ATI Community Health Nursing Proctored Focus

Care of specific populations: Migrants Migrant workers health problems include: - Answer - 1. Dental disease 2. TB 3. Chronic conditions 4. Stress, anxiety, & other mental health conditions 5. Leukemia 6. Iron deficiency anemia 7. Stomach, uterine, & cervical cancers 8. Lack of prenatal care 9. Higher infant mortality rates Primary Prevention for Rural or Migrant Health care: - Answer - -educate on measures to reduce exposure to pesticides -teach on accident prevention -prenatal care -mobilize preventative services (dental, immunizations) Secondary Prevention measures for Rural/Migrant Health care: - Answer - SCREENING! screen for: -pesticide exposure -skin cancer -chronic preventable diseases -communicable diseases Tertiary Prevention measures for Rural/Migrant Health care: - Answer - -treat for symptoms of pesticide exposure -mobilize primary care and emergency services Client's rights include... - Answer - -right to info disclosure -privacy -informed consent -info confidentiality -participation in treatment decisions Autonomy - Answer - respecting a client's right to choose (i.e. refusing chemo) Nonmaleficence - Answer - doing no harm Beneficence - Answer - maximize benefits and minimize possible harms Justice situation: - Answer - determining eligibility for health care services based on income and fiscal resources HIPAA rules about information security: - Answer - -only staff assigned to the patient may view/read client's health record (no other nurses or doctors) -client's have the right to read or obtain a copy of their health record -nurses may not photocopy any part of med record except for authorized exchange of docs between facilities & providers -staff must keep records/names of client in secured place -electronic records are password protected -no sharing info to family members