RN COMMUNITY HEALTH NURSING
ELABORATED EXAM SCRIPT 2026
UPDATED QUESTIONS WITH DETAILED
ANSWERS GRADED A+
⩥ Upstream thinking. Answer: 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. Answer: -Highlights the
relationship between an individual's environment and health
-Depicts health as a continuum
-Emphasizes preventive care
⩥ Health Belief Model. Answer: -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. Answer: -Emphasizes change at
the community level
-Identifies relationship between health deficits and availability of health-
promoting resources
,⩥ Pender's Health Promotion Model. Answer: -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. Answer: Factors that influence that client's
health.
--> nutrition, stress, education, environment, finances, and social status
⩥ Health Indicators. Answer: 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. Answer: -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. Answer: 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. Answer: -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. Answer: -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. Answer: Developing laws and practices to
promote the health of a population based on scientific evidence
⩥ PHN: Assurance. Answer: Making sure adequate health care
personnel and services are accessible, especially to those who might not
normally have them
⩥ Population-focused Nursing. Answer: -Includes assessing to
determine needs, intervening to protect and promote health, and
preventing disease within a specific population
⩥ Key Principles of PHN:. Answer: -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. Answer: 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. Answer: The nurse plays the role of informer, supporter,
and mediator for the client
⩥ Evidence-Based Practice. Answer: -Involves using the best practices,
expert opinion, and client preferences to change the delivery of client
care
-GOAL: improve client outcomes
⩥ EBP: Data. Answer: 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. Answer: Quality assurance, improvement, and management
are part of improvement of health care
⩥ Total quality management (TQM). Answer: Approach that seeks to
improve quality and performance which meets or exceeds expectations
ELABORATED EXAM SCRIPT 2026
UPDATED QUESTIONS WITH DETAILED
ANSWERS GRADED A+
⩥ Upstream thinking. Answer: 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. Answer: -Highlights the
relationship between an individual's environment and health
-Depicts health as a continuum
-Emphasizes preventive care
⩥ Health Belief Model. Answer: -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. Answer: -Emphasizes change at
the community level
-Identifies relationship between health deficits and availability of health-
promoting resources
,⩥ Pender's Health Promotion Model. Answer: -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. Answer: Factors that influence that client's
health.
--> nutrition, stress, education, environment, finances, and social status
⩥ Health Indicators. Answer: 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. Answer: -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. Answer: 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. Answer: -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. Answer: -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. Answer: Developing laws and practices to
promote the health of a population based on scientific evidence
⩥ PHN: Assurance. Answer: Making sure adequate health care
personnel and services are accessible, especially to those who might not
normally have them
⩥ Population-focused Nursing. Answer: -Includes assessing to
determine needs, intervening to protect and promote health, and
preventing disease within a specific population
⩥ Key Principles of PHN:. Answer: -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. Answer: 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. Answer: The nurse plays the role of informer, supporter,
and mediator for the client
⩥ Evidence-Based Practice. Answer: -Involves using the best practices,
expert opinion, and client preferences to change the delivery of client
care
-GOAL: improve client outcomes
⩥ EBP: Data. Answer: 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. Answer: Quality assurance, improvement, and management
are part of improvement of health care
⩥ Total quality management (TQM). Answer: Approach that seeks to
improve quality and performance which meets or exceeds expectations
