Chapter 1: Community-Oriented Nursing And Community-Based Nursing

Question 1

Community-Based Nursing

Answer 1

Focus is on “illness care of individuals and families across the lifespan.
Ex.) Growing costs of hospital care.

Question 2

Community-oriented nursing

Answer 2

Includes the specialty of public health nursing.

Question 3

The focus of community-oriented nursing is

Answer 3

1. On promoting quality of life.
2. On the health care of entire communities or populations as well as the health care of individuals, families and groups.

Question 4

The goal of community oriented nursing is to

Answer 4

Prevent disease and preserve, promote, restore and protect health for the community and the population within it.

Question 5

Public Health goal is to

Answer 5

Organize community efforts that will use scientific and technical knowledge to prevent disease and promote health.

Question 6

Benefits from Public Health include

Answer 6

1. Dramatic increase in life expectancy
2. Decreases number of deaths from stroke, CAD and cancer.
3. Declines in death rates of adults and children.
4. Population-focus PH approaches could help prevent up to 70% of early deaths in America, compared to only 10% for medical treatment.

Question 7

The Core Functions of Public Health are

Answer 7

Assessment
Policy Development
Assurance

Question 8

Levels of Health Care Services Pyramid

Answer 8

From top of the pyramid to bottom:
Tertiary health care
Secondary health care
Primary health care
Clinical preventive services
Population-based health care services

Question 9

Essential Services of Public Health include

Answer 9

1. Monitoring health status to identify community problems.
2. Diagnose and investigate health problems and hazards in the community.
3. Inform, educate and empower people about health issues.
4. Mobilize community partnerships to identify and solve problems.
5. Develop policies and plans that support individual and community health efforts.
6. Enforce laws and regulates that protect health and ensure safety.
7. Link people to needed personal health services and ensure the provision of health care that is otherwise unavailable.
8. Ensure competent public health and personal health care workforce.
9. Evaluate effectiveness, accessibility and quality of personal and population-based health services.
10. Research for new insights and innovative solutions to health problems.

Question 10

Population Focused Nursing Practive includes

Answer 10

1. Populations (or aggregate)
2. Subpopulations
3. Population-focused practice

Question 11

Characteristics of Public Health Nursing

Answer 11

1. Population-focused
2. Community-oriented
3. Health and prevention focused
4. Interventions at the community and/or population level
5. Concern for the health of all members of the population or community, particularly vulnerable populations.

Question 12

One difference between public health nursing and other forms of nursing is that

Answer 12

The public health nurse often reaches out to those who might benefit from a service or intervention whereas in other forms of nursing, the client is more likely to seek out and request assistance.

Question 13

Four Key Nursing Modes in the Community include

Answer 13

1. Community-oriented nursing practice
2. Public health nursing practice
3. Community-based nursing practice
4. Community health nursing practice

Question 14

Community-based nursing goal

Answer 14

Manage acute and chronic conditions

Question 15

Community-based nursing is focused on

Answer 15

“Illness care” of individuals and families across the lifespan.

Question 16

Community-oriented nursing goal

Answer 16

Prevent disease and disability; promote, protect and maintain health

Question 17

Community-oriented nursing focus is on

Answer 17

“Health care” of individuals, families and groups in community

Question 18

Actions of community-oriented nursing includes

Answer 18

• provide health care to promote quality of life

- community diagnosis, health surveillance, monitoring and evaluation of community and population.

Question 19

Actions of Community-Based nursing include

Answer 19

• provides acute and chronic illness care and the provision of comprehensive, coordinated, and continuous care.
• a setting-specific practice, care is provided where people live, work and attend school.

Question 20

Community Health Nursing Practice Goal

Answer 20

Preserve, protect, promote or maintain health of individuals and families and groups in a community.

Question 21

Community Health Nursing Practice Focus

Answer 21

Health of individuals, families and groups and how their health status affects the community as a whole.

Question 22

Public Health Nursing Practice Goal

Answer 22

Prevent disease and disability and promote and protect the community as a whole.

Question 23

Public Health Nursing Practice Focus

Answer 23

The community as a whole

The effect of the community’s health status (resources) on the health of individuals, families and groups.

Question 24

Primary Prevention

Answer 24

Education and usually occurs before a disease process.

Question 25

Secondary prevention

Answer 25

Involves screening for a disease/condition.

Question 26

Tertiary prevention

Answer 26

Prevention tries to prevent an already existing condition from getting worse.