Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
ATI RN Community Health Nursing Study
Guide Questions with Answers
Systems thinking
Ans: Studies how an individual, or unit, interacts with other organizations or systems
Upstream thinking
Ans: Is used to focus on interventions that promote health or prevent illness, as opposed
to medical treatment models that focus on care after an individual becomes ill
Nightingale's Environmental Theory
Ans: -Highlights the relationship between an individual's environment and health
-Depicts health as a continuum
-Emphasizes preventive care
Health Belief Model
Ans: -Purpose is to predict health behaviors
-Emphasizes change at the individual level
-Assumes that the preventive health behaviors are taken primarily for the purpose of
avoiding disease
Milio's Framework for Prevention
Ans: -Emphasizes change at the community level
-Identifies relationship between health deficits and availability of health-promoting
resources
Pender's Health Promotion Model
Ans: -Does not consider health risk as a factor that provokes change
-Examines factors that affect individuals actions like: personal factors, feelings, benefits,
barriers, attitudes of others, and abilities
Determinants of Health
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: Factors that influence that client's health.
--> nutrition, stress, education, environment, finances, and social status
Health Indicators
Ans: Describe the health status of a community and serve as targets for the improvement
of a community's health
--> mortality rates, disease prevalence, levels of physical activity, obesity, tobacco, or other
substance use
Community
Ans: -A group of people and institutions that share geographic, civic, and/or social
parameters
-The "community is the client" in community health nursing
Goals of Community Health Nursing
Ans: Promote, preserve, and maintain the health of populations by the delivery of health
services to individuals, families, and groups in order to influence "community health"
Public Health Nursing
Ans: -It is population-focused, and involves a combination of nursing knowledge along with
social and public health sciences
-GOAL: promote health and preventing disease
PHN: Assessment
Ans: -Using systematic methods to monitor the health of a population
-->Monitor health status to identify community health problems
-->Diagnose and investigate health problems/hazards in the community
PHN: Policy Development
Ans: Developing laws and practices to promote the health of a population based on
scientific evidence
PHN: Assurance
Ans: Making sure adequate health care personnel and services are accessible, especially to
those who might not normally have them
Population-focused Nursing
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: -Includes assessing to determine needs, intervening to protect and promote health,
and preventing disease within a specific population
Key Principles of PHN:
Ans: -Emphasize primary prevention
-Work to achieve the greatest good for the largest number of individuals
-Recognize that the client is a partner in health
-Use resources wisely to promote the best outcomes
Ethics
Ans: Preventing harm, doing no harm, promoting good, respecting both individual and
community rights, respecting autonomy and diversity, and providing confidentiality,
competency, trustworthiness, and advocacy
Advocacy
Ans: The nurse plays the role of informer, supporter, and mediator for the client
Evidence-Based Practice
Ans: -Involves using the best practices, expert opinion, and client preferences to change
the delivery of client care
-GOAL: improve client outcomes
EBP: Data
Ans: The nurse should appraise data collected from research to measure whether bias was
minimal (quality), the number of studies, participants, or strength of effect (quantity) and
whether the results are repeatable (consistency)
Quality
Ans: Quality assurance, improvement, and management are part of improvement of health
care
Total quality management (TQM)
Ans: Approach that seeks to improve quality and performance which meets or exceeds
expectations
Continuous quality improvement (CQI)
Ans: Approach to quality management that emphasizes the organization and its processes
and systems and uses objective data to analyze and improve processes
Community Health Education
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: -Nurses regularly provide health education in order to promote, maintain, and restore
the health of populations
-Nurses must take in account the barriers that make learning difficult like: age, cultural
beliefs, poor reading skills, and language barriers
-Effective community health education requires planning
Learning Theories: Behavioral Theory
Ans: Use of reinforcement methods to change learners' behavior
Learning Theories: Cognitive Theory
Ans: Use of sensory input and repetition to change learners' patterns of thought, thereby
changing behaviors
Learning Theories: Critical Theory
Ans: Use of ongoing discussion and inquiry to increase learners' depth of knowledge,
thereby changing thinking and behaviors
Learning Theories: Developmental Theory
Ans: Use of techniques specific to learners' developmental stages to determine readiness
to learn, and to impart knowledge
Learning Theories: Humanistic Theory
Ans: Assists learners to grow by emphasizing emotions and relationships and believing that
free choice will prompt actions that are in their own best interest
Learning Theories: Social Learning Theory
Ans: Links information to beliefs and values to change or shift the learners' expectations
Domains of Learning: Cognitive
Ans: Involves knowledge and the development of intellectual skills
Domains of Learning: Affective
Ans: Involves a change in attitude and development of values
Domains of Learning: Psychomotor
Ans: Involves the performance of a skill
Development of a Community Health Education Plan
Q&A
ATI RN Community Health Nursing Study
Guide Questions with Answers
Systems thinking
Ans: Studies how an individual, or unit, interacts with other organizations or systems
Upstream thinking
Ans: Is used to focus on interventions that promote health or prevent illness, as opposed
to medical treatment models that focus on care after an individual becomes ill
Nightingale's Environmental Theory
Ans: -Highlights the relationship between an individual's environment and health
-Depicts health as a continuum
-Emphasizes preventive care
Health Belief Model
Ans: -Purpose is to predict health behaviors
-Emphasizes change at the individual level
-Assumes that the preventive health behaviors are taken primarily for the purpose of
avoiding disease
Milio's Framework for Prevention
Ans: -Emphasizes change at the community level
-Identifies relationship between health deficits and availability of health-promoting
resources
Pender's Health Promotion Model
Ans: -Does not consider health risk as a factor that provokes change
-Examines factors that affect individuals actions like: personal factors, feelings, benefits,
barriers, attitudes of others, and abilities
Determinants of Health
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: Factors that influence that client's health.
--> nutrition, stress, education, environment, finances, and social status
Health Indicators
Ans: Describe the health status of a community and serve as targets for the improvement
of a community's health
--> mortality rates, disease prevalence, levels of physical activity, obesity, tobacco, or other
substance use
Community
Ans: -A group of people and institutions that share geographic, civic, and/or social
parameters
-The "community is the client" in community health nursing
Goals of Community Health Nursing
Ans: Promote, preserve, and maintain the health of populations by the delivery of health
services to individuals, families, and groups in order to influence "community health"
Public Health Nursing
Ans: -It is population-focused, and involves a combination of nursing knowledge along with
social and public health sciences
-GOAL: promote health and preventing disease
PHN: Assessment
Ans: -Using systematic methods to monitor the health of a population
-->Monitor health status to identify community health problems
-->Diagnose and investigate health problems/hazards in the community
PHN: Policy Development
Ans: Developing laws and practices to promote the health of a population based on
scientific evidence
PHN: Assurance
Ans: Making sure adequate health care personnel and services are accessible, especially to
those who might not normally have them
Population-focused Nursing
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: -Includes assessing to determine needs, intervening to protect and promote health,
and preventing disease within a specific population
Key Principles of PHN:
Ans: -Emphasize primary prevention
-Work to achieve the greatest good for the largest number of individuals
-Recognize that the client is a partner in health
-Use resources wisely to promote the best outcomes
Ethics
Ans: Preventing harm, doing no harm, promoting good, respecting both individual and
community rights, respecting autonomy and diversity, and providing confidentiality,
competency, trustworthiness, and advocacy
Advocacy
Ans: The nurse plays the role of informer, supporter, and mediator for the client
Evidence-Based Practice
Ans: -Involves using the best practices, expert opinion, and client preferences to change
the delivery of client care
-GOAL: improve client outcomes
EBP: Data
Ans: The nurse should appraise data collected from research to measure whether bias was
minimal (quality), the number of studies, participants, or strength of effect (quantity) and
whether the results are repeatable (consistency)
Quality
Ans: Quality assurance, improvement, and management are part of improvement of health
care
Total quality management (TQM)
Ans: Approach that seeks to improve quality and performance which meets or exceeds
expectations
Continuous quality improvement (CQI)
Ans: Approach to quality management that emphasizes the organization and its processes
and systems and uses objective data to analyze and improve processes
Community Health Education
Q&A
, Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A Q&A
Ans: -Nurses regularly provide health education in order to promote, maintain, and restore
the health of populations
-Nurses must take in account the barriers that make learning difficult like: age, cultural
beliefs, poor reading skills, and language barriers
-Effective community health education requires planning
Learning Theories: Behavioral Theory
Ans: Use of reinforcement methods to change learners' behavior
Learning Theories: Cognitive Theory
Ans: Use of sensory input and repetition to change learners' patterns of thought, thereby
changing behaviors
Learning Theories: Critical Theory
Ans: Use of ongoing discussion and inquiry to increase learners' depth of knowledge,
thereby changing thinking and behaviors
Learning Theories: Developmental Theory
Ans: Use of techniques specific to learners' developmental stages to determine readiness
to learn, and to impart knowledge
Learning Theories: Humanistic Theory
Ans: Assists learners to grow by emphasizing emotions and relationships and believing that
free choice will prompt actions that are in their own best interest
Learning Theories: Social Learning Theory
Ans: Links information to beliefs and values to change or shift the learners' expectations
Domains of Learning: Cognitive
Ans: Involves knowledge and the development of intellectual skills
Domains of Learning: Affective
Ans: Involves a change in attitude and development of values
Domains of Learning: Psychomotor
Ans: Involves the performance of a skill
Development of a Community Health Education Plan
Q&A
