PNR 208 Community Exam 1
QUESTIONS AND ANSWERS (2026/2027)
(VERIFIED ANSWERS)
Community-oriented nursing
Oriented around the community or population. Primarily focused on health
promotion rather than illness care, in a whole group of people rather than
individuals.
Community Based Nursing
Based in the community. Illness care OF individuals IN the community. Home
health care, hospice, schools, occupational health. Illness care instead of health
promotion and health maintenance. Individuals as opposed to communities and
populations.
Public Health
A specialty of community-oriented nursing. Combination of nursing and public
health science, health promotion and maintenance. Focused mostly on primarily
and secondary prevention of acute and chronic illness with devastating
consequences and the prevention of injuries and illnesses that lead to early death.
More policy making and execution than direct nursing care. Policy making guided
by epidemiology and statistics.
Behavior modification
The most effective method of preventing premature illness and death is through
health-related ___________ ___________ (alcohol, tobacco, drug use, seatbelts,
helmets, exercise, wellness visits, etc.)
Behavior Modification
, About 70% of what makes us sick/kills us early can be prevented through health
related __________ _____________
Primary Prevention
Primary is Prevention: Prevention of the problem before it ever occurs; prevention
of illness or injury, like helmet or seat belt campaigns, or immunizations.
Secondary Prevention
Secondary is Screening. Early identification for early intervention. Early detection
preventing complications, attempt to reverse the course. Routine screening
recommendations (mammogram, yearly blood pressure screening, pap smears)
Tertiary Prevention
Tertiary is Treatment. Management of disease to reduce the symptoms and
improve quality of life. Medications, low Na+ diet, checking blood glucose in
diabetic, weight loss for someone with HTN or T2DM, etc.
Uninsured and underinsured
these individuals generally receive less preventive care , are Dx'd at more
advanced stages of disease, and receive fewer therapeutic care once Dx'd than
those with high quality health insurance.
Affordable Care Act
This law improved access to healthcare through providing government subsidies
for those who couldn't afford employer based or private insurance and through
mandates that required individuals to carry health insurance or be penalized. It
did not reduce the costs of high tech medical care. It shifted the focus toward
population level interventions. it also expanded Medicaid eligibility.
Uninsured individuals, access to quality health care based on insured status,
longer life expectancy, baby boomers, affordable care act, unemployment.
What is impacting health care system in the US?
Vulnerability
QUESTIONS AND ANSWERS (2026/2027)
(VERIFIED ANSWERS)
Community-oriented nursing
Oriented around the community or population. Primarily focused on health
promotion rather than illness care, in a whole group of people rather than
individuals.
Community Based Nursing
Based in the community. Illness care OF individuals IN the community. Home
health care, hospice, schools, occupational health. Illness care instead of health
promotion and health maintenance. Individuals as opposed to communities and
populations.
Public Health
A specialty of community-oriented nursing. Combination of nursing and public
health science, health promotion and maintenance. Focused mostly on primarily
and secondary prevention of acute and chronic illness with devastating
consequences and the prevention of injuries and illnesses that lead to early death.
More policy making and execution than direct nursing care. Policy making guided
by epidemiology and statistics.
Behavior modification
The most effective method of preventing premature illness and death is through
health-related ___________ ___________ (alcohol, tobacco, drug use, seatbelts,
helmets, exercise, wellness visits, etc.)
Behavior Modification
, About 70% of what makes us sick/kills us early can be prevented through health
related __________ _____________
Primary Prevention
Primary is Prevention: Prevention of the problem before it ever occurs; prevention
of illness or injury, like helmet or seat belt campaigns, or immunizations.
Secondary Prevention
Secondary is Screening. Early identification for early intervention. Early detection
preventing complications, attempt to reverse the course. Routine screening
recommendations (mammogram, yearly blood pressure screening, pap smears)
Tertiary Prevention
Tertiary is Treatment. Management of disease to reduce the symptoms and
improve quality of life. Medications, low Na+ diet, checking blood glucose in
diabetic, weight loss for someone with HTN or T2DM, etc.
Uninsured and underinsured
these individuals generally receive less preventive care , are Dx'd at more
advanced stages of disease, and receive fewer therapeutic care once Dx'd than
those with high quality health insurance.
Affordable Care Act
This law improved access to healthcare through providing government subsidies
for those who couldn't afford employer based or private insurance and through
mandates that required individuals to carry health insurance or be penalized. It
did not reduce the costs of high tech medical care. It shifted the focus toward
population level interventions. it also expanded Medicaid eligibility.
Uninsured individuals, access to quality health care based on insured status,
longer life expectancy, baby boomers, affordable care act, unemployment.
What is impacting health care system in the US?
Vulnerability
