ATI RN Community Health 2025 All-In-One Study Guide – Key
Areas + Real Proctored NGN Question
Global Health
-Global health initiatives can be used to improve health status worldwide, and promote equity
in treatment
-Health for all in the 21st century (HFA21) outlines goals to promote productivity though
adequate healthcare services around the globe
-Examining the years of life lost from early death and disability provides information about the
global burden of disease
Influences on Global Health
Wars and political unrest, natural and man-made disasters, limited resources and structure in
lesser-developed nations, international travel (increase spread of disease), sanitation practice,
climate change, maternal health, nutrition
Goals for Global Health
,The Millennium Developmental Goals (MDGs) which called for more developed nations to
contribute resources to improve conditions in lesser-developed countries, making global
health a responsibility of nations around the world.
--> Eradicating hunger and extreme poverty, making primary education available worldwide,
promoting empowerment of women and gender equality, reducing child mortality, fostering
maternal health, reducing malaria, HIV/AIDS, and other communicable diseases, promoting a
sustainable environment, developing global partnerships
Global Health: Nursing Interventions
-Support the development of health care roles in countries that lack health care professionals
-Promote the benefits of nursing as a distinct profession in health promotion and disease
prevention and reducing health care costs
-Promote the rights of nurses
-Foster programs that promote environmental sustainability ("go green")
-Act as mentors or consultants to address health of individuals and communities in other
countries
Access to Health Care
The goal of a primary health care system is to make health care available in close proximity to
people who need it, and to ensure that it be comprehensive with flexible cost to accommodate
the income variations of the individuals who use those services
--> PHN advocate for improved access to health care services
--> PHN can help shift the focus of the health care system from acute treatment of disease to
primary prevention measures, in order to decrease costs
Barriers to health care
Inadequate health care insurance, inability to pay for services, language barriers, cultural
barriers, lack of providers in a community, geographic and social isolation, lack of
communication tools (cell phone) and transportation, inconvenient hours, attitudes of HCP
towards clients of low income socioeconomic status or those with different ethnic
backgrounds, eligibility requirements for state/federal assistance programs
Organizations and Financing
Good health status positively affects the economy by increasing the individual's potential for
productivity and wage-earning
,Microeconomic Theory
Examines individual preference and finances, and how those actions affect cost of care and
resource distribution
Macroeconomic Theory
-Focuses on aggregate behaviors, economic growth, and employment
- The cost associated with health care is a barrier to care for many become some providers
ration health care, and only offer services to individuals with certain coverage types
-The U.S government is involved in providing direct health care services, providing information
and protection to the public, setting policies, and assisting providers and the public with
finances
Affordable Care Act
- It was created to help make health insurance affordable for all people and decreases the
amount of federal spending on health care
- It affects the way medicare benefits are implemented and the way private insurance
companies supply coverage
- IMPORTANT ELEMENTS:
--> Extending eligibility for dependents to remain on parent's insurance until age 26
--> Prohibiting health plans from denying benefits for preexisting coverage to children under
age 19
--> Banning lifetime limits on benefit coverage
--> Covering preventive care services
Organizations
The health care system in the U.S. is influences by federal and private organizations (insurers,
employers), as well as global health organizations
--> international, federal, state, and local organizations
International: World Health Organization (WHO)
- Provides daily information regarding the occurrence of internationally important diseases
, - Establishes world standards for antibiotics and vaccines
- Primarily focuses on the health care workforce and education, environment, sanitation,
infectious diseases, maternal and child health, and primary care
Federal: Veterans Health Administration
Finances health services for active and retired military persons and dependents
Federal: Department of Health & Human Services
- Under the direction of the secretary of state
- Funded through federal taxes
- Consists of the following:
--> Administration for children and families (ACF)
--> Administration for community living (ACL)
--> Centers for Medicare/Medicaid Services (CMS)
--> Agency for Healthcare research and Quality (AHEQ)
--> Centers for Disease Control and Prevention (CDC)
--> Agency for Toxic Substances and Disease Registry (ATSDR)
--> Food and Drug Administration (FDA)
--> Health Resources and Service Administration (HRSA)
--> Indian Health Service (IHS)
--> National Institutes of Health (NIH)
--> Substance Abuse and Mental Health Services Administration (SAMHSA)
State: State Departments of Health
Obtain funding from state legislature and federal public health agencies
--> Manages Women, Infant and Children (WIC), which promotes nutrition for women, infants,
and children up to age 5 who are of low socioeconomic status
--> Oversees Children's Health Insurance Program (CHIP), which offers expanded health
coverage to uninsured children whose families do not qualify for Medicaid
--> Establishes public health policies
--> Provides assistance/support for local health departments
--> Responsible for the administration of the Medicaid program
Areas + Real Proctored NGN Question
Global Health
-Global health initiatives can be used to improve health status worldwide, and promote equity
in treatment
-Health for all in the 21st century (HFA21) outlines goals to promote productivity though
adequate healthcare services around the globe
-Examining the years of life lost from early death and disability provides information about the
global burden of disease
Influences on Global Health
Wars and political unrest, natural and man-made disasters, limited resources and structure in
lesser-developed nations, international travel (increase spread of disease), sanitation practice,
climate change, maternal health, nutrition
Goals for Global Health
,The Millennium Developmental Goals (MDGs) which called for more developed nations to
contribute resources to improve conditions in lesser-developed countries, making global
health a responsibility of nations around the world.
--> Eradicating hunger and extreme poverty, making primary education available worldwide,
promoting empowerment of women and gender equality, reducing child mortality, fostering
maternal health, reducing malaria, HIV/AIDS, and other communicable diseases, promoting a
sustainable environment, developing global partnerships
Global Health: Nursing Interventions
-Support the development of health care roles in countries that lack health care professionals
-Promote the benefits of nursing as a distinct profession in health promotion and disease
prevention and reducing health care costs
-Promote the rights of nurses
-Foster programs that promote environmental sustainability ("go green")
-Act as mentors or consultants to address health of individuals and communities in other
countries
Access to Health Care
The goal of a primary health care system is to make health care available in close proximity to
people who need it, and to ensure that it be comprehensive with flexible cost to accommodate
the income variations of the individuals who use those services
--> PHN advocate for improved access to health care services
--> PHN can help shift the focus of the health care system from acute treatment of disease to
primary prevention measures, in order to decrease costs
Barriers to health care
Inadequate health care insurance, inability to pay for services, language barriers, cultural
barriers, lack of providers in a community, geographic and social isolation, lack of
communication tools (cell phone) and transportation, inconvenient hours, attitudes of HCP
towards clients of low income socioeconomic status or those with different ethnic
backgrounds, eligibility requirements for state/federal assistance programs
Organizations and Financing
Good health status positively affects the economy by increasing the individual's potential for
productivity and wage-earning
,Microeconomic Theory
Examines individual preference and finances, and how those actions affect cost of care and
resource distribution
Macroeconomic Theory
-Focuses on aggregate behaviors, economic growth, and employment
- The cost associated with health care is a barrier to care for many become some providers
ration health care, and only offer services to individuals with certain coverage types
-The U.S government is involved in providing direct health care services, providing information
and protection to the public, setting policies, and assisting providers and the public with
finances
Affordable Care Act
- It was created to help make health insurance affordable for all people and decreases the
amount of federal spending on health care
- It affects the way medicare benefits are implemented and the way private insurance
companies supply coverage
- IMPORTANT ELEMENTS:
--> Extending eligibility for dependents to remain on parent's insurance until age 26
--> Prohibiting health plans from denying benefits for preexisting coverage to children under
age 19
--> Banning lifetime limits on benefit coverage
--> Covering preventive care services
Organizations
The health care system in the U.S. is influences by federal and private organizations (insurers,
employers), as well as global health organizations
--> international, federal, state, and local organizations
International: World Health Organization (WHO)
- Provides daily information regarding the occurrence of internationally important diseases
, - Establishes world standards for antibiotics and vaccines
- Primarily focuses on the health care workforce and education, environment, sanitation,
infectious diseases, maternal and child health, and primary care
Federal: Veterans Health Administration
Finances health services for active and retired military persons and dependents
Federal: Department of Health & Human Services
- Under the direction of the secretary of state
- Funded through federal taxes
- Consists of the following:
--> Administration for children and families (ACF)
--> Administration for community living (ACL)
--> Centers for Medicare/Medicaid Services (CMS)
--> Agency for Healthcare research and Quality (AHEQ)
--> Centers for Disease Control and Prevention (CDC)
--> Agency for Toxic Substances and Disease Registry (ATSDR)
--> Food and Drug Administration (FDA)
--> Health Resources and Service Administration (HRSA)
--> Indian Health Service (IHS)
--> National Institutes of Health (NIH)
--> Substance Abuse and Mental Health Services Administration (SAMHSA)
State: State Departments of Health
Obtain funding from state legislature and federal public health agencies
--> Manages Women, Infant and Children (WIC), which promotes nutrition for women, infants,
and children up to age 5 who are of low socioeconomic status
--> Oversees Children's Health Insurance Program (CHIP), which offers expanded health
coverage to uninsured children whose families do not qualify for Medicaid
--> Establishes public health policies
--> Provides assistance/support for local health departments
--> Responsible for the administration of the Medicaid program
