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Community Exam 1.
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- Final Community NCLEX Questiosn.
Exam of 11 pages for the course Final Community NCLEX questiosn. at Final Community NCLEX questiosn. (Community Exam 1.)
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Community Exam 1What are public health core functions? - correct answer-Assessment, policy development
and assurance are public health core functions. Assessment means collecting data on the
population health status and making that information available to the public. Policy
development refers to developing policies to support health of the population. Assurance
means to ensure that community oriented health services are available.
List the indicators used to develop a community health profile and provide an example of
each.
Community Health Nurses need to have knowledge of genomics. Why is this knowledge
needed? - correct answer-Indicators used to develop a community health profile are:
● sociodemographic characteristics- distribution of population by age, race, ethnicity
● health status-infant death rate by race and ethnicity
● health risk factors- proportion of population who smoke by age, race, ethnicity, gender
● health care resource consumption-per capita health care spending for Medicare
beneficiaries
● functional status- proportion of adults who say their health is good or excellent
● quality of life-proportion of adults satisfied with health care system in the community
Community Health Nurses need to have a knowledge of genomics to be able to provide
quality care and have knowledge on how psychosocial and cultural factors influence one's
health status.
How do Lancaster & Stanhope define a population or aggregate? - correct answer-● A
collection of individuals who have one or more personal or environmental characteristics in
common.
Describe the difference between community health nurse, public health nurse, and
community based nurse? - correct answer-● Community Health Nurse: provide direct
personal care to a person or family outside of institutional settings. Promote, preserve, and
maintain the health of populations.
● Public Health Nurse: population-focused and focuses on clients living in the community.
Care is provided to the community as a whole (preventing disease).
● Community-based Nurse: assurance of personal illness care to individuals and families in
the community. Setting specific practice. Care is provided to patients and families where they
live, work, and attend school.
Florence Nightingale was a pioneer in professional nursing education and public health
nursing in the United States. Explain why. - correct answer-● Florence Nightingale helped
influence the nursing profession by discussing the importance of training nurses and the
sharing the importance of nurse education. Nightingale studied "system and method". During
the Crimean War, Nightingale had implemented her ideas to improve conditions. Her efforts
greatly reduced the death toll during this war.
Lillian Wald was known as the first public health nurse in the United States. Provide five
reasons why. - correct answer-● Wald took action to increase access to public health nursing
, services nationally through several innovations. First, she encouraged the American Red
Cross to sponsor rural health nursing services all throughout the country, which led to local
governments to sponsor public health nursing through county health departments.
● Wald worked with Dr. Lee Frankel of MetLife to create the first insurance payment for
nursing services. She believed that keeping working people and their families healthier
would increase their productivity.
● She advocated for the development of the U.S. Children's Bureau as a basis for bettering
the health and education of children nationally.
● She fought for more improved living conditions in New York City, city recreation centers,
parks, pure food laws, graded classes for mentally handicapped children, and assistance to
immigrants.
● She supported efforts to improve race relations and worked towards solutions toward racial
injustice.
Mary Breckinridge was known for establishing the Frontier Nursing Service. This was done
to provide care to what population? - correct answer-The Frontier Nursing Service influenced
the creation of public health programs geared toward bettering the health care of the rural
and sometimes inaccessible populations in the Appalachian region of southeastern
Kentucky.
How did Title VI of the Social Security Act of 1935 help promote nursing in the United
States? - correct answer-Title VI provided funding for more opportunities for health protection
and promotion through education and employment of public health nurses. Over 1000
nurses completed educational programs in public health in 1936.
What were the forerunners of the National League of Nursing and the American Nurses
Association? - correct answer-● The National Organization for Public Health Nursing, the
National League for Nursing
Education, and the Association of Collegiate Schools of Nursing dissolved in 1952 to
become the new National League for Nursing. The National Association of Colored
Graduate Nurses merged into the American Nurses Association, which became the second
national nursing organization. The mergers were an attempt to reorganizes the national
organizations and improve unity, administration, and financial stability.
What organization found that between 44,000 and 98,000 people die annually due to
medical error? - correct answer-● The Institute of Medicine found that between 44,000 and
98,000 people die annually due to medical error.
What is a disparity? - correct answer-● Disparities are racial or ethnic differences in the
quality of health care, not based on access or clinical needs, preferences or appropriateness
of an intervention
Disparities in three areas in health care continue to impact our country with no answers in
sight. What are the three areas? How do you think these should be addressed? - correct
answer-● Cost, access, and quality are the three areas in health care that continue to have
disparities.
● Cost could be addressed by finding preventative programs for chronic illness
that could be implemented. The rise in chronic illness leads to more hospital stays, more
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