1. Intro to Public Health and Populations

Question 1

Name 3 things brought on by the Affordable Care Act

Answer 1

• provisions for community health
• provisions for rural health
• mandate that community hospitals do a community needs assessment every 3 years

Question 2

What is the main key to community health?

Answer 2

emphasis on prevention

Question 3

public health nursing vs community health nursing

Answer 3

• PHN: community-oriented; puts emphasis on free-living populations (people who live on their own)
• Community: applies to all nurses practicing in community; can provide direct personal services to clients

Question 4

Characteristics of public health nursing

Answer 4

• community/population focused
• focuses on health and prevention
• interventions made at community/population levels

Question 5

What is the goal of public health?

Answer 5

to have healthy people in healthy communities

Question 6

What is the mission of public health?

Answer 6

promote physical & mental health & prevent disease, injury & disability

Question 7

3 public health core functions

Answer 7

• assessment
• policy development
• assurance

Question 8

2 services of public health under the core function of assessment

Answer 8

• monitor health status to identify community health problems
• dx and investigate health problems & health hazards in community

Question 9

3 services of public health under the core function of policy development

Answer 9

• inform, educate, & empower people about health issues
• mobilize community partnerships to identify & solve community health efforts
• develop policies & plans that support individual and community health

Question 10

4 services of public health under the core function of assurance

Answer 10

• enforce laws & regulations that protect health & ensure safety
• link people to needed personal health service & assure provisions of health care when not available
• assure a competent public health & personal health care workforce
• evaluate effectiveness, accessibility, & quality of personal & population based health services

Question 11

What service of public health serves all 3 core functions?

Answer 11

research for new insights & innovative solutions to health problems

Question 12

preventing the development of disease using measures to prevent (prior to disease occurring)

Answer 12

primary prevention

Question 13

stopping the progress of disease by early detection and tx (reduce prevalence and chronicity

Answer 13

secondary prevention

Question 14

stopping deterioration in a pt, a relapse, or disability & dependency by anticipatory nursing and medical care

Answer 14

tertiary prevention

Question 15

What does public health assessment involve?

Answer 15

• assessing community needs, health status of populations, and environmental and behavioral risks
• look at trends in health
• identify priority health needs
• determine adequacy of existing resources
• engage in policy-development efforts

Question 16

Examples of public health policy development involve?

Answer 16

• Health People 2020
• national efforts to control AIDS
• antismoking policies

Question 17

What does public health assurance involve?

Answer 17

• ensuring activities meet public health goals and plans
• develop partnerships between public and private agencies
• promote knowledge and behaviors that support and improve public health

Question 18

4 principles that guided the development performance standards by the NPHPS

Answer 18

• 10 essential public health services
• focus on overall public health system
• standards describe optimal performance levels
• interred to support an process of quality improvement

Question 19

collection of individuals who share one or more personal or environmental characteristic

Answer 19

population

Question 20

List 3 barriers to public health nursing

Answer 20

• changing mindset that nursing is only at bedside
• work structure and role socialization
• few nurses receive graduate-level PHN education