Exam 1 V1: NSG 3480 / NSG3480 (Latest 2026 / 2027) Nursing Practice – Community Health | 100% Correct Questions & Answers - Galen

Exam 1 V1: NSG 3480 / NSG3480 (Latest 2026 / 2027) Nursing Practice – Community Health | 100% Correct Questions & Answers - Galen Question: Public Health Nursing is the Answer society's responsibility to meet basic needs of the people Question: Community and public health nursing practice- what should we assess Answer health literacy patients communicate effectively in writing, orally, and electronically the clients ability to read materials Question: behavior choices made by individuals has the .... Answer greatest influence on the community's health Question: it is essential for the community health nurse to understand... Answer the determinants of health and recognize the interaction of the factors that lead to the disease, death and disability Question: what are the leading health indicators Answer individual behaviors physical and social environmental factors health system issues Question: how do the health indicators affect the health of individuals and communities Answer they can be correlated with leading causes of morbidity and mortality Question: what is the number 1 priority of healthy people 2020 Answer increase life expectancy Question: what are school nurses resposible for Answer monitoring the health of all students Question: what is the first level of prevention & what does it do Answer primary disease prevention, then begins with recognition of a health risk, a disease, or environmental hazard Question: What is the second level of prevention & what does it do Answer secondary prevention aimed at early diagnosis, focus is identification of health needs, health problems, and employees at risk Question: what is the third level of prevention & what does it do Answer tertiary prevention plays a key role in rehab of the patient Question: what do faith community nurses do Answer encourage individuals to implement healthy lifestyles overall, the FCN provides educational programs promoting health status and the needs of the faith community members Gain a better understanding of the politics of the community member's faith system Question: what is the whole picture of a faith community nurse Answer best clinical practice may suggest behaviors CONTRARY to the faith community's values and beliefs Question: what do home health nurses address Answer the health issues that the client and family think should be addressed Question: what does the plan of treatment include (application of the nursing process) Answer type of home health services received the projected frequency of visits by each discipline the necessary interventions Question: what is the goal of hospice care Answer providing grief support to the family after the patient has died Question: thinking upstream- actions focus on modifying what Answer economic, political, environmental Question: Health promotion- skipping annual mammograms and not pursuing cardiac screening... Answer the patient is neglecting an important step in maintaining their health Question: what are the leading causes of death related to Answer lifestyle choices Question: what is the primary purpose or the goal of theory is to Answer improve nursing practice Question: what are the macroscopic approaches to delineation of community health nursing problems Answer social economic factors influencing health status modifying social or environmental variables, may involve social or political action what are the microscopic approaches to the delineation of community health nursing problems Answer examines individual and sometimes family, responses to health and illness. Nursing interventions are often aimed at modifying an individuals behavior by changing his or her perceptions or belief system what is the most widely used conceptuaal framework in health behavior and what is it used for Answer the health belief model has been used to explain the behavior charnge and maintanence of behavior change and to guide health promotion interventions why do people choose to accept or reject the instructions of nurses and doctors Answer percieved seriousness, perceived susceptibility cue to action what is nancy milios framework for prevention Answer society is the focus of change advocated that the main determinant for unhealthful behavior choice lack of knowledge what are the implications of Milios framework Answer assess the personal and societal resources of individual patients and to analyze social and economic factors that may inhibit healthy choices what does critical theoretical perspective do uses societal awareness to expose social inequalities in the health care system what is penders health promotion model a belief that the patients will be rewarded if action is taken it contains 7 health variables related to health behaviors what is health promotion a state of complete physical, mental and social well being, and not merely an absence of disease what is a community assessment define the community - learn about the people in the community what is the nature of community it is an aggregate of people what do community members fulfill the essential functions of a community what are the sources of data when assessing a community traveling through the area, it enables the nurse to absorb an overall impression of the community what is census data reports social data such as income, poverty, occupational factors what are vital statistics the population growth or reduction, morbidity and mortality rates, occurences of congenital malformations are important information in assessments of the community's health status what is the BRFSS's goal identifying emerging health problems what is community competence building a community's capactiy to address future problems how do you perform a windshield survey driving or walking through a community and making organized observations what does the Theory of Reasoned Action attempt to predict a person's intention to perform a certain behavior TRA- a nurse is working with client to change behavior and maximize health, why would the nurse want to talk to the family evaluate the family's approval of proposed change what does the Theory of Planned Behavior focus on? person's beliefs and has to do with different presense of factors that can either facilitate or impede performance of behavior health promotion is... an essential component to ongoing good health and well being who is lillian wald? what does she say the public health nurse should recognize? founder of public health nursing Should recognize larger social and economic forces that the family cannot control what is the initial step of the health planning model assess and decide which aggregate will receive the education what should the planning stage allow group discussion what should nurses consider in planning and teaching as other forms of intervention personal counseling, policy change, and community service development what important factors are there to determine if a health education program will create change the amount of input from the community and participation by learners what should we avoid with health care planning interfereing with the current health care approach, it did not improve access to care what did the hill-burton act cause expenditure of vast sums of money and resulted in an increase in the number of beds, especially in general hospitals what is the core of health education development of open and trusting relationship what does health education aim to do enhance wellness and decrease disability what does Paulo Freire's problem solving education allow active participation and ongoing dialogue and encourages learners to be critical of an reflective about health issues what is a significant component of community health nursing teaching what is the goal of health education to facilitate a process that allows individuals, families, and groups to make well informed decisions about health practices Primary Prevention Programs targeted to the specific hazards identified in the work place; wearing safety glasses and use of PPE Secondary Prevention Prevention and early detection by increasing awareness of health conditions such as breast cancer Tertiary Prevention Returning to work after sustaining an MI; provide smoking cessation counseling How does the nursing process apply to home health nurse? Plan of treatment -type of home health services received, projected frequency, necessary interventions Home health nurse Address the health issues that the client and family think should be addressed Leading Health Indicators according to healthy people 2020, the major public health concerns in the U.S.: Individual behaviors Physical and social environmental factors Health system issues Number 1 priority of healthy people 2020 Increase life expectancy Determinants of health and disease Behavior choices made by individuals has the greatest influences on the community's health Common chronic illnesses in children Asthma (8.6%) Diabetes Community and public health nurses should Assess health literacy Public Health Nursing Society's responsibility to meet the basic needs of the people Faith Community Nursing Provide educational programs promoting health and needs of faith comm. members Ethical conflict in faith community nursing Best clinical practice may suggest behaviors CONTRARY to the faith comm. values and beliefs (ex. jehovah's witness) Hospice Home Care goal after pt death provide grief support to family after pt has died The primary purpose or goal of theory is to Improve nursing practice Thinking upstream actions focus on modifying: Economic, political, and environmental Health belief model Needs are not met by the health care system Nancy Milo Societal changes (ex. tobacco) by promoting health through public policy; lack of knowledge is main determinant for unhealthy behavior Critical theoretical perspective (Nancy Milio) Uses societal awareness to expose social inequalities (poverty) in the healthcare system Theory of Reasoned Action (TRA) Behavior is determined by one's behavioral intentions (ex. I will exercise because I believe there will be positive results) Theory of Planned Behavior Factors can facilitate or impede performance of behavior (work hard to achieve goals) Health Promotion The WHO says health is a state of complete physical, mental, and social well-being, and not merely the absence of disease Groups of people likely to help each other= Live the closest to the person needing assistance Community competence the ability community members have in collaborating efficiently to identify problems and needs (have all the factors) The goal of the Behavioral Risk Factor Surveillance System (BRFSS) is to identify emerging health problems Vital Statitstics Helps determine population growth or reduction, morbidity and mortality rates, and occurrence of congenital malformations The American Community Survey (census data) reports data on Income, poverty, and occupational factors The social system's essential functions are socialization, role fulfillment, goal achievement, and member support Traveling through the area enables the nurse to absorb an overall impression of the community Services found at the local/county health department Mental health and ambulatory care, preventative health services, and nursing and welfare services Principles of beneficence Gives moral privilege to the needs of the most vulnerable Microscopic vs macro Old vs new First step in needs assessment process Identify aggregate for assessment to create plan Define the community (ex. with zip code) then learn about the people in the community Windshield survery Go through an area and make organized observations Focus groups are effective for understanding the needs of the community Theory of Reasoned Action evaluates the family approval of proposed change Health education in the community is the development of open and trusting relationships Lillian Wald says public health nursing should recognize the larger social and economic forces that the family cannot control Health Planning Model initial step Assess and decide which aggregate will receive education (ex. diabetes) Planning stage allows or encourages group discussion to MAXIMIZE PARTICIPATION Problem with health planning efforts they did not improve access to care Hill-Burton Act caused expenditure of vast sums of money resulting in increased number of hospital beds, but did not address care directly (ex. nurse:pt ratio) During the assessment phase of the students weight reduction program, the student failed to consider the women's perception of need (did not consider weight a priority need) Paulo Freire says active participation and ongoing dialogue encourages reflection (health education empowerment) Health planning includes education How to evaluate the effectiveness of health education program Did it create change? When selecting goals for an educational program, you should identify the needs of the community