1. Chapter 3 Setting the Stage for Community Health Nursing

2. Core Public Health Functions
Assessment
Regular collection, analysis, and sharing of information about health conditions, risks, and resources in a community
Policy Development
Use of assessment data to develop policy and direct resources toward those policies
Assurance
Availability of necessary services throughout the community

4. Question Is the following statement true or false?
The assessment function of public health involves informing clients and communities.

5. Answer
False
The assessment function involves gathering and analyzing information that will affect the health of the people to be served. Informing, educating, and empowering clients are activities associated with the function of policy development.

6. Roles in Community Health Nursing
Clinician
Care provider
Focus on holism, health promotion, & prevention while using expanded skills
Educator
Health teacher
Plan for community-wide impact
Advocate
Pleader of client’s cause or actor on behalf of client
Support client self-determination and responsive systems

7. Roles in Community Health Nursing (cont.)
Manager
Administrative direction of goals: plan, organize, lead, control, evaluate
Participative approach with community
Collaborator
Joint working with others
Multidisciplinary collegiality and leadership

8. Question Is the following statement true or false?
A nurse acting as an advocate would help clients to navigate the health care system.

9. Answer
True
As an advocate the nurse pleads clients’ causes or acts on their behalf. One example of advocacy would be guiding clients through the complexities of the health care system.

10. Roles in Community Health Nursing (cont.)
Leadership role (action as a change agent)
Researcher
Systematic investigation, collection, and analysis of data for solving problems
Evidence-based findings to community settings

11. Settings for CHN Practice
Homes
Ambulatory service
Schools
Occupational health
Residential institutions
Faith communities
Community at large (domestic and international)

12. Nature of CHN & Common Threads Basic to Practice
Many nursing roles with variety of clients in specific situations
Special skill sets
Assessment
Policy development
Assurance
Collaboration with other institutions
Schools & parishes
Occupational health

13. Principles of Sound Community Nursing Practice
Standards of practice
Standards of care
Management essential to all nursing roles
Community nursing process: assessment, planning, implementation, & evaluation
Case management
Essential behaviors
Making decisions, transferring information, building relationships

14. Question Is the following statement true or false?
A halfway house is an example of the home as a setting for community health nursing.

15. Answer
False
A halfway house would be considered a residential institution setting.

16. Internet Resources A Day in the Life of Public Health
.htm
About Public Health Nursing
ections/phn/about/
Core Functions and Ten Essential Services of Public Health