ULL N340 Exam 1 | Complete Practice Questions & Verified Answers
assessment involves systematically collecting data on the population, monitoring the
populations health status and making information available about the health of
the community. monitor health; diagnose & investigate
Policy Development refers to efforts to develop policies that support the health of the population,
including using a scientific knowledge base to make policy decisions. inform,
educate, empower; mobilize community partnerships; develop policies
assurance making sure that essential community-oriented health services are available.
enforce laws; link to services; assure competent workforce; evaluate.
community-based nursing The nurse focuses on "illness care" of individuals and families across the life
span. The aim is to manage acute and chronic health conditions in the
community and practice is family-centered illness care. typically tertiary care
Community-oriented nursing nursing that has as its primary focus the health care of either the community or a
population of individuals, families, and groups. health promotion & disease
prevention
key difference between CBN and community-oriented community-based nurses deal primarily with illness-oriented care whereas
nursing community-oriented nurses provide health care to promote quality of life
socioeconomic determinants represents the changes in socioeconomic factors (poverty reduction, improved
education) that help form the basic foundation of society
Public health interventions interventions that change the context of health, such as clean water and safe
roads
protective interventions with long-term benefits one-time or infrequent protective interventions that do not required ongoing
clinical care, such as immunizations, smoking cessation programs, male
circumcision
direct clinical care ongoing clinical interventions, such as interventions to prevent cardiovascular
disease, that have the greatest potential health impact
counseling and education health education provided during clinical encounters which is perceived by some
as the essence of public health action. it is generally the least effective type of
intervention but often the only one available. over time, they may influence
individual health
Public health nursing goal Prevent, promote, protect
characterizing public health nursing Population-focused
Community-oriented
Health and prevention focused
Interventions at the community and/or population level
Concern for the health of all members of the population or community,
particularly vulnerable populations
Benefits of public health population focused reduce early death by 70%. influences daily life by eat, drink,
drive, exercise, treat the environment
Elizabethan Poor Laws guaranteed medical care for poor, blind & lame individuals
, ULL N340 Exam 1 | Complete Practice Questions & Verified Answers
american colonial period early township government was responsible for the care of citizens. collected
birth & death statistics. Sanitation & communicable diseases became important.
1st hospital founded in Pennsylvania
Shattuck Report 1850 - Mass. Sanitary Commission recommended changes to health system
such as control of communicable diseases, alcohol, and teaching of preventative
healthcare
William Rathborne founded first district nursing association in Liverpool, England
demographic trends demanding healthcare 1. increasing population
2. change in minority group (AA to Hispanic)
3. growing foreign born population
4. change in household composition
5. mortality declined
social & economic trends demanding healthcare 1. increase for quality of life
2. changing lifestyles
3. growing appreciation of the quality of life
4. changing composition of families & living patterns
5. rising household incomes
Primary Health care defined 1. comprehensive range of services
2. essential care made universally accessible
3. encourages self-care & self-management in health and the social welfare of
daily life
4. Manage Healthcare (HMO & PPO), Medicare/Medicaid use primary care as
starting point to access care
Public Health System 1. seeks to ensure that the health of the community is protected, promoted and
ensured
2. overlaps with the primary care system
3. is mandated through laws
4. organized into multiple levels
forces influencing future healthcare 1. consumers want lower cost and choice of providers
2. employers want affordable basic healthcare
3. healthcare systems want a balance between consumer and purchaser
demands
4. new legislation laws
5. evidenced based practice to ensure quality
Leadership Positions in Public Health Nursing require 1. Political skills:
-communication
-political activism
2. Business skills:
-understanding budgets
-marketing
3. Program leadership skills:
-applying principles of leadership
-developing health promotion programs
-implementing policy change
-measuring health status indicators
4. Management skills:
-problem solving
-human resource skills
-conflict resolution skills
-ability to work with interdisciplinary teams
4 factors affecting health 1. personal behaviors & lifestyle
2. environment
3. human biology
4. the healthcare system
intensity extent of use of technology, supplies, and health care services by or for the client
assessment involves systematically collecting data on the population, monitoring the
populations health status and making information available about the health of
the community. monitor health; diagnose & investigate
Policy Development refers to efforts to develop policies that support the health of the population,
including using a scientific knowledge base to make policy decisions. inform,
educate, empower; mobilize community partnerships; develop policies
assurance making sure that essential community-oriented health services are available.
enforce laws; link to services; assure competent workforce; evaluate.
community-based nursing The nurse focuses on "illness care" of individuals and families across the life
span. The aim is to manage acute and chronic health conditions in the
community and practice is family-centered illness care. typically tertiary care
Community-oriented nursing nursing that has as its primary focus the health care of either the community or a
population of individuals, families, and groups. health promotion & disease
prevention
key difference between CBN and community-oriented community-based nurses deal primarily with illness-oriented care whereas
nursing community-oriented nurses provide health care to promote quality of life
socioeconomic determinants represents the changes in socioeconomic factors (poverty reduction, improved
education) that help form the basic foundation of society
Public health interventions interventions that change the context of health, such as clean water and safe
roads
protective interventions with long-term benefits one-time or infrequent protective interventions that do not required ongoing
clinical care, such as immunizations, smoking cessation programs, male
circumcision
direct clinical care ongoing clinical interventions, such as interventions to prevent cardiovascular
disease, that have the greatest potential health impact
counseling and education health education provided during clinical encounters which is perceived by some
as the essence of public health action. it is generally the least effective type of
intervention but often the only one available. over time, they may influence
individual health
Public health nursing goal Prevent, promote, protect
characterizing public health nursing Population-focused
Community-oriented
Health and prevention focused
Interventions at the community and/or population level
Concern for the health of all members of the population or community,
particularly vulnerable populations
Benefits of public health population focused reduce early death by 70%. influences daily life by eat, drink,
drive, exercise, treat the environment
Elizabethan Poor Laws guaranteed medical care for poor, blind & lame individuals
, ULL N340 Exam 1 | Complete Practice Questions & Verified Answers
american colonial period early township government was responsible for the care of citizens. collected
birth & death statistics. Sanitation & communicable diseases became important.
1st hospital founded in Pennsylvania
Shattuck Report 1850 - Mass. Sanitary Commission recommended changes to health system
such as control of communicable diseases, alcohol, and teaching of preventative
healthcare
William Rathborne founded first district nursing association in Liverpool, England
demographic trends demanding healthcare 1. increasing population
2. change in minority group (AA to Hispanic)
3. growing foreign born population
4. change in household composition
5. mortality declined
social & economic trends demanding healthcare 1. increase for quality of life
2. changing lifestyles
3. growing appreciation of the quality of life
4. changing composition of families & living patterns
5. rising household incomes
Primary Health care defined 1. comprehensive range of services
2. essential care made universally accessible
3. encourages self-care & self-management in health and the social welfare of
daily life
4. Manage Healthcare (HMO & PPO), Medicare/Medicaid use primary care as
starting point to access care
Public Health System 1. seeks to ensure that the health of the community is protected, promoted and
ensured
2. overlaps with the primary care system
3. is mandated through laws
4. organized into multiple levels
forces influencing future healthcare 1. consumers want lower cost and choice of providers
2. employers want affordable basic healthcare
3. healthcare systems want a balance between consumer and purchaser
demands
4. new legislation laws
5. evidenced based practice to ensure quality
Leadership Positions in Public Health Nursing require 1. Political skills:
-communication
-political activism
2. Business skills:
-understanding budgets
-marketing
3. Program leadership skills:
-applying principles of leadership
-developing health promotion programs
-implementing policy change
-measuring health status indicators
4. Management skills:
-problem solving
-human resource skills
-conflict resolution skills
-ability to work with interdisciplinary teams
4 factors affecting health 1. personal behaviors & lifestyle
2. environment
3. human biology
4. the healthcare system
intensity extent of use of technology, supplies, and health care services by or for the client
