Pop 1 Exam graded A+

Community - Approach interventions for the entire community population driven Public/Population Health Nursing Promote health and preserve health prevent disease Community-Care interventions specific to supopulation Community based nursing practice delivery of health-care services outside of the typical clinical setting Upstream Promote health strats at root cause Core public Health Functions Assessment Identify need of population Policy develop local state and national policies Assurance Reflects responsibility of the public heath system to make sure needs are met. Educate Health Determinants the range of personal, social, economic, and environmental factors that influence health status Healthy People 2020 Goals Over Reaching How do we know if we have been successful in achieving Healthy People 2020 goals? General health status -(Physical) Health-related quality of life and well-being -satisfaction, participation in activities Determinants of health -various person social and environmental, acess to health care Disparities -differences in health care access or status ANA standards of Practice (17) 1-6 ADOPIE 7-17 Professional performance, research, leadership, environment, ethics AD(O)PIE Outcome Identification Tiers 1) Nurse RN in hospital 2) Nurse admin 3) Public Health Nurses Case Management Coordinating and selecting health care service to meet identified client needs Coordination management organizing and intergrating health care delivery service to best meet population health care needs Level oh Health Care legislative helmet Health Promotion Illness and injury prevention Resolution Restoration Illness and injury prevention Promotion Primary Prevention Prevention Primary Prevention Resolution Secondary identification (how to fix) Restoration Tert - fixing the problem Promotion? 1. Provide fresh fruit for morning and afternoon snacks. 2. Schedule scoliosis screening for all female students aged 12 through 16. 3. Examine the quality of repairs made to the school pool after a recent landslide. 4. Ensure safety equipment is available for all student use during sports activities. : 1. Health promotion entails activities designed to foster a healthy lifestyle and develop a state of good health in the population. This includes advocacy for access to healthy foods, designed to foster good nutrition as a health promoting strategy. The resolution level of health care is eliminating an existing health problem. The nurse meets with members of the community in open forums to help determine ways to improve health. The nurse identifies health problems in the community based on the community input and the nurse's community assessment. In this situation, the nurse is practicing: 1. Public-health nursing. 2. Community-driven care. 3. Community-focused care. 4. Community-oriented care. Explanation: 3. Community-focused care brings nursing knowledge and expertise to the community. Public health nursing has a perceived focus of environmental sanitation and controlling communicable diseases. Community-driven care focuses on the needs of the community as a whole, but can be limited to only addressing needs identified by community members. Community-oriented care is limited and focuses program development on small aggregates while potentially ignoring health issues affecting larger population groups. ) While working with a local community on an immunization program, the nurse is developing an evaluation tool that incorporates the standards of care for population health nursing practice. What standards should the nurse include in this tool? (Select all that apply.) 1. Advocacy. 2. Research. 3. Collegiality. 4. Autonomy. 5. Leadership. Answer: 1, 2, 3, 5 The population health nurse is helping a client identify alternative solutions for a health problem. In which focus and role is the nurse functioning in this situation? 1. Client-oriented and educator. 2. Delivery-oriented and case manager. 3. Client-oriented and counselor. 4. Population-oriented and counselor. 3. Client-oriented and counselor. The nurse is functioning as a liaison within a local clinic. What action is the nurse performing in this role? 1. Serving as initial point of contact between client and agency. 2. Coordinating and directing the use of health care services. 3. Organizing and integrating services. 4. Creating alliances of individuals or groups to achieve a specific purpose. Answer: 1 Explanation: 1. The liaison role is one of serving as the initial point of contact between the client and agency. The case manager role is one of coordinating and directing the selection and use of health care services. As a coordinator the nurse organizes and integrates services to best meet client needs in the most efficient manner possible. 10) The nurse is caring for a specific population within a community. Which nursing action should the nurse use to exemplify the population health nurse's case finding role? 1. Assess a client's need for education. 2. Advocate for a mother who is being seen in a clinic. 3. Carry out an investigation of meningitis cases. 4. Develop an educational plan for a group of adolescents. . Case finding has been described as basic to population health nursing. Case finding involves identifying individual cases or occurrences of specific diseases or other health-related conditions requiring services. In the educator role, the population health nurse provides clients and others with information and insights that allow them to make informed decisions on health matters. As an advocate, the population health nurse engages in a number of activities or functions including determining the need for advocacy, determining the point at which advocacy will be most effective, collecting facts related to the problem, and presenting the case to the appropriate decision makers. 11) The nurse is creating a program to address cigarette smoking by community members. Which Healthy People 2020 topical areas are relevant to this program? (Select all that apply.) 1. Tobacco. 2. Oral health. 3. Substance abuse. 4. Environmental quality. 5. Clinical preventive services. Answer: 1, 4 Explanation: 1. For the topical area of Tobacco, objectives include reducing tobacco use by adults and adolescents. 4. For the topical area of Environmental Quality, a leading health indicator objective is to reduce tobacco use by adults. Tobacco is not a leading health indicator objective for the topical area of Oral Health. 12) After completing a community assessment the nurse is preparing a plan to address behavioral determinants of health. Which topics should the nurse include in this plan? (Select all that apply.) 1. Use of park and bicycle trails. 2. Intake of fresh fruits and vegetables. 3. Ease of obtaining marijuana and cocaine. 4. Hours that the community health clinic is open. 5. Use of protective gear when bicycling. Answer: 1, 2, 3, 5 13) The population nurse becomes aware of a treatment plant that is depositing waste materials into the drinking water. Efforts to have this plant change its behavior have failed and the nurse has been asked by community members to intervene. Which action should the nurse perform when advocating for the community members? 1. Provide a list of community members who are employees of the treatment plant. 2. Analyze other community approaches used to address similar water treatment issues. 3. Collect information about the waste materials being introduced into the water supply. 4. Examine community members for health problems believed to be caused by the contaminated water. 3 Lemuel Shattuck beginning of public health practice Report of the Massachusetts Sanitary Commission