CH 3 potter community based nursing practice

Question 1

focuses on health promotion, disease prevention, and restorative care

Answer 1

Community-based care

Question 2

such as immunizations, screenings, lifestyle teaching, and counseling

Answer 2

preventive care

Question 3

is a collaborative, patient-centered approach to provide culturally appropriate health care within a community

Answer 3

Community-based health care

Question 4

access to health services, preventive care, nutrition, safety, physical activity, oral health, and environmental quality

Answer 4

healthy community includes elements that maintain a high quality of life and productivity such as

Question 5

is a model of care that reaches everyone in a community (including the poor and underinsured), focuses on primary rather than institutional or acute care, and provides knowledge about health and health promotion and models of care to the community.

Answer 5

Community-based health care

Question 6

Political policy, social determinants of health, increases in health disparities, and economics

Answer 6

all influence public health problems and subsequent health care services.

Question 7

was created to establish ongoing health care goals for the US population to meet the diverse public health needs that exist and to seize opportunities to achieve its goals

Answer 7

Healthy People Initiative

Question 8

are to increase life expectancy and quality of life and eliminate health disparities through improved delivery of health care services

Answer 8

overall goals of Healthy People 2020

Question 9

assessment, development and implementation of public health policies, and improved access to care.

Answer 9

Improved delivery of health care involves three key components:

Question 10

collection on the population, monitoring the health status of the population, and accessing available information about the health of the community

Answer 10

Assessment includes systematic data (1st component of improved delivery of health care)

Question 11

Health professionals provide leadership in developing public policies to support the health of the population

Answer 11

Policy (2nd component of improved health care delivery is policy.)

Question 12

delivery is access to care.

Answer 12

last component of improved health care

Question 13

are biological, socioeconomic, psychosocial, behavioral, or social factors that contribute to a person’s current state of health

Answer 13

Social determinants of health

Question 14

biology and genetics (sex and age), individual behavior (such as alcohol, injection drug use, unprotected sex, and smoking), social environment (such as discrimination, income, and gender), physical environment (where a person lives or crowding conditions), and health services (such as access to quality health care and having health insurance)

Answer 14

Healthy People 2020 lists five determinants of health:

Question 15

are preventable differences in a population’s ability to achieve optimal health.

Answer 15

Health disparities

Question 16

is multifactorial, including poverty, environmental threats, inadequate access to health care, individual and behavioral factors, and educational inequalities

Answer 16

Disparity

Question 17

is nursing practice in the community, with the primary focus on the health care of individuals, families, and groups within the community

Answer 17

Community health nursing

Question 18

is a nursing specialty that requires understanding the needs of a population or a collection of individuals who have one or more personal or environmental characteristics in common

Answer 18

Public health nursing

Question 19

is on health promotion, disease prevention, and improving quality of life of the population

Answer 19

community-oriented nursing

Question 20

are sometimes required to have a baccalaureate degree in nursing educational preparation and clinical practice in public health nursing.

Answer 20

Public health nurses

Question 21

has a graduate-level education with a focus in the public health sciences

Answer 21

specialist in public health

Question 22

advanced nursing degrees, yet the baccalaureate-prepared nurse generalist is also able to formulate and apply population-focused assessments and interventions.

Answer 22

nurses who become experts in community health practice usually have

Question 23

care takes place in community settings such as a home or clinic, where nurses focus on the needs of an individual or family

Answer 23

Community-based nursing

Question 24

are groups of patients who are more likely to develop health problems as a result of excess health risks, who are limited in access to health care services, or who depend on others for care

Answer 24

Vulnerable populations

Question 25

those living in poverty, older adults, the disabled, people who are homeless, immigrants, individuals in abusive relationships, people living with substance abuse, and people with mental illnesses

Answer 25

Vulnerable populations include

Question 26

, access to health care is limited because of language barriers and/or lack of benefits, resources, and transportation. Immigrant populations often have higher rates of hypertension, diabetes mellitus, and infectious diseases; decreased outcomes of care; and shorter life expectancies

Answer 26

immigrants

Question 27

People who live in poverty are more likely to have more health disparities because they are at a higher risk of living in hazardous environments, working at high-risk jobs, eating less nutritious diets, having multiple stressors in their lives, lacking adequate transportation, and being homeless.

Answer 27

Homeless

Question 28

include mental health problems, substance abuse, socioeconomic stressors, lack of understanding of child development or parenting skills, and dysfunctional family relationships

Answer 28

Risk factors for abusive relationships

Question 29

Many patients with severe mental illnesses are homeless or live in poverty and lack the ability to remain employed or to care for themselves on a daily basis

Answer 29

patients with mental illness

Question 30

establish an appropriate plan of care based on assessment of patients and families and coordinate needed resources and services for a patient’s well-being across a continuum of care.

Answer 30

Case managers

Question 31

community-based nurse is also a

-You act as a change agent within a family system or as a mediator for problems within a patient’s community.

Answer 31

change agent.

Question 32

is important in community-based practice mainly because of the confusion surrounding access to health care services.

Answer 32

Patient advocacy

Question 33

helps patients identify and clarify health problems as well as choose appropriate courses of action to solve those problems.

Answer 33

A counselor

Question 34

Prenatal classes, infant care, child safety, and cancer screening are just some of the

Answer 34

health education programs provided in a community. (Education)

Question 35

the science dealing with the incidence, distribution, and possible control of diseases and other health problems.

Answer 35

principles of epidemiology

Question 36

is the systematic data collection on the population, monitoring the health status of the population, and making information available about the health of the community

Answer 36

Community assessment

Question 37

structure or locale, the people, and the social systems.

Answer 37

The community has three components: