PNR 208 Community Exam 1-Questions with Correct
Answers/Verified/ 100% Pass
Community-oriented nursing - ✔️✔️Primarily focused on health promotion rather than
illness care (around the community or population, whole group of people)
community-based nursing - ✔️✔️Illness care of individuals in the community.
Primary - ✔️✔️Prevention of a problem before it occurs, prevention of illness
Secondary - ✔️✔️Screening- early identification for early intervention, early detection,
education
Tertiary - ✔️✔️Treatment- management of the disease to reduce the symptoms and
improve quality of life
Providing guidance on non-pharmacologic management of lower back pain. Helping a
homeless client find and apply for resources. Referring to health department for treatment
of STDs/HIV. Teaching a client how to take their medications; how to find low price cash pay
medications; educating on side effects. - ✔️✔️Tertiary Prevention
Teach ways to avoid pesticide exposure on the farm. Advocate for childhood immunizations
in migrant farmworker children. Advocate for better living conditions of rural migrant
farmworkers to prevent crowded living conditions and thus higher risk for TB. -
✔️✔️Primary Prevention
Yearly blood pressure, blood glucose/A1c, BMI. Educating on the important of and schedule
for cancer screenings: pap smears, colonoscopy, mammography, etc. TB skin testing. HIV
screenings - ✔️✔️Secondary Prevention
Uninsured and underinsured - ✔️✔️Receive less prevention care, diagnosed with more
advanced stages of disease, receive fewer therapeutic care once diagnosed then those with
high quality Health insurance
, vulnerable populations - ✔️✔️Poor, homeless, pregnant teens, veterans, migrant
workers/immigrants, severely mental ill, substance abusers, chronic STD's such as HIV,
hepatitis B hepatitis C, complex physical disabilities
Who can experience multiple cumulative risks and are sensitive to the effects of those risks
(environmental hazards-lead exposure, pollution, social hazards-crime, violence, personal
behavior-diet, smoking, exercise, biological/genetic make up-congenital addiction,
compromised immune system. Members of vulnerable populations often have multiple
illnesses each impacting the other - ✔️✔️Vulnerable Populations
Disenfranchisement - ✔️✔️Feeling like they're on the outside of everyone else, forgotten,
unimportant, unseen. Some groups of people, such as the poor, homeless, and migrant
workers, are "invisible" to society as a whole and tend to be forgotten in health and social
planning.
Poverty is the Primary cause of - ✔️✔️Vulnerability
What can leads to maladaptive physical responses and disease (HTN, diabetes, heart
disease, obesity, cancer, etc) - ✔️✔️Chronic stress
Outcomes of vulnerability - ✔️✔️increased morbidity and mortality, high prevalence of
chronic illnesses (HTN), high levels of communicable diseases (TB, hep B, STDs, flu), high
mortality rates than the general population (living conditions, diet, health status, crime,
violence).
Obese BMI - ✔️✔️greater than 95th percentile
Overweight BMI - ✔️✔️85th-95th percentile
normal or healthy weight BMI - ✔️✔️5th-85th percentile
Acanthosis nigricans - ✔️✔️Dark patches in the skin folds that do not itch or burn. Sign of
type two diabetes and ethnic minority children
