NUR 452 Final Exam Questions And 100%
Correct Answers
Community-based nursing-Answer the focus is on illness care of individuals and
families, the management if acute and chronic illness in the community
Example: going to take care of one sick kid with asthma and educating their family
What is client entry in community-based nursing?
Scope of practice? relationship balance?-Answer -Client entry into HCDS: Individual or
family usually initiates the service
-Scope of practice: acute and chronic illnesses, episodic
-Relationship is usually provider driven, but can be mutual
Community-oriented nursing - Response The priority is the health of the community or
population. It aims to conserve, safeguard or promote health of whole communities
along with all individuals, families groups and populations.
Example: School health- asthmatic child med admin, family for med refill, educate group
of asthmatic students, buses idling by playground (policy change to move)
What is the client entry in community-oriented nursing?
Scope of practice? relationship balance? -Answer -Client entry into HCDS: usually
through outreach to the population
,-Scope of practice: health promotion and disease prevention of populations, frequently
long-term relationships
-Relationship includes mutual participation (community as a partner)
What are the three core public health functions? -Answer 1) Assessment
2) Policy development
3) Assurance
what is the major responsibility for the essential public health services of assessment? -
Answer 1) Monitor health status to identify community health problems
2) Diagnose and investigate health problems and health hazards in the community
what is the main role of policy development for the essential public health services? -
Answer 3) Inform, educate and empower people about health issues
4) Mobilize community partnerships to identify and solve health problems
5) develop policies and plans that support individual and community health efforts
what is the fundamental responsibility of the policy assurance's essential public health
services? - Answer 6) Enforce laws and regulations that protect health and assure
safety
7) Link people to needed personal health services and assure the provision of
healthcare when otherwise unavailable
8) Assure a competent public health and personal healthcare workforce
9) Evaluate effectiveness, accessibility and quality of personal and population-based
health services
,10) Research for new knowledge and novel approaches to health problems
What are some the nursing roles a community-oriented nurse would utilize while caring
for a community/population? - Answer Counselor, assessor, community developer, case
finder, social engineer, case manager, policy developer, advocate, law enforcers,
leader, caregiver, change agent community care agent, educator
What are the three levels of public health practice - Answer 1) Population based
individual-focused practice
2) Population based community-focused practice
3) Population based systems-focused practice
Population based individual-focused practice - Answer -Changes knowledge, attitudes,
beliefs, practices and behaviors of individuals
-Alone, part of a family, class or group
-Individuals receive services because they are identified as belonging to a population at
risk
Population based community-focused practice -Answer The goal is to improve
population health, aims to change community norms, community attitudes, community
awareness, community practices and community behaviors
Population based systems-focused practice -Answer -Changes organizations, policies,
laws and power structures
-Often a more effective and long-lasting way to impact health than addressing
individuals
A school nurse is caring for asthma, what would this look like at all three levels of public
health practice? - Answer Individual: child comes in with exacerbation, assessment,
med admin, call parent for med/refill, referrals for care, etc
Community: hold education for group of asthmatics on campus, make high pollution day
, interventions (announcement to stay indoors if poss, etc)
Systems focused: buses idling by playground.make system change to move buses, etc,
increased absences for asthmatics ok, just passed law to have stock inhalers
A school nurse is handling immunizations, what would this look like at all three levels of
public health practice? - Answer Individual: the RN provides immunizations for
individuals and families, educates them
Community: the RN educates and promotes the need for HPV, vaccinations to groups of
people
Systems: the RN advocates for laws and agency policies that mandate specific
vaccinations by law
Surveillance - Description : monitors health events by ongoing and systematic
collection, analysis and interpretation of health data for the purpose of planning,
implementing and evaluating public health interventions
Ex: John is a public health nurse working in a small rural community. Recently there
have been a number of cases of pertussis reported to the health department
Disease and other health event investigation -Answer systematically gathers and
analyses data regarding threats to the health of populations, ascertains the source of
the threat, identifies cases and others at risk, determines control measures.
Ex: John calls the school nurse and asks how many children have been off sick, and with
what illness. He also calls the local day care centre for the same information. He goes to
visit the local hospital and researches the cases that have passed through the
emergency room over the last month.
Outreach - Answer locates populations of interest or populations at risk and offers data
about the nature of the concern, what can be done about it and how services can be
Correct Answers
Community-based nursing-Answer the focus is on illness care of individuals and
families, the management if acute and chronic illness in the community
Example: going to take care of one sick kid with asthma and educating their family
What is client entry in community-based nursing?
Scope of practice? relationship balance?-Answer -Client entry into HCDS: Individual or
family usually initiates the service
-Scope of practice: acute and chronic illnesses, episodic
-Relationship is usually provider driven, but can be mutual
Community-oriented nursing - Response The priority is the health of the community or
population. It aims to conserve, safeguard or promote health of whole communities
along with all individuals, families groups and populations.
Example: School health- asthmatic child med admin, family for med refill, educate group
of asthmatic students, buses idling by playground (policy change to move)
What is the client entry in community-oriented nursing?
Scope of practice? relationship balance? -Answer -Client entry into HCDS: usually
through outreach to the population
,-Scope of practice: health promotion and disease prevention of populations, frequently
long-term relationships
-Relationship includes mutual participation (community as a partner)
What are the three core public health functions? -Answer 1) Assessment
2) Policy development
3) Assurance
what is the major responsibility for the essential public health services of assessment? -
Answer 1) Monitor health status to identify community health problems
2) Diagnose and investigate health problems and health hazards in the community
what is the main role of policy development for the essential public health services? -
Answer 3) Inform, educate and empower people about health issues
4) Mobilize community partnerships to identify and solve health problems
5) develop policies and plans that support individual and community health efforts
what is the fundamental responsibility of the policy assurance's essential public health
services? - Answer 6) Enforce laws and regulations that protect health and assure
safety
7) Link people to needed personal health services and assure the provision of
healthcare when otherwise unavailable
8) Assure a competent public health and personal healthcare workforce
9) Evaluate effectiveness, accessibility and quality of personal and population-based
health services
,10) Research for new knowledge and novel approaches to health problems
What are some the nursing roles a community-oriented nurse would utilize while caring
for a community/population? - Answer Counselor, assessor, community developer, case
finder, social engineer, case manager, policy developer, advocate, law enforcers,
leader, caregiver, change agent community care agent, educator
What are the three levels of public health practice - Answer 1) Population based
individual-focused practice
2) Population based community-focused practice
3) Population based systems-focused practice
Population based individual-focused practice - Answer -Changes knowledge, attitudes,
beliefs, practices and behaviors of individuals
-Alone, part of a family, class or group
-Individuals receive services because they are identified as belonging to a population at
risk
Population based community-focused practice -Answer The goal is to improve
population health, aims to change community norms, community attitudes, community
awareness, community practices and community behaviors
Population based systems-focused practice -Answer -Changes organizations, policies,
laws and power structures
-Often a more effective and long-lasting way to impact health than addressing
individuals
A school nurse is caring for asthma, what would this look like at all three levels of public
health practice? - Answer Individual: child comes in with exacerbation, assessment,
med admin, call parent for med/refill, referrals for care, etc
Community: hold education for group of asthmatics on campus, make high pollution day
, interventions (announcement to stay indoors if poss, etc)
Systems focused: buses idling by playground.make system change to move buses, etc,
increased absences for asthmatics ok, just passed law to have stock inhalers
A school nurse is handling immunizations, what would this look like at all three levels of
public health practice? - Answer Individual: the RN provides immunizations for
individuals and families, educates them
Community: the RN educates and promotes the need for HPV, vaccinations to groups of
people
Systems: the RN advocates for laws and agency policies that mandate specific
vaccinations by law
Surveillance - Description : monitors health events by ongoing and systematic
collection, analysis and interpretation of health data for the purpose of planning,
implementing and evaluating public health interventions
Ex: John is a public health nurse working in a small rural community. Recently there
have been a number of cases of pertussis reported to the health department
Disease and other health event investigation -Answer systematically gathers and
analyses data regarding threats to the health of populations, ascertains the source of
the threat, identifies cases and others at risk, determines control measures.
Ex: John calls the school nurse and asks how many children have been off sick, and with
what illness. He also calls the local day care centre for the same information. He goes to
visit the local hospital and researches the cases that have passed through the
emergency room over the last month.
Outreach - Answer locates populations of interest or populations at risk and offers data
about the nature of the concern, what can be done about it and how services can be
