Introduction to Community Health Nursing
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Questions and Answers

What is the primary goal of public health, according to the Institute of Medicine (IOM)?

  • To focus on early diagnosis and treatment.
  • To ensure conditions where people can be healthy. (correct)
  • To educate individuals in personal hygiene.
  • To provide medical treatment to individuals.
  • Which of the following best describes the scope difference between public health and community health?

  • Public health focuses on individual treatments, while community health focuses on broader populations.
  • Public health is a non-clinical, localized subspecialty, while community health has a much broader focus.
  • Public health has a broader focus in terms of the number of factors considered and target population size, while community health is more localized. (correct)
  • Public health focuses on specific communities, while community health is part of the larger public health effort.
  • What is a key component of Winslow's 1920 definition of public health?

  • Organizing medical services for individual treatment.
  • Preventing disease, prolonging life, and promoting health through community efforts. (correct)
  • Focusing solely on the treatment of individual ailments.
  • Primarily focusing on community development.
  • Community health is best described as:

    <p>A localized subspecialty within the larger field of public health. (C)</p> Signup and view all the answers

    Community health nursing is best described as:

    <p>Professional clinical nursing combined with public health and community practice. (B)</p> Signup and view all the answers

    What is the primary focus of Community Health Nursing?

    <p>Promoting health and preventing disease in community settings (C)</p> Signup and view all the answers

    Which of the following is NOT a distinguishing characteristic of community health practice?

    <p>The setting is always within a therapeutic institution (A)</p> Signup and view all the answers

    What does it mean for Community Health Nursing to be 'population-focused'?

    <p>It is oriented towards the health of groups or aggregates of individuals (B)</p> Signup and view all the answers

    Which statement best describes the approach of Community Health Nursing concerning health care intervention?

    <p>It gives importance to promotional and preventive health care (D)</p> Signup and view all the answers

    In Community Health Nursing, what is the concept of a 'client' primarily referring to?

    <p>The health of populations or groups such as community or family (D)</p> Signup and view all the answers

    Which of the following is not a typical setting for Community Health Nursing practice?

    <p>Therapeutic institutions (C)</p> Signup and view all the answers

    What is a significant aspect of Community Health Nursing's concern regarding environmental factors?

    <p>It also includes social aspects that influence health (A)</p> Signup and view all the answers

    Which of the following is NOT a primary way in which community health nursing strengthens family life?

    <p>Providing medical examinations (A)</p> Signup and view all the answers

    In disease control, what role does a community health nurse primarily fulfill?

    <p>Implementing general prevention measures and early identification (A)</p> Signup and view all the answers

    When working with schools and workplaces, a community health nurse's role is BEST described as:

    <p>Planning and implementing nursing phases of health programs with other personnel (A)</p> Signup and view all the answers

    What is a key method used by community health nurses to plan and evaluate services for their population group?

    <p>Using demographic information to set goals and plan outcomes (C)</p> Signup and view all the answers

    How does a community health nurse primarily contribute to decision and policy setting in the agency and community?

    <p>By writing and sending reports and recommendations to appropriate agencies (C)</p> Signup and view all the answers

    In what way does a community health nurse contribute to the extension of knowledge in nursing and health care?

    <p>By proposing problems for systematic study, planning, and conducting studies (D)</p> Signup and view all the answers

    During ancient times, who were the primary providers of healthcare within communities?

    <p>Family members, religious groups, and informal caregivers (D)</p> Signup and view all the answers

    During the medieval period, which groups played a significant role in providing care for the sick and poor?

    <p>Religious orders (C)</p> Signup and view all the answers

    When referring to care given in monasteries during the medieval period, which statement best explains it?

    <p>Care was often provided to the sick and poor within monasteries and via community outreach (C)</p> Signup and view all the answers

    What was the primary factor that led to the formalization of community health practices in the 17th century?

    <p>The development of organized systems for poor relief and almshouses (B)</p> Signup and view all the answers

    What was the main consequence of the Industrial Revolution that increased the need for public health efforts in the 19th century?

    <p>Rapid urbanization with overcrowding and poor sanitation (C)</p> Signup and view all the answers

    What is Florence Nightingale primarily known for regarding community health nursing?

    <p>Establishing the first professional nursing school and promoting sanitation (D)</p> Signup and view all the answers

    How did Lillian Wald contribute to the development of public health nursing in the United States?

    <p>Founding the Henry Street Settlement and formalizing visiting nursing services (B)</p> Signup and view all the answers

    What was the main focus of public health nurses in the early 20th century?

    <p>Disease prevention, maternal and child health, and control of communicable diseases (B)</p> Signup and view all the answers

    What organization was established in 1912 to promote the role of nurses in public health?

    <p>The National Organization for Public Health Nursing (NOPHN) (B)</p> Signup and view all the answers

    Before the 1600s, what were community health practices primarily like?

    <p>Informal and varied, usually involving family or religious figures (C)</p> Signup and view all the answers

    Which of the following did Nightingale emphasize during the Crimean War to reduce mortality rates?

    <p>Sanitation and hygiene practices (B)</p> Signup and view all the answers

    What challenges were presented to community health nursing during the 1930s and 1940s?

    <p>The Great Depression and World War II (B)</p> Signup and view all the answers

    Study Notes

    Introduction to Community Health Nursing

    • This study session introduces community health nursing, which focuses on family, group, and community care, extending beyond individual care.
    • It covers working outside acute care settings in hospitals to homes, schools, recreational facilities, and work settings, to provide healthcare.
    • Nurses need to understand community health as a special field, tracing its trend and future direction.

    Learning Outcomes for Study Session 1

    • Define community health
    • Distinguish community health vs. public health
    • Explain community health nursing characteristics
    • Describe the components of community health nursing
    • Explain the contribution of community health nursing globally
    • Describe the history of community health nursing in Nigeria

    Community Health

    • Humans are social creatures, living in communities ranging from small villages to large cities.
    • Community groups support people materially and emotionally.
    • Community health influences collective health and well-being (WHO 2006).
    • Community health seeks organized structure, resources, and collaboration to improve community health.

    Public Health and Community Health

    • Both are organized community efforts to promote, protect, and preserve people's health
    • Public health focuses on official governmental efforts targeting health issues.
    • Public health, in its mission, assures healthy conditions for people to live in.
    • Community health is a localized sub-specialty of public health focusing on particular, designated communities.

    The Concept of Community Health Nursing

    • Community health nursing combines professional clinical nursing principles with public health and community practices.
    • It aims to meet the health needs of individuals, families, and groups within their normal environments, like homes and workplaces.
    • Community health nursing is geared towards promoting health and preventing illness rather than just treating disease.
    • Practice takes places outside institutions: homes, schools, workplaces and communities.

    Characteristics of Community Health Nursing

    • Focused on populations rather than individuals
    • Emphasizes promotion and prevention of illness
    • Collects community data for planning
    • Uses organizational and management theories for health care delivery
    • Prioritizes client advocacy
    • Considers physical, biological, and social environmental factors affecting health status.
    • Focuses on individual/community health rather than disease
    • Clients can be diverse populations, like families and communities

    Settings for Community Health Nursing Practice

    • Homes/residential places
    • Markets
    • Ambulatory services
    • Workplaces
    • Schools
    • Prisons
    • Camps
    • Families
    • Communities

    Components of Community Health Nursing

    • Health Promotion: Efforts to enhance well-being and improve wellness.
    • Illness Prevention: Measures to prevent disease onset.
    • Treatment: Dealing with illness.
    • Rehabilitation: Restoring function and reducing disability
    • Evaluation: Assess effectiveness of programs.
    • Research: Conducting investigations on community health.

    Prevention of Illness and Disease

    • Anticipating and averting illness and diseases or discovering early to minimize disabilities.
    • Primary, secondary, and tertiary levels of prevention

    Roles and Functions of Community Health Nurse

    • Providing healthcare services, supervision, and education to individuals, families, and groups.
    • Counseling and promoting personnel development
    • Communicating process
    • Participating in programs to prevent diseases
    • Supervising and implementing health education measures.

    Historical Development of Community Health Nursing

    • Early roots trace back to ancient civilizations and religious orders, which provided informal care for the sick.
    • The 17th century saw the establishment of poor relief and almshouses in Europe.
    • 1800s witnessed Florence Nightingale's improvements in sanitation and hygiene, which had a huge impact on reducing mortality rates during the Crimean War.
    • Lillian Wald's work founded public health nursing in the United States.
    • Early 1900s saw the expansion of public health nursing in schools, factories, and homes, focusing on various issues like disease prevention and maternal and child health.
    • 1930s-1940s saw challenges during the Great Depression and World War II (e.g. health needs of the impoverished, health services in military and civilian settings).
    • 1950s-1960s saw significant expansion in public health services and focus on chronic disease management.
    • 1970s-1980s saw the incorporation of various specialized roles in nursing like mental health nursing and school nursing.
    • 1990s-present saw the establishment of formal community health nursing programs in universities and nursing schools to address specific health challenges in communities.
    • Community health nursing in Nigeria has roots in the colonial period, post-independence health reforms, and evolving public health needs.

    Contemporary Developments of Community health Nursing

    • Health equity: Efforts to strengthen health capacity in underserved and marginalized communities.
    • Global Health Influence: Community health nursing in Nigeria is influenced by global health initiatives and partnerships which has contributed to global health knowledge and practice.

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    Description

    This quiz explores the fundamentals of community health nursing, emphasizing its importance in family, group, and community care. It addresses key distinctions between community health and public health, the characteristics of community health nursing, and its historical development, particularly in Nigeria. Test your knowledge on how community health nursing contributes globally to healthcare delivery.

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