Public Health Nursing in the Community

Question 1

Core public health fxns

Answer 1

-Assessment
-Policy development
-Assurance

Question 2

Assessment

Answer 2

-Regular collection, analysis, and sharing of info abt health conditions, risks, and resources in a community
-May be gathered thru interviews, surveys, public records
-W/ families, evaluate strengths and areas of concern in immediate living environment
-W/ individuals, identify need of services at their fxnal capacity

Question 3

Policy development

Answer 3

-Use of assessment data to develop policy and direct resources toward those policies
-Nurses recommend specific programs to meed health needs of target populations
-Raise awareness of key policy makers abt factors eg health regulations and budget decisions that negatively affect the health of the community
-W/ families, nurses recommend programs
-W/ individuals, nurse develops standards of care

Question 4

Assurance

Answer 4

-Availability of necessary services thruout the community
-Consume most of nurse’s time
-Perform assurance fxn, improve quality assurance activities, maintain safe levels of communicable disease surveillance and outbreak control
-Participate in outcomes research, provide expert consultation, promote EBP

Question 5

Clinical role in community health nursing

Answer 5

-Care provider
-Focus on holism, health promotion, skill expansion, and prevention
-Provides services to families, individuals, and groups

Question 6

Holism, health promotion, expanded skills

Answer 6

-Holism: considering broad range on interacting needs (emotional, physical, social, spiritual, economic)
-Health promotion: providing education to populations, identify groups vulnerable to certain health threats
-Expanded skills: observation, listening, communication, counseling

Question 7

Educator role in community health nursing

Answer 7

-Health teacher
-Plan for community-wide impact thru programs

Question 8

Advocate role in community health nursing

Answer 8

-Pleader of the client’s cause or actor on behalf of the client
-Support the client’s self-determination and independence
-Make the system responsive and relevant to the client’s needs
-Must be assertive, take risks, communicate and negotiate well, identify and obtain resources for the client
-Cut “red tape” and guide people to resources

Question 9

Manager role in community health nursing

Answer 9

-Administrative direction of goals: plan, organize, lead, control, evaluate
-Participative approach w/ community

Question 10

Planner, organizer, leader, controller and evaluator

Answer 10

-Planner: define goals, determine strategy
-Organizer: arrange matters job can be done
-Leader: persuades others to make a positive impact, bring people together
-Controller and evaluator: monitor plan and ensure ti stays on course

Question 11

Leadership role in community health nursing

Answer 11

-Seek to influence people to behave differently abt their health
-Stimulate community’s interest in health promotion
-Leads people on path toward a goal

Question 12

Collaborator role in community health nursing

Answer 12

-Working jointly w/ others
-Multidisciplinary collegiality and leadership

Question 13

Researcher role in community health nursing

Answer 13

-Systematic investigation, collection, and analysis of data for solving problems
-Seeking evidence-based solutions to addressing needs in community settings

Question 14

10 essential services of public health

Answer 14

1. Monitor health status to identify and solve community health problems
2. Diagnose and investigate health problems and health hazards in the community
3. Inform, educate, and empower people about health issue
4. Mobilize community partnerships and action to identify and solve health problems
5. Develop policies and plans that support individual and community health efforts
6. Enforce laws and regulations that protect health and ensure safety
7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable
8. Ensure competent public and personal health care workforces
9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services
10. Research for new insights and innovative solutions to health problems

Question 15

Settings for CHN practice

Answer 15

-Homes
-Ambulatory service
-Schools
-Occupational health
-Residential institution
-Faith communities
-Community at large (domestic and international)

Question 16

Home

Answer 16

-Most frequently used setting
-Setting for health promotion
-Client self-respect is promoted bc they are the host
-High-priority groups are targeted d/t limited staff and financial resources

Question 17

Ambulatory service

Answer 17

-Require day or evening services but do not require overnight stays
-Ex day care center, medical practice office, local public health department

Question 18

Schools

Answer 18

-Initial role was that of clinician
-Now includes more health education, interprofessional collaboration, and client advocacy
-Health teacher

Question 19

Occupational health

Answer 19

-Organizations are expected to provide a safe and health work environment
-Health insurance thru employer
-Ex offer snacks at break, promote walking at noon, build exercise facilities, provide wellness programs, offer financial incentives for staying well

Question 20

Residential institutions

Answer 20

-Any setting where clients reside
-Ex halfway houses (temporary housing for recovering addicts), inpatient hospice (terminally ill pts), continuing care center (older adults, American Cancer Society, correctional institution

Question 21

Faith communities

Answer 21

-Church-based health promotion, parish nursing, faith community nursing practice
-ANA has standards of care
-Meet unique needs of community

Question 22

Community at large

Answer 22

-Not confined to a specific place
-Ex LGBTQIA+, support group for parents experiencing death of child
-Health care planning committees
-Lobbies for health legislation at the state capital
-Runs for school board position
-Assists w/ flood relief in another state or country

Question 23

Essential management skills principles

Answer 23

-Human skills that allow them to understand, communicate, motivate, delegate, and work well with people
-Conceptual skills that allow them to analyze and interpret abstract ideas to understand and diagnose situations and formulate solutions
-Technical skills that allow them to apply special management-related knowledge and expertise to a particular situation or problem