Chamberlain College of Nursing 2016

NR442 Community Health Nursing

Exam 2 Overview & Outline
Note: This outline is not all inclusive but serves as a guide for your study. Please make sure you
have read all of the assigned chapter(s), reviewed the power point(s), lecture notes, and
participated in the in-class activities/discussions.

Chapter 10 - Policy, Politics, Legislation & Community Health Nursing

 Lillian Walds contribution to Community/Public Health?

 Important factors in Legislation
 How can public policy be used?
 Why is it difficult to change the paradigm of health care?
 How does the Government control health conditions?
 Explain role of the federal Government in legitimizing power
 What is the name of the amendment that protect individual rights and freedom
 What is the role of State Government and what are the limitation of its Power?
 Difference between private sector and public sector power
 Explain how the Hill-Burton Act Fund helped hospitals?
 List the COBRA requirements?
 What did the Welfare Reform Act of 1966 require?
 Discuss the history of SCHIP?
 What happen as a result of Medicare Modernization Act of 2003?
 Job assignment of a public health nurse
 Steps in policy formation
 Are nurse effective in creating policy change?
 Discuss the role of the nurse as a Lobbyist
 What action does a nurse take to represent a professional association?
 What is PAC?
 Discuss relationship to patient’s safety and Nurse Fatigue (any legislation)?
Multiple Response
 Describe (list) the purpose of professional societies (ANA)?
 Which critical issues in health care addresses HIPAA?

Chapter 11 – The Health Care System

 What are the critical driving forces of the changing Health care delivery system
 What is the dominant paradigm in health care?

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 Describe how voluntary health agencies fit into the overall health care system?
 Which level of government establishes regulations & funding for health care?
 What is the role of DHHS?
 Which governmental agency is responsible for WIC? (pg 189)
 What is the responsibility of State government regarding New Federal Funds?
 How has the treat of bioterrorism improved state and federal relationship?
 Which health care provider organization is experience increase in service demand?
 Discuss education level of Advance Practice Nurses?
 Explain the conclusion of the report To Err Is Human
 Discuss the key messages found in The Future of Nursing report
 What major problem does the U.S. Health Care system face (Ethical Insights)
Multiple Response
 List the limitation current legislation acts placed on MCOs (pg 198)

Chapter 12-Economics

 Medicare
 Medicaid
 Prospective payments
 What are the factors contributing to rising healthcare costs?
 What are healthcare expenditures? What occurs as one ages? pg. 183

Chapter FIVE – Focus Study Plan

 Explain why incidence and prevalence of Gonorrhea is unknown

 Define and give an example of Primary, Secondary, and Tertiary prevention
 What can surveillance data tell you about the health status of American
 Research study use in community Health that reports on time and cause
 Discuss the ethical issue regarding the Tuskegee study
 What data do PHN gather to identify factor leading to a disease process
 What does the Ecosocial epidemiology model espouse that the Web of Causation Model
and the Triangle model does not…?
 Principal types of epidemiology study (2 types)
 Explain wheel Model of epidemiology
 Explain the epidemiological triangle model, and the Web of Causation
 Define Incidence rate, Crude rate Prevalence Pot

Chapter TWENTY-FIVE – Focus Study Plan: Pages

 Chain of Infection?

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 What are the spectrum of disease occurrence

 Modes of Transmission (Indirect and direct)
 Types of Immunity & how are they Acquired
 HERD, Natural and Acquired Immunity
 Discuss PH control of infectious disease ( pgs 495 - 496)
 Types/ examples of Immunizations
 Example of Primary, Secondary and Tertiary Prevention
 Screening, (sensitivity and specificity of tests)
 Review Box 25-5 and Table 25-3
 Prevention of communicable diseases individual and population levels (p.512)
 Explain the need for Quarantine, Isolation, and Universal precautions?
 Demonstrate actions the nurse takes to break the chain of Transmission
 Explain why VAERS was originally legislated
 Which infection continues to increase in the United States
 What are the component of the epidemiological Triangle
 Identify stages of infection & spectrum of Infection