Community Nursing Process Latest Update
2025-2026 Actual Exam 135 Questions with 100%
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A CHN nursing dx is expressed as a 4 part statement: - CORRECT ANSWER: 1. name
or description of group (community of interest)
2. situation or response (concern or strength)
3. Related-to factors
4. Evidence
A properly constructed action statement for strenghts: - CORRECT ANSWER: identifies
specific community group
identifies potential strength
strenght grounded in evidence of a demonstrated characteristic of a group.
*Statement should be formulated as "have potential for"*
*Both status and related-to clause are positive*
A properly constructed action statement to adress concern: - CORRECT ANSWER:
identifies a community group
identifies potential concern
,identifies reason for deficiency
Example page 152 (D&M)
According to the theory of reasoned action, what is the most influential factor in
behavioural change ? - CORRECT ANSWER: Intent to act
*Study flow chart on slides*
Assessing primary data (Step4) comprises of using what methods? - CORRECT
ANSWER: 2 basic methods
1. progressive inquiry
2. guided inquiry
2 advanced methods (more time/preparation)
1.focus groups
2. questionnaires
All 4 methods help elicit data in greater depth and from a greater number of sources
then the previous methods.
Assessment methods are used to collect data, they can also have a secondary purpose
??? - CORRECT ANSWER: developing relationships or facilitating communication.
Behavioural approach - CORRECT ANSWER: First introduced with the lalonde report
Focus on lifestyle changes especially behavioural risk factors to promote health
,A New Perspective on the Health of Canadians (Lalonde)
• Lifestyle
• Env't
• Human biology
• HC organizations
e.g. participACTION
Biomedical approach - CORRECT ANSWER: Introduced in the 18th century with the
discovery of disease pathogens
Focus on treatment and prevention of disease especially on the biological and
physiological risk factors associated with disease and ill health.
Includes 3 levels of prevention
Community mapping and informant interviews contribute to developing what? -
CORRECT ANSWER: the 2 other basic methods of assessment
1. Progressive inquiry
2. Guided observation
Define a form of secondary prevention - CORRECT ANSWER: Assess and support
individuals and populations when risk factors are present so that screening for early
detection and treatment occurs.
, Define classification - CORRECT ANSWER: Group data into 1 of 3 categories
(background, concern, strength)
to determine if data is background ask:
"what info provides support for, or a reason for doing project"
Define disease - CORRECT ANSWER: Presence of abnormal alterations in the function
of the human body that fit within the medical model
Define disease prevention - CORRECT ANSWER: Actions taken by the health sector to
prevent the occurence of disease (primary), to detect and stop disease development in
those at risk (secondary), and to reduce the negative effects of the disease (tertiary).
Define guided observation (basic method) - CORRECT ANSWER: Collects detailed info
on defined interactions that occur in a designated setting (priv or pub)
Purpose: Learn more about how setting influence the way people behave.
e.g. if your examining playgrounds then you would examine predetermined elements
such as safety or bullying.
Define harm reduction - CORRECT ANSWER: This is accomplished through strategies
such as the implementation of programs to decrease adverse health consequences of
substance abuse.
Focuses on the eventual goal of abstinence as opposed to abstinence as prereq for
starting the program.
e.g. methadone programs, needle exchange, smokeless tobacco.