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NUR 452 Final Exam
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HIGH YIELD S QUESTIONS
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VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
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QUESTIONS
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TIME :
, Page 2 of 35
NUR 452 Final Exam
community-based nursing
the focus is on illness care of individuals and families, the management if acute and
chronic illness in the community
Example: going to take care of one sick kid with asthma and educating their family
What is the client entry in community-based nursing?
Scope of practice? relationship balance?
-Client entry into HCDS: Individual or family usually initiates the service
-Scope of practice: acute and chronic illnesses, episodic
-Relationship is typically provider driven, but can be mutual
Community-oriented nursing
The main focus is on the health of the community or population. The goal is to
preserve, protect or maintain health of entire communities along with individuals,
families groups and populations.
Example: School health- asthmatic child med admin, family for med refill, educate
group of asthmatic students, buses idling by playground (policy change to move)
What is the client entry in community-oriented nursing?
Scope of practice? relationship balance?
-Client entry into HCDS: typically through outreach to the population
-Scope of practice: health promotion and disease prevention of populations, often
long-term relationships
-Relationship involves mutual participation (community as a partner)
What are the three core public health functions?
1) Assessment
2) Policy development
3) Assurance
what is the core function of assessment's essential public health services?
1) Monitor health status to identify community health problems
2) Diagnose and investigate health problems and health hazards in the community
what is the core function of policy development's essential public health
services?
3) Inform, educate and empower people about health issues
4) Mobilize community partnerships to identify and solve health problems
5) develop policies and plans that support individuals and community health efforts
what is the core function of policy assurance's essential public health
services?
6) Enforce laws and regulations that protect health and assure safety
7) Link people to needed personal health services and assure the provision of
healthcare when otherwise unavailable
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8) Assure a competent public health and personal healthcare 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
What are some of the nursing roles a community-oriented nurse would use in
caring for a community/population?
Counselor, assessor, community developer, case finder, social engineer, case
manager, policy developer, advocate, law enforcers, leader, caregiver, change agent
community care agent, educator
What are the three levels of public health practice
1) Population based individual-focused practice
2) Population based community-focused practice
3) Population based systems-focused practice
Population based individual-focused practice
-Changes knowledge, attitudes, beliefs, practices and behaviors of individuals
-Alone, part of a family, class or group
-Individuals receive services because they are identified as belonging to a population
at risk
Population based community-focused practice
The goal is to improve population health, aims to change community norms,
community attitudes, community awareness, community practices and community
behaviors
Population based systems-focused practice
-Changes organizations, policies, laws and power structures
-Often a more effective and long-lasting way to impact health than addressing
individuals
A school nurse is caring for asthma, what would this look like at all three
levels of public health practice?
Individual: child comes in with exacerbation, assessment, med admin, call parent for
med/refill, referrals for care, etc
Community: hold education for group of asthmatics on campus, make high pollution
day interventions (announcement to stay indoors if poss, etc)
Systems focused: buses idling by playground....make system change to move
buses, etc, increased absences for asthmatics ok, just passed law to have stock
inhalers
A school nurse is handling immunizations, what would this look like at all
three levels of public health practice?
Individual: the RN provides immunizations for individuals and families, educates
them
Community: the RN educates and markets the importance of HPV, vaccines to large
groups of people
Systems: the RN lobbies for laws and agency policies that require certain
immunizations by law
Surveillance
, Page 4 of 35
describes and monitors health events through ongoing and systematic collection,
analysis and interpretation of health data for the purpose of planning, implementing
and evaluating public health interventions
Ex: John is a public health nurse who works in a small rural community. Recently
there have been a number of cases of pertussis reported to the health department
Disease and other health event investigation
systematically gathers and analyzes data regarding threats to the health of
populations, ascertains the source of the threat, identifies cases and others at risk,
determines control measures.
Ex: John contacts the school nurse and asks about the number of children who have
missed school and why. He also contacts the local day care center for the same
information. He visits the local hospital and reviews the emergency room cases for
the last month
Outreach
locates populations of interest or populations at risk and provides information about
the nature of the concern, what can be done about it and how services can be
obtained
Ex: John agreed to visit families that the nurse had difficulty contacting or who didn't
have a phone
Screening
identifies individuals with unrecognized health risk factors or asymptomatic disease
conditions in populations
Case-finding
locates individuals and families with identified risk factors and connects them with
resources
Ex: during the meeting, it was decided to that people in the community really didn't
know about what pertussis is and the need to have children immunized. It seems
that the school continues to let children attend regardless of their immunization
status. The school nurse agreed to review all of the immunization records and
contact the families of children who do not have up to date immunizations
Referral and follow-up
Assists individuals, families, groups, organizations and/or communities to identify
and access necessary in order to prevent or resolve problems
Case management
optimizes self-care capabilities of individuals and families and the capacity of
systems and communities to coordinate and provide services
Delegated functions
Direct care tasks a registered professional nurse carries out under the authority of a
health care practitioner as allowed by law. Delegated functions also include any
direct care tasks a registered professional nurse entrusts to other appropriate
personnel to perform.
Ex: The school health aide will be responsible for entering all of the immunization
information into the data base that the school has not been using
Health teaching
NUR 452 Final Exam
Download now
HIGH YIELD S QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
QUESTIONS
CHOOSE ONE ANSWER
TIME :
, Page 2 of 35
NUR 452 Final Exam
community-based nursing
the focus is on illness care of individuals and families, the management if acute and
chronic illness in the community
Example: going to take care of one sick kid with asthma and educating their family
What is the client entry in community-based nursing?
Scope of practice? relationship balance?
-Client entry into HCDS: Individual or family usually initiates the service
-Scope of practice: acute and chronic illnesses, episodic
-Relationship is typically provider driven, but can be mutual
Community-oriented nursing
The main focus is on the health of the community or population. The goal is to
preserve, protect or maintain health of entire communities along with individuals,
families groups and populations.
Example: School health- asthmatic child med admin, family for med refill, educate
group of asthmatic students, buses idling by playground (policy change to move)
What is the client entry in community-oriented nursing?
Scope of practice? relationship balance?
-Client entry into HCDS: typically through outreach to the population
-Scope of practice: health promotion and disease prevention of populations, often
long-term relationships
-Relationship involves mutual participation (community as a partner)
What are the three core public health functions?
1) Assessment
2) Policy development
3) Assurance
what is the core function of assessment's essential public health services?
1) Monitor health status to identify community health problems
2) Diagnose and investigate health problems and health hazards in the community
what is the core function of policy development's essential public health
services?
3) Inform, educate and empower people about health issues
4) Mobilize community partnerships to identify and solve health problems
5) develop policies and plans that support individuals and community health efforts
what is the core function of policy assurance's essential public health
services?
6) Enforce laws and regulations that protect health and assure safety
7) Link people to needed personal health services and assure the provision of
healthcare when otherwise unavailable
, Page 3 of 35
8) Assure a competent public health and personal healthcare 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
What are some of the nursing roles a community-oriented nurse would use in
caring for a community/population?
Counselor, assessor, community developer, case finder, social engineer, case
manager, policy developer, advocate, law enforcers, leader, caregiver, change agent
community care agent, educator
What are the three levels of public health practice
1) Population based individual-focused practice
2) Population based community-focused practice
3) Population based systems-focused practice
Population based individual-focused practice
-Changes knowledge, attitudes, beliefs, practices and behaviors of individuals
-Alone, part of a family, class or group
-Individuals receive services because they are identified as belonging to a population
at risk
Population based community-focused practice
The goal is to improve population health, aims to change community norms,
community attitudes, community awareness, community practices and community
behaviors
Population based systems-focused practice
-Changes organizations, policies, laws and power structures
-Often a more effective and long-lasting way to impact health than addressing
individuals
A school nurse is caring for asthma, what would this look like at all three
levels of public health practice?
Individual: child comes in with exacerbation, assessment, med admin, call parent for
med/refill, referrals for care, etc
Community: hold education for group of asthmatics on campus, make high pollution
day interventions (announcement to stay indoors if poss, etc)
Systems focused: buses idling by playground....make system change to move
buses, etc, increased absences for asthmatics ok, just passed law to have stock
inhalers
A school nurse is handling immunizations, what would this look like at all
three levels of public health practice?
Individual: the RN provides immunizations for individuals and families, educates
them
Community: the RN educates and markets the importance of HPV, vaccines to large
groups of people
Systems: the RN lobbies for laws and agency policies that require certain
immunizations by law
Surveillance
, Page 4 of 35
describes and monitors health events through ongoing and systematic collection,
analysis and interpretation of health data for the purpose of planning, implementing
and evaluating public health interventions
Ex: John is a public health nurse who works in a small rural community. Recently
there have been a number of cases of pertussis reported to the health department
Disease and other health event investigation
systematically gathers and analyzes data regarding threats to the health of
populations, ascertains the source of the threat, identifies cases and others at risk,
determines control measures.
Ex: John contacts the school nurse and asks about the number of children who have
missed school and why. He also contacts the local day care center for the same
information. He visits the local hospital and reviews the emergency room cases for
the last month
Outreach
locates populations of interest or populations at risk and provides information about
the nature of the concern, what can be done about it and how services can be
obtained
Ex: John agreed to visit families that the nurse had difficulty contacting or who didn't
have a phone
Screening
identifies individuals with unrecognized health risk factors or asymptomatic disease
conditions in populations
Case-finding
locates individuals and families with identified risk factors and connects them with
resources
Ex: during the meeting, it was decided to that people in the community really didn't
know about what pertussis is and the need to have children immunized. It seems
that the school continues to let children attend regardless of their immunization
status. The school nurse agreed to review all of the immunization records and
contact the families of children who do not have up to date immunizations
Referral and follow-up
Assists individuals, families, groups, organizations and/or communities to identify
and access necessary in order to prevent or resolve problems
Case management
optimizes self-care capabilities of individuals and families and the capacity of
systems and communities to coordinate and provide services
Delegated functions
Direct care tasks a registered professional nurse carries out under the authority of a
health care practitioner as allowed by law. Delegated functions also include any
direct care tasks a registered professional nurse entrusts to other appropriate
personnel to perform.
Ex: The school health aide will be responsible for entering all of the immunization
information into the data base that the school has not been using
Health teaching
