Community NUR 206 Exam 1 Review 2023 Questions with 100% correct Answers

what are risk factors for SIDS? - ANSWER-prone or side lying position, sleeping on soft surfaces, smoking during pregnancy, overheating, late/no prenatal care, young maternal age, preterm birth, male gender what are the leading causes of morbidity and mortality for adolescents according to Healthy People 2020? - ANSWER-bullying, dating violence, sexual violence how should a nurse assess an adolescents risk for violence in a relationship? - ANSWER-the nurse should ask the client to describe the relationship (not when the relationship began) what should a school nurse assess on the playground area for? - ANSWER--make sure there are soft surfaces on the floor such as gravel, mulch, and sand -should have a barrier to separate children from traffic -rope swings are not recommended due to strangulation -should be free from hooks where child can puncture skin how should firearms be stored? - ANSWER-unloaded, locked, and the ammunition stored separately in a locked device how does tertiary prevention come into play when doing planning care for a child diagnosed with a chronic condition? - ANSWER--nurse needs to assess the access to care including resources, safe transportation, and location. -priority is to make sure the parents remember the appointment times and are able to take the child to them what is a primary prevention a community nurse should do for the safety of adolescents? - ANSWER-teach them not to drink and drive, and not to text while driving what are some examples of primary prevention for a child with asthma? - ANSWER--teach the parents how to prevent flare ups -teach that ppl with asthma are more susceptible to illness -teach parents not to smoke around kids with asthma describe primary levels of prevention - ANSWER--preventing diseases and illnesses from happening -decreasing vulnerability -decreasing risk factors -teaching healthy people describe secondary levels of prevention - ANSWER--screening for early diagnoses -ppl with an undiagnosed disease describe tertiary levels of prevention - ANSWER--treatment -preventing further deterioration from a disease -this is for people with a diagnosed disease examples of primary prevention in schools - ANSWER--healthy promotion activities -teach healthy lifestyles -give immunizations -teach about risks associated with obesity -educate about healthy nutritional choices examples of secondary prevention in schools - ANSWER--screen for health problems -care for an injury/illness (ex: stomach ache or cut) -analyze children's height and weight growth examples of tertiary prevention in schools - ANSWER--care for chronic health problems (ex: asthma) -health referrals and continuity of care -work to improve the quality of food what is the primary goal for the public health? - ANSWER-prevent disease and disability what kind of focus does public health nursing have? - ANSWER-population focused practice, but they do treat individuals as well what is the leading cause of mortality in the public health? - ANSWER-chronic disease what has created a challenge for public health nursing? - ANSWER-the increase in the number of older adults, increase in fertility, and we have more immunizations so people are living longer what is the Family and Medical Leave Act? - ANSWER-provides protection to employment and insurance for caregivers who require a leave of absence to care for a sick family member what is the biggest concern with the elderly? how do we assess this? - ANSWER--abuse -ask them if they feel safe, who shops for them, who pays their bills what is the American Disabilities Act? - ANSWER-it protects individuals with mental and physical disabilities to not be discriminated against what is the Healthy People 2020 objective for school nursing? - ANSWER-the reduce the number of missed school days with students with chronic asthma -to improve the attendance of students with chronic conditions what is the focus of the Frontier Nursing Service? - ANSWER-focuses on vaccinations, infant mortality rates, and access to health care in rural areas what does the Institute of Medicine focus on? - ANSWER-the development of policy that impacts overall public health what does the NCHS focus on? - ANSWER-data collection related to population demographics what do community Oriented nurses assess? - ANSWER-they assess the healthier clients, they go over their risk factors and how to help with them What is advocacy? - ANSWER-Speaking on behalf of those who cannot speak for themselves, advocating for the patients, trying to get them services and appointments what is social justice? - ANSWER-justice for all, look at who is getting treated fairly and the advantages vs disadvantages what are the three public health core functions? - ANSWER--assessment -policy development -assurance what is the primary focus of community based nursing? - ANSWER-the care of ill individuals and families across lifespans what is a family crisis? how to know when this is occurring? - ANSWER--family is not able to cope with events and becomes dysfunctional -someone might say "I can't handle this" or "I can't do this" what is a genome? - ANSWER-this tells the provider about the patients genetic makeup, the conditions that run in the family (ex: diabetes, heart problems, high cholesterol, obesity, ect.) What are ecomaps? - ANSWER-provide information about the patients environment, the family's interactions socially with other groups and organizations what do home visits assess? - ANSWER-they assess healthcare needs, identify health promotion interventions, and provide skilled care what priority things must a nurse do to evaluate a family to get the information they need at a home visit? - ANSWER--the assessment should be interactive -slow the process down to build trust -always be very therapeutic what is the initiation phase of a home visit? - ANSWER--clarifying the source of referral -clarify the purpose -share information of the reason with the family what is the pre-visit phase of a home visit? - ANSWER--initiate contact with the family -establish a shared perception of the purpose of the visit -determine family's willingness -schedule the home visit -review the referral/family record what is the In-home phase of an at home visit? - ANSWER--introduce self -interact socially to establish rapport -establish nurse-client relationship -implement ADPIE what is the termination phase of an at home visit? - ANSWER--review the visit with the family -plan for future visits what is the post-visit phase of an at home visit? - ANSWER--record how the visit went -plan for the next visit what is the family structure? - ANSWER-the roles and positions of each family member, it changes overtime and there is no "right" model of structure -it is up to the patient to determine who's in their family what findings would make the nurse feel the family has unhealthy characteristics? - ANSWER-when some of the family members are not participating in traditions what is the Healthy People 202 objective for families? - ANSWER--increasing the proportion of parents who use positive parenting -increasing the percentage of adolescents who talk to their parents -increase percentage of Americans who have access to food -increasing the percentage of children who have medial requirements at home who is included in the vulnerable population? - ANSWER-homeless, mentally ill, substance users, veterans, and migrant workers what is the primary cause of vulnerability? - ANSWER-poverty -other factors are: unemployment and poor education what is an example of primary prevention to the vulnerable? - ANSWER--providing a portable immunization chart for them to keep with them -provide teaching about balanced diet and exercise