NUR 274 CHAPTER 10 QUESTIONS AND ANSWERS | NUR 274 CHAPTER
10 STUDY GUIDE & PRACTICE TEST 2026/2027
Community based nursing - Correct answer ✔✔ Refers to the wide variety of settings other than
inpatient institutions in which nursing is practiced. Public health, home health, ambulatory care,
occupational health, and school nursing all reflect community-based practice
Principles of community based care - Correct answer ✔✔ Include an emphasis on advocating
for clients, promoting client education and self-care, focusing on health promotion and disease
prevention, and recognizing the importance of the family, culture, and community.
Client empowerment - Correct answer ✔✔ A community-based philosophy rests on a
fundamental belief in the right of the client to control his or her life, including situations related
to healthcare.
HEALTH PROMOTION AND DISEASE PREVENTION SERVICES - Correct answer ✔✔ have long been
the major focus of public health nurses, who concentrate on entire populations.
By recognizing that the determinants of health lie outside of the institution and are found in the
community, nurses in the acute care setting enlarge their practice to make it more community-
based in philosophy.
Primary prevention - Correct answer ✔✔ involves the efforts to prevent disease from ever
occurring. Primary prevention can be aimed at stopping the cause of disease. On a community-
wide level, water treatment and sanitation prevent the spread of communicable diseases by
eliminating their sources for the entire population. Helping individuals to be more successful in
resisting disease and maintaining health represents another aim of primary prevention
Secondary prevention - Correct answer ✔✔ involves early identification of health problems
through screening and the prevention of complications and adverse consequences of illness.
Nurses in ambulatory settings help clients to identify screening tests that are important for
them and facilitate scheduling those tests.
, To do this effectively, the nurse must understand the current recommendation for screening in
specific groups within the population. Asking about screening emphasizes its importance to
clients and reinforces other information they may have.
Tertiary prevention - Correct answer ✔✔ focuses on preventing long-term disability and
restoring functional capacity. Rehabilitation efforts often have been singled out as the major
place where tertiary prevention occurs.
disease management - Correct answer ✔✔ focuses on providing the best evidence-based care
for an individual with a specific chronic illness, such as diabetes.
These programs are often instituted by health plans or clinics that recognize that failure to
manage chronic illnesses knowledgeably results in increased rates of hospitalization, increased
demand on the system for high-cost care, and increased incidence of potentially life-altering
complications.
Healthy people 2020 vision - Correct answer ✔✔ A society in which all people live long, healthy
lives.
Healthy people 2020 mission - Correct answer ✔✔ To improve health through strengthening
policy and practice, Healthy People will:
-Identify nationwide health improvement priorities.
-Increase public awareness and understanding of the determinants of health, disease, and
disability and the opportunities for progress.
-Provide measurable objectives and goals that can be used at the national, state, and local
levels.
-Engage multiple sectors to take actions that are driven by the best available evidence and
knowledge.
-Identify critical research and data collection needs.
Healhty people 2020 goals - Correct answer ✔✔ Eliminate preventable disease, disability, injury,
and premature death.
10 STUDY GUIDE & PRACTICE TEST 2026/2027
Community based nursing - Correct answer ✔✔ Refers to the wide variety of settings other than
inpatient institutions in which nursing is practiced. Public health, home health, ambulatory care,
occupational health, and school nursing all reflect community-based practice
Principles of community based care - Correct answer ✔✔ Include an emphasis on advocating
for clients, promoting client education and self-care, focusing on health promotion and disease
prevention, and recognizing the importance of the family, culture, and community.
Client empowerment - Correct answer ✔✔ A community-based philosophy rests on a
fundamental belief in the right of the client to control his or her life, including situations related
to healthcare.
HEALTH PROMOTION AND DISEASE PREVENTION SERVICES - Correct answer ✔✔ have long been
the major focus of public health nurses, who concentrate on entire populations.
By recognizing that the determinants of health lie outside of the institution and are found in the
community, nurses in the acute care setting enlarge their practice to make it more community-
based in philosophy.
Primary prevention - Correct answer ✔✔ involves the efforts to prevent disease from ever
occurring. Primary prevention can be aimed at stopping the cause of disease. On a community-
wide level, water treatment and sanitation prevent the spread of communicable diseases by
eliminating their sources for the entire population. Helping individuals to be more successful in
resisting disease and maintaining health represents another aim of primary prevention
Secondary prevention - Correct answer ✔✔ involves early identification of health problems
through screening and the prevention of complications and adverse consequences of illness.
Nurses in ambulatory settings help clients to identify screening tests that are important for
them and facilitate scheduling those tests.
, To do this effectively, the nurse must understand the current recommendation for screening in
specific groups within the population. Asking about screening emphasizes its importance to
clients and reinforces other information they may have.
Tertiary prevention - Correct answer ✔✔ focuses on preventing long-term disability and
restoring functional capacity. Rehabilitation efforts often have been singled out as the major
place where tertiary prevention occurs.
disease management - Correct answer ✔✔ focuses on providing the best evidence-based care
for an individual with a specific chronic illness, such as diabetes.
These programs are often instituted by health plans or clinics that recognize that failure to
manage chronic illnesses knowledgeably results in increased rates of hospitalization, increased
demand on the system for high-cost care, and increased incidence of potentially life-altering
complications.
Healthy people 2020 vision - Correct answer ✔✔ A society in which all people live long, healthy
lives.
Healthy people 2020 mission - Correct answer ✔✔ To improve health through strengthening
policy and practice, Healthy People will:
-Identify nationwide health improvement priorities.
-Increase public awareness and understanding of the determinants of health, disease, and
disability and the opportunities for progress.
-Provide measurable objectives and goals that can be used at the national, state, and local
levels.
-Engage multiple sectors to take actions that are driven by the best available evidence and
knowledge.
-Identify critical research and data collection needs.
Healhty people 2020 goals - Correct answer ✔✔ Eliminate preventable disease, disability, injury,
and premature death.
