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What is the primary unit of care in community health nursing?
Which of the following is NOT a feature of community health nursing?
Which perspective emphasizes the interaction of various factors over the individual parts in community health nursing?
What is the main goal of community health nursing?
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Who does community health nursing primarily serve?
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What does the term 'partnership' imply in community health nursing?
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Which approach focuses on understanding the individual based on their unique context and experiences?
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What is a characteristic of vulnerable population groups in community health nursing?
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What is recognized as the basic unit in society within the context of Filipino family health nursing?
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Which aspect of Filipino family life is emphasized by the Philippine Constitution to ensure family development?
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How does the Filipino family structure affect daily decision-making?
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What principle related to marriage is outlined in the family health nursing context?
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What is the nature of kinship patterns in Filipino families?
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What responsibility does the family have towards its elderly members according to the context provided?
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What is the expected behavior of children towards their parents in Filipino families?
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What level of authority do older siblings hold in Filipino families?
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What characterizes a blended family?
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Which family type has full authority given to a male family member?
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Which term refers to a family that includes households of several spouses?
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What defines a matrilocal family structure?
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Which family type is characterized by having one parent take care of the children?
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Which family type includes both parents exercising authority equally?
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What is a defining feature of a dyad family?
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In which descent type is an individual affiliated primarily with relatives through their father?
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Which stage of family development follows the family with teenagers?
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What is a primary characteristic of a healthy community?
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Which classification of community is characterized by high population density and industrial activities?
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In the developmental stages of family, which stage involves families primarily engaged with school-age children?
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What term best describes a community that is often agricultural, spacious, and less densely populated?
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Which of the following is NOT a characteristic of a healthy community?
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What primary factor differentiates a suburban community from urban and rural communities?
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What does the term 'community' refer to in its broadest sense?
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What does the modern concept of health encompass?
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Which factor is related to laws promoting safety and empowerment?
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Which of the following is an example of a behavioral factor affecting health?
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What aspect does the health care delivery system emphasize?
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Which factor contributes to the prevalence of man-made diseases today?
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How do hereditary factors impact health?
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Which of the following is NOT an example of environmental influences affecting health?
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Which statement is true regarding primary health care delivery?
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Study Notes
Family Concepts and Principles
- Family is the primary unit of care, community is the client.
- Community health nurses (CHN) work with the individual and family as partners, not for them.
- CHN goal is to achieve the highest level of health through multidisciplinary effort.
- CHN practice is affected by changes in society and developments in the health field.
- CHN is a part of the community health system and the larger human services system.
Community Health Nursing Features
- CHN targets populations and aggregates.
- The priority in CHN is the "greatest good for the greatest number."
- CHN assesses health needs, plans, implements, and evaluates the impact of health services on population groups.
- CHN prioritizes health promotion and disease prevention over curative interventions.
- CHN uses tools to measure and analyze community health problems.
- CHN applies management and organizational principles to deliver health services.
Recipients of Care
- Individual: the specific person receiving nursing interventions.
- Family: group of individuals affiliated by blood, marriage, or co-residence, the basic unit of society.
- Population Groups: vulnerable groups at risk of developing specific health problems sharing common characteristics, including women, children, older adults, persons with disabilities, and minority ethnic groups.
Family Health Nursing
- Family is the basic unit of society shaped by surrounding forces.
- Family is defined by ties of blood, marriage, or adoption.
- The Filipino family is defined by the Philippine Constitution and Family Code, emphasizing religious, legal, and cultural aspects.
- The state recognizes the Filipino family as the foundation of the nation and actively promotes its development.
- State protects marriage as an inviolable social institution and the foundation of family.
- The state defends the rights of spouses, children, and families.
- The family has a duty to care for its elderly members, but the state may also provide support.
The Filipino Family
- The nuclear family is the primary unit of Philippine society although kinship is influential.
- Relationship extensions and descent patterns are bilateral, extending kinship circles considerably.
- The extended family influences daily decisions.
- There is a significant level of equality between husband and wife.
- Children are expected to show respect and obedience to parents, and to repress their impulsive tendencies.
- Older siblings have some authority similar to parents.
- The Filipino family is characterized by strong family ties and a sense of community.
Types of Families
Based on Internal Organization and Membership:
- Nuclear: husband, wife, and children. -Conjugal: similar to nuclear but independent from parental relatives.
- Extended: several families of the same blood or a network of families.
- Single-parent: headed by a single spouse.
- Blended: or step family, mixed parents, with one or both parents remarried, bringing children from previous relationships.
- Traditional: middle-class family with a father who is the breadwinner and mother who is a housewife.
Other Types:
- Compound: One man/woman with several spouses.
- Communal: Multiple monogamous couples sharing resources.
- Cohabiting/Live-in: Unmarried couple living together.
- Dyad: Husband and wife or other couple living alone without children.
- Gay/Lesbian: Homosexual couple living together with or without children.
- Foster: Substitute family for children whose parents are unable to care for them.
Based on Authority:
- Patriarchal: Full authority held by the father or another male member of the family.
- Matriarchal: Full authority held by the mother or another female member of the family.
- Egalitarian: Husband and wife share authority, parents make decisions together.
- Matricentric: Mother makes decisions in the absence of the father.
- Patricentric: Father makes decisions in the absence of the mother.
Based on Descent:
- Patrilineal: Affiliation with relatives through the father.
- Bilateral: Both parents.
- Matrilineal: Affiliation with relatives through the mother.
Based on Residence:
- Patrilocal: Family resides near the husband’s parent’s domicile.
- Matrilocal: Family resides near the wife’s parent’s domicile.
Family Models
Developmental Stages:
- Stage 1: Beginning Family.
- Stage 2: Early Child-bearing Family.
- Stage 3: Family with Preschool Children.
- Stage 4: Family with School-age Children.
- Stage 5: Family with Teenagers.
- Stage 6: Family as Launching Center.
- Stage 7: Middle-aged Family.
- Stage 8: Aging Family.
- Stage 9: Period from retirement to death of both spouses.
Community
- A group of people with common characteristics living together within geographical boundaries.
- Functions within a socio-cultural context and varying physical environments.
- People’s behavior and coping mechanisms differ.
- From the Old French word “communite”, derived from Latin "communitas" meaning fellowship or organized society.
Community Characteristics
- Geographic boundaries with organized institutions into social systems.
- Common or shared interests that bind members.
- Fluid boundaries.
- Population aggregate concept.
- Considered an "organism" with stages of development
Community Classifications
- Rural: Open fields, often agricultural, more spacious, less densely populated.
- Urban: Cities, non-agricultural, densely populated, marked by industry and technology.
- Suburban or Rurban or Capitals: Administrative capitals of provinces, a mix of agriculture and industry.
Characteristics of a Healthy Community:
- Awareness of being a community.
- Conservation of natural resources.
- Recognition and respect for subgroups.
- Participation of subgroups in community affairs.
- Preparedness to address crisis.
- Problem-solving abilities.
- Open communication channels
- Resources available to all.
- Dispute resolution through legitimate mechanisms.
- Citizen participation in decision making.
- High wellness among members.
What is health?
- WHO defines health as "a state of complete physical, mental, & social well being, not merely the absence of disease or infirmity".
- The modern concept of health refers to optimal levels of functioning for individuals, families, and communities.
Factors Affecting Health:
- Political Factors: Political jurisdictions have the power and authority to regulate environments, including laws and legislative acts that promote safety and empowerment.
- Behavioral Factors: A person's level of functioning is affected by habits, lifestyle, healthcare practices, and child-rearing practices, which are often influenced by culture and ethnicity.
- Hereditary Factors: Understanding genetic influences on diseases and risks, including familial, ethnic, and racial strengths or risks passed through genes.
- Healthcare Delivery System: Primary healthcare is a partnership approach to community-based, accessible, acceptable, sustainable, and affordable essential health services, including promotion, prevention, cure, and rehabilitation.
- Environmental Influences: Pollution, communicable diseases from poor sanitation, garbage collection, smoking, and pesticide use negatively impact health.
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Description
Explore the key concepts and principles of community health nursing. This quiz covers the roles of community health nurses, their goals, and the strategies they use to promote health and wellbeing in population groups. Test your understanding of how community needs are assessed and prioritized in health service delivery.
