2024 ATI COMMUNITY HEALTH
(PUBLIC HEALTH) PROCTORED
EXAM WITH CORRECT ANSWERS
Community Health Nursing Theories
- Nightingale's Theory of Environment
- Health Belief Model
- Likelihood of Taking Action Factors - CORRECT ANSWERS- *Nightingale's
Theory of Environment*: Focuses on impact of a person's environment on
their health. Focus in on preventative care (washing hands, clean
environment).
*Health Belief Model*: Assumes a persons primary motivation in taking
positive health actions is to avoid getting a disease.
*Likelihood of taking action is based on*:
1. Modifying variables (age, gender, race, economy, education)
2. Perceived severity and susceptibility of getting the disease
3. Perceived benefits vs. barriers of taking action
4. Cues to action (i.e. advice of doctor, media campaign)
Community-Based Nursing versus Community-Oriented Nursing - CORRECT
ANSWERS- The community or population is the "client" in community health
nursing.
*Community-Based Nursing*: Focused on ILLNESS care (acute or chronic
conditions) for individuals and families.
- Examples: Home Health nurse doing wound care, School nurse
administering epi-pen.
*Community-Oriented Nursing: Focused on improving the collective health of
the community.
- Examples: Health education and promotion, disease prevention activities.
No illness care! Community-oriented nursing = public health nursing.
Community Health Nursing versus Public Health Nursing - CORRECT
ANSWERS- *Community Health Nursing*: Delivers health care services to
individuals, families, and groups. Includes community-based nursing (illness
care for individuals and families) AND community-oriented nursing
, (community focused care, with an emphasis on education and disease
prevention).
*Public Health Nursing*: Disease prevention and health promotion of
communities and populations. They re not providing direct care to
individuals! Public health nursing = community-oriented nursing.
Four Ethical Principles in Community Health Nursing
- Respect for Autonomy
- Non-Maleficence
- Beneficence
- Distributive Justice - CORRECT ANSWERS- *Respect for Authority*: Respect
a patient's right to self-determination.
*Non-Maleficence*: Do no harm
*Beneficence*: Do what is best (i.e. maximize benefits)
*Distributive Justice*: Fair allocation of resources in community.
Epidemiology and Components of Epidemiology Triangle - CORRECT
ANSWERS- *Epidemiology*: Study of spread, transmission, and incidence of
disease/injury.
*Components of Epidemiology Triangle*
- *Agent*: What is causing the disease (i.e. bacteria, toxin, noise)
- *Host*: Human/animal being affected by the disease
- *Environment*: Physical environment (water/food supply, geography).
Social environment (access to health care, work conditions, poverty).
Incidence vs. Prevalence - CORRECT ANSWERS- *Incidence*: Number of NEW
case of disease/injury in a population during a specified period of time.
*Prevalence*: Number of ALL cases (new and pre-existing) of disease/injury
in a population during a specified period of time.
Community Health Education and Healthy People 2020 - CORRECT
ANSWERS- *Community Health Education*
- *Obstacles*: Age culture, illiteracy, language barriers, lack of access, lack of
motivation.
- *Learning Styles*: visual (video, presentations), auditory (verbal lectures,
discussions), tactile-kinesthetic (hands-on, return demonstration).
*Healthy People 2020*: Includes national health goals based on major risk to
health and wellness of U.S. population (i.e.: Diabetes,Cancer, Older Adults,
LGBT health).
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