Population and Community Health Nursing, 6e (Clark) Chapter 1 Population Health and Nursing 1) The nurse is designing a program for pregnant adolescents in the community. The program will focus on fetal development, appropriate nutrition, developing social support systems, and screening for potential abuse by partners or others. This is an example of: 1. Community-driven care. 2. Community-focused care. 3. Community-based nursing. 4. Population health nursing. Answer: 4 Explanation: 4. Population health nursing is the practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences. The population will benefit from the program because the adolescents will be healthier and deliver healthier infants, thus saving on health care costs. Community-based nursing is nurses providing sick care in community settings. Community-focused care is bringing nursing knowledge and expertise to the community, but it does not have a population focus. Community-driven care focuses on the needs of the community as a whole and emphasizes community participation in determining those needs. It can limit the focus of practice to health needs identified by the population group, and could thus exclude pregnant adolescents. Nursing/Int.Conc: Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Learning Outcome: 1-1 2) The nurse meets with members of the community in open forums to help determine ways to improve health. The nurse identifies health problems in the community based on the community input and the nurse's community assessment. In this situation, the nurse is practicing: 1. Public-health nursing. 2. Community-driven care. 3. Community-focused care. 4. Community-oriented care. Answer: 3 Explanation: 3. Community-focused care brings nursing knowledge and expertise to the community. Public health nursing has a perceived focus of environmental sanitation and controlling communicable diseases. Community-driven care focuses on the needs of the community as a whole, but can be limited to only addressing needs identified by community members. Community-oriented care is limited and focuses program development on small aggregates while potentially ignoring health issues affecting larger population groups. Nursing/Int.Conc: Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Learning Outcome: 1-1
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