Chapter 3: Community-Based Nursing
Practice
1. Public health nursing differs from community health nursing in that public health
nursing
A. Focuses on individuals and families.
B. Understands the needs of a population.
C. Ignores political processes.
D. Considers the individual as one member of a group - Answers -ANS: B
Public health nursing requires understanding the needs of a population. A public health
nurse understands factors that influence the political processes used to affect public
policy. The primary focus of community health nursing is the care of individuals,
families, and groups in the community. By focusing on subpopulations, the community
health nurse cares for the community as a whole and considers the individual or family
as only one member of a group at risk.
2. A specialist in public health nursing requires
A. The same level of education as the community health nurse.
B. Preparation at the basic entry level.
C. An advanced degree regardless of public health experience.
D. A graduate level education with a focus in public health science. - Answers -ANS: D
A specialist in public health has a graduate level education with a focus in public health
science. Public health nursing requires preparation at the basic entry level and
sometimes requires a baccalaureate degree in nursing. Not all hiring agencies require
an advanced degree in community health nursing. However, nurses with a graduate
degree in nursing who practicein community settings are considered community health
nurse specialists, regardless of their public health experience
3. The community health nurse differs from the community-based nurse in that the
community health nurse
A. Understands the needs of the population.
B. Focuses on the needs of the individual.
C. Is the first level of contact in the health care system.
D. Involves the family in decision making. - Answers -ANS: A
The community health nurse understands the needs of a population or community
through experience with individual families in working through their social and health
care issues. Thecommunity-based nurse focuses on the needs of the individual or
family. Community-based nursing centers function as the first level of contact between
members of a community and thehealth care system. The community-based nurse
learns to partner with patients and families sothat ultimately the patient and the family
become involved in planning, decision making, implementation, and evaluation of health
care approaches
, 4. The type of nursing that focuses on acute and chronic care of individuals and families
while enhancing patient autonomy is known as _____ nursing.
A. Public health
B. Community health
C. Community-based
D. Community-focused - Answers -ANS: C
Community-based nursing involves acute and chronic care of individuals and families
and enhances their capacity for self-care while promoting autonomy in decision making.
Public health nursing focuses on the needs of a population. Community health nursing
cares for the community as a whole and considers the individual or the family as only
one member of a group at risk. Community-focused nursing understands the needs of a
population or community.
5. The community health nurse is administering flu shots to children at a local
playground. In doing so, the nurse's focus is on
A. Preventing individual illness.
B. Preventing community outbreak of illness.
C. Preventing outbreak of illness in the family.
D. The needs of the individual or family - Answers -ANS: B
By focusing on subpopulations, the community health nurse cares for the community as
a whole and considers the individual or the family as only one member of a group at
risk. Community-based nursing, as opposed to community health nursing, focuses on
the needs of the individual or family.
6. The community health nurse is providing counseling to a group of teenage girls
related to birth control and disease prevention. The nurse does this because
A. Focusing on subpopulations leads to community health.
B. Community health nursing focuses on individuals only.
C. Community health nursing excludes direct care to subpopulations.
D. The focus is on preventing illness and unwanted pregnancy - Answers -ANS: A
By focusing on subpopulations, the community health nurse cares for the community as
a whole and considers the individual or the family as only one member of a group at
risk. Community health nursing is a nursing practice in the community, with the primary
focus on the health care of individuals, families, and groups in a community.
Subpopulations are often a clinical focus. The goal is to protect, promote, or maintain
health, not to prevent illness.
7. Community-based nursing care takes place in community settings such as the home
or a clinic. Ideally, this is done to
A. Exert greater control over individual or family decisions.
B. Provide services close to where patients live.
C. Isolate patients and prevent the spread of disease.
D. Reduce the need for self-care. - Answers -ANS: B
The ideal is to provide health care services close to where patients live. This lessens
the cost of care as well as the stress associated with the financial burdens of care. The
Practice
1. Public health nursing differs from community health nursing in that public health
nursing
A. Focuses on individuals and families.
B. Understands the needs of a population.
C. Ignores political processes.
D. Considers the individual as one member of a group - Answers -ANS: B
Public health nursing requires understanding the needs of a population. A public health
nurse understands factors that influence the political processes used to affect public
policy. The primary focus of community health nursing is the care of individuals,
families, and groups in the community. By focusing on subpopulations, the community
health nurse cares for the community as a whole and considers the individual or family
as only one member of a group at risk.
2. A specialist in public health nursing requires
A. The same level of education as the community health nurse.
B. Preparation at the basic entry level.
C. An advanced degree regardless of public health experience.
D. A graduate level education with a focus in public health science. - Answers -ANS: D
A specialist in public health has a graduate level education with a focus in public health
science. Public health nursing requires preparation at the basic entry level and
sometimes requires a baccalaureate degree in nursing. Not all hiring agencies require
an advanced degree in community health nursing. However, nurses with a graduate
degree in nursing who practicein community settings are considered community health
nurse specialists, regardless of their public health experience
3. The community health nurse differs from the community-based nurse in that the
community health nurse
A. Understands the needs of the population.
B. Focuses on the needs of the individual.
C. Is the first level of contact in the health care system.
D. Involves the family in decision making. - Answers -ANS: A
The community health nurse understands the needs of a population or community
through experience with individual families in working through their social and health
care issues. Thecommunity-based nurse focuses on the needs of the individual or
family. Community-based nursing centers function as the first level of contact between
members of a community and thehealth care system. The community-based nurse
learns to partner with patients and families sothat ultimately the patient and the family
become involved in planning, decision making, implementation, and evaluation of health
care approaches
, 4. The type of nursing that focuses on acute and chronic care of individuals and families
while enhancing patient autonomy is known as _____ nursing.
A. Public health
B. Community health
C. Community-based
D. Community-focused - Answers -ANS: C
Community-based nursing involves acute and chronic care of individuals and families
and enhances their capacity for self-care while promoting autonomy in decision making.
Public health nursing focuses on the needs of a population. Community health nursing
cares for the community as a whole and considers the individual or the family as only
one member of a group at risk. Community-focused nursing understands the needs of a
population or community.
5. The community health nurse is administering flu shots to children at a local
playground. In doing so, the nurse's focus is on
A. Preventing individual illness.
B. Preventing community outbreak of illness.
C. Preventing outbreak of illness in the family.
D. The needs of the individual or family - Answers -ANS: B
By focusing on subpopulations, the community health nurse cares for the community as
a whole and considers the individual or the family as only one member of a group at
risk. Community-based nursing, as opposed to community health nursing, focuses on
the needs of the individual or family.
6. The community health nurse is providing counseling to a group of teenage girls
related to birth control and disease prevention. The nurse does this because
A. Focusing on subpopulations leads to community health.
B. Community health nursing focuses on individuals only.
C. Community health nursing excludes direct care to subpopulations.
D. The focus is on preventing illness and unwanted pregnancy - Answers -ANS: A
By focusing on subpopulations, the community health nurse cares for the community as
a whole and considers the individual or the family as only one member of a group at
risk. Community health nursing is a nursing practice in the community, with the primary
focus on the health care of individuals, families, and groups in a community.
Subpopulations are often a clinical focus. The goal is to protect, promote, or maintain
health, not to prevent illness.
7. Community-based nursing care takes place in community settings such as the home
or a clinic. Ideally, this is done to
A. Exert greater control over individual or family decisions.
B. Provide services close to where patients live.
C. Isolate patients and prevent the spread of disease.
D. Reduce the need for self-care. - Answers -ANS: B
The ideal is to provide health care services close to where patients live. This lessens
the cost of care as well as the stress associated with the financial burdens of care. The
