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Exam (elaborations)

PNR 208 Community Exam 1 Actual 2025 Updated QUESTIONS AND ANSWERS (2025 / 2026) (VERIFIED ANSWERS)

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PNR 208 Community Exam 1 Actual 2025 Updated QUESTIONS AND ANSWERS (2025 / 2026) (VERIFIED ANSWERS)

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PNR 208 Community Exam 1
1. Community-oriented nursing <Ans> Oriented around the community or
population. Primarily focused on health promotion rather than illness care, in a
whole group of people rather than individuals.
2. Community Based Nursing <Ans> 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.
3. Public Health <Ans> A specialty of community-oriented nursing. Combination
of nurs- ing 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.
4. Behavior modification <Ans> The most effective method of preventing
premature illness and death is through health-related (alcohol,
tobacco, drug use, seatbelts, helmets, exercise, wellness visits, etc.)
5. Behavior Modification <Ans> About 70% of what makes us sick/kills us early
can be prevented through health related
6. Primary Prevention <Ans> Primary is Prevention <Ans> Prevention of the
problem before it ever occurs; prevention of illness or injury, like helmet or seat
belt campaigns, or immunizations.
7. Secondary Prevention <Ans> Secondary is Screening. Early identification for
early intervention. Early detection preventing complications, attempt to reverse the
course. Routine screening recommendations (mammogram, yearly blood pressure
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, screen- ing, pap smears)
8. Tertiary Prevention <Ans> 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.
9. Uninsured and underinsured <Ans> these individuals generally receive less
preven- tive care , are Dx'd at more advanced stages of disease, and receive
fewer thera- peutic care once Dx'd than those with high quality health insurance.
10. Affordable Care Act <Ans> 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.
11. Uninsured individuals, access to quality health care based on insured
status, longer life expectancy, baby boomers, affordable care act, unemploy-
ment. <Ans> What is impacting health care system in the US?




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