Community Public Health Nursing Practice Health for Families and Populations 5th Edition by Maurer and Smith Test Bank

Community Public
Health Nursing
Practice Health for
Families and
Populations 5th
Edition by Maurer
and Smith Test Bank

,Community Midterm Study Guide 1

Week 1 – Orientation CHN Practice Chapters 1 pg. 1 – 24 & 10 pg. 175 – 191 View: 4 videos
1. Define Public Health.
 Public health is the science and art of preventing disease, prolonging life, and promoting health through
organized community efforts
o PH measures: Improved standard of living, environment, water supply, housing, nutrition, &
vaccines
What Public Health achievements have contributed to better overall health in the US?
 Achievements – vaccination, motor vehicle safety, safer workplaces, control of infectious diseases,
decrease in coronary heart and stroke deaths, safer and healthier foods, family planning, fluoridation of
drinking water, recognition of tobacco as a health hazard
Comparatively, why is the United States 24th in WHO’s Healthy Life Rankings.
 United states WHO – high levels of homicide, infant mortality rates, tobacco cancer, health disease, HIV
mortality – Ranked 24 in healthy life rankings (Japan - #1)

2. Recognize key historical leaders to Public Health Nursing practice and identify their specific
impact/contribution to addressing the needs of aggregates.
 Lamuel Shattuck – father of public health, start of public health in US – 1850
o Boston unsatisfactory living conditions
o Unsanitary conditions = increase in disease / morbidity / mortality
 Florence nightingale est. training school for nursing – 1860
 Lillian Wald – 1st US PHN – “mother of PH” – stressed importance of preventative care
o Accomplishments:
 Henry street settlement house – 1893
 Rural nursing services via Red Cross, Children’s bureau, City recreation centers,
Improved tenement conditions, Assistance to immigrants, & Classes for mentally
handicapped
 Healthy people – the surgeon general’s report on health promotion and disease prevention – 1979
o Every decade goals are set for the nation

3. Describe the current challenges for Community Health/Public Health Nursing.
 Helping eliminate health disparities in underserved populations
o Disparities = differences in care r/t age, race, resources, etc.
 Demonstrating cultural competence
 Planning for community change
 Contributing to a safe and healthy environment
 Responding to emergencies, disasters, and terrorism
 Responding to the global environment

4. Differentiate the terms Public Health Nursing and Community Health Nursing in terms of describing
the nursing roles and responsibilities. Why doesn't the term Community- Based represent this specialty
practice area?
 Public health nursing (PHN) – population-based practice, defined as a synthesis of nursing and public
health within the context of preventing disease and disability and promoting and protecting the health of
the entire community
 Community health nursing (CHN)– use of systematic processes to deliver care to individuals, families,
and community groups with a focus on promoting, preserving, protecting and maintaining health.
 Community – based nursing – minor acute and chronic care that is comprehensive and coordinated
where people work, live or attend school: illness care provided outside the acute care setting. *Does not
represent the specialty area of CHN & PHN

, Community Midterm Study Guide 2

5. What practice characteristics distinguishes Public Health Nursing as a nursing specialty?
 PHN are distinguished from other nursing specialties by their:
o Adherence to all 8 tenet of PHN & their focus of care
Review: the 8 Tenets of Public Health Nursing;
 Population-based assessment, policy development, and assurance processes are systematic and
comprehensive.
 All processes must include partnering with representatives of the people.
 Primary prevention is priority.
 Intervention strategies are selected to create healthy environmental, social, and economic conditions in
which people thrive.
 Public health nursing has an obligation to reach out to all who might benefit from an intervention.
 The dominant concern and obligation is for the greater good of all people or the population as a whole.
 Stewardship and allocation of available resources supports the maximum population health benefit gain.
 The health of the people is most effectively promoted & protected through collaboration with members
of other professions and organizations.
The Principles/Domains of Public Health Nursing Practice
 Analytic assessment skills
 Policy development and program planning skills
 Communication skills
 Cultural competency skills
 Community dimensions of practice skills
 Basic public health science skills
 Financial planning and management skills
 Leadership and systems thinking skills
2013 ANA Standards of practice and professional performance.
 Standard 1. Assessment Standard 2. Population Diagnosis and Priorities
 Standard 3. Outcomes Identification Standard 4. Planning
 Standard 5. Implementation
o 5A. Coordination of care 5B. Health Education and Health Promotion
o 5C. Consultation 5D. Prescriptive Authority
o 5E. Regulatory Activities
 Standard 6. Evaluation Standard 7. Ethics
 Standard 8. Education Standard 9. Evidence-Based Practice and Research
 Standard 10. Quality of Practice Standard 11. Communication
 Standard 12. Leadership Standard 13. Collaboration
 Standard 14. Professional Practice Evaluation Standard 15. Resource Utilization
 Standard 16. Environmental Health Standard 17. Advocacy


6. Which entities and/or agencies are responsible for establishing this nursing specialty’s: Scope and
Standards of Practice; Education requirements; and PHN Competencies?
 Scope and Standards of Practice: (set by ANA)
o Articulates the essentials of PHN the activities and accountabilities that are characteristic
principles of practice at all levels and settings
 Education requirements:
o PHN: scope and standards of practice sets educational standards (ANA)