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This study guide provides an overview of the topics covered in exam 1 for the community health nursing course. The exam will assess students' understanding of community health nursing, public health functions, essential services, social determinants of health, prevention theories, epidemiology, community assessment, and health policies. Students are encouraged to review the healthy people 2030 website and calculate incidence rates for various health conditions.
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Exam 1 will include content covered in class on 8/17, 8/22, Virtual application in ATI and SIM. CHAPTER 1 Definitions: Community health nursing, community, population, aggregates and public health Core public health functions and examples of each function Essential public health services #1 priority area of Healthy people 2030, and Healthy People 2030 Leading Health Indicators for all ages Social Determinants of health and their relation to health outcomes. PLEASE REVIEW THE WEBSITE: https://health.gov/healthypeople Levels of prevention and know applicable examples, UPSTREAM AND DOWN STREAM THINKING Chapter 2 Definitions: Endemic, epidemic, pandemic Public health achievements in the US and the role of nurse pioneers CHAPTER 3 Know theories that apply to individual behavior change: OREM’s theory, Millio’s theory and the health believe model. Which will be most applicable to Upstream community health nursing interventions? Chapter 4 Know the key concepts and assumptions of the Health believe model as they apply to health promotion and risk reduction Know the constructs, stages of change and assumptions of The Transtheoretical Model of change Chapter 5 Definitions: virulence, pathogenicity, incidence, prevalence, specificity, sensitivity, screening and surveillance Incidence calculation example: You watch a group of the 5,000 people in your town. During a five-year period, 25 individuals are newly diagnosed with diabetes mellitus. What is the annual incidence of diabetes mellitus for your town? (25 new cases diabetes mellitus)/(5,000 people x 5 years) = (25 new cases) / (25,000 people-year) = 0.001 cases/people-year =
1 case / 1000 people-year (k=1000) If K=10,000 this will be 10 cases/10,000 people-year Person-place-time model and it’s application for a public health nurse Epidemiological triangle and its application in disease prevention Top leading causes of death and the major risk factors Modifiable and non-modifiable risk factors Criteria for establishing a risk factor Applications of the concept of risk in community health Know the public health policies and interventions directed at these risk factors Know the guidelines for screening programs CHAPTER 6 Features of a community Components of a Windshield Survey Sources of data in a community assessment Steps in a community needs assessment Community diagnosis Chapter 7 Community as a Client Components of the health planning model, PATCH model and the PRECEDE-PROCEED model. Know what PRECEDE-PROCEED stands for: PRECEDE stands for Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation PROCEED stands for Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development. CHAPTER 8: Review ATI VIRTUAL APPLICATION-HEALTH EDUCATION CHAPTER 9 Definition of case management and practical and the purpose of care coordination Good luck. We will review on Friday 8/26/22 From 2pm-4pm.