Community Health Nursing Practice Exam

What indicates a successful discussion on Lillian Wald's contributions to community health nursing?

1. Assistance to high-risk populations in Central America

2. Creation of home nursing services in London

3. Establishment of family-centered nursing in New York City

4. Use of clean and safe nursing practices during the Crimean War

The correct answer is: Establishment of family-centered nursing in New York City

Lillian Wald significantly impacted community health nursing, particularly through her establishment of family-centered nursing in New York City. This approach emphasized the importance of viewing health care in the context of the entire family unit rather than focusing solely on individual patients. Wald's work with the Henry Street Settlement in the early 20th century exemplified her commitment to public health and social reform, addressing not just medical needs but also the social determinants of health such as housing, employment, and education. By integrating family dynamics into care practices, Wald changed how nursing is viewed and practiced in communities, leading to more holistic and effective health interventions. The other options, while representing important aspects of nursing and community health, do not directly relate to Wald’s specific contributions. Assistance to high-risk populations in Central America, for instance, involves initiatives not directly connected to her historical context and contributions. The creation of home nursing services in London is attributed to different figures in nursing history. The reference to clean and safe nursing practices during the Crimean War pertains to Florence Nightingale's contributions and highlights advances in nursing practices, but it is not associated with Wald’s legacy. Focusing on family-centered care in urban settings distinctly captures the essence of Wald's pioneering work and her lasting influence in the field of