Answer to Question 1
Correct Answer: 3
Community-based nursing practice is defined as setting specific practice in which care is provided for 'sick' individuals and families where they live, work, and attend school. The emphasis is on managing acute and chronic conditions through the provision of comprehensive, coordinated, and continuous care. Nurses working in community-based settings may be generalists or specialists in maternal-infant, pediatric, adult, gerontological, or psychiatric-mental health care. Community-based nursing settings include home health settings, hospitals, clinics, and other acute care settings located within communities. Community-oriented nursing encompasses care provided through a multitude of agencies that are designed to enhance the health of an entire community or population. Community-oriented care settings include public health agencies at all geopolitical levels. Nurses in public health practice intervene at the community and population levels, by using political processes to affect public policy change to achieve health for all members of the community or population, especially vulnerable subpopulations. Population health is an approach to providing care and not a specific type of nursing practice.
Answer to Question 2
Correct Answer: 3
The community health nurse is focused on the health needs of the community as a whole; health promotion and illness prevention for the community is their primary focus. Providing care to a patient who is recovering from an illness may be the priority of concern for the hospital based nurse or the home health nurse. Providing care for individuals in their homes is the priority of focus of the home health nurse. Case managers focus on planning care related to Medicare reimbursement to ensure that the patient receives high quality cost efficient care.