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Exam (elaborations)

Community Health Exam 1 (Ch. 1, 5, 6, 7, 9, 11, and ATI)

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Community Health Exam 1 (Ch. 1, 5, 6, 7, 9, 11, and ATI)

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Community Health Exam 1 (Ch. 1, 5,
6, 7, 9, 11, and ATI)

- What year did Lillian Wald, a public health nursing leader, found the Henry
Street Settlement in Manhattan? - -1893

- Why do you think nursing care started to shift from the home and
community to hospitals after 1918? SATA - -Technological improvements
WWI

- Nursing care in the US has shifted between the home and community and
the hospitals. When did technological improvements cause nursing care to
shift from home and community to the hospitals? - -1918

(due to improvements in technology, transportation, and WWI)

- When were cost containment measures implemented, enabling nursing
care to shift from hospitals back to the home and community? - -1980s

(More jobs in home and community settings)

- Despite local and state air quality policies, the local steel smelting mill has
been emitting toxins at night into the air. Residents are concerned about
potential health ramifications; lung complications. The community nurse
developed an early detection process that includes a lung function screening
test. What level of prevention has the nurse activated? - -Secondary

(Aimed at early detection and screenings)

- Community nurse is educating seniors at local senior center on home
safety to prevent falls. What level of prevention is the nurse practicing? - -
Primary

(prevent injuries and illness from occurring)

- Examples of tertiary levels of prevention? SATA - -- Encouraging a client w/
hypertension to continue weight loss program
- Developing a post-mastectomy exercise program to preserve function.

- In the role of a clinician, how can the nurse demonstrate levels of
prevention in the field? SATA - -- Administering immunizations
- Screening children for depression
- Performing scoliosis measurements

, - Community nurse is tending a booth at the community fair to provide
informational brochures on how to apply insurance and subsidies related to
ACA. What role is the community nurse demonstrating? - -Advocate

(Provides education, guidance, and assistance to help community clients
navigate health care system)

- Epidemiological Framework - -- Counsels community on prevention of
health problems
- assesses who is a great risk of illness, injury, disability, and/or premature
death

- Developmental Framework - -- Interviews the community about major
events from their shared past
- Counsels community on prevention of health problems

- Comprehensive assessment must consider the entire community and
various populations living in the community. Which indicates a
comprehensive assessment? - -Adults and children living within 10 miles of
the center of town.

(Demographics, boundaries, resources within boundaries)

- Public health nurse performing community assessment. What community-
specific factors will the nurse consider when performing this assessment? - -
Physical characteristics
Purpose of community
Internal influences such as local economy
Boundaries

- Community nurse is reviewing disease statistics of an assigned new area.
What assessment framework is the nurse utilizing in assessing this
community? - -Epidemiological

(Assessing a community according to amount and distribution of disease or
health conditions in a pop)

- Community nurse is preforming assessment on a community related to an
identified problem of obesity. Which approach is best for this type of
community assessment? - -Problem-orientated

(single problem ID'd)

- During assessment, community health nurse is gathering data to
determine what characteristics and possible health needs are similar for a all

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