NUR 452
NUR 452 Final Exam Questions and Answers
100% Verified 2026
community-based nursing
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 the client entry in community-based nursing?
Scope of practice? relationship balance?
-Client entry into HCDS: Individual or family usually initiates the service
-Scope of practice: acute and chronic illnesses, episodic
-Relationship is typically provider driven, but can be mutual
Community-oriented nursing
The main focus is on the health of the community or population. The goal is
to preserve, protect or maintain health of entire communities along with
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?
-Client entry into HCDS: typically through outreach to the population
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,NUR 452
-Scope of practice: health promotion and disease prevention of populations,
often long-term relationships
-Relationship involves mutual participation (community as a partner)
What are the three core public health functions?
1) Assessment
2) Policy development
3) Assurance
what is the core function of assessment's essential public health services?
1) Monitor health status to identify community health problems
2) Diagnose and investigate health problems and health hazards in the
community
what is the core function of policy development's essential public health
services?
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 individuals and community health
efforts
what is the core function of policy assurance's essential public health
services?
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
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,NUR 452
10) Research for new insights and innovative solutions to health problems
What are some of the nursing roles a community-oriented nurse would use in
caring for a community/population?
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
1) Population based individual-focused practice
2) Population based community-focused practice
3) Population based systems-focused practice
Population based individual-focused practice
-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
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
-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?
3|Page
, NUR 452
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?
Individual: the RN provides immunizations for individuals and families,
educates them
Community: the RN educates and markets the importance of HPV, vaccines
to large groups of people
Systems: the RN lobbies for laws and agency policies that require certain
immunizations by law
Surveillance
describes and monitors health events through 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 who works 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
systematically gathers and analyzes data regarding threats to the health of
populations, ascertains the source of the threat, identifies cases and others at
4|Page
NUR 452 Final Exam Questions and Answers
100% Verified 2026
community-based nursing
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 the client entry in community-based nursing?
Scope of practice? relationship balance?
-Client entry into HCDS: Individual or family usually initiates the service
-Scope of practice: acute and chronic illnesses, episodic
-Relationship is typically provider driven, but can be mutual
Community-oriented nursing
The main focus is on the health of the community or population. The goal is
to preserve, protect or maintain health of entire communities along with
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?
-Client entry into HCDS: typically through outreach to the population
1|Page
,NUR 452
-Scope of practice: health promotion and disease prevention of populations,
often long-term relationships
-Relationship involves mutual participation (community as a partner)
What are the three core public health functions?
1) Assessment
2) Policy development
3) Assurance
what is the core function of assessment's essential public health services?
1) Monitor health status to identify community health problems
2) Diagnose and investigate health problems and health hazards in the
community
what is the core function of policy development's essential public health
services?
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 individuals and community health
efforts
what is the core function of policy assurance's essential public health
services?
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
2|Page
,NUR 452
10) Research for new insights and innovative solutions to health problems
What are some of the nursing roles a community-oriented nurse would use in
caring for a community/population?
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
1) Population based individual-focused practice
2) Population based community-focused practice
3) Population based systems-focused practice
Population based individual-focused practice
-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
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
-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?
3|Page
, NUR 452
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?
Individual: the RN provides immunizations for individuals and families,
educates them
Community: the RN educates and markets the importance of HPV, vaccines
to large groups of people
Systems: the RN lobbies for laws and agency policies that require certain
immunizations by law
Surveillance
describes and monitors health events through 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 who works 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
systematically gathers and analyzes data regarding threats to the health of
populations, ascertains the source of the threat, identifies cases and others at
4|Page
