, establishing school
nursing, and taking impoverished mothers to testify in Washington, DC.
Disease prevention activities protect people from disease and the effects of disease. An
example of primary disease prevention is:
A. teaching people with diabetes how to prevent complications.
B. administering vaccines to children before kindergarten.
C. checking the skin of farm workers for signs of skin cancer.
D. identifying and testing individuals exposed to someone with tuberculosis. ✅B.
administering vaccines to children before kindergarten
Primary prevention activities prevent a problem before it occurs; an immunization is
given to prevent a disease before it occurs. Secondary prevention refers to early
detection and prompt intervention during the period of early disease pathogenesis, such
as checking the skin for signs of skin cancer or identifying and treating individuals who
have been exposed to contagious diseases. Aims of tertiary prevention are to keep
health problems from getting worse, reduce the effects of disease and injury, and
restore individuals to their optimal level of functioning. Examples of tertiary prevention
include teaching prevention of complications from disease or referring a patient with a
stroke for rehabilitation.
Every 10 years, the U.S. Department of Health and Human Services publishes a
national prevention initiative titled Healthy People. One of the new objectives for Healthy
People 2020 is to:
a. achieve access to preventive services of all Americans.
b. improve the nation's ability to prevent, prepare for, respond to, and recover from a
major health incident.
