COMMUNITY HEALTH NURSING ATI EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Systems Thinking
-studies how an individual, or unit, interacts with other organizations or systems
-useful in examining cause and effect relationships.
Upstream Thinking
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
- relationship between individual's environment and health
- health as a continuum
- preventative care
*SANITATION--keeping environment clean
Health Belief Model
- predict or explain health behaviors
- assumes preventative behaviors are taken; describes likelihood of taking action to
avoid disease
- change at individual level
Milio's Framework for Prevention
Emphasizes change at the community level. Identifies relationship between health
deficits and availability of health-promoting resources.
*Behavior changes within a large number of people can ultimately lead to social change.
Pender's Health Promotion Model
DOES NOT consider health risk as factor that provokes change;
*examines factors that promote and protect health (personal factors, emotions, attitudes
of others)
,Determinants of Health
factors that influence the client's health
-nutrition
-stress
-education
-environment
-finances
-social status
-stigma
Health indicators
describes health status of community and serves as target for improvement
(mortality/morbidity rates, substance abuse, levels of physical activity, obesity, etc)
Community Health Nursing
promotes, preserves, and maintains health of populations by delivering health services
to individuals, families and groups.
COMMUNITY=CLIENT
Community-oriented Nursing
Focus of Care: Aggregates, at-risk individuals, families, groups, & Community
Goal: Health promotion and disease prevention
Nursing Activities: INDIRECT--program management
--can be direct
Community-based nursing
Focus of Care: Individuals and families
Goal: Manage acute and chronic conditions
, Activities: DIRECT-one on one--illness care.
Public Health Nursing
POPULATION-FOCUSED
promote health and prevent disease
1. MONITOR the health of a population
2. DEVELOP laws and practices to promote health
3. MAKE sure health care is ACCESSIBLE--ASSURANCE--enforces laws and
regulations
Population-focused Nursing
1. assess to determine needs
2. intervene to protect and promote health
3. prevent disease within specific population
*PRIMARY PREVENTION
*GREATEST good for LARGEST AMOUNT of people
*CLIENT is viewed as a PARTNER
*use RESOURCES WISELY to promote best outcomes
Principles of community health nursing
-Ethics
-Advocacy
-EBP
-Quality
-Professional collaboration and communication
Autonomy
Respecting a client's right to self-determination
Nonmaleficience
do no harm
Benficience
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Systems Thinking
-studies how an individual, or unit, interacts with other organizations or systems
-useful in examining cause and effect relationships.
Upstream Thinking
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
- relationship between individual's environment and health
- health as a continuum
- preventative care
*SANITATION--keeping environment clean
Health Belief Model
- predict or explain health behaviors
- assumes preventative behaviors are taken; describes likelihood of taking action to
avoid disease
- change at individual level
Milio's Framework for Prevention
Emphasizes change at the community level. Identifies relationship between health
deficits and availability of health-promoting resources.
*Behavior changes within a large number of people can ultimately lead to social change.
Pender's Health Promotion Model
DOES NOT consider health risk as factor that provokes change;
*examines factors that promote and protect health (personal factors, emotions, attitudes
of others)
,Determinants of Health
factors that influence the client's health
-nutrition
-stress
-education
-environment
-finances
-social status
-stigma
Health indicators
describes health status of community and serves as target for improvement
(mortality/morbidity rates, substance abuse, levels of physical activity, obesity, etc)
Community Health Nursing
promotes, preserves, and maintains health of populations by delivering health services
to individuals, families and groups.
COMMUNITY=CLIENT
Community-oriented Nursing
Focus of Care: Aggregates, at-risk individuals, families, groups, & Community
Goal: Health promotion and disease prevention
Nursing Activities: INDIRECT--program management
--can be direct
Community-based nursing
Focus of Care: Individuals and families
Goal: Manage acute and chronic conditions
, Activities: DIRECT-one on one--illness care.
Public Health Nursing
POPULATION-FOCUSED
promote health and prevent disease
1. MONITOR the health of a population
2. DEVELOP laws and practices to promote health
3. MAKE sure health care is ACCESSIBLE--ASSURANCE--enforces laws and
regulations
Population-focused Nursing
1. assess to determine needs
2. intervene to protect and promote health
3. prevent disease within specific population
*PRIMARY PREVENTION
*GREATEST good for LARGEST AMOUNT of people
*CLIENT is viewed as a PARTNER
*use RESOURCES WISELY to promote best outcomes
Principles of community health nursing
-Ethics
-Advocacy
-EBP
-Quality
-Professional collaboration and communication
Autonomy
Respecting a client's right to self-determination
Nonmaleficience
do no harm
Benficience
