ATI COMMUNITY HEALTH NURSING
COMPREHENSIVE QUESTIONS &
UPDATED CORRECT ANSWERS
PASSED 100%
Systems thinking - Correct Answer ✔✔ Studies how an individual, or unit, interacts with
other organizations or systems
Upstream thinking - Correct Answer ✔✔ Is used to focus on interventions that promote
health or prevent illness, as opposed to medical treatment models that focus on care
after an individual becomes ill
Nightingale's Environmental Theory - Correct Answer ✔✔ -Highlights the relationship
between an individual's environment and health
-Depicts health as a continuum
-Emphasizes preventive care
Health Belief Model - Correct Answer ✔✔ -Purpose is to predict health behaviors
-Emphasizes change at the individual level
-Assumes that the preventive health behaviors are taken primarily for the purpose of
avoiding disease
Milio's Framework for Prevention - Correct Answer ✔✔ -Emphasizes change at the
community level
-Identifies relationship between health deficits and availability of health-promoting
resources
Pender's Health Promotion Model - Correct Answer ✔✔ -Does not consider health risk
as a factor that provokes change
-Examines factors that affect individuals actions like: personal factors, feelings, benefits,
barriers, attitudes of others, and abilities
Determinants of Health - Correct Answer ✔✔ Factors that influence that client's health.
--> nutrition, stress, education, environment, finances, and social status
Health Indicators - Correct Answer ✔✔ Describe the health status of a community and
serve as targets for the improvement of a community's health
--> mortality rates, disease prevalence, levels of physical activity, obesity, tobacco, or
other substance use
,Community - Correct Answer ✔✔ -A group of people and institutions that share
geographic, civic, and/or social parameters
-The "community is the client" in community health nursing
Goals of Community Health Nursing - Correct Answer ✔✔ Promote, preserve, and
maintain the health of populations by the delivery of health services to individuals,
families, and groups in order to influence "community health"
Public Health Nursing - Correct Answer ✔✔ -It is population-focused, and involves a
combination of nursing knowledge along with social and public health sciences
-GOAL: promote health and preventing disease
PHN Core Functions (3) - Correct Answer ✔✔ -->Assessment
-Using systematic methods to monitor the health of a population
-Monitor health status to identify community health problems
-Diagnose and investigate health problems/hazards in the community
-->Policy Development
-Developing laws and practices to promote the health of a population based on scientific
evidence
-inform, educate, and empower people about health issues
-->Assurance
-Making sure adequate health care personnel and services are accessible, especially to
those who might not normally have them
Population-focused Nursing - Correct Answer ✔✔ -Includes assessing to determine
needs
-intervening to protect and promote health
-preventing disease within a specific population
Key Principles of PHN: - Correct Answer ✔✔ -Emphasize primary prevention
-Work to achieve the greatest good for the largest number of individuals
-Recognize that the client is a partner in health
-Use resources wisely to promote the best outcomes
Community-Oriented Nursing Vs. Community-based Nursing - Correct Answer ✔✔ --
>Community-Oriented Nursing
-focus of care: aggregates, communities
-primary goal: health promotion and disease prevention
-nursing activities: indirect - programs
-->Community-based Nursing
-focus of care: individuals and families
-primary goal: management of acute and chronic illness
,-nursing activities: direct - illness care management
Principles Guiding Community Health Nursing - Correct Answer ✔✔ -->Ethics
-Preventing harm, doing no harm, promoting good, respecting both individual and
community rights, respecting autonomy and diversity, and providing confidentiality,
competency, trustworthiness, and advocacy
-->Advocacy
- The nurse plays the role of informer, supporter, and mediator for the client
-->Evidence-based practice
-Involves using the best practices, expert opinion, and client preferences to change the
delivery of client care
-GOAL: improve client outcomes
- The nurse should appraise data collected from research to measure whether bias was
minimal (quality), the number of studies, participants, or strength of effect (quantity) and
whether the results are repeatable (consistency)
-->Quality
-Quality assurance, improvement, and management are part of improvement of health
care
-Total quality management (TQM): Approach that seeks to improve quality and
performance which meets or exceeds expectations
-Continuous quality improvement (CQI): Approach to quality management that
emphasizes the organization and its processes and systems and uses objective data to
analyze and improve processes
-effectiveness, timeliness, client-centered, equity, safety, efficiency
-->Professional Collaboration and Communication
-benefits include increased client adherence to prescribed treatment plan, reduced cost
of care, reduced admissions to acute care, shared decision-making with the client and
family, reduced medication errors
Ethical Principles - Correct Answer ✔✔ -->Autonomy
-individuals select those actions that fulfill their goals
-->Nonmaleficence
- no harm is done when applying standards of care
-->Beneficence
-maximize possible benefits and minimize possible harm
-->Distributive Justice
-fair distribution of the benefits and burden in society is based on the needs and
contributions of its members
, Community Health Education - Correct Answer ✔✔ -Nurses regularly provide health
education in order to promote, maintain, and restore the health of populations
-Nurses must take in account the barriers that make learning difficult like: age, cultural
beliefs, poor reading skills, and language barriers
-Effective community health education requires planning
Learning Theories - Correct Answer ✔✔ -->Behavioral Theories
-Use of reinforcement methods to change learners' behavior
-->Cognitive Theory
-Use of sensory input and repetition to change learners' patterns of thought, thereby
changing behaviors
-->Critical Theory
-Use of ongoing discussion and inquiry to increase learners' depth of knowledge,
thereby changing thinking and behaviors
-->Developmental Theory
-Use of techniques specific to learners' developmental stages to determine readiness to
learn, and to impart knowledge
-->Humanistic Theory
-Assists learners to grow by emphasizing emotions and relationships and believing that
free choice will prompt actions that are in their own best interest
-->Social Learning Theory
-Links information to beliefs and values to change or shift the learners' expectations
Domains of Learning - Correct Answer ✔✔ -->Cognitive
-Involves knowledge and the development of intellectual skills
-i.e. discuss how sodium intake affects BP
-->Affective
-Involves a change in attitude and development of values
-i.e. acceptance of having a colostomy & maintains self-esteem
-->Psychomotor
-Involves the performance of a skill
-i.e. community nurse teaches a client how to self-admin insulin
Epidemiology - Correct Answer ✔✔ -The study of health-related trends in populations
for the purposes of disease prevention, health maintenance, and health protection
-A systematic method of targeting a specific health need with the goal of improving
health
-Provides a broad understanding of the spread, transmission, and incidence of disease
and injury
COMPREHENSIVE QUESTIONS &
UPDATED CORRECT ANSWERS
PASSED 100%
Systems thinking - Correct Answer ✔✔ Studies how an individual, or unit, interacts with
other organizations or systems
Upstream thinking - Correct Answer ✔✔ Is used to focus on interventions that promote
health or prevent illness, as opposed to medical treatment models that focus on care
after an individual becomes ill
Nightingale's Environmental Theory - Correct Answer ✔✔ -Highlights the relationship
between an individual's environment and health
-Depicts health as a continuum
-Emphasizes preventive care
Health Belief Model - Correct Answer ✔✔ -Purpose is to predict health behaviors
-Emphasizes change at the individual level
-Assumes that the preventive health behaviors are taken primarily for the purpose of
avoiding disease
Milio's Framework for Prevention - Correct Answer ✔✔ -Emphasizes change at the
community level
-Identifies relationship between health deficits and availability of health-promoting
resources
Pender's Health Promotion Model - Correct Answer ✔✔ -Does not consider health risk
as a factor that provokes change
-Examines factors that affect individuals actions like: personal factors, feelings, benefits,
barriers, attitudes of others, and abilities
Determinants of Health - Correct Answer ✔✔ Factors that influence that client's health.
--> nutrition, stress, education, environment, finances, and social status
Health Indicators - Correct Answer ✔✔ Describe the health status of a community and
serve as targets for the improvement of a community's health
--> mortality rates, disease prevalence, levels of physical activity, obesity, tobacco, or
other substance use
,Community - Correct Answer ✔✔ -A group of people and institutions that share
geographic, civic, and/or social parameters
-The "community is the client" in community health nursing
Goals of Community Health Nursing - Correct Answer ✔✔ Promote, preserve, and
maintain the health of populations by the delivery of health services to individuals,
families, and groups in order to influence "community health"
Public Health Nursing - Correct Answer ✔✔ -It is population-focused, and involves a
combination of nursing knowledge along with social and public health sciences
-GOAL: promote health and preventing disease
PHN Core Functions (3) - Correct Answer ✔✔ -->Assessment
-Using systematic methods to monitor the health of a population
-Monitor health status to identify community health problems
-Diagnose and investigate health problems/hazards in the community
-->Policy Development
-Developing laws and practices to promote the health of a population based on scientific
evidence
-inform, educate, and empower people about health issues
-->Assurance
-Making sure adequate health care personnel and services are accessible, especially to
those who might not normally have them
Population-focused Nursing - Correct Answer ✔✔ -Includes assessing to determine
needs
-intervening to protect and promote health
-preventing disease within a specific population
Key Principles of PHN: - Correct Answer ✔✔ -Emphasize primary prevention
-Work to achieve the greatest good for the largest number of individuals
-Recognize that the client is a partner in health
-Use resources wisely to promote the best outcomes
Community-Oriented Nursing Vs. Community-based Nursing - Correct Answer ✔✔ --
>Community-Oriented Nursing
-focus of care: aggregates, communities
-primary goal: health promotion and disease prevention
-nursing activities: indirect - programs
-->Community-based Nursing
-focus of care: individuals and families
-primary goal: management of acute and chronic illness
,-nursing activities: direct - illness care management
Principles Guiding Community Health Nursing - Correct Answer ✔✔ -->Ethics
-Preventing harm, doing no harm, promoting good, respecting both individual and
community rights, respecting autonomy and diversity, and providing confidentiality,
competency, trustworthiness, and advocacy
-->Advocacy
- The nurse plays the role of informer, supporter, and mediator for the client
-->Evidence-based practice
-Involves using the best practices, expert opinion, and client preferences to change the
delivery of client care
-GOAL: improve client outcomes
- The nurse should appraise data collected from research to measure whether bias was
minimal (quality), the number of studies, participants, or strength of effect (quantity) and
whether the results are repeatable (consistency)
-->Quality
-Quality assurance, improvement, and management are part of improvement of health
care
-Total quality management (TQM): Approach that seeks to improve quality and
performance which meets or exceeds expectations
-Continuous quality improvement (CQI): Approach to quality management that
emphasizes the organization and its processes and systems and uses objective data to
analyze and improve processes
-effectiveness, timeliness, client-centered, equity, safety, efficiency
-->Professional Collaboration and Communication
-benefits include increased client adherence to prescribed treatment plan, reduced cost
of care, reduced admissions to acute care, shared decision-making with the client and
family, reduced medication errors
Ethical Principles - Correct Answer ✔✔ -->Autonomy
-individuals select those actions that fulfill their goals
-->Nonmaleficence
- no harm is done when applying standards of care
-->Beneficence
-maximize possible benefits and minimize possible harm
-->Distributive Justice
-fair distribution of the benefits and burden in society is based on the needs and
contributions of its members
, Community Health Education - Correct Answer ✔✔ -Nurses regularly provide health
education in order to promote, maintain, and restore the health of populations
-Nurses must take in account the barriers that make learning difficult like: age, cultural
beliefs, poor reading skills, and language barriers
-Effective community health education requires planning
Learning Theories - Correct Answer ✔✔ -->Behavioral Theories
-Use of reinforcement methods to change learners' behavior
-->Cognitive Theory
-Use of sensory input and repetition to change learners' patterns of thought, thereby
changing behaviors
-->Critical Theory
-Use of ongoing discussion and inquiry to increase learners' depth of knowledge,
thereby changing thinking and behaviors
-->Developmental Theory
-Use of techniques specific to learners' developmental stages to determine readiness to
learn, and to impart knowledge
-->Humanistic Theory
-Assists learners to grow by emphasizing emotions and relationships and believing that
free choice will prompt actions that are in their own best interest
-->Social Learning Theory
-Links information to beliefs and values to change or shift the learners' expectations
Domains of Learning - Correct Answer ✔✔ -->Cognitive
-Involves knowledge and the development of intellectual skills
-i.e. discuss how sodium intake affects BP
-->Affective
-Involves a change in attitude and development of values
-i.e. acceptance of having a colostomy & maintains self-esteem
-->Psychomotor
-Involves the performance of a skill
-i.e. community nurse teaches a client how to self-admin insulin
Epidemiology - Correct Answer ✔✔ -The study of health-related trends in populations
for the purposes of disease prevention, health maintenance, and health protection
-A systematic method of targeting a specific health need with the goal of improving
health
-Provides a broad understanding of the spread, transmission, and incidence of disease
and injury
