COMMUNITY HEALTH NURSING EXAM 1 WITH CORRECT QUESTIONS AND ANSWERS 100%

. 3 shared commonalities - ANSWERS-geographic, common interest, community of solution .advocate - ANSWERS-2 goals: help clients gain greater independence or self determination; make the system more responsible and relevant to the needs of clients. Every client has the right to receive just, equal and humane treatment .aggregates - ANSWERS-a mass or grouping of distinct individuals who are considered as a whole and are loosely associated with each other, broader term then population .aggregates - ANSWERS-communities and populations are types of .air pollution - ANSWERS-high in industrial areas .ambulatory service settings - ANSWERS-community health centers, clinics, day care centers, health departments, services for select groups such as migrant camps, native american reservations, correctional facilities, parishes .case manager - ANSWERS-has become the standard method of managing health care in delivery systems in US. Evaluates progress to ensure that clients' multiple service needs are met in a cost-effective manner. .clinician - ANSWERS-most familiar role, ensures health services are provided .collaborator - ANSWERS-work jointly with others, need communication skills .common interest - ANSWERS-collection of people with interest or goal that bind them together, ex: MADD, disabled community, church groups, gay community .community health status - ANSWERS-health of total population .community health status - ANSWERS-measured by birth and death rates, morbidity statistics .community of solution - ANSWERS-group of people who come together to solve problems that affects all of them, ex: guidance counselors, counties working for water pollution .compounding pharmacist - ANSWERS-combining drugs in a unique way in a hospice setting .contact lens solution - ANSWERS-can cause birth defects .contaminant - ANSWERS-organic or inorganic that enters medium that renders it impure .core public health functions - ANSWERS-assessment, policy development, assurance .determinant of health - ANSWERS-behavior .determinant of health - ANSWERS-biology .determinant of health - ANSWERS-polices and interventions .determinant of health - ANSWERS-social & physical environment .durable medical equipment - ANSWERS-bedside commodes, walkers, beds, can be used again. .durable power of attorney - ANSWERS-health issues, or healthcare proxy .early home care nursing - ANSWERS-religious and charitable groups, during industrial revolution .educator / teacher - ANSWERS-client is not acutely ill, so can absorb information better, wide audience can be reached .evaluation - ANSWERS-process by which the practice is analysis, judged, and improved according to established goals and standards .Federal agencies - ANSWERS-DHHS, EPA, Homeland security, D of Agriculture, Dept of Ed, VA .Florence Nightingale - ANSWERS-early 19th century, crimean war, record keeping and statistics, organized nursing care, kitchens, laundries, "notes on nursing" .goal of community health nursing - ANSWERS-health promotion, disease prevention, and health protection .health people 2010 environmental health - ANSWERS-Focuses: pollutants, portable drinking water, decrease water born diseases, eliminating toxic lead levels in children, reduce pesticide exposure, inspecting homes for lead .healthy people 2010 - ANSWERS-emphasis on community partnerships, .healthy people 2010 - ANSWERS-increase quality and years of life, eliminate health disparities .healthy people 2010 indicators - ANSWERS-physical activity, obesity, tobacco use, substance abuse, sexual behavior, mental health, injury and violence, environmental quality, immunization, access to healthcare .home health advantages - ANSWERS-convenience, access, relationship, cost, outcomes, teaching opportunities .hospice - ANSWERS-concept of palliative care for terminally ill patients, .hospice - ANSWERS-medicare is the main payment, even if you're under 65 .hospice - ANSWERS-pain medication or no aggressive chemo or procedures .hospice - ANSWERS-you have 6 months or less to live .I-Prepare - ANSWERS-prevent, resident, environment, past work, activities, resources, education .Indian health services - ANSWERS-IHS: part of the U.S. Department of Health and Human Services and is responsible for the medcial care provided to Native Americans and Native Alsaskans. Established in 1954 and provides health care. .indirect service - ANSWERS-referring to someone, calling another professional to help solve problem for client .lead poisoning - ANSWERS-affects CNS, old paint, .leader - ANSWERS-focuses on change, nurse becomes an agent of change, influence people to think and behave differently about their health .Lillian Wald and Mary Brewster - ANSWERS-started Henry Street Settlement to provide nursing and welfare services .Local health department - ANSWERS-carries out most state laws and policies, most direct/immediate care .maintaining balance - ANSWERS-intimacy vs professional distance, risk and safety, assisting and devaluing client, dependence and independence, cost containment and quality .medicaid - ANSWERS-a federally aided, state operated program that provides medical benefits for low-income persons in need of medical care .medicare - ANSWERS-A program added to the Social Security system in 1965 that provides hospitalization insurance for the elderly and permits older Americans to purchase inexpensive coverage for doctor fees and other health expenses. .Medicare prospective payment - ANSWERS-"you will get 10 paid visits" .Medicare prospective payment - ANSWERS-5 criteria will be met: OASIS form, centers for Medicare and Medicaid Services (CMS), Medicare documentation (see page 894) .Medicare prospective payment - ANSWERS-need a skilled service, not just "a bath", services must be intermittent care .Medicare prospective payment - ANSWERS-the payment plan usually last 60 days, then needs to be re-evaluated. .motor vehicle accidents - ANSWERS-3 billion injuries and >42,000 deaths per year .multiplicity of problems - ANSWERS-finding more then one problem .nurse role overpopulation - ANSWERS-teaching birth control, family planning, preventing high risk pregnancies, sex education .OASIS - ANSWERS-outcome, assessment information set: very detailed form .overpopulation - ANSWERS-exceeds ability of it's ecosystem to either support needs; 4 factors (starvation, disease, wars, aide from other countries) .phases of survey method - ANSWERS-planning, collection, analysis & presentation .population - ANSWERS-all the people occupying an area, or all those who share one more characteristic, may not necessarily interact .prevention of health problems - ANSWERS-anticipating and averting problems or discovering them as early as possible to minimize potential disability and impairment .primary prevention - ANSWERS-to keep illness from occurring, hand rails, immunizations .promotion of health - ANSWERS-health education, preventative care services, healthy people 2010, raise levels of wellness for individuals, families, populations and communities .psychological hazards - ANSWERS-noise, overcrowding, lack of natural beauty .public health nursing - ANSWERS-, health and welfare of general public, not just the poor .public health nursing - ANSWERS-in the community, often alone, no monitors, labs, use non-tangible skills like listening, assessing, planning .radon - ANSWERS-odorless, colorless, causes cancer .referral sources - ANSWERS-hospitals (MD, MSW, Case Mgr), Clinics (RN or MD), Families (self) .rehab - ANSWERS-efforts to reduce disability and restore function as much as possible .research - ANSWERS-investigation to discover facts affecting community health and community health practice, solve problems, and explore improved methods of health science .researcher - ANSWERS-evidence based practice, systematic investigation, collection, and analysis of data for solving problems and enhancing community heath practice .role of community health nurse - ANSWERS-clinician, educator, advocate, collaborator, leader, researcher, case manager .secondary prevention - ANSWERS-efforts to detect and treat existing health problems. Screenings: htn, drug abuse, breast exam, DM test; to intervene to control or eradicate the problem .settings for community health nursing practice - ANSWERS-homes, ambulatory services, schools, occupations health settings, hospice, parish, forensics, corrections (prison) .societal influences on the the development of community health nursing - ANSWERS-tech, progress in thinking, education, role of women, consumer movement, economic forces .State agencies - ANSWERS-Medicare, Medicaid, SCHIPS .supplies - ANSWERS-thrown away after each use .tertiary prevention - ANSWERS-attempts to reduce the extent and severity of health problems so as to minimize disability and restore or reserve function: rehab after CVA. .tertiary prevention - ANSWERS-someone that has an eating disorder, following up with counseling .toxic agent - ANSWERS-poisonous substance in the environment .traditional nursing - ANSWERS-work as part of team, acute setting, with other professionals .treatment of disorders - ANSWERS-focuses on illness by: direct service, indirect service, development of programs to correct unhealthy conditions .vectors - ANSWERS-carry diseases such as mosquitoes, flies, ticks, roaches, fleas, rats, mice, and squirrels .web of causation - ANSWERS-the combination of factors that lead to a problem .