ATI RN Community Health Nursing
Study Guide
Access to Health Care - ANS-The aim of a number one fitness care system is to make
fitness care to be had in near proximity to people who want it, and to make sure that it be
complete with flexible value to deal with the profits versions of the folks that use the ones
offerings
--> PHN advocate for improved get entry to to fitness care offerings
--> PHN can assist shift the focus of the health care system from acute treatment of disorder
to primary prevention measures, with the intention to lower fees
Acculturation - ANS-The system of merging with or adopting the trends of a extraordinary
tradition
--> Adapting to a new tradition requires adjustments in every day dwelling practices like:
language, training, and social enjoy
Advocacy - ANS-The nurse performs the function of informer, supporter, and mediator for the
patron
Affordable Care Act - ANS-- It was created to assist make health insurance inexpensive for
anyone and reduces the amount of federal spending on health care
- It impacts the manner medicare benefits are implemented and the way non-public
insurance organizations supply coverage
- IMPORTANT ELEMENTS:
--> Extending eligibility for dependents to remain on discern's coverage until age 26
--> Prohibiting health plans from denying blessings for preexisting insurance to children
beneath age 19
--> Banning lifetime limits on advantage coverage
--> Covering preventive care offerings
Aggregates of the Community - ANS-- This consists of people from:
--> infancy to dying
--> Families
--> Groups in the network
Alcohol Use - ANS-- Most usually used substance in the U.S.
- It is socially suitable and easily accessible
- It is a depressant; it dulls the senses to out of doors stimulation and sedates the inhibitory
centers within the brain
- People who frequently and constantly drink broaden a tolerance, an improved requirement
for alcohol to achieve the preferred effect
,Alcohol Withdrawal - ANS-- Following prolonged use, manifestations of alcohol withdrawal
appears within four-12 hours
- Its essential to decide the time of the clients remaining drink so that it will as it should be
screen for manifestations of withdrawal
- Manifestations:
--> Irritability, tremors, nausea, vomiting, headaches, diaphoresis, anxiety, sleep
disturbances, tachycardia, and accelerated BP
Analysis of Community Assessment Data - ANS-- Steps in evaluation of community
evaluation facts:
--> Gather accrued data right into a database
--> Assessing completeness of facts
--> Identifying and generating lacking data
--> Synthesizing records and figuring out subject matters
--> Identifying network needs and issues
--> Identifying network strengths and assets
- Problem analysis is completed for every recognized problem
Barriers to fitness care - ANS-Inadequate health care coverage, lack of ability to pay for
offerings, language limitations, cultural boundaries, loss of carriers in a network, geographic
and social isolation, lack of verbal exchange gear (cellular smartphone) and transportation,
inconvenient hours, attitudes of HCP closer to customers of low earnings socioeconomic
popularity or people with special ethnic backgrounds, eligibility requirements for
kingdom/federal help programs
Barriers to Health Care in Rural Areas - ANS-- Distance from services
- Lack of personal/public transportation and climate conditions associated with visiting
-lack of ability to pay
- Shortage of rural hospitals/HCP
Biological variations in health - ANS-Linked to genetic ties from organic relatives
Bioterrorism: Agents of Bioterrorism - ANS-CATEGORY A BIOLOGICAL AGENTS:
- The maximum priority dealers, posing a chance to countrywide safety because they're
easily transmitted and have high mortality charges
--> Smallpox, botulism, anthrax, tularemia, viral hemorrhagic fevers (ebola), and plague
CATEGORY B BIOLOGICAL AGENTS:
- The 2d-highest precedence because they're moderately smooth to disseminate, and
feature high morbidity rates and occasional mortality quotes
--> Typhus fever, ricin toxin, diarrheagenic E.Coli, and west nile virus
CATEGORY C BIOLOGICAL AGENTS:
- The 0.33-highest precedence, comprising rising pathogens that may be engineered for
mass dissemination due to the fact they're smooth to provide, an/or have a ability for
excessive morbidity and mortality rates
--> Hantavirus, influenza virus, TB, and rabies virus
,Bioterrorism: Assessment of Threat - ANS-- Ask questions primarily based on the
subsequent subjects:
--> Population as danger; Is the vector to be had in the area; Potential delivery gadget
Bioterrorism: Bioterrorism Incidents - ANS-INHALATION ANTHRAX
- Manifestations:
--> Headache, fever and chills, muscle aches, chest soreness, extreme dyspnea, and shock
- Prevention:
-->Anthrax vaccine for the ones at high-chance for publicity to anthrax
--> Ciprofloxacin and doxycycline are advocated through the CDC for prevention
- Treatment:
--> Antitoxin and IV antibiotics are administered if manifestations of an anthrax infection are
present
BOTULISM
- Manifestations:
--> Double or blurred vision, slurred speech, difficulty swallowing, innovative muscle weak
point, and difficulty breathing
- Prevention:
--> No accepted vaccine
- Treatment:
--> Airway control with feasible mechanical ventilation
--> Administration of antitoxin
- Elimination of toxin:
-->Induction of vomiting, enemas, and surgical excision of wound tissue
SMALLPOX
- Manifestations:
--> High fever, fatigue, head and body aches, vomiting rash that begins on face and tongue;
quick spreads to the trunk, arms, and legs, then palms and toes; then turns to pus-filled
lesions
- Prevention:
--> Vaccine for those at excessive-chance (10 year immunity); can vaccinate within 3 days of
publicity
--> Contact and airborne precautions
- Treatment:
--> No remedy
- Supportive care:
--> Hydration, ache medicinal drugs, antipyretics, antibiotics for secondary infections
EBOLA
- Manifestations:
--> Fever, extreme headache, joint and muscle aches, fatigue and weak spot, hemorrhage,
vomiting and diarrhea, and shock
- Prevention:
--> No authorised vaccine available
--> Don impermeable gown or coverall; disposable gloves ( pairs); boot covers and apron;
and N95 mask
, --> Recommend a 2d caregiver supervise doffing
--> Maintain droplet isolation precautions
- Treatment:
--> Supportive care IV fluids, dialysis, airway management, psychosocial counseling
--> reduce invasive processes
PLAGUE
- Manifestations:
--> Th
Bioterrorism: Delivery Mechanisms for Biological Agents - ANS-- Direct contact
(subcutaneous anthrax)
- Simple dispersal tool (airborne, nuclear)
- Water and meals infection
- Droplet or blood contact
Bioterrorism: Levels of Prevention - ANS-PRIMARY PREVENTION
(Bioterrorism planning)
- Prepare with drills, vaccines, and ensuring availability of antibiotics for publicity prophylaxis
- Design a reaction plan
- Identify the chain of command
- Define the nursing roles
- Set up protocols for one-of-a-kind tiers of infection manage and containment
SECONDARY PREVENTION
(Early popularity)
- Activate response plan
- Immediately put into effect contamination control and containment measures
- Screen the populace for exposure
- Assist with and educate the population concerning identity of manifestations and
management
- Monitor morality and morbidity
TERTIARY PREVENTION
(Rehabilitation of survivors)
- Monitor medication regimens and referrals
- Evaluate effectiveness and timeliness of the plan
Bioterrorism: Recognition of a Bioterrorism Event - ANS-- Ask questions primarily based on
the following subjects:
--> Rapid boom in sickness; disease taking place this is uncommon; big numbers of people
death; unusual manifestations; uncommon amount of lifeless/loss of life animals
Bioterrorism: Role of the PHN - ANS-- Participate in making plans and guidance for fast
reaction to a bioterrorism occasion
- Identify capacity biological agents
- Survey for and report bioterrorism pastime (normally to the local fitness branch)
Study Guide
Access to Health Care - ANS-The aim of a number one fitness care system is to make
fitness care to be had in near proximity to people who want it, and to make sure that it be
complete with flexible value to deal with the profits versions of the folks that use the ones
offerings
--> PHN advocate for improved get entry to to fitness care offerings
--> PHN can assist shift the focus of the health care system from acute treatment of disorder
to primary prevention measures, with the intention to lower fees
Acculturation - ANS-The system of merging with or adopting the trends of a extraordinary
tradition
--> Adapting to a new tradition requires adjustments in every day dwelling practices like:
language, training, and social enjoy
Advocacy - ANS-The nurse performs the function of informer, supporter, and mediator for the
patron
Affordable Care Act - ANS-- It was created to assist make health insurance inexpensive for
anyone and reduces the amount of federal spending on health care
- It impacts the manner medicare benefits are implemented and the way non-public
insurance organizations supply coverage
- IMPORTANT ELEMENTS:
--> Extending eligibility for dependents to remain on discern's coverage until age 26
--> Prohibiting health plans from denying blessings for preexisting insurance to children
beneath age 19
--> Banning lifetime limits on advantage coverage
--> Covering preventive care offerings
Aggregates of the Community - ANS-- This consists of people from:
--> infancy to dying
--> Families
--> Groups in the network
Alcohol Use - ANS-- Most usually used substance in the U.S.
- It is socially suitable and easily accessible
- It is a depressant; it dulls the senses to out of doors stimulation and sedates the inhibitory
centers within the brain
- People who frequently and constantly drink broaden a tolerance, an improved requirement
for alcohol to achieve the preferred effect
,Alcohol Withdrawal - ANS-- Following prolonged use, manifestations of alcohol withdrawal
appears within four-12 hours
- Its essential to decide the time of the clients remaining drink so that it will as it should be
screen for manifestations of withdrawal
- Manifestations:
--> Irritability, tremors, nausea, vomiting, headaches, diaphoresis, anxiety, sleep
disturbances, tachycardia, and accelerated BP
Analysis of Community Assessment Data - ANS-- Steps in evaluation of community
evaluation facts:
--> Gather accrued data right into a database
--> Assessing completeness of facts
--> Identifying and generating lacking data
--> Synthesizing records and figuring out subject matters
--> Identifying network needs and issues
--> Identifying network strengths and assets
- Problem analysis is completed for every recognized problem
Barriers to fitness care - ANS-Inadequate health care coverage, lack of ability to pay for
offerings, language limitations, cultural boundaries, loss of carriers in a network, geographic
and social isolation, lack of verbal exchange gear (cellular smartphone) and transportation,
inconvenient hours, attitudes of HCP closer to customers of low earnings socioeconomic
popularity or people with special ethnic backgrounds, eligibility requirements for
kingdom/federal help programs
Barriers to Health Care in Rural Areas - ANS-- Distance from services
- Lack of personal/public transportation and climate conditions associated with visiting
-lack of ability to pay
- Shortage of rural hospitals/HCP
Biological variations in health - ANS-Linked to genetic ties from organic relatives
Bioterrorism: Agents of Bioterrorism - ANS-CATEGORY A BIOLOGICAL AGENTS:
- The maximum priority dealers, posing a chance to countrywide safety because they're
easily transmitted and have high mortality charges
--> Smallpox, botulism, anthrax, tularemia, viral hemorrhagic fevers (ebola), and plague
CATEGORY B BIOLOGICAL AGENTS:
- The 2d-highest precedence because they're moderately smooth to disseminate, and
feature high morbidity rates and occasional mortality quotes
--> Typhus fever, ricin toxin, diarrheagenic E.Coli, and west nile virus
CATEGORY C BIOLOGICAL AGENTS:
- The 0.33-highest precedence, comprising rising pathogens that may be engineered for
mass dissemination due to the fact they're smooth to provide, an/or have a ability for
excessive morbidity and mortality rates
--> Hantavirus, influenza virus, TB, and rabies virus
,Bioterrorism: Assessment of Threat - ANS-- Ask questions primarily based on the
subsequent subjects:
--> Population as danger; Is the vector to be had in the area; Potential delivery gadget
Bioterrorism: Bioterrorism Incidents - ANS-INHALATION ANTHRAX
- Manifestations:
--> Headache, fever and chills, muscle aches, chest soreness, extreme dyspnea, and shock
- Prevention:
-->Anthrax vaccine for the ones at high-chance for publicity to anthrax
--> Ciprofloxacin and doxycycline are advocated through the CDC for prevention
- Treatment:
--> Antitoxin and IV antibiotics are administered if manifestations of an anthrax infection are
present
BOTULISM
- Manifestations:
--> Double or blurred vision, slurred speech, difficulty swallowing, innovative muscle weak
point, and difficulty breathing
- Prevention:
--> No accepted vaccine
- Treatment:
--> Airway control with feasible mechanical ventilation
--> Administration of antitoxin
- Elimination of toxin:
-->Induction of vomiting, enemas, and surgical excision of wound tissue
SMALLPOX
- Manifestations:
--> High fever, fatigue, head and body aches, vomiting rash that begins on face and tongue;
quick spreads to the trunk, arms, and legs, then palms and toes; then turns to pus-filled
lesions
- Prevention:
--> Vaccine for those at excessive-chance (10 year immunity); can vaccinate within 3 days of
publicity
--> Contact and airborne precautions
- Treatment:
--> No remedy
- Supportive care:
--> Hydration, ache medicinal drugs, antipyretics, antibiotics for secondary infections
EBOLA
- Manifestations:
--> Fever, extreme headache, joint and muscle aches, fatigue and weak spot, hemorrhage,
vomiting and diarrhea, and shock
- Prevention:
--> No authorised vaccine available
--> Don impermeable gown or coverall; disposable gloves ( pairs); boot covers and apron;
and N95 mask
, --> Recommend a 2d caregiver supervise doffing
--> Maintain droplet isolation precautions
- Treatment:
--> Supportive care IV fluids, dialysis, airway management, psychosocial counseling
--> reduce invasive processes
PLAGUE
- Manifestations:
--> Th
Bioterrorism: Delivery Mechanisms for Biological Agents - ANS-- Direct contact
(subcutaneous anthrax)
- Simple dispersal tool (airborne, nuclear)
- Water and meals infection
- Droplet or blood contact
Bioterrorism: Levels of Prevention - ANS-PRIMARY PREVENTION
(Bioterrorism planning)
- Prepare with drills, vaccines, and ensuring availability of antibiotics for publicity prophylaxis
- Design a reaction plan
- Identify the chain of command
- Define the nursing roles
- Set up protocols for one-of-a-kind tiers of infection manage and containment
SECONDARY PREVENTION
(Early popularity)
- Activate response plan
- Immediately put into effect contamination control and containment measures
- Screen the populace for exposure
- Assist with and educate the population concerning identity of manifestations and
management
- Monitor morality and morbidity
TERTIARY PREVENTION
(Rehabilitation of survivors)
- Monitor medication regimens and referrals
- Evaluate effectiveness and timeliness of the plan
Bioterrorism: Recognition of a Bioterrorism Event - ANS-- Ask questions primarily based on
the following subjects:
--> Rapid boom in sickness; disease taking place this is uncommon; big numbers of people
death; unusual manifestations; uncommon amount of lifeless/loss of life animals
Bioterrorism: Role of the PHN - ANS-- Participate in making plans and guidance for fast
reaction to a bioterrorism occasion
- Identify capacity biological agents
- Survey for and report bioterrorism pastime (normally to the local fitness branch)
