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NURS 6100 Community Health Exam 1 Questions With Complete Solutions 8 essential elements of primary healthcare Correct Answers health edu proper nutiriton maternal/child health/family planning immunizations Prevention and control of locally endemic diseases tx of common diseases and injury provision of essential drugs Access Correct Answers rise in uninsured = ppl cannot afford basic care, poor, minority groups, non-english speakers active participation Correct Answers learning occurs when pt is actively involved in educational sessions. For example after parking lot demo, pt able to determine which type of car seat fits their car and easist to use. Commjnity member takes the lead Asset Based Correct Answers based on community: involve the community, look at strenghts and weaknesses Bessie Hawes Correct Answers first AA scholarship to univeristy level public health nursing Case finding Correct Answers NOT COMMUNITY OR SYSTEMS LEVEL
id individual with risk and connects with reosurces Characteristics of community health: Process Correct Answers effective community functining or problems solving, community copeten ce, self wareness, Characteristics of community health: Status Correct Answers helath status of community, stats, county rankings, risk factors, phycial parameters, Characteristics of community health: Structure Correct Answers buildings: are there clincics, access, enough wokers in house, # of health faciltiites Coalition building Correct Answers the banding together of several interest groups for the purpose of lobbying NOT INDIVIDUAL LEVEL Community Organizing Correct Answers help comm groups ID common problems and goals and get resources ready Core Function: Assessment Correct Answers Systematic data collection, analysis, and monitoring of health problems and needs in a population Includes monitoring the population's health status and providing/ disseminating information about the health of the community
identify and solve health problems, develop policies and plans Core Functions Correct Answers assessment, policy development, assurance Cost: Correct Answers great recession: job loss high deductables, higher cost employer based programs, workers cannot pay for increase in costs, empoers decrease FTE so they don't have to offer, US health spending 2x and less life expect Delegated Funcitons Correct Answers direct tasks that are done under HCP as allowed by law Demographics affecting healthcare system Correct Answers baby boomer (more sick ppl, less people paying in) rise in foreign born pop determinants of health Correct Answers the range of personal, social, economic, and environmental factors that influence health status Diesease and other health event investigation Correct Answers analyze data regarding threats to health populations, source of threat, ID cases and others at risk, determine measures Dimension of Community: Function Correct Answers Why or how production, dist and consumption of goods and servies. Does the community work together well
Dimension of Community: Person Correct Answers the who, number, density, demographics, formal/informal groups Dimension of Community: Place Correct Answers Thw wehre and when Location, space, time, geopolitical boundaries, local or folk names for a community, Elizabethan Poor Laws Correct Answers first social welfare policy implemented in colonial America, which outlined the public's responsibility for people who were poor Florence Nightingale Correct Answers Need for systematically trained nurse, combined sick c are with home care --> district nursing Crimean War: used population based approach to improve environmental factors and created hospital based nursing education Formative Aspect Correct Answers ongoing ADPIE Frontier Nursing Service Correct Answers a rural nursing service founded in 1925 by Mary Breckinridge in Kentucky as the Kentucky Committee for Mothers and Babies. The FNS influenced the development of nurse midwifery in the United States. Healthy People 2020 Correct Answers eliminate preventable diseases/disability/preamature death
Intervention Wheel of PHN Correct Answers actions taken on behalf of a community, systems, and fmailies to improve health status Interventions of Wheel Correct Answers 17 Leading health indicators for healthy ppl 2020 Correct Answers access, prevention, environ quality, injury/violence, maternal/infant, mental health, nutrition/physcial activity/obesity, oral health, reproductive health, social determ, substance abuse, toabaccor use Levels of Practice: Community Correct Answers changes community norms, attitudes, wawareness, practices and behaviors directed to entire population Levels of Practice: Individual Correct Answers changes knowledge, attitudes, beliefs and beahaviors of INDIVIDUALS. directed to individuals Levels of Practice: Systems Level Correct Answers change organizations, laws, policies, laws and power structures within communities Lillian Wald Correct Answers Founder of public health nursing Henry st settlement is considered first community health agency Rural Nursing Service Occupational health nursing Chidlren's bureau:
Milk Kitchens barter for healthcare system School nursing with emph on child and family Lina Rodgers Correct Answers First school nurse! - home visits and follow up home visits if children absent Macroscopic Approach Correct Answers too big for one person. Whole community. Social, economic and environmental precursors of illness Modify on community level: social and environmental variables, social and political change Mary Breckenridge Correct Answers Frontier Nursing Service
- Midwifery healthcare to disadvantaged women and children Rural nursing Microscopic Approach Correct Answers individual teaching: try and change the individual by changing perceptions or belief system. Needs Based Correct Answers based on community need, what is wrong and how do we fix it, can make community members think that only outsiders can fix it
Public health in US: vision Correct Answers create healthy communities public health nursing Correct Answers The practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences Always assess emphasize prevention (every event has a preventable part) use ADPIE at all levels Public Health system Correct Answers laws that are dev a the national, state and local levels quality Correct Answers is the care good? medical errors, nursing hours are long, culture of safety (sentenial event reporting, public health accredidation Screening Correct Answers id individuals with unrecognizable health risks or asymp disease condition Secondary data collection Correct Answers other people's work that you summarize Secondary Prevention Correct Answers screen and dx early Seven A's Correct Answers Awareness Access Availability Affordability
Acceptability Appropriateness Adequacy Shattuck Report Correct Answers state dept of health and health boards in towns sanitary surveys collection of vital stats teach preventative medicine in med school Social and economic affecting healthcare system Correct Answers lifestyle changes awareness about health changing family, summative evaluation Correct Answers the end, long term consequqnces, satisfaction, unintended consequences Survelliance Correct Answers montior helath events through ongoing and systematic collection, analysis and interpretation of health data individual level is CASE FINDING Tertiary Prevention Correct Answers correction and prevent progression of disease/illness Types of data collection methods Correct Answers Photovoice (give out cameras) Observation: sit around and watch
