CH 12 Flashcards

1
Q

population or defined group

A

aggregate

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2
Q

nursing role that facilitates change in client or agency behavior to more readily achieve goals. This role stresses gathering and analyzing facts and implementing programs

A

change agent

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3
Q

a nursing role that facilitates change in client or agency behavior to more readily achieve goals. this role includes the ctivities of serving as an enabler-catalyst, teaching problem solving skills, and acting as an activist advocate

A

change partner

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4
Q

people and relationships that emerge among them as they develop and use in common some agencies and institutions and a physical environment

A

community

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5
Q

process of critically thinking about the community and getting to know and understand the community as a client. Assessments help id community needs, clarify problems, and id strengths and resources

A

community assessment

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6
Q

meeting collective needs by identifying problems and managing interactions within the community and larger society. This is the goal of community oriented practice

A

community health

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7
Q

actual or potential difficulties within a target populaiton with identifiable causes and consequences in the environment

A

community health problems

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8
Q

resources available to meet a community health need

A

community health strengths

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9
Q

a clinical approach in which the nurse and community join in partnership and work together for healthful change

A

community oriented practice

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10
Q

collaborative decision-making process participated in by community members and professionals

A

community partnership

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11
Q

what does the community as partner model provide us with?

A

map (guide for methods of action) and boundaries (define areas of concern for nursing)

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12
Q

why don’t we use medical model any more?

A

excludes health promotion

disease oriented, illness and organ focused with pathological emphasis

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13
Q

sunscreen to prevent cancer

A

primary prevention

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14
Q

immunizations

A

primary prevention

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15
Q

breast self-exam

A

secondary prevention

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16
Q

aimed at reducing encounters with stressors or strengthening the lines of defense

A

primary prevention

17
Q

occurs after a stressor crosses the line of defense and causes a reaction-aimed at early detection to prevent further damage

A

secondary prevention

18
Q

TB skin test

A

secondary prevention

19
Q

rehabiliation and meditation

A

tertiary prevention

20
Q

List the 8 subsystems of community which provide a community health nurse a framework for assessment

A
physical environment
education
safety and transportation
politics and govt
health and social services
communication
economics
recreation
21
Q

normal line of defense
the level of health the community has reached overtime
high rate of immunity, low mortality rate, above poverty level

22
Q

flexible line of defense; temporary response to stressors-neighborhood mobilization against a stressor

A

buffer zone

23
Q

lines of resistance; internal mechanisms that act to defend against stressors; evening recreational program for youths, no fee health clinic to diagnose STDs are examples

24
Q

tension producing stimuli that have a potential for causing disequilibrium to the system

25
the concept of community includes which three dimensions?
people, place, and function
26
What are three characteristics or dimensions of community health?
status, structure, and process
27
What is the best community health strategy at the status dimension?
primary or secondary prevention bc objective is either to prevent a disease or treat its early stages
28
what is the best community health strategy at the structural dimension?
health services and/or community development
29
What is the best community health strategy if emphasis is on the process dimension?
the level of intervention of the nurse in community health-best strategy is health promotion (primary prevention strategy)
30
involve the collection of data that will help define the community, the trends, stability, and changes that will affect the health of the community
windshield surveys
31
What can be observed during a windshield survey?
``` common characteristics of people on the street neighborhood gathering places the rhythm of community life housing quality geographic boundaries ```
32
county health dept nurses or church leaders many community members known by the nurse president of PTO mayor or other local politicians MADD informal leader
potential key informants for interviews
33
minutes from community meetings, public docs, health surveys, statistical data, health records
a potential source for secondary data-valuable bc it saves time and effort
34
How can you establish that there is a lack of accessible personal health services?
only through surveys-take more time and effort-time consuming and costly data collection when compared to observational methods and secondary analysis