ATI Community Health Proctored Exam Study Guide and PRACTICE Questions with Answers (Latest, 2020) (Please Check the BUNDLE for different Versions)

COMMUNITY HEALTH
FOCUS: Promotion and Preservation of the health of populations
NATURE OF PRACTICE: comprehensive, general, continual and not episodic
KNOWLEDGE BASE: from nursing and public health
LEVELS OF CLIENTELE: individuals, family, population groups and community as a whole
COMMUNITY - A group of people sharing common geographic boundaries and common values and
interests.
HEALTH- state of complete physical, mental and social well-being, not merely the absence of disease or
infirmity
WORLD HEALTH ORGANIZATION - Optimum level of individuals, families and communities
MODERN CONCEPT OF HEALTH - This factor pertains to the power and authority to regulate the
environment

FACTORS AFFECTING LEVEL OF FUNCTIONING

POLITICAL - This factor pertains to the  Substance abuse
power and authority to regulate the  Lack of exercise
environment
Examples: SOCIOECONOMIC INFLUENCES
 Safety Components
 Oppression  Employment
 People empowerment  Education
 Housing
HEALTH CARE DELIVERY SYSTEM - One
ENVIRONMENTAL INFLUENCES
component of this factor is the primary health
Components
care which is a partnership approach
 Air
Goal: Effective provision of health services that
 Food
are community-based and accessible
 Water waste
Components:
 Urban/rural noise
 Promotive
 Radiation
 Preventive
 Pollution
 Curative
 Rehabilitative
HEREDITY
Components
BEHAVIORAL
 Genetic endowment
Components
 Defects
 Culture
 Strengths
 Habits
 Risks:
 Ethnic customs
 Familial
Examples
 Ethnic
 Smoking
 Racial
 Intake of alcoholic drinks


PUBLIC HEALTH NURSING
Public health as the science and art of preventing disease, prolonging life and efficiency to enable every
citizen to realize his birthright of health and longevity ( Winslow)

Public health is dedicated to the common attainment of the highest level of physical, mental and social
well-being and longevity

, Community health nursing is a learned practice discipline
Ultimate Goal : contribute to the promotion of client’s optimum level of functioning
Through teaching and delivery of care. (Jacobson)

Community health nursing is a service rendered by a professional nurse with the community, groups,
families and individuals
GOAL: promotion of health, prevention of illness, care of the sick at home and rehabilitation (Freeman)

Philosophy of community health nursing is based on the worth and dignity of man. (Shetland)

CONCEPTS OF COMMUNITY HEALTH NURSING
 HEALTH PROMOTION – primary focus of community health nursing practice
 Practice is extended to benefit not only the individual but the whole family and community
 Community health nurses are GENERALISTS

PRINCIPLES OF COMMUNITY HEALTH NURSING
 Community health nursing is based on recognized needs of communities, families, groups and
individuals
 The community health nurse must understand fully the objectives and policies of the agency
she represents
 FAMILY – unit of service
 Community health nursing must be available to all
 HEALTH TEACHING – primary responsibility of the community health nurse
 The community health nurse works as a member of the health team
 There must be periodic evaluation
 Opportunities for continuing staff education program must be provided
 PRINCIPLES OF COMMUNITY HEALTH NURSING
 Make use of available community health resources
 Utilize existing active groups in the community
 Educative supervision
 Accurate recording and reporting
ULTIMATE GOAL: Raise the level of health of the citizenry

ROLES OF THE NURSE IN COMMUNITY HEALTH NURSING
Clinician – focus on the health of the individuals on the larger context of the community
Advocate – promote self-care and self-determination
Collaborator – brings together strengths and weaknesses of people involved toward a common goal
Researcher – utilizes data to predict future phenomenon and modify interventions
Counselor – key tasks include listening and providing feedback and information
Case Manager – oversees all aspects of care to facilitate delivery of cost-efficient care; to individualize
and coordinate care
Educator – provide knowledge, skills and attitudes that people need to make appropriate choices or
decision
Hospice Care – providing care skills in a home and other settings and balancing client’s needs

THE NURSING PROCESS PL PLANNING - formulation of steps to be undertaken
ASSESSMENT - Process of collecting and to achieve desired end
processing data/information about the client STEPS:
STEPS:  Prioritize needs
 Initiate contact  Establish goals based on needs and
 Demonstrate caring attitudes capabilities
 Develop mutual trust and confidence  Construct action and operation plan
 Collect data from all possible sources  Devise evaluation parameters
 Identify problems  Revise plan as needed
 Analyze and interpret data