HESI RN COMMUNITY HEALTH PROCTORED EXAM
VERSION 14
Nightingale’s Environment Theory:
Emphasized prevention care. Washing hands Sterilizing instruments Health Belief Model Assumes that preventive health behaviors are taken primarily for the purpose of avoiding disease. Describes the likelihood of taking an action to avoid disease based
on:
Susceptibility, seriousness, and threat of disease Modifying factors Demographics Knowledge level Age Race Cues to action Media Disease effect on ppl Recommendations from health care professionals Perceived benefits minus perceived barriers to taking action
Goals of community health nursing:
Promote, preserve, and maintain health of populations by delivery of services to individuals, families, and groups to influence community health Who is the client in community health nursing? The community or population
BOTH COMMUNITY ORIENTED NURSING AND COMMUNITY
BASED NURSING
Public Health Nursing Also known as Community-Oriented Nursing Population focused
Goal:
Promoting health Preventing disease No illness cares
Key Principles:
Emphasize primary prevention 1 / 2
Greatest good for largest number of individuals Client is partner in health Use resources wisely to promote best outcomes
Community-oriented Nursing:
Focus of Care:
Aggregates Communities Populations (public health) At-risk or unserved individuals and families
Primary Goal:
Health promotion and disease prevention Education
Nursing Activities:
Indirect (programmed management) Can include direct care of at-risk individuals and populations Community-based Nursing
Focus of care:
Individuals and families Management of acute or chronic conditions Direct (one-on-one)
Illness care:
School nurse Camp nurse Prison nurse Ethical principles to community health nursing Autonomy Nonmaleficence Beneficence Justice Community Health Education
Obstacles:
Age Cultural barriers Poor read comprehension Language Lack of motivation Effective health education requires planning Learning Styles Visual Auditory Tactile-kinesthetic Epidemiological triangle Agent
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