ENGAGING COMMUNITY HEALTH UPDATED EXAMS
CORE MAIN QUESTIONS AND ANSWERS SURE A+
✔✔educator / teacher - ✔✔client is not acutely ill, so can absorb information better,
wide audience can be reached
✔✔advocate - ✔✔2 goals: help clients gain greater independence or self determination;
make the system more responsible and relevant to the needs of clients. Every client has
the right to receive just, equal and humane treatment
✔✔collaborator - ✔✔work jointly with others, need communication skills
✔✔leader - ✔✔focuses on change, nurse becomes an agent of change, influence
people to think and behave differently about their health
✔✔researcher - ✔✔evidence based practice, systematic investigation, collection, and
analysis of data for solving problems and enhancing community heath practice
✔✔case manager - ✔✔has become the standard method of managing health care in
delivery systems in US. Evaluates progress to ensure that clients' multiple service
needs are met in a cost-effective manner.
, ✔✔settings for community health nursing practice - ✔✔homes, ambulatory services,
schools, occupations health settings, hospice, parish, forensics, corrections (prison)
✔✔ambulatory service settings - ✔✔community health centers, clinics, day care
centers, health departments, services for select groups such as migrant camps, native
american reservations, correctional facilities, parishes
✔✔Lillian Wald and Mary Brewster - ✔✔started Henry Street Settlement to provide
nursing and welfare services
✔✔societal influences on the the development of community health nursing - ✔✔tech,
progress in thinking, education, role of women, consumer movement, economic forces
✔✔Federal agencies - ✔✔DHHS, Environmental Protection Agency (EPA), Homeland
security, Dept of Agriculture, Dept of Education, Veteran's Administration (VA), Public
Health Service (PHS). Secretary of HHS and Assistant Secretary (over the PHS) are
appointed positions
✔✔State administered programs - ✔✔Medicaid, CHIP
✔✔Local health department - ✔✔carries out most state laws and policies, most
direct/immediate care; structure varies by community needs and resources
✔✔Indian health services - ✔✔IHS: part of the U.S. Department of Health and Human
Services and is responsible for the medical care provided to Native Americans and
Native Alaskans. Established in 1954 and provides health care.
✔✔medicare - ✔✔A program added to the Social Security system in 1965 that provides
hospitalization insurance for the elderly and permits older Americans to purchase
inexpensive coverage for doctor fees and other health expenses.
✔✔medicaid - ✔✔a federally aided, state operated program that provides medical
benefits for low-income persons in need of medical care
✔✔advantages of home health - ✔✔convenience, access, relationship, cost, outcomes,
teaching opportunities
✔✔multiplicity of problems - ✔✔finding more then one problem
✔✔maintaining balance in professionalism - ✔✔intimacy vs professional distance, risk
and safety, assisting and devaluing client, dependence and independence, cost
containment and quality
CORE MAIN QUESTIONS AND ANSWERS SURE A+
✔✔educator / teacher - ✔✔client is not acutely ill, so can absorb information better,
wide audience can be reached
✔✔advocate - ✔✔2 goals: help clients gain greater independence or self determination;
make the system more responsible and relevant to the needs of clients. Every client has
the right to receive just, equal and humane treatment
✔✔collaborator - ✔✔work jointly with others, need communication skills
✔✔leader - ✔✔focuses on change, nurse becomes an agent of change, influence
people to think and behave differently about their health
✔✔researcher - ✔✔evidence based practice, systematic investigation, collection, and
analysis of data for solving problems and enhancing community heath practice
✔✔case manager - ✔✔has become the standard method of managing health care in
delivery systems in US. Evaluates progress to ensure that clients' multiple service
needs are met in a cost-effective manner.
, ✔✔settings for community health nursing practice - ✔✔homes, ambulatory services,
schools, occupations health settings, hospice, parish, forensics, corrections (prison)
✔✔ambulatory service settings - ✔✔community health centers, clinics, day care
centers, health departments, services for select groups such as migrant camps, native
american reservations, correctional facilities, parishes
✔✔Lillian Wald and Mary Brewster - ✔✔started Henry Street Settlement to provide
nursing and welfare services
✔✔societal influences on the the development of community health nursing - ✔✔tech,
progress in thinking, education, role of women, consumer movement, economic forces
✔✔Federal agencies - ✔✔DHHS, Environmental Protection Agency (EPA), Homeland
security, Dept of Agriculture, Dept of Education, Veteran's Administration (VA), Public
Health Service (PHS). Secretary of HHS and Assistant Secretary (over the PHS) are
appointed positions
✔✔State administered programs - ✔✔Medicaid, CHIP
✔✔Local health department - ✔✔carries out most state laws and policies, most
direct/immediate care; structure varies by community needs and resources
✔✔Indian health services - ✔✔IHS: part of the U.S. Department of Health and Human
Services and is responsible for the medical care provided to Native Americans and
Native Alaskans. Established in 1954 and provides health care.
✔✔medicare - ✔✔A program added to the Social Security system in 1965 that provides
hospitalization insurance for the elderly and permits older Americans to purchase
inexpensive coverage for doctor fees and other health expenses.
✔✔medicaid - ✔✔a federally aided, state operated program that provides medical
benefits for low-income persons in need of medical care
✔✔advantages of home health - ✔✔convenience, access, relationship, cost, outcomes,
teaching opportunities
✔✔multiplicity of problems - ✔✔finding more then one problem
✔✔maintaining balance in professionalism - ✔✔intimacy vs professional distance, risk
and safety, assisting and devaluing client, dependence and independence, cost
containment and quality
