HESI RN COMMUNITY HEALTH PROCTORED EXAM

HESI RN COMMUNITY HEALTH PROCTORED EXAM

VERSION 13

*Will also include questions from Med-Surge, Fundamentals, Pharmacology, Pediatrics, etc.).*Take practice exams!

Chapter 1 Community Health Nursing Theories

• Nightingale’s Theory of the Environment
• Impact of a person’s environment on their health
• PREVENTATIVE CARE
• Washing hands

ii. Maintain a clean environment

• Health Belief Model
• Assumes a person’s primary motivation in taking positive health actions is to

AVOID getting a disease

• Likelihood that they are going to take these positive health actions is based

on

• Modifying variables (age, gender, race, economy, education)
• Depending on where they fall, they may or may not be inclined

to take positive health actions ii. Perceived severity and susceptibility of getting a disease

• They perceive that the disease is very serious and that they

can get it, they’re going to be more motivated to take action iii. Perceived benefits vs. barriers of taking action

• If they see more benefits than barriers, they’re more likely to

take action

• If they see more barriers than benefits, they’re more likely to

take action iv. Cues to action

• Getting advice from Dr.?
• Are they seeing media campaigns (i.e. smoking cessation)?
• If they see these cues, there is an increased likelihood that

they will take a positive action to improve their health

Community Health Nursing (contains both community-based nursing and community- oriented nursing) Difference between community-based nursing vs. community-oriented nursing

Community Health Nursing -The client is community/population as opposed to an individual

Community-Based Nursing -Providing illness care -Helping to take care of patients with acute/chronic conditions -Treating individuals and families -Hands-on specific nursing care for individuals and families

Examples:

• Home health nurse providing wound care
• School nurse providing an EpiPen injection for a patient 1 / 2

Community-Oriented Nursing -NOT focused on illness care -They are focused on disease prevention, education, and trying to improve the collective health of the community

Focus on:

• Health education
• Health promotion
• Disease prevention

Public health nurses are community-oriented nurses -Not providing illness care -Not treating individuals and families -They are focused on the population and the community as a whole -Focused on disease prevention, health promotion, and education

Four ethical principles

• Respect for autonomy
• Respecting patient’s right to self-determination
• Non-Maleficence
• Not doing harm to the patient
• Beneficence
• Doing what is best for the patient
• Maximize benefits
• Distributive Justice
• Fair allocation of resources in the community

Epidemiology – The study of the spread, transmission, and incidence of disease and injury Epidemiology Triangle – they interact to either increase/decrease someone’s chance of getting a disease

• Agent
• Thing that is causing the disease
• (bacteria, toxin, noise, pollution)
• Host (human or animal) that is being affected by the disease
• Environment
• Physical – water, food supply, geography

ii. Social – Access to healthcare, work conditions, poverty)

Incidence -# of new cases of a disease/injury in a population during a specified time period Prevalence -# of all cases (new and pre-existing) in a population during a specified time period Community-Health Education

Obstacles:

• Age
• Culture
• Illiteracy
• Language Barriers
• Lack of access
• Lack of motivation

Education -Understand that people have different learning styles

• Visual – videos, presentations
• Auditory – verbal lecture or discussion
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