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NUR443 Exam 1 Study Guide Questions
With Verified Answers
Community/Public Health Nursing - answer✔A field of professional practice in nursing and in
public health where technical nursing, interpersonal, analytical and organizational skills are
applied to problems of health as they affect the community. The synthesis of nursing practice and
public health practice. To preserve the health of the community and surrounding populations by
focussing on health promotion and health maintenance of individuals, families, and groups
within the community.
Public Health/Community Focus - answer✔Focus on prevention and promotion of population
health at the federal, state and local levels. Support and advisory services to public health
structures at the local level through community health services and personal healthcare services
Population-focussed nursing - answer✔Concentrates on specific groups of people and focuses on
health promotion and disease prevention, regardless of geographic location. Provision of
evidence-based care to targeted groups of people with similar needs in order to improve
outcomes. Focus on common needs, diagnosis, or problem. Vulnerable populations have an
increased risk or susceptibility to adverse health outcomes.
Organizations - answer✔Associations that set and enforce standards in a particular area; a group
of individuals who voluntarily enter into an agreement to accomplish a purpose. Common
location with shared governance, values, and goals. A large unorganized collection of people in a
common location w/shared governance and goals. A linked complex network of social relations.
Communities - answer✔Geopolitical communities: defined or formed by natural and/or
manmade boundaries and include cities, counties, states, and nations.
Phenomenological communities: relational, interactive groups that share a perspective based on
culture, values, history, interests, and goals.
Community oriented primary care - answer✔
Community Health Nurse (CHN) Roles - answer✔Advocate, caregiver, care manager, case
finder, counselor, educator, epidemiologist, group leader, health planner, manager.
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Community Health Diagonsis - answer✔Risk of (problem/dx) among (group/target population)
is related to (community factors) and (contributing factors).
Upstream thinking - answer✔Actions focus on modifying economic, political, and
environmental factors that are the precursors of poor health throughout the world.
Sociostructural/structural perspective - answer✔
Primary prevention - answer✔Relates to activities directed at preventing a problem before it
occurs by altering susceptibility or reducing exposure for susceptible individuals.
Secondary prevention - answer✔Refers to early detection and prompt intervention during the
period of early disease pathogenesis. Implemented after a problem has begun but before signs
and symptoms appear and targets those populations that have risk factors.
Tertiary prevention - answer✔Targets populations that have experienced disease or injury and
focuses on limitation of disability and rehabilitation. Aims to keep health problems from getting
worse, to reduce the effects of disease and injury, and to restore individuals to their optimal level
of functioning.
Market justice system - answer✔Individualism, limit role of government, based upon ability to
pay, economic efficiency, an individual responsibility for health.
Social justice system - answer✔Healthcare is a social good, should be collectively financed,
society responsible for healthcare. Entitles all people to basic necessities such as adequate
income and health protection and accepts collective burdens to make it possible.
Florence Nightingale - answer✔Analytical, upstream thinking: what are the causes and
prevention. The first nurse to exert political pressure on a government. Transformed military
health and knew the value of date influencing policy. Leader who used support of followers,
colleague, and policy makers. Collected and analyzed data about health services and outcomes.
Lillian Wald - answer✔First community health nurse. Founded Henry Street Settlements and
VNS of NYC. Instrumental in beginning school nursing/Dept. of Special Education, Public
Health Nursing program at Columbia, Children's Bureau, Civil Liberties Bureau, First President
of Nat'l Assoc. of Public Health Nursing. Recognized connections between health and social
conditions.
Sociodemographic changes in U.S. - answer✔
Home Visiting Nurse - answer✔Assess skills of caregiver and instructs the caregiver in the
correct procedure for providing care and in recognizing the s/s of problems that must be reported
to the health care provider. When no caregiver available, the nurse explores other resources
available to supplement the patient's self-care activities in the home.
