NUR 443: COMMUNITY FINAL EXAM
QUESTIONS WITH CORRECT ANSWERS
Community Health - Answer--Prevention and protection of individuals, families, and
groups of people (communities)
-Individual/family focused
-setting specific (schools, workplaces, prisons, etc.)
-services : homecare, clinics, case management, hospice
Public Health - Answer-The practice of promoting and protecting the health of
populations using knowledge from nursing, social, and public health sciences (e.g.,
toxicology, epidemiology)
population focused - Answer-with goals of promoting health and preventing disease and
disability for all people through the creation of conditions in which people can be healthy
Upstream thinking - Answer-Oriented towards future
Proactive : making changes now that will influence our lives later
Focus: population
Downstream - Answer--Reactive
-fixing problems that have already happened
-focus: individual
public health message - Answer-Change the built environment to support healthy
behaviors and lifestyles (Interventions aimed at community rather than individuals)
market justice - Answer--Emphasis on individual
-work hard = earn the rewards
-supply and demand
social justice - Answer--emphasis on population
-all citizens are entitled to equal opportunity for health care
-Right and not a privilege
home health - Answer--Recovery and/or independence
-Resources they need to stay at home
-Keep them healthy/prevent reoccurrence of illness
home care vs. hospice vs. case managers - Answer-home care → skilled nursing; have
to be homebound
hospice → skilled nursing, prepping for death, can be in hospital
case managers → no skilled nursing care, can be in hospital
, steps in referral process - Answer-Explore resources available in the community
Communicate results to client
Engage client in informed decision-making
Accept the client's decision to use/not use a given resource
Facilitate referral
Evaluate the outcomes (process and product, client satisfaction)
community diagnosis - Answer--Identify health problem or public health risk
-Identify affected community/subgroups
-Summarize evidence
Predisposing Factors: knowledge, attitudes, behavior, beliefs, values, willingness to
change
Reinforcing Factors:positive/negative environment of adopting new behaviors including
social support
Enabling Factors:Environment that facilitates or presents obstacles to change
children learning - Answer-visual learners; drawings, videos, pictures
older adults - Answer-large print, clear and simple writing, loud enough for them to hear,
quiet environment
adult learner - Answer-- need to know
- concept of self
- experience
- readiness to learn
- orientation to learning
- motivation
- adult learners like comfortable, informal environment with minimal distraction
- draw upon many life experiences and the shared experiences of others
six parts of community health program develop - Answer-•Part 1: Needs Assessment
and Baseline Data Collection
•Part 2: Review of Scientific Literature
•Part 3: Planning
(Prioritization, Goals and Objectives)
•Part 4: Implementation
(Implementation Logistics, Intervention/Execution, Sample)
•Part 5: Evaluation:Process and Product and Next Steps
•Part 6: Presentation with Abstract
psych risk assessment - Answer-risk is measured as subjective utility
subjective utility takes into account not only assessments of technical hazard (ex.
Physical harm), but also outrage
•Ex. Emotional reactions to estimates of technical hazard
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