*Will also include questions from Med-Surge, Fundamentals, Pharmacology, Pediatrics,

etc.).

*Take practice exams!

Chapter 1

Community Health Nursing Theories

1. Nightingale’s Theory of the Environment

a. Impact of a person’s environment on their health

b. PREVENTATIVE CARE

i. Washing hands

ii. Maintain a clean environment

2. Health Belief Model

a. Assumes a person’s primary motivation in taking positive health actions is to

AVOID getting a disease

b. Likelihood that they are going to take these positive health actions is based

on

i. Modifying variables (age, gender, race, economy, education)

1. Depending on where they fall, they may or may not be inclined

to take positive health actions

ii. Perceived severity and susceptibility of getting a disease

1. They perceive that the disease is very serious and that they

can get it, they’re going to be more motivated to take action

iii. Perceived benefits vs. barriers of taking action

1. If they see more benefits than barriers, they’re more likely to

take action

2. If they see more barriers than benefits, they’re more likely to

take action

iv. Cues to action

1. Getting advice from Dr.?

2. Are they seeing media campaigns (i.e. smoking cessation)?

3. If they see these cues, there is an increased likelihood that

they will take a positive action to improve their health

Community Health Nursing (contains both community-based nursing and communityoriented nursing)

Difference between community-based nursing vs. community-oriented nursing

Community Health Nursing

-The client is community/population as opposed to an individual

Community-Based Nursing

-Providing illness care

-Helping to take care of patients with acute/chronic conditions

-Treating individuals and families

-Hands-on specific nursing care for individuals and families

Examples:

1. Home health nurse providing wound care

2. School nurse providing an EpiPen injection for a patient