Competencies for Advanced Practice 3rd Edition By Ann L.
Curley, PhD, RN 9780826136732 Chapter 1-12 Complete
Guide .
In population focused health, who is the client? - ANSWER: population (the unit of
care)
In population health, what is nursing practice emphasis placed on? - ANSWER: health
promotion and disease prevention
What is the nurses role in population focused care? - ANSWER: improved health of
population by addressing social determinants of health, implementing primary
prevention, initiating change in policy
What is the purpose of implementing primary prevention? - ANSWER: to prevent a
disease or condition of even occuring
What are examples of primary prevention? - ANSWER: immunizations, seat belts, car
seats, fluoride
What should education preparation include in population health? - ANSWER:
epidemiology, health care systems, research and statistics,
identification/intervention with high risk populations, application of public health
concepts to care of culturally diverse persons, application of public health concepts
to care of culturally diverse persons, orientation to regulations affecting PHN
practice, BSN required for entry level practice
What does the core function of the assessment of community reveal? - ANSWER:
needs and priorities
How are community priorities determined? - ANSWER: through assessment of
populations health status and prioritization
In population health, care is given to those in health care system, as well as.... -
ANSWER: those who have not presented for care
What does population health/population focused care strive to provide? - ANSWER:
the greatest good for the greatest number
How may population health practice develop a plan to provide greatest good for the
greatest number of people? - ANSWER: Develop a plan for example like making
changes to the street to provide bike lanes and walking paths. These are developed
with CDC money. These are a different way to look at how to decrease the incidence
of obesity in our community
, In population health, the care is not about WHERE it is provided. What is it about? -
ANSWER: building a culture of health; think about health across all sectors
(transportation, pollution); identifying and addressing health disparities (lower
income, minorities); focusing not only on health or healthcare as having most impact
on health outcomes but also considering social determinants
_______ is key in population health. - ANSWER: prevention
What is primary prevention? - ANSWER: aims to PREVENT a disease or health
condition from ever occurring
What is the focus of primary prevention? - ANSWER: behavior and lifestyle changes
(children-school, adult-work, *policy development*); done by preventing exposure
to hazards that cause disease or injury, altering unhealthy behaviors that can lead to
disease or injury and increasing resistance to disease or injury should exposure occur
Mandate use of seat belt and helmets, use of car seats, fluoride in water, education
about healthy and safe habits (eating well, not smoking), immunizations, policy
changes (raising tobacco prices) are examples of ____________ prevention. -
ANSWER: primary
What is secondary prevention? - ANSWER: strive to detect health issues in an earlier
stage of development
Regular exams and screenings (BP, cholesterol, mammograms), low dose ASA for
heart attacks, suitably modified work so ill can return to work is an example of
__________ prevention. - ANSWER: secondary
What is the focus of secondary prevention? - ANSWER: done by detecting and
treating disease or injury ASAP and encouraging strategies to slow the progress;
Developed considering epidemiology
What is tertiary prevention? - ANSWER: aims to reduce the impact of ongoing health
issue that has lasting effects; activities to return to previous level or improved level
of health
Cardiac rehab, disease management programs, support groups, needle exchange
program are examples of __________ prevention. - ANSWER: tertiary
What is the focus of tertiary prevention? - ANSWER: managing a long term condition
in order to improve their ability to function
How do we change health outcomes in populations? - ANSWER: policy, systems,
environment