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A nurse planning a smoking cessation clinic for adolescents in the local middle schools and high schools
is providing:
community-oriented care.
community-based care.
secondary care.
tertiary care. - ✔✔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.
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:
assessment.
assurance.
policy development.
,research. - ✔✔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.
In a community clinic that screens and treats individuals for cardiovascular disorders, the nurse
practicing public health/population-focused nursing would most likely ascertain:
a holistic treatment plan.
a specific clinical diagnosis.
individual dietary interventions for cardiovascular disorders.
the prevalence rate of cardiovascular disorders among various groups. - ✔✔the prevalence rate of
cardiovascular disorders among various groups.
A public health nurse in a community clinic engaged in population-focused practice would ask the
following questions:
· What is the prevalence rate of the diagnosis or condition among various age, race, and gender groups?
· Which subpopulations have the highest rates of untreated diagnosis or condition?
· What programs could reduce the problem of untreated diagnosis/condition and decrease the risk for
further morbidity and mortality?
Public health nurses are typically concerned with more than one subpopulation, and they often deal
with the health of the entire community. Assessment, one of the public health core functions, is a logical
first step in examining a community setting to determine its health status.
,In a federally funded preschool program such as Head Start, nursing services that include conducting
developmental-level screening for cognitive and psychomotor development of individual children would
most likely be considered community-oriented nursing care when:
individual results are compared with established standards for children of the same age group.
program characteristics are assessed for their effectiveness in making the school population healthier.
referral is provided for a child identified with delayed psychomotor development.
treatment is initiated for a child with an identified learning disability. - ✔✔individual results are
compared with established standards for children of the same age group.
Within federally funded programs for preschool children, from a community-oriented nursing care
perspective, nursing services could be provided to individual children by conducting developmental-level
screening tests to evaluate each child's level of cognitive and psychomotor development in comparison
with established standards for children of the same age. This is population-focused service. A
community-based nurse may deliver illness care or direct services to individual children. A public health
nurse may assess the program's ability to achieve the overall goal of making its population of children
healthier by evaluating the characteristics of the facility, program, and environment for their
effectiveness in achieving the goal.
The public health nurse deals with the examination of a community setting to determine the
community's health status. Which of the following activities should be considered in the assessment
phase?
Select all that apply.
Assisting communities to implement and evaluate plans and projects
Building constituencies to work with the community
Collecting, analyzing, and disseminating information
Evaluating the social, economic, and environmental characteristics of the population
, Questioning the availability of health services to the community - ✔✔Collecting, analyzing, and
disseminating information
Evaluating the social, economic, and environmental characteristics of the population
Questioning the availability of health services to the community
The core public health function of assessment includes the following:
· Engaging in activities that involve the collection, analysis, and dissemination of information on both the
health and health-relevant aspects of a community or specific population
· Questioning, for example, whether the health services of the community are available to the
population and are adequate to address needs
· Monitoring the health status of the community or population and the services provided over time
· Evaluating the social, economic, environmental, and lifestyle characteristics and practices of a
population as well as the health services and capability available within the community to support good
health for the population
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:
community-oriented nursing.
community-based nursing.
public health nursing.
tertiary health nursing. - ✔✔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 of the community or populations as in public health nursing (PHN) or of
individuals, families, and groups in a community.