Questions And Verified Answers
Overview of Community Health Nursing: broad field that allows nurses to practice in a wide
variety of settings.
-promote the health and welfare of clients across the lifespan and from diverse populations
-nurses in the community should understand the foundations of community health, principles, health promotion and
disease prevention
1. Foundations of Community Health Nursing: provide the basis for care of the community and
family. principles guide nurses in providing high quality care.
2. Nightingales theory of environment: highlights relationship between individuals environment
and health
-depicts health as a continuum
-emphasizes preventive care
3. Health Belief Model: predict or explain health behaviors
-assumes that preventive health behaviors are taken primarily for the purpose of avoiding disease
-emphasizes change at individual level
-describes likelihood of taking an action to avoid disease based on: susceptibility, seriousness, threat of disease
-modifying factors, cues to actions, perceived benefits minus perceived barriers to taking action
4. Milio's Framework for Prevention: complements health belief model. emphasizes change at the
community level. identifies relationship between health deficits and availability of health promoting resources
-theorizes that behavior changes within a large number of people can ultimately lead to social change
5. Essentials of Community Nursing: community: group of people and institutions that share
geographic, civic or social parameters
-communities vary in their characteristics and health needs
-health is determined by the degree to which the community's collective health needs are identified and met
-health indicators often used to describe the helath status of community and serve as targets for improvement
-community health nurses practice in the community. have a facility from which they work but their practice is not
limited to institutional settings
-community is the client
-community partnership occurs when community members, agencies and businesses actively participate in the
process of health promotion and disease prevention
-development of community partnerships is critical to the accomplishment of health promotion and disease preven-
,tion strategies
-assess to determine needs and intervene to protect & promote health, preventing disease within a specific population
, 6. Community Based Nursing: focus: individuals and families.
-nursing is illness care: manage acute and chronic conditions in setting where individuals, families and groups live
work and attend (schools, camps, prisons)
7. Community Oriented Nursing: focus on at risk individuals, families, groups and community
nursing: health care to determine health needs of a community and intervene at the individual, family and group level
to improve the collective health of the community
8. Community Health Nursing Practice: focus: synthesis of nursing and public health theory
-nursing to promote, preserve and maintain the health of populations by the delivery of health services to individuals,
families and groups in order to impact community health
9. Public Health Nursing Practice: focus same as community health nursing
-nursing to promote preserve and maintain the health of population through disease and disability prevention and
health protection of community as a whole
-core functions: systematic assessment of the health of population, develop policies to support the health of
populations, ensure that essential health services are avialbale to all
10. Principles of Community Health Nursing: ethical considerations, advocacy, epidemiology,
calculations, edimiological triangle, epidemiologcal process, community based health education
11. Ethical Considerations: prevent harm, promote good, respect individual and community rights, au-
tonomy and diversity, promote confidentiality, competency, trustworthiness, advovacy
-protect, promote, preserve and maintain good and prevent harm
-balance indivdual rights vs. community groups
-address challenges of autonomy and provide ethical care. right to info disclosure, privacy and informed consent, info
confidentiality and participate in treatmnet decisions
12. Application of ethical principles to community health: -respect for autonomy: individ-
uals select actions that fulfill their goals
-nonmaleficience: no harm is done when applying care
-beneficience: maximize possible benefits and minimize possible harms, assess risks and benefits when planning
interventions
-distributive justice: fair distribution of benefits and burden in society based on needs and contributions of its
members
13. Advocacy: client advocate is the role of the community health nurse. nurse plays the role of informer,
supporter, mediator for the client.
-clients who are autonomous beings who have the right to make decisions attecting their own health and welfare