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Exam (elaborations)

NR 442 Exam 1 – Questions With Complete Solutions

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NR 442 Exam 1 – Questions With Complete Solutions

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NR 442 Exam 1 – Questions With Complete
Solutions

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Practice questions for this set


Learn 1 /7 Study using Learn




form of health insurance for serious health issues and covers you when lost job



Choose an answer



1 Community 2 COBRA insurance



What causes more than half of
3 4 factors influencing health care cost?
Premature Deaths?



Don't know?




Terms in this set (191)



Community - a group of people who share something in
common and interact with one another, who may
exhibit a commitment with one another and may
share a geographic boundary
- PRIMARY FOCUS OF COMMUNITY HEALTH

,Public Health Intervention Wheel: - Community
Levels of Practice - Individual
- System


System/group Level of Practice community health nurse working with the state health
Example department and federal vaccine program to
coordinate a response to an outbreak of measles in a
migrant population.


Community/Population Level of public health nurses working with area high schools
Practice Example to give each student a profile of his or her health to
promote nutritional and physical activity lifestyle
changes to improve the student's health.


Individual Level of Practice Example nurse receives a referral to care for an individual with
a diagnosed mental illness who would require
regular monitoring of his medication compliance to
prevent rehospitalization


Core Functions of Public Health - assessment
- policy development
- assurance of availability


Primary Prevention - prevention of problem before it occurs
- immunization


Secondary Prevention - early detection and intervention
- screening for an STD
- for diseases that can be controlled


Tertiary Prevention - correction and prevention of deterioration of a
disease state
- teaching insulin administration at home


What is the main focus of Public PREVENTION
Health?


What is the main focus of Medicine? disease management and diagnosis

,Childhood Obesity - focus on a healthier lifestyle
- reduce the rate the childhood obesity
- education


What causes more than half of behavior and environment reasons
Premature Deaths?


What has the greatest influence on behavioral choices
Community Health?


What are the 3 elements of the - agent
Epidemiology Triangle? - host
- environment


Epidemiology Triangle - depends on the extent of the host's exposure to an
agent, the strength or virulence of the agent, and the
host's genetic or immunological susceptibility.
- also depends on the environmental conditions
existing at the time of exposure


Web of Causation illustrates the complexity of relationships among
causal variables


Incidence Rate describe the occurrence of new cases of a disease
or condition in a community over a period of time
relative to the size of the population at risk for that
disease or condition during that same time period.


Prevalence Rate the number of all cases of a specific disease or
condition in a population at a given point in time
relative to the population at the same point in time


Endemic Diseases that are always present in a population (e.g.,
colds and pneumonia)


Epidemic Diseases that are not always present in a population
but flare up on occasion (e.g., diphtheria and
measles)

, Pandemic The existence of disease in a large proportion of the
population: a global epidemic (e.g., human
immunodeficiency virus, acquired immunodeficiency
syndrome, and annual outbreaks of influenza type A)


Chronic vs Acute (prevalence) chronic always has a higher prevalence than acute
disease


Passive Immunity - natural contact with antibody
- hep a --) immunoglobin
- through blood or plasma
EXAMPLE: Infant born with temporary antibodies to
measles. Temporary or through colostrum and breast
milk


Active Immunity - Natural contact and infection with the antigen
- acquiring measles


Leading Cause of Preventable Death - smoking
- alcohol
- lifestyle choices


Herd Immunity those not immune to an infectious agent are
protected if a certain proportion of the population
has been vaccinated or is otherwise immune


Primary Failure of Vaccines - failure of a vaccine to stimulate any immune
response
- caused by improper storage that may render the
vaccine ineffective, improper administration route, or
exposure of a light-sensitive vaccine to light.


ANA - Code of Ethics promotes social reform by focusing on health policy
and legislation to positively affect accessibility,
quality, and cost of health care.

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