QUESTIONS 2026
◉ Upstream thinking. 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. Answer: -Highlights the
relationship between an individual's environment and health
-Depicts health as a continuum
-Emphasizes preventive care
◉ Health Belief Model. 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. Answer: -Emphasizes change
at the community level
-Identifies relationship between health deficits and availability of
health-promoting resources
,◉ Pender's Health Promotion Model. 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. Answer: Factors that influence that
client's health.
--> nutrition, stress, education, environment, finances, and social
status
◉ Health Indicators. 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. 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. 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. 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). 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. Answer: -Includes assessing to
determine needs
-intervening to protect and promote health
, -preventing disease within a specific population
◉ Key Principles of PHN:. 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.
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. Answer: -->Ethics