COMMUNITY EXAM CHAPTER 1
AND 2 UPDATE THIS YEAR
Foundations of community health nursing - answer-provisions were made to care for the poor or
displaced.
QUESTIONCommunity - answer-group of people and institutions that share geographic , civic,
and/or social parameters .
Practice is not limited to institutional settings
QUESTIONGoals of community health nursing - answer-PROMOTE
PERSERVE
MAINTAIN
the health of populations by the delivery of health services the individuals , families, and groups
QUESTIONPublic health nursing - answer-population focused
The goal of public health nursing is promoting health and preventing disease
conducts research to gain new knowledge and solutions to public health problems.
ASSESSMENT: using methods to monitor the health of a population
,>monitor health status to identify community health problems
>Diagnose and investigate health problems and health hazards in the community.
POLICY DEVELOPMENT: developing laws an practices to promote the health of a population based
on scientific evidence.
>inform, educate, and empower people about health issues.
>Mobilize community partnerships to identify and solve health problems
>develop policies and plans that support individual and community health efforts.
ASSURANCE: making sure adequate health care personnel and services are available
>enforce laws and regulations that protect health and ensure safety
>link people too needed personal health services
>ensure a competent public health workforce
>evaluate effectiveness, accessibility, and quality of personal and population based health
services.
QUESTIONAssessment - answer-collect and manage information
QUESTIONPolicy development - answer-develop policies that are in the best interest of the people
in an area
QUESTIONAssurance - answer-create interventions that promote healthcare equality across
population groups
QUESTIONUpstream thinking - answer-focuses on interventions that promote health or prevent
illness, as opposed to medical treatment models that focus on care after an individual becomes ill
,QUESTIONNightingale's Environmental Theory - answer-Highlights the relationships between an
individual's ENVIRONMENT and HEALTH
Depicts health as a continuum
Emphasizes PREVENTATIVE care
QUESTIONHealth Belief model - answer-Purpose is to PREDICT or EXPLAIN health behaviors
assumes that preventative health behaviors are taken primarily for the purpose of *avoiding
disease*
Emphasizes CHANGE at the INDIVIDUAL level
Describes the likelihood of taking an action to avoid disease based on the following--->
>Perceived susceptibility,seriousness, and threat of disease
>modifying factors (knowledge level, demographics)
>Cues to action (media campaigns, disease effect on family/friends, recommendations from health
care professionals)
>Perceived benefits minus perceived barriers to taking action
*why someone takes action for their health*
Advances in knowledge about health led to appropriate education of providers and regulation of
water and other environmental factors
the public health service was developed in 1798
nursing care in homes was in 1800's
, Later in the century, establishment of local health boards to monitor disease, promote health, and
collect statistics about the community.
QUESTIONSystems thinking - answer-studies how an individual, or unit, interacts with other
organizations or systems,
is useful in examining cause and effect relationships
QUESTIONMilo's Framework for prevention - answer-complements the health belief model.
emphasizes change at the COMMUNITY level.
identifies relationship between health deficits and availability of health promoting resources
behavior changes within a large number of people can ultimately lead to SOCIAL CHANGE.
QUESTIONPender's health promotion model - answer-similar to health belief model
*Does not consider health risk as a factor that provokes change*
Factors that affect individuals actions to promote and protect health -->
>personal factors (biological, psychological, sociocultural), behaviors, abilities, self efficacy.
>Feelings , benefits, barriers, and characteristics associated with the action
>attitudes of others , and competing demands and preferences.
QUESTIONDeterminants of health - answer-factors that influence the CLIENT'S health.