QUESTIONS WITH VERIFIED ANSWERS
B. community-based nursing.
In community-based nursing, the nurse focuses on "illness care" of individuals and
families across the life span. The aim is to manage acute and chronic health
conditions in the community, and the practice is family-centered illness care.
Community-based nursing is not a specialty in nursing but, rather, a philosophy
that guides care in all nursing specialties. Community-oriented nursing has as its
primary focus the health care either of the community or populations as in public
health nursing (PHN) or of individuals, families, and groups in a community. IF:
Cognitive Level: Knowledge: Page 2 - CORRECT ANSWER Jennifer is a nurse in a
family medicine clinic. Today she is assessing Jose, a 4-year-old who is being seen
for an earache. The type of nursing Jennifer practices is:
A. community-oriented nursing.
B. community-based nursing.
C. public health nursing.
D. tertiary health nursing.
A. assessment.
The three public health core functions are assessment, policy development, and
assurance. Assessment is systematic data collection on the population, monitoring
the population's health status, and making information available about the health
of the community. Policy development refers to efforts to develop policies that
support the health of the population, including using a scientific knowledge base
to make policy decisions. Assurance is making sure that essential community-
oriented health services are available. These services might include providing
essential personal health services for those who would otherwise not receive
,them. Assurance also includes making sure that a competent public health and
personal health care workforce is available. IF: Cognitive Level: Knowledge: Page 4
- CORRECT ANSWER A community-oriented nurse has identified obesity as a
problem in the middle school. The next step in a population-focused practice is to
make information available about the health of the middle school students. This
describes the public health core function of:
A. assessment.
B. assurance.
C. policy development.
D. research.
A. assurance.
The public health core function of assurance focuses on the responsibility of
public health agencies to be sure that activities are appropriately carried out to
meet public health goals and plans. This role requires skill in assessment,
investigative functions, collaboration, consultation, and cooperation. Assurance
also includes assisting communities to implement and evaluate plans and projects.
Policy development refers to efforts to develop policies that support the health of
the population, including using a scientific knowledge base to make policy
decisions. Primary prevention does not focus on provision of services and a part of
assurance is assisting communities to obtain necessary services such as
transportation. - CORRECT ANSWER A state agency has received multiple
complaints regarding the availability of elder transportation services to a specific
county senior center. The state agency assigns a public health nurse to work with
the community to evaluate its program for elder transportation services to
publicly sponsored elder care programs. The public health core function applied
is:
A. assurance.
B. policy development.
, C. primary prevention.
D. public transportation.
A. community-oriented care.
Community-oriented nurses emphasize health protection, maintenance, and
promotion and disease prevention, as well as self-reliance among clients.
Regardless of whether the client is a person, a family, or a group, the goal is to
promote health through education about prevailing health problems, proper
nutrition, beneficial forms of exercise, and environmental factors such as safe
food, water, air, and buildings. Community-based care is nursing care that is
provided in a setting. A smoking cessation clinic is an example of primary
prevention, not secondary or tertiary. - CORRECT ANSWER A nurse planning a
smoking cessation clinic for adolescents in the local middle schools and high
schools is providing:
A. community-oriented care.
B. community-based care.
C. secondary care.
D. tertiary care.
B. populations with the highest rate of diabetes.
The primary focus that has differentiated public health nursing from other
specialties has been the emphasis on the population rather than on individuals or
families. The primary goal of public health—the prevention of disease and
disability—is achieved by ensuring that conditions exist in which people can
remain healthy. Diabetes care and educational materials are provided to
individuals and families by a nurse in the community or institutional setting. -
CORRECT ANSWER Public health nursing is a specialty with a distinct focus and