NUR 426 EXAM 4 QUESTIONS WITH
COMPLETE ANSWERS
what level of care is the WHO focusing on currently? - ANSWER-primary care:
reduces mortality from cancer, heart disease, stroke, and all other causes of
mortality
what are some components of case management? - ANSWER-assess, plan,
facilitate, and advocate for patients as soon as they enter their care to help plan
discharge
what are some benefits of case management? - ANSWER-- contain cost
- improve patient outcomes
- improve patient care
- improve health of the community one patient at a time
what is the patient centered medical home model? - ANSWER-It is a method of
delivering health care that addresses preventive, acute, and chronic care needs by
having the primary care physician act as a "gatekeeper" to coordinate the patient's
care across providers.
what is included in the patient centered medical home model? - ANSWER-- personal
physicians
- focuses on patient as a whole
- coordinates/integrates care from multiple disciplinaries
- EBP creates safe and high quality care
- expands access to care
what are the five functions of the patient centered medical home model? - ANSWER-
1- patient centered care
2- comprehensive care
3- coordinated care
4- accessible care
5- committed to quality and safety
what is the challenge and response of workers in the primary healthcare field? -
ANSWER-- problem: the primary care workforce is shrinking
- response: nurse practitioners are taking over especially in low income areas
because they are more affordable which increases access to healthcare but also has
its own challenges
what are some factors that increase health disparities in rural communities? -
ANSWER-economic opportunities, educational systems, social and cultural factors,
and geographic isolation
what is cultural competency? - ANSWER-- the attitudes, knowledge, and skills
necessary for providing quality care to diverse populations
, - includes cultural humility and an understanding that one person cannot possible
know everything about all cultures
what are some things that reduce access to healthcare in rural communities? -
ANSWER-- underfunded/understaffed facilities
- facilities shut down because of too few staff
- limited or no insurance
- frequently have to wait at least 30 minutes for EMS
what is the role of a PHN in rural communities? - ANSWER-- community assessment
- community diagnosis
- program planning
- interventions
- evaluation
- form partnerships
what are characteristics of urban communities that influence health? - ANSWER--
size, density, and economic status of cities
- environmental exposures (air quality, violence, crimes)
- socioeconomic status disparities
- psychological stress/ mental health
what are some ways a PHN can decrease disparities in rural areas? - ANSWER--
address scope of practice barriers to increase number of nurse practitioners
- provide incentives for education and training to encourage more healthcare workers
to come to the areas
- increase access to tellehealth
- advocate for building a patient centered medical home for older adult patients who
have complex medical histories
What is community organization? - ANSWER-the process by which community
groups are helped to identify common problems or change targets, mobilize
resources, and develop and implement strategies for reaching their collective goals
What is this an example of?: A PHN works with a community that determines they
have a serious need for safe recreation spaces in an area. Together, they plan to
work with city officials to plan a large new park in the area that includes safe
playgrounds and a walking path with security cameras throughout. - ANSWER-
community organization
what is parish nursing/faith community nursing? - ANSWER-holistic health (mind,
body, and spirit) practices used in a community which includes nursing and spiritual
care
what is community empowerment? - ANSWER-increases the ability of communities
to make choices that can be turned into desired actions and outcomes
What is this an example of?: A nurse partners with a civil rights organization to help
improve the access to healthcare for minorities in a disadvantaged community which
increases their control over their healthcare. - ANSWER-community empowerment
COMPLETE ANSWERS
what level of care is the WHO focusing on currently? - ANSWER-primary care:
reduces mortality from cancer, heart disease, stroke, and all other causes of
mortality
what are some components of case management? - ANSWER-assess, plan,
facilitate, and advocate for patients as soon as they enter their care to help plan
discharge
what are some benefits of case management? - ANSWER-- contain cost
- improve patient outcomes
- improve patient care
- improve health of the community one patient at a time
what is the patient centered medical home model? - ANSWER-It is a method of
delivering health care that addresses preventive, acute, and chronic care needs by
having the primary care physician act as a "gatekeeper" to coordinate the patient's
care across providers.
what is included in the patient centered medical home model? - ANSWER-- personal
physicians
- focuses on patient as a whole
- coordinates/integrates care from multiple disciplinaries
- EBP creates safe and high quality care
- expands access to care
what are the five functions of the patient centered medical home model? - ANSWER-
1- patient centered care
2- comprehensive care
3- coordinated care
4- accessible care
5- committed to quality and safety
what is the challenge and response of workers in the primary healthcare field? -
ANSWER-- problem: the primary care workforce is shrinking
- response: nurse practitioners are taking over especially in low income areas
because they are more affordable which increases access to healthcare but also has
its own challenges
what are some factors that increase health disparities in rural communities? -
ANSWER-economic opportunities, educational systems, social and cultural factors,
and geographic isolation
what is cultural competency? - ANSWER-- the attitudes, knowledge, and skills
necessary for providing quality care to diverse populations
, - includes cultural humility and an understanding that one person cannot possible
know everything about all cultures
what are some things that reduce access to healthcare in rural communities? -
ANSWER-- underfunded/understaffed facilities
- facilities shut down because of too few staff
- limited or no insurance
- frequently have to wait at least 30 minutes for EMS
what is the role of a PHN in rural communities? - ANSWER-- community assessment
- community diagnosis
- program planning
- interventions
- evaluation
- form partnerships
what are characteristics of urban communities that influence health? - ANSWER--
size, density, and economic status of cities
- environmental exposures (air quality, violence, crimes)
- socioeconomic status disparities
- psychological stress/ mental health
what are some ways a PHN can decrease disparities in rural areas? - ANSWER--
address scope of practice barriers to increase number of nurse practitioners
- provide incentives for education and training to encourage more healthcare workers
to come to the areas
- increase access to tellehealth
- advocate for building a patient centered medical home for older adult patients who
have complex medical histories
What is community organization? - ANSWER-the process by which community
groups are helped to identify common problems or change targets, mobilize
resources, and develop and implement strategies for reaching their collective goals
What is this an example of?: A PHN works with a community that determines they
have a serious need for safe recreation spaces in an area. Together, they plan to
work with city officials to plan a large new park in the area that includes safe
playgrounds and a walking path with security cameras throughout. - ANSWER-
community organization
what is parish nursing/faith community nursing? - ANSWER-holistic health (mind,
body, and spirit) practices used in a community which includes nursing and spiritual
care
what is community empowerment? - ANSWER-increases the ability of communities
to make choices that can be turned into desired actions and outcomes
What is this an example of?: A nurse partners with a civil rights organization to help
improve the access to healthcare for minorities in a disadvantaged community which
increases their control over their healthcare. - ANSWER-community empowerment
