NSG 3222 community health nursing Questions & Answers correct

NSG 3222 community health nursing Questions & Answers correct community collection of people who interact with one another and whose common interests or characteristics for the basis for sense of unity or belonging; share common interest or goal 3 types of communities geographic: defined by geographic boundaries common-interest: people can be scattered geographically but have a goal that binds its members together health problem-solving: community of solution, come together to solve a problem that affects all of them population all the people occupying an area or all of those who are one or more characteristics; made of people who don't necessarily interact or share a sense of belonging to that group aggregate mass or grouping of distinct individuals who are considered as a whole and who are loosely associated with one another 2 types of aggregates communities, populations community health identification of needs and the protection and improvement of collective health within geographically defined area public health activities that society undertakes to assure the conditions in which people can be healthy public health nursing nursing that is community based and, most importantly, population focused; outcomes focused on aggregate/population components of CHN -community oriented, population focused -relationship-based care -combines nursing science with public health science -emphasizes prevention 8 characteristics of CHN 1. population is client or unit of care 2. primary obligation is to achieve greatest good for greater number of people or population as a whole (achieved by primary prevention) 3. processes used include working with the client as an equal partner 4. primary prevention is priority 5. strategies are selected to create healthy environmental, social, and economic conditions in which populations may thrive 6. there is an obligation to actively reach out to all who might benefit from a specific activity 7. optimal use of available resources to a sure best overall improvement in health of population is key 8. collaboration with a variety of other professions, populations, organizations, and entities is the most effective way to promote and protect the health of people community orientation process actively shaped by the unique experiences, knowledge, concerns, values, beliefs, and culture of a given community --engage with community population focused use of population-based skills, such as epidemiology, research in community assessment, and community organizing as the basis for interventions relationship based care reciprocal, caring relationship with the community population health nurse vs. community health nurse population health: focuses on populations, collects statistics, home visits community health: CHUM RN-works with individuals within specific community community health nursing r/t public health nursing may or may not be PHN, PHN is community health nursing health holistic state of well-being including soundness of mind, body, and spirit wellness health plus the capacity to develop a person's potential leading to a fulfilling and productive life illness state of being relatively unhealthy 3 core public health functions assessment, policy development, assurance assessment systematically collecting data on the population, monitoring the population's health status, and making information available about the health of the community policy development the need to provide leadership in developing policies that support the health of the population, including the use of the scientific knowledge base in making decisions about policy -leadership and present evidence -changes come about due to id need for change -PH policy development made it illegal to smoke cigs in public places assurance ensuring availability of resources and competent public health and personal health care workforce; develop and monitor the quality of services provided (as of 2009) promotion of health all efforts that seek to move people closer to optimal well-being or higher levels of wellness 1. increase the span of healthy life for all citizens 2. reduce health disparities among population groups 3. achieve access to preventive services for everyone 3 levels of prevention primary: keel illness or injury from occurring secondary: efforts to detect and treat existing disease tertiary: reduce the extend and severity of a health problem to its lowest possible level to minimize disability and restore or preserve function CHN roles -clinician -educator -advocate -manager -collaborator -leader -researcher clinician care provider, focus on holism, health promotion, and prevention with using expanded skills educator health teacher, plan for community-wide impact advocate pleader of the client's cause or actor on behalf of the client, support the client's self-determination and independence, make the system response and relevant to the clients needs --need to be assertive, take risks, communicate and negotiate well, id and obtain resources for client manager administrative direction of goals: plan, organize, lead, control, evaluate; participative approach with community -assess client's needs, plan and organize to meet those needs, direct and lead clients to achieve results, control and evaluate the progress to ensure goals and needs are met