CH 12

Question 1

population or defined group

Answer 1

aggregate

Question 2

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

Answer 2

change agent

Question 3

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

Answer 3

change partner

Question 4

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

Answer 4

community

Question 5

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

Answer 5

community assessment

Question 6

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

Answer 6

community health

Question 7

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

Answer 7

community health problems

Question 8

resources available to meet a community health need

Answer 8

community health strengths

Question 9

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

Answer 9

community oriented practice

Question 10

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

Answer 10

community partnership

Question 11

what does the community as partner model provide us with?

Answer 11

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

Question 12

why don’t we use medical model any more?

Answer 12

excludes health promotion

disease oriented, illness and organ focused with pathological emphasis

Question 13

sunscreen to prevent cancer

Answer 13

primary prevention

Question 14

immunizations

Answer 14

primary prevention

Question 15

breast self-exam

Answer 15

secondary prevention

Question 16

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

Answer 16

primary prevention

Question 17

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

Answer 17

secondary prevention

Question 18

TB skin test

Answer 18

secondary prevention

Question 19

rehabiliation and meditation

Answer 19

tertiary prevention

Question 20

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

Answer 20

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

Question 21

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

Answer 21

health

Question 22

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

Answer 22

buffer zone

Question 23

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

Answer 23

strengths

Question 24

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

Answer 24

stressors

Question 25

the concept of community includes which three dimensions?

Answer 25

people, place, and function

Question 26

What are three characteristics or dimensions of community health?

Answer 26

status, structure, and process

Question 27

What is the best community health strategy at the status dimension?

Answer 27

primary or secondary prevention bc objective is either to prevent a disease or treat its early stages

Question 28

what is the best community health strategy at the structural dimension?

Answer 28

health services and/or community development

Question 29

What is the best community health strategy if emphasis is on the process dimension?

Answer 29

the level of intervention of the nurse in community health-best strategy is health promotion (primary prevention strategy)

Question 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

Answer 30

windshield surveys

Question 31

What can be observed during a windshield survey?

Answer 31

common characteristics of people on the street 
neighborhood gathering places
the rhythm of community life
housing quality
geographic boundaries

Question 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

Answer 32

potential key informants for interviews

Question 33

minutes from community meetings, public docs, health surveys, statistical data, health records

Answer 33

a potential source for secondary data-valuable bc it saves time and effort

Question 34

How can you establish that there is a lack of accessible personal health services?

Answer 34

only through surveys-take more time and effort-time consuming and costly data collection when compared to observational methods and secondary analysis