COMMUNITY HEALTH 440 EXAM 1 QUESTIONS NEWEST
2026 EXAM QUESTIONS LATEST VERSION SOLVED
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Lesson 1: Introduction to Community, Population, Public, and Global Health +
Learning Outcomes:
Define major concepts that guide the practice of community and public health
nursing.
Compare and contrast the different frameworks (theories/models) used in community
health nursing and ethical principles that guide holistic health care to clients, families,
and communities.
Use the nursing process in the care of populations to meet the needs of aggregates
across community health settings.
Identify the levels of prevention and major factors influencing holistic health care for
clients, families, and communities.
Before nursing expanded into acute care settings, most of nursing was
practiced in:
The Community
As health care and the nursing profession have evolved, different specialties
of nursing practice in the community evolved with them. Today _______,
________, _______ are recognized as distinct field of community health
practice:
Public Health
Community Health
Population Health
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Definition of Public Health:
A field of study that focuses on improving and protecting the health of a population
through health promotion and disease prevention.
Public health tends to have a much wider scope that can span from a town of people
to a whole nation.
Focusing on faulty Healthcare Trends.
Definition of Community Health:
A field of study on improving the health of a group (health promotion), usually within
a specific geographic area, like a neighborhood.
Community health looks at a community of people all living in a defined area such as
a nursing home or congregants of a place of worship.
Interventions are preventative.
Definition of Population Health:
A field of study that focuses on the health needs of a specific group of people.
Population tends to have a narrow focus on a specific subset in any given
population, such as those with diabetes or children with sickle cell anemia.
They can be defined by a particular characteristic (e.g., age, chronic disease).
What is Nursing in The Community:
Nursing in the community involves healthcare professionals providing nursing care
outside of traditional healthcare settings, often within communities, homes, or public
health contexts.
Community nurses focus on preventive care, health promotion, and supporting
individuals and families to achieve and maintain optimal health.
This can include activities such as health education, immunizations, disease
prevention, and addressing the specific needs of diverse populations within a
community.
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Community nursing aims to enhance overall community well-being and reduce
health disparities.
It is helpful when identifying and addressing societal factors (e.g., finance,
environment, and social support) that may:
Hinder or enhance their access to healthcare.
The Community:
Collective group in same geographical location.
May share culture, religion, ethnicity, health issues, or socioeconomic
circumstances.
Communities can occur in many settings such as schools, towns, or neighborhoods.
Client is the community or population, not the individual. Care is delivered based on
the needs of the entire community, not just one person.
Community Health Nursing
Goals, Addresses, and Practice Settings:
Community health nursing strives to decrease health inequities by focusing on the
social determinants of health, such as quality of housing, employment, education
opportunities, access to transportation, healthy food, and quality health care, as well
as the health conditions that result from inequities in these social determinants.
Goal: Decrease Health Inequities
Addressing: Social Determinants of Health.
The outcomes are measured more broadly than in population health and often focus
on the community as a whole instead of individuals.
Community health interventions most often focus on prevention strategies at the
primary, secondary, and tertiary levels. Interventions are preventative.
Overall, the community health nurse promotes healthy living and prevents disease
and injury through trusted relationships with the community and its members. The
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goals can be achieved through various settings in the community.
Practice Settings:
- Schools
- Workplaces
- Churches
- Correctional Facilities
- Home Health/Hospice
- Clinics
- Case Management
Remember, to truly practice any aspect of community health, the client is the
community or population as a whole. This means that care is delivered based on the
collective needs of all who are defined in that group, not just the individual.
Frameworks for Community Health Nursing:
- Ecological Model
- Health Belief Model
- Stages of Change Model (Transtheoretical)
- Social Cognitive Theory
- Upstream/Downstream Thinking Model
- Pender's Health Promotion Model
Ecological Model:
Factors that influence health behaviors in society.
Also referred to as the social-ecological model, the ecological model of community
health nursing shows how various internal and external factors affect healthy
behavior on multiple levels of society.
These factors are: internal (beliefs); interpersonal (interactions with others);
institutional (rules and regulations of an organization); community-related (social
norms); and public policy (laws and policies by the government on any level).
Ecological models have roots in psychology and human development. Their focus is
on the interplay between human behavior and the environment.