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NR442 EXAM 1 2025/26 WEEK 1,2,3 KEY CONCEPT |ACCURATE ANSWERS KEY|CHAMBERLAIN GRADED A

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NR442 EXAM 1 2025/26 WEEK 1,2,3 KEY CONCEPT |ACCURATE ANSWERS KEY|CHAMBERLAIN GRADED A












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August 16, 2025
Number of pages
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Written in
2025/2026
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NR442 EXAM 1 2025/26 WEEK 1,2,3 KEY CONCEPT
|ACCURATE ANSWERS KEY|CHAMBERLAIN GRADED
A


What influenced the Patient Protection and Affordable Care Act?

Strongly influenced by the rising numbers of uninsured & underinsured

What is the goal of Community and Public Health Nursing?

To preserve the health of the community and surrounding population including healing
maintenance of individuals, families, and groups within the community.

What is Public Health?

A long term commitment to the community to focus on health promotion and prevention.
*Population based
*Grounded in social justice
*Relies on science of epidemiology

Describe Nursing

Relationship based care in an independent practice that is:
*Grounded in an ethic of caring
*Holistic
*Sensitivity to diversity

What are the goal of Public Health?

*Preventing Disease
*Prolonging life
*Promoting Individual and Community Health

Describe Community-based nursing

All nursing care provided outside of an acute care into the community.
- Provision of personal care to individuals and families in the community.

What are the roles of a Community Nurse?

-Immunizations
-Communicable disease surveillance & control

,-Teach & monitor blood borne pathogen control
-Advise on prevention of vector borne diseases
-Teach methods for responsible sexual behavior & screen for STDs
-Screen for TB, identify TB contacts, & deliver directly observed TB treatment.

What is Community-oriented nursing?

All nursing care that is provided within in the overall focus of the well beings of the
community.

Describe a community

People, place, social interactions/common characteristics

*Two types
-Geopolitical
-Phenomenological

Describe geopolitical

A spatial designation; a geographic or geopolitical area or place.

Describe phenomenological

Relationally-bound by similar characteristics, goals, and/or interests but do not live in
the same area (Military)

What are some Aggregate Impacts?

*Growing population
*Overpopulated
*Imbalanced Human Ecology (Changes in cultural adaption)

Who is William Rathborne?

The one who Founded the first district nursing association in Liverpool, England and
helped establish district nursing throughout England with Nightingale.

Who is Lillian Wald?

She was a Founder of Henry Street Settlement House in NY and Founder of Public
Health Nursing, who recognized connections between health and social conditions.
She advocated for the development of national and international policies.

What is NOPHN?

,The National organization of Public Health
It improves educational & service standards of public health nursing & promotes public
understanding of and respecting of workers.

What are some ways to decrease community acquired illnesses?

*Immunizations
*Nutrition Improvements
*Hygiene & sanitation education and improvements
*Improved medications
*Better Housing
*Innovative emergencies & Critical care services

What is the Nursing process amongst communities?

1. Assessment & Analysis
-Include community members

2. Diagnosis
-ID health issues and problems

3. Planning
-Include community leaders

4. Implementations
-Include community

5. Evaluation
-Includes process & outcomes
-Community members must contribute

What are the benefits of Community assessment?

Identifies community needs, problems, strengths, and resources.

What is involved in Community assessment?

*Defining the community

*Gathering relevant existing data and generating missing data

*Developing databases

*Interpreting data to identify problems & strengths

, *Analyzing problems & developing a diagnosis

Describe the Community nursing process

1. Establish partnership
2. Assessment & Analysis
3. Nursing diagnosis
4. Planning
5. Implementation
6. Evaluation

May need to be renegotiated throughout the process

What is considered personal observations?

*Senses: sight, smell, hearing, taste, touch, & body

*Observe community members, read and collect literature on community (newspapers,
TV, Publications)

What are existing data sources?

*Secondary analysis:
- vital stats
- census data
- CDC

*National sources:
- special interest groups
- longitudinal research
- state & local, Internet

What are Assessment Parameters?

- Physical environment
- Education level
- Safety and transportation
- Politics and government
- Health & Social Services
- Communication
- Economics
- Recreation

What questions are asked during Intervention work-planning?

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