The term "instructive district nursing" was coined in the nineteenth century to describe the relationship of nursing to:
Home health care
Visiting nurse services
Answer: A - In 1886 in Boston, two women, to improve their chances of gaining financial support for their cause, coined
the term "instructive district nursing" to emphasize the relationship of nursing to health education.
In the United States, the current system of the local government's responsibility for providing care for the
disenfranchised emerged from:
Elizabethan Poor Law
Public Health Service (PHS)
Federal Emergency Relief Administration (FERA)
Answer: A - Colonial Americans established systems of care for the sick, poor, aged, mentally ill, and dependent based
on the model of the Elizabethan Poor Law. Early county or township government was responsible for the care of all
dependent residents, and they were strict about caring for their own residents.
Community-oriented nursing in the twenty-first century has been influenced by recent historical events (i.e., 9/11,
anthrax scare), key professional developments (i.e., nursing shortage), government reports (i.e., Healthy People
2010, IOM reports), and legislation that support the approach of:
Keeping the public healthy
Caring for the disenfranchised
Answer: A - In 2001, with airplanes flying into buildings and anthrax sent through the mail, people no longer believed they
could protect themselves. The importance of keeping the public healthy became a topic for all forms of media.
Resources were redirected to ensure that citizens could remain safe in their homeland. In 2002, the Institute of
Medicine (IOM) published a guide to education in each of the disciplines related to public health—Who Will Keep the
Public Healthy? In 2003, the Association of Community Health Educators (ACHE) and the Quad Council finalized their
own set of public health nursing competencies. In 2003, the Health Insurance Portability and Accountability Act
(HIPAA) was created to protect individuals' health information while ensuring access to high-quality health care and
reduction in health care errors.
In 1902, Lillian Wald introduced the concept of school nursing to address the problem of student absenteeism by:
Providing and obtaining medical treatment for absent students
Excluding infectious children from the school environment
Enforcing the Department of Health’s rules and regulations
Providing shoes and clothing for absent students
Answer: A - In New York City in 1897, school medical examination focused on excluding infectious children from school.