Nur 452 exam 3 (Final) Questions and Answers
community oriented nursing goal is to
preserve, protect, promote, or maintain health of individuals, families,
groups, populations, communities
community oriented nursing is also called
population health/population focused/population oriented
main focus of community oriented nursing
community/population health
community oriented nursing: health care to promote _____
quality of life
community based nursing focuses on
illness care of individuals and families
community based nursing
- manage acute and chronic illness in the community
- family centered illness care
does community oriented nursing have direct care for individuals?
no
examples of community based nursing
home health or school nurse
public health policy core functions
- assessment
- policy development
- assurance
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upstream thinking
overarching factors that are largely outside of the control of the individual
and which have significant trickle-down effects on other, more proximal
determinants of public health
downstream thinking
can be seen as the outcomes of up and midstream factors and variables. in
some respects, downstream determinant are more easily mitigated or
prevented by the individual, such as a change in eating habits or reducing risk
of injury on the job
cultural competence model
Cultural awareness, cultural knowledge, cultural sensitivity, cultural
competence
context of nursing and health care for health disparities
- lack of health insurance and high health care cost
- language barriers
- lack of transportation
- provider-patient communication
- biased clinical decision making
- patients mistrust and refusal
factors contributing to vulnerability
- physical resources (poverty, limited social support)
- environmental resources (hazardous work)
- personal resources (human capital)
- biopsychosocial resources (illness, genetic predispositions)
human capital
- refers to all the strengths, knowledge, and skills that enable a person to live
a productive, happy life
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what can nurses do for vulnerable populations
- case finding
- health education
- care coordination
- policy making related to improving health for vulnerable populations
developed countries
- stable economy
- wide range of industrial and technological development
developed countries examples
- U.S
- Japan
- U.K
- Sweden
- France
people in developed countries are more likely to die from
chronic diseases
lesser developed country (developing)
- economy not stable
- not stable in respect to technological development
lesser developed country (developing) examples
- Bangladesh
- Zaire
- Haiti
- Guatemala
people in developing countries are more likely to die from
infectious diseases
world health organization
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