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Chapter 1-5 Flashcards

1
Q

What is social determinants of health?

A

Social conditions in which people live income, social status, education, literacy levels, work environments, support networks, gender, culture, and availability of health services

All impact extent to how are you going to attain resources to maintain being healthy

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2
Q

What are disparities of health

A

Groups who have less resources less meds antibiotics vaccines malnourished, overweight

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3
Q

What is the role of government in healthcare?

A

Assess healthcare problems
Intervine by developing relevant health care policies that provide access to service
Ensure service are delivered and outcomes achieved

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4
Q

What does ppaca stand for

A

Patient protection and affordable care act

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5
Q

What is another name for PPACA

A

Affordable care act, ACA
Obama care

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6
Q

What does the PPACA do

A

Help provide affordable health insurance coverage to most Americans lower cost improve access to primary care extend young adults coverage

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7
Q

What percentage of US resident should be covered under PPACA

A

95%

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8
Q

What is the AHRQ?

A

Agency for health care research, and quality improvement

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9
Q

What was the AHRQ improvement plan

A

They developed share to promote share decision making between healthcare provider and patient

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10
Q

What does SHARE stand for? 

A

Seek the patients participation
Help the patient to review and compare care options
Assess the patient’s values and preferences
Reach a consensus decision with a patient
Evaluate the decisions

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11
Q

What is scope?

A

Characteristics of competence, PHN and legal standard of practice

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12
Q

Who defines what scope is

A

ANA

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13
Q

What is the definition of competencies?

A

Defined in scope, unique capabilities required for practice of PHN 3 tiers are defined

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14
Q

What are the three tiers of competency?

A

Tier one entry level
Tier 2 supervisors responsibilities, specialist in mid-level practitioner’s
Tier 3, senior managers, and leaders apart of multi systems 

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15
Q

You what is evidence-based public health comprised of

A

Care based on the most up-to-date research and knowledge
evidence available with clinical expertise

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16
Q

What is the governmental aspect of public health nursing

A

Federal policies and regulations department in Health CDC
State
Local
All paid for by tax funds

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17
Q

What is non-governmental part of public health nursing

A

Private sectors, directly assistance, endowment funds

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18
Q

What is healthy people act

A

National consensus plan, identifying focal areas, which need active in specific plans and implementations, based on morbidity and mortality of citizens, promoting health and preventing disease

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19
Q

What is ICN stand for?

A

International council of nurses

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20
Q

What does the ICN do?

A

More than 130 national nurses association
Represents more than 13 million nurses
Operated by international prominent nurses
Ensure quality nursing care for all through education, assessment, and contributions to represent voices of patients

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21
Q

What is public health care based on?

A

FaceTime organized effort to improve health of communities rather than individual people

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22
Q

What are public health regulations?

A

Food, drug devices, occupational health and environment through the CDC, public health law, program and department of health and human services

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23
Q

What are public health policies impact

A

Public health policies, create action from research and find widespread solutions to previously identified problems

24
Q

Why is US healthcare system unique

A

Involves both independent and collaborative, power and actions by both federal and state government
They can agree or not, and collaborate or not

25
Q

What does healthcare equality?

A

Safety effectiveness, patient centered, timeliness equality, no disparities in communities closing gaps 

26
Q

What are US policy is determined by

A

State legislators in Congress are responsible for determining appropriate health care policies they can agree or not, and collaborate or not

27
Q

What are different kinds of government healthcare?

A

Medicare and Medicaid
CHIPS

28
Q

What is Medicare?

A

Greater than 65
Disabled
End stage renal disease

29
Q

What is Medicaid?

A

Qualified, low income in low income seniors

30
Q

 What are global health priorities?

A

Issues and concerns that transcends national boundaries

31
Q

What is a epidemiological transition?

A

Hi and fluctuating mortality, due to poor health, epidemics and famine
Progressive declines in mortality, as epidemics become less frequent
Decrease in mortality, increase life expectancy
More developed educated countries have a epidemiologic shift increase 

32
Q

What are determinants of health

A

Physical living environment, social environment, social norms, health behaviors and coping skills, individual health, gender, age, child, development, employment, conditions, access to resources

33
Q

What are risk factors for health?

A

Personal habits and behaviors, environmental conditions or genetics
Low in middle income countries, extreme poverty, basic needs on my nutrition, safe water, safe air, basic sanitation

34
Q

What is health worker migration

A

Nurses are not static they move around for better pay/conditions
This is a burden on patient and nurse is an area they left

35
Q

What are women and girls sociocultural factors?

A

Unequal power relationships
Decrease education and pay
Employment. Focus on women’s reproductive rolls.
Potential or actual experience of physical sexual emotional violence

36
Q

What are the US sustainable developmental goals SDG’s

A

Universal goals through 2030, addressing inequalities between and within nations adopted by the United Nations 

37
Q

What are national goals relating to health promotion?

A

To affect an individuals overall health
To promote good health
To reduce overall risks for disease
To reduce specific conditions

38
Q

What are the prevention steps?

A

There are three prevention steps

39
Q

What is the primary prevention step?

A

Prevention of the initial occurrence of disease or injury
Education, classes, handwashing, food, prep nutrition, and exercise seatbelts helmets

40
Q

What is the secondary prevention step?

A

Early detection and treatment of diseases with goal of limiting the severity and adverse effects
Assessments screening surveillance control of outbreaks

41
Q

What is the third tertiary prevention step

A

Reducing the limitations of disability and promoting rehabilitation following health alterations
Excersise, rehab, nutrition, counseling, support groups, PT OT

42
Q

What are the models to promote health and well-being

A

Behavior change
Motivational interviewing
Learning model
Health belief model
Trans. Theoretical model.
Ecological model

43
Q

What is motivational interviewing?

A

Motivation comes from patient not clinican

44
Q

What is the learning model?

A

Establish goals and reinforce
Weight Watchers

45
Q

What is the health belief model?

A

Understanding ability to achieve benefits, blockers

46
Q

What is the trans theoretical model?

A

Has five stages
Precontemplation
Contemplation
Preparation
Action
Maintenance

47
Q

What is the ecological model?

A

View of all processes occurring within an individual and their environment should be viewed as inter-dependent

48
Q

What are the behaviors of change?

A

Theoretical grounding framework for guidance on assessment, planning implementation in evaluating health, promotion, and disease prevention intervention programs

49
Q

What is health literacy?

A

Understanding health, promotion and disease management becoming more of a shared responsibility

50
Q

What are practices and health literacy competency

A

Communication in education
Seeking to change knowledge
Teach back and show me

51
Q

What is the tool of health literacy?

A

Effective questioning to teach and encourage patients to ask provider three good questions

52
Q

What are the three good questions of health literacy?

A

What is the main problem?
What do I need to do?
Why is it important for me to do this?

53
Q

What are rolls of nursing in public health nursing

A

Set realistic goals
Raise your voice at the policy table
Knowledge goals for worldwide health
Assess patient and communities

54
Q

What are the three levels of health literacy inclusive?

A

Functional
Critical
Interactive

55
Q

What does it mean to be functional and health literacy?

A

Ability to read and understand

56
Q

What does it mean to be critical in health literacy?

A

Need increase cognitive skills and social skills, ability to appraise information

57
Q

What does it mean to be interactive in health literacy?

A

Recognition that health promotion health literacy, public health, have a relationship 

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