RN COMMUNITY HEALTH NURSING EDITION 9.0
KEY PUBLIC HEALTH CONCEPTS AND REVIEW
NOTES 2026
◉ 1. In 1925, Mary Breckenridge established the Frontier Nursing
Service (FNS) based on a system of care used in the highlands and
islands of Scotland. Changes in public support for community and
public health nursing and away from individual commitment and
private financial support led to innovations in health care delivery in
the twentieth century, especially for underserved populations. One
of Breckenridge's innovative contributions to health care in the
United States was:
a. establishment of the Federal Emergency Relief Administration.
b. introduction of the first nurse-midwifery training.
c. introduction of the nursing process.
d. introduction of occupational health nursing. Answer: ANS: B
The unique pioneering spirit of the FNS influenced the development
of public health programs to improve the health care of rural and
often inaccessible populations in the Appalachian sections of
southeastern Kentucky. FNS nurses were trained in nursing, public
health, and midwifery. Breckenridge, the founder of the FNS,
introduced the first nurse-midwives into the United States.
,Cognitive Level: Comprehension
Associated Chapter Objective: 1 & 4
REF: p. 31
◉ 2. The most important contribution made by Florence Nightingale
to community-oriented nursing was:
a. development of the settlement house concept as a strategy to
improve urban health standards.
b. expansion of the role of nursing to include health-promotion
practices.
c. founding of the first district nursing association in England.
d. introduction of professional schools of nursing in the United
States. Answer: ANS: B
Florence Nightingale introduced professional nursing education in
1850s England. She also introduced the concept that individual
health depended on community health, which expanded nurses'
focus from care of the ill to include a population-based approach,
health promotion, and disease prevention. She differentiated "sick
nursing" from "health nursing." The latter emphasized that nurses
should strive to promote health and prevent illness.
,Cognitive Level: Application
Associated Chapter Objective: 1 & 4
REF: p. 27
◉ 3. The Social Security Act of 1935 was designed to prevent the
reoccurrence of the problems of the depression. Title VI of this act
provided funding for expanded opportunities for health protection
and promotion. The most relevant strategy related to this objective
for public health nursing was:
a. establishment of an FNS.
b. provision of funding to support employment and education.
c. provision of funding for research and investigation of disease.
d. institution of a district nursing model. Answer: ANS: B
Title VI of the 1935 Social Security Act provided funding for
expanded opportunities for health protection and promotion
through education and employment of public health nurses (PHNs).
More than 1,000 nurses completed educational programs in public
health in 1936. Title VI also provided $8 million to assist states,
counties, and medical districts in the establishment and
maintenance of adequate health services, which included increasing
the number of PHNs with appropriate educational preparation. Title
, VI also provided $2 million in funding for research and investigation
of disease.
Cognitive Level: Application
Associated Chapter Objective: 1 & 7
REF: p. 33
◉ 4. In 1902, Lillian Wald introduced the concept of school nursing
to address the problem of school absenteeism. The primary model
for the school nurse program was to work with children in the
schools and make home visits for the purpose of:
a. enforcing the department of health's rules and regulations.
b. excluding infectious children from the school environment.
c. providing and obtaining medical treatment for absent students.
d. providing shoes and clothing for students. Answer: ANS: C
In New York City in 1897, school medical examination focused on
excluding infectious children from school. By 1902, more than 20%
of children might be absent from school on any given day because no
one focused on providing or obtaining medical treatment for absent
children so that they could return to school. The first school nurses
made home visits to teach parents and provide follow-up care to
children absent from school.
KEY PUBLIC HEALTH CONCEPTS AND REVIEW
NOTES 2026
◉ 1. In 1925, Mary Breckenridge established the Frontier Nursing
Service (FNS) based on a system of care used in the highlands and
islands of Scotland. Changes in public support for community and
public health nursing and away from individual commitment and
private financial support led to innovations in health care delivery in
the twentieth century, especially for underserved populations. One
of Breckenridge's innovative contributions to health care in the
United States was:
a. establishment of the Federal Emergency Relief Administration.
b. introduction of the first nurse-midwifery training.
c. introduction of the nursing process.
d. introduction of occupational health nursing. Answer: ANS: B
The unique pioneering spirit of the FNS influenced the development
of public health programs to improve the health care of rural and
often inaccessible populations in the Appalachian sections of
southeastern Kentucky. FNS nurses were trained in nursing, public
health, and midwifery. Breckenridge, the founder of the FNS,
introduced the first nurse-midwives into the United States.
,Cognitive Level: Comprehension
Associated Chapter Objective: 1 & 4
REF: p. 31
◉ 2. The most important contribution made by Florence Nightingale
to community-oriented nursing was:
a. development of the settlement house concept as a strategy to
improve urban health standards.
b. expansion of the role of nursing to include health-promotion
practices.
c. founding of the first district nursing association in England.
d. introduction of professional schools of nursing in the United
States. Answer: ANS: B
Florence Nightingale introduced professional nursing education in
1850s England. She also introduced the concept that individual
health depended on community health, which expanded nurses'
focus from care of the ill to include a population-based approach,
health promotion, and disease prevention. She differentiated "sick
nursing" from "health nursing." The latter emphasized that nurses
should strive to promote health and prevent illness.
,Cognitive Level: Application
Associated Chapter Objective: 1 & 4
REF: p. 27
◉ 3. The Social Security Act of 1935 was designed to prevent the
reoccurrence of the problems of the depression. Title VI of this act
provided funding for expanded opportunities for health protection
and promotion. The most relevant strategy related to this objective
for public health nursing was:
a. establishment of an FNS.
b. provision of funding to support employment and education.
c. provision of funding for research and investigation of disease.
d. institution of a district nursing model. Answer: ANS: B
Title VI of the 1935 Social Security Act provided funding for
expanded opportunities for health protection and promotion
through education and employment of public health nurses (PHNs).
More than 1,000 nurses completed educational programs in public
health in 1936. Title VI also provided $8 million to assist states,
counties, and medical districts in the establishment and
maintenance of adequate health services, which included increasing
the number of PHNs with appropriate educational preparation. Title
, VI also provided $2 million in funding for research and investigation
of disease.
Cognitive Level: Application
Associated Chapter Objective: 1 & 7
REF: p. 33
◉ 4. In 1902, Lillian Wald introduced the concept of school nursing
to address the problem of school absenteeism. The primary model
for the school nurse program was to work with children in the
schools and make home visits for the purpose of:
a. enforcing the department of health's rules and regulations.
b. excluding infectious children from the school environment.
c. providing and obtaining medical treatment for absent students.
d. providing shoes and clothing for students. Answer: ANS: C
In New York City in 1897, school medical examination focused on
excluding infectious children from school. By 1902, more than 20%
of children might be absent from school on any given day because no
one focused on providing or obtaining medical treatment for absent
children so that they could return to school. The first school nurses
made home visits to teach parents and provide follow-up care to
children absent from school.
