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NUR 442 :Community Health Nursing: Exam 2 Concept Blueprint Overview
Roles of the Community Health Nurse
● School Nursing:
o levels of prevention
Primary prevention
● Hand hygiene and tooth-brushing
● Healthy food choices
● Injury prevention, including seat belt use and bike, fire and water safety
● substance use prevention
● Education on proper dental hygiene and tooth brushing
● immunizations
● Disease prevention
Secondary prevention
● Assess all children, faculty, and staff during emergencies.
● Provide care to children who have acute and chronic illness
● Provide emergency care (first aid, early defibrillation with AED, CPR).
● Create emergency plans for children who have a potential for anaphylactic
reactions or other health problems that could result in an emergency situation.
● Assess all children, faculty, staff during emergencies
● Maintain inventory of emergency supply equipment and secure medications.
● Perform screen for early detection of disease and initiate referrals
● Provide care to children who have the following.
o Headaches
o Stomach pain, diarrhea
o Anxiety over being separated from parents
o Minor injuries (cuts or bruises) that occur at school
o .Vision and hearing
o Height and weight
o Oral health
o Scoliosis
o Infestations (lice)
o General physical examinations
o Assess children to detect child abuse or neglect
, 2
Tertiary prevention
● Assess children who have disabilities & long term health needs at school
● Participate in developing the individual education plan (IEP) for children who
have disabilities.
● Work with child/family to develop and achieve long-term outcomes.
● Administer medication per provider’s prescription.
o Original bottle and stored in secure place and written consent by parent
administration is required
● Provide care to children who have specific health needs
o Provide nursing care for children who have chronic disorders, including
asthma, diabetes mellitus, and cystic fibrosis.
o Urinary catheterizations
o Dressing changes
o IV line monitoring/medication administration
o Tracheostomy suctioning
o Tube feeding administration
● Provide ongoing care for adolescent parents or adolescents who are pregnant.
o Assist in pregnancy identification.
● Educate adolescents on prevention of future pregnancies
o Provide parenting education
o age-appropriate interventions
o role of the school nurse during a disaster
Facilitation of family/community involvement: Promoting collaboration between the
school, parents/ caregivers, community resources
Facilitating safety policies: Assisting with the development of policies and procedures for
staff in the event of fire, disaster, or injury
Counseling, psychological, and social services: Providing services that improve the
mental, emotional, and social health of students, as well as the overall school
● Parish Nursing/Faith Community Nursing:
o Function
Health education (available resources, classes, individual and group teaching)
, 3
Liaison between faith community and local resources
Facilitating support groups
Spiritual support (help identify spiritual strengths for coping)
● CIRCLE MODEL OF SPIRITUAL CARE
o C: Caring
o I: Intuition
o R: Respect for religious beliefs and practices
o C: Caution
o L: Listening
o E: Emotional support
o definition
Parish nurses promote the health and wellness of populations of faith communities.
The population often includes church members and individuals and groups in the
geographical community.
Parish nurses work closely with pastoral care staff, professional health care members,
and lay volunteers to provide a holistic approach to healing (body, mind, and spirit
● Correctional Nursing:
o role of nurse
A specialized subset of forensic nursing in which clients are inmates
Primary goal is to maintain a safe, secure, and humane environment for the inmates
Recognize safety and security issues for the nurse; always maintain an escape route
Understand the prison culture
Inmates manipulate nurses.
Environment is highly isolated.
o understanding diseases that impact the inmate population
Health Issues in Prison Populations
● HIV, hepatitis and tuberculosis
Daily operations of a correctional clinic include management of acute and chronic
illness.
Health care issues are recognized during screening process.
● Screening of inmates for health issues entry into the facility
, 4
● Health care triage process includes physical and mental health history.
● Occupational Health Nursing:
o role of nurse
Primary prevention: Teaching good nutrition and knowledge of health hazards, and
providing information on immunizations and use of protective equipment
Secondary prevention: Identifying workplace hazards, early detection through health
surveillance and screening, prompt treatment, counseling and referral, and prevention
of further limitations
Tertiary prevention: Restoration of health through rehabilitation strategies and limited-
duty programs
o Assessing, Planning, and developing education in the occupational environment.
Assessing risks for work-related illness and injury
Planning and delivering health and safety services in the workplace
Collaborating with community health care providers
Facilitating health promotion activities that lead to a more productive workforce
Assess for exposure to health hazards
● Exposure to health hazards: identify agents and host factors that place the
worker at risk, identify ways to eliminate or minimize exposure, and prevent
potential health problems.
Perform workplace assessment
● Information elicited should include the following: Current and past jobs, Current
and past exposure to specific agents and any relationship of current
manifestations to work activities; Any precipitating factors (underlying illness,
● previous injuries, healthy or unhealthy habits
Psychosocial assessment for the possibility of workplace violence
Assist with work-related injuries
● Home Health Nursing:
o defining home health nursing
Community health nurses provide health care services to clients where they reside. This
includes traditional homes, assisted living facilities, and nursing homes.
o identifying the home health interdisciplinary team
NUR 442 :Community Health Nursing: Exam 2 Concept Blueprint Overview
Roles of the Community Health Nurse
● School Nursing:
o levels of prevention
Primary prevention
● Hand hygiene and tooth-brushing
● Healthy food choices
● Injury prevention, including seat belt use and bike, fire and water safety
● substance use prevention
● Education on proper dental hygiene and tooth brushing
● immunizations
● Disease prevention
Secondary prevention
● Assess all children, faculty, and staff during emergencies.
● Provide care to children who have acute and chronic illness
● Provide emergency care (first aid, early defibrillation with AED, CPR).
● Create emergency plans for children who have a potential for anaphylactic
reactions or other health problems that could result in an emergency situation.
● Assess all children, faculty, staff during emergencies
● Maintain inventory of emergency supply equipment and secure medications.
● Perform screen for early detection of disease and initiate referrals
● Provide care to children who have the following.
o Headaches
o Stomach pain, diarrhea
o Anxiety over being separated from parents
o Minor injuries (cuts or bruises) that occur at school
o .Vision and hearing
o Height and weight
o Oral health
o Scoliosis
o Infestations (lice)
o General physical examinations
o Assess children to detect child abuse or neglect
, 2
Tertiary prevention
● Assess children who have disabilities & long term health needs at school
● Participate in developing the individual education plan (IEP) for children who
have disabilities.
● Work with child/family to develop and achieve long-term outcomes.
● Administer medication per provider’s prescription.
o Original bottle and stored in secure place and written consent by parent
administration is required
● Provide care to children who have specific health needs
o Provide nursing care for children who have chronic disorders, including
asthma, diabetes mellitus, and cystic fibrosis.
o Urinary catheterizations
o Dressing changes
o IV line monitoring/medication administration
o Tracheostomy suctioning
o Tube feeding administration
● Provide ongoing care for adolescent parents or adolescents who are pregnant.
o Assist in pregnancy identification.
● Educate adolescents on prevention of future pregnancies
o Provide parenting education
o age-appropriate interventions
o role of the school nurse during a disaster
Facilitation of family/community involvement: Promoting collaboration between the
school, parents/ caregivers, community resources
Facilitating safety policies: Assisting with the development of policies and procedures for
staff in the event of fire, disaster, or injury
Counseling, psychological, and social services: Providing services that improve the
mental, emotional, and social health of students, as well as the overall school
● Parish Nursing/Faith Community Nursing:
o Function
Health education (available resources, classes, individual and group teaching)
, 3
Liaison between faith community and local resources
Facilitating support groups
Spiritual support (help identify spiritual strengths for coping)
● CIRCLE MODEL OF SPIRITUAL CARE
o C: Caring
o I: Intuition
o R: Respect for religious beliefs and practices
o C: Caution
o L: Listening
o E: Emotional support
o definition
Parish nurses promote the health and wellness of populations of faith communities.
The population often includes church members and individuals and groups in the
geographical community.
Parish nurses work closely with pastoral care staff, professional health care members,
and lay volunteers to provide a holistic approach to healing (body, mind, and spirit
● Correctional Nursing:
o role of nurse
A specialized subset of forensic nursing in which clients are inmates
Primary goal is to maintain a safe, secure, and humane environment for the inmates
Recognize safety and security issues for the nurse; always maintain an escape route
Understand the prison culture
Inmates manipulate nurses.
Environment is highly isolated.
o understanding diseases that impact the inmate population
Health Issues in Prison Populations
● HIV, hepatitis and tuberculosis
Daily operations of a correctional clinic include management of acute and chronic
illness.
Health care issues are recognized during screening process.
● Screening of inmates for health issues entry into the facility
, 4
● Health care triage process includes physical and mental health history.
● Occupational Health Nursing:
o role of nurse
Primary prevention: Teaching good nutrition and knowledge of health hazards, and
providing information on immunizations and use of protective equipment
Secondary prevention: Identifying workplace hazards, early detection through health
surveillance and screening, prompt treatment, counseling and referral, and prevention
of further limitations
Tertiary prevention: Restoration of health through rehabilitation strategies and limited-
duty programs
o Assessing, Planning, and developing education in the occupational environment.
Assessing risks for work-related illness and injury
Planning and delivering health and safety services in the workplace
Collaborating with community health care providers
Facilitating health promotion activities that lead to a more productive workforce
Assess for exposure to health hazards
● Exposure to health hazards: identify agents and host factors that place the
worker at risk, identify ways to eliminate or minimize exposure, and prevent
potential health problems.
Perform workplace assessment
● Information elicited should include the following: Current and past jobs, Current
and past exposure to specific agents and any relationship of current
manifestations to work activities; Any precipitating factors (underlying illness,
● previous injuries, healthy or unhealthy habits
Psychosocial assessment for the possibility of workplace violence
Assist with work-related injuries
● Home Health Nursing:
o defining home health nursing
Community health nurses provide health care services to clients where they reside. This
includes traditional homes, assisted living facilities, and nursing homes.
o identifying the home health interdisciplinary team
