Community Test 2 Questions and Answers

Community Test 2 Questions and Answers Health Services access to and use of quality services is an important factor but, as you can see its not the only factor. nonetheless, access to services that prevent and treat injury and disease still significantly influence health. Income and Social Status Did you know that higher income and social status are both linked to better health? when the income gap grows between the richest and poorest people, the difference in quality of health between the classes also grows. Education Low education levels are associated with poorer health, greater stress, and even lower self-confidence Physical Environment physical environment including access to safe water and clean air, healthy work places, safe houses, communities and roads, also affects health. those who are employed are healthier, especially when they have a sense of control over their working conditions. Social Support Networks social support networks are critical for health, when you receive greater support from families, friends, and communities, you have better health. people also depend on their culture for support and inspiration through their customs and traditions. Personal Biology genetic inheritance plays a part in determining life span, health, and the likelihood of developing certain illnesses. gender, age and any number personal biological factors influence your patients health. these all combine to influence personal behavior and coping skills, which in turn affect whether your patient has balanced eating habits, stays active, smokes, drinks and deals with life's stresses and challenges. Benefits of Screenings Early detection-many screening tests detect early physiologic indicators of disease before the individual has any indication that they are ill, during the early and pathogenic periods. screening enables earlier intervention and management in the hopes of reducing mortality and suffering from a disease. Fast and Economical-screenings are also a rapid and economical way to determine which individuals require further medical testing Predictive Health Factors risk, or predictive, factors are biological and psychological characteristics that we engage in that put us more "at risk" to become ill or injured. for example, tobacco use is a risk factor for COPD, heart disease and lung disease. other examples include stress, poor nutrition and poor sleep habits there are also predictive factors that place individuals at risk for disease that don't have to do with individual health behavior choices for example, a person being treated with chemo for cancer may be susceptible to infections or even secondary types of cancer Protective Health Factors protective health factors are biological psychological characteristics that increase resilience and protect health. adequate sleep, a healthy diet and exercise all protect against certain health problems, such as heart disease. not having the genetic predisposition to type 2 diabetes, heart disease alcoholism or mental illness. not being exposed to alcohol or drugs prenatally. healthy lifestyle choices, such as wearing helmets when riding a motorcycle or bicycle or not smoking. Healthy People 2020 indicators physical activity overweight and obesity tobacco use substance abuse Which characteristic of a system also applies to communities and health? That what affects one part of the system, affects the system as a whole Which variable is most likely to influence the health of a community? Social determinants of health True or False-The social determinants of health are not related to the health status of a client. False SATA-a public health nurses providing education to pregnant teens on pregnancy nutrition. as part of the education, the nurse also encourages the teens to finish high school and go on to college when possible. whites the rationale for both the nutrition education and encouragement for continued education related to the determinants of health? Education on health determinants can facilitate positive action and low education levels are associated with poorer health and greater stress The community health nurse has identified a high rate of obesity in school-age children within one community. The nurse completes a community assessment and finds the median income in the area is 28,000 for a family of four. In what interrelated system will the nurse document this finding? Income and social status An occupational health nurse is checking employees' blood pressure at the annual benefits fair. The nurse has developed a questionnaire for the employees to complete, including demographic data such as age, gender, and ethnicity, as well as tobacco use. What interrelated system in health is the nurse assessing with this questionnaire? Personal Biology A community health nurse is partnering with several community members to resolve an identified problem of homelessness. one of the community members questions why there are so many homeless people when the unemployment rate is below 3% in the community and surrounding area. What would be the nurse's best response to this question? There are several interrelating systems that lead to homelessness, including social environmental and personal biology. SATA-Which factor is a part of the interrelated environment system? Adequate fresh water Safety Housing SATA-What factor contributes to the effectiveness of a health screening? Acceptable degree of sensitivity Ease of administration Cost-effectiveness Acceptance by the community When considering community health assessment, which intervention is an example of secondary prevention? Screenings What is the fundamental criterion for making a screening mandatory? Degree of physical harm resulting from the lack of screening. A school nurse is checking the students in the seventh grade for scoliosis. What type of assessment is scoliosis testing? Screening A public health nurse is administering a Tuberculin test to a hospital employee. What type of screening is the test? Selective A school nurse has identified a depression screening instrument to use for middle-school students who are referred. by the teaching staff. What ethical consideration should the nurse make prior to preforming the screening of students? The availability of resources if the student has a positive screening. What statement about false negatives is accurate? A false negative is when a patient passes a screening but, in fact, truly has the disease. The occupational nurse would like to identify employees who are at risk for heart disease. The nurses has begun taking blood pressures on all new employees, with the intent of identifying early signs and symptoms so effective treatment can be sought. What ethical principle does this represent? Beneficence Which tool is most useful to the community health nurse planning health promotion activities for both the environmental and community level systems? Health impact pyramid When considering health behaviors, the term mainstream is used when discussing interventions directed toward which system level? Community SATA-Which factor affects the way a family identified its health risks? Methods used to cope with stress Cultural view of wellness Past experiences with illness Ability to pay for health care SATA-What are examples of predictive health factors at the family, community, and/or society level? Smoking cigarettes Chronic stress and anxiety In providing education to a client at the health department regarding the risk for heart disease, the nurse identifies several protective factors in the client's chart. Which of these items found in the client's chart indicates a protective factor? Being active in the local church ministries A client at the public health clinic reports performing self-breast examinations monthly. Which protective health factor does this represent? Valuing health The school nurse is preparing to address the Parent Teacher Association at the school to provide education on the importance of obtaining vaccination. Who is affected by this type of public health outreach? Society The state public health nurse would like to gather information on general predictive risk factors related to stroke. The nurse has identified the U.S. Adults National Health Interview Survey sponsored by the CDC as a good place to begin the search. Why would the nurse choose this type of assessment tool? In this survey, data are analyzed to identify mortality risk for a population. What is the source for established national objectives and health outcomes that guide health promotion in the United States? Healthy People 2020 SATA-What is the goal of a community health assessment? Effective assessment of existing community health problems Associating health need with possible community resource Identification of community health resources Prioritization of community-focused health interventions SATA-Which factor is considered when determining social determinants of health? Childhood Experience Place of birth Age Employment history