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Community Health Nursing > Chapter 1 Public Health Nursing, Present, Past, Future > Flashcards

Chapter 1 Public Health Nursing, Present, Past, Future Flashcards

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1
Q

3 major changes in healthcare in 21 century

A
  • development of patient centered care
  • increase technology
  • increased personal responsibility for health
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1
Q

Chapter highlights
- Health care changes in 21st century
- Characteristics of public health nursing
- public health nursing roots
- challenges for practice in 21st century

A
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2
Q

who is the largest segment of healthcare

A

nurses

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3
Q

social determinants defintion

A

social conditions where people work, live, play

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4
Q

social determinants impact on the extent which a person or community possesses the physical, social, and personal resources necessary to

A

attain and maintain health

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5
Q

health disparities defintion

A

differences in healthcare and health outcomes experienced by one population when compared with another

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6
Q

some groups have access to fewer recourses

A

health disparity

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7
Q

when can social determinants can become health disparity

A

in comparison of other communities

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8
Q

5 examples of social determinants of health

A

education
economic stability
health care
neighborhood/enviornment
social/community context

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9
Q

3 core function of the government in healthcare

A
  • assesses healthcare problems
  • intervenes by developing relevant healthcare policy that provides access to service
  • ensures that services are delivered and outcomes are achieved
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10
Q

uninsured Americans were primarily

A

young people
low income
single adults
small business owners
self employed
did not have access to employer sponsored health insurance

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11
Q

what is a common indicator for healthcare

A

infant mortality & longevity

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12
Q

which type of government is responsible for health

A

state

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13
Q

goals of patient protection and affordable act (6)

A
  • provide affordable health insurance coverage to most Americans
  • lower costs
  • improve access to primary care
  • preventive care and prescription benefits
  • cover pre existing conditions
  • extend your adults coverage
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14
Q

goals of patient protection and affordable act
- health insurance should be

A

affordable

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15
Q

goals of patient protection and affordable act
- do what to costs

A

lower then

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16
Q

goals of patient protection and affordable act
- improve access to

A

primary care

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17
Q

goals of patient protection and affordable act
- preventive care? yes or no

A

yes

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18
Q

goals of patient protection and affordable act
- prescription benefits? yes or no

A

yes

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19
Q

goals of patient protection and affordable act
- will it cover pre existing conditions?

A

yes

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20
Q

goals of patient protection and affordable act
- extend what type of coverage

A

young

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21
Q

the challgebce for USA in 21 century is to create a dynamic streamlined healthcare system that produces not only the finest technology and research but also

A

most accessible, efficient, low cost, and high quality healthcare in the world

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22
Q

patient client centered care categories (5)

A
  • cultural traditions
  • personal preferences
  • values
  • families
  • lifestyle
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23
Q

if we shift toward patient centered care this means that what needs to be measured and from what perspective

A

broader range of outcomes need to be measured and from the patients perspective to understand benefits

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24
Q

healthcare has been evolving toward a multifaceted system that

A

empowers patients and clients

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25
Q

clinical decisions are made collaboratively with

A

clients and professionals

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26
Q

Health information technology (HIT) definition

A

comprehensive management of health information and its exchange between consumers, providers, government, and insurers in a secure manner

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27
Q

who is the federal entity responsible for the coordination and safety of information technology issues

A

Office of the national coordinator for health information and technology

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28
Q

Telehealth definition

A

use of electronic information to support long distance clinical healthcare, patient and professional health related eduction, public health, and health administration

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29
Q

pros to telehealth

A

get to serve the underserved populations
can meet with someone across country

30
Q

cons to telehealth

A

need access to internet
do not get face to face
elderly are not tech savvy
chance to overmedicate

31
Q

if people have vested interest in their health

A

they will do more to maintain it

32
Q

personal responsibility for health involves active participation in ones own health through

A

education and life style changes

33
Q

public health nursing definition

A

population based practice defined as a synthesis of nursing and public health within the context of preventing disease and disability and promoting and protecting the health of the entire community

34
Q

public health nursing is what based practice

A

public

35
Q

public health nursing is the synthesis of

A

nursing and public health

36
Q

public health nurses prevent

A

disease and disability

37
Q

public health nurses promote and protect

A

health of entire community

38
Q

who is the client in public health nursing

A

population

39
Q

primary obligation of public health nursing

A

achieve greatest good for the greatest number of people or people as a whole

40
Q

public health nurses collaborate with the client as a

A

equal partner

41
Q

primary prevention is the priory in selecting

A

appropriate activities

42
Q

public health nursing focuses on strategies that create

A

healthy enviornment, social, and economic conditions in which populations may thrive

43
Q

a public health nurse is obligated to actively identify and reach out to all who

A

might benefit from a specific activity or service

44
Q

what is necessary to assure the best overall improvement in the health of populatiosn

A

using available rescues and creation of new evidence based strategies

45
Q

collaborate with who is the most effective way to promote and protect the health of the people

A

other professions, organizations, and stakeholder groups

46
Q

who sets the scope and standard for all professional nursing practice

A

American nurses association

47
Q

what is required to meet each standard of practice

A

competencies

48
Q

how many tiers of competencies

A

3

49
Q

tier one competency

A

apply to entry level public health professionals at the basic or generalist level

50
Q

tier 2 competency

A

applied to individuals with management/supervisory responsibilities

considered specialists or mid level practioners

51
Q

tier 3 competecny

A

applied to senior managers and leaders at executive level who deal with multisystems

52
Q

these competencies underlie

A

the wide variety of of roles and resposblites that public health nurses accept

53
Q

public health intervention wheel has how many interventions

A

17

54
Q

based on the public health intervention wheel actions can be taken on behalf of who to protect or improve health status

A

individuals, families, communities, and systems

55
Q

the black plauge killed how many people

A

1/4 of population in Europe

56
Q

English poor law marked the beginning of

A

state provided relief for the poor

57
Q

English poor law placed the responsibility on who to care for people within its boundaries

A

district

58
Q

public health in early America was strongly influences by

A

brisitsh traditions

59
Q

evidence based nursing defintion

A

integration of the best evidence available with clinical expertise and the values of the client to increase quality of care

60
Q

evidence based public health defition

A

public health endeavor in which there is judicious use of evidence derived from a broad variety of science and social science research

61
Q

epidemiology defintion

A

science of prevention

62
Q

challenges for public health nursing in 21st century (5)

A
  • engaging in evidence based practice
  • helping eliminate health disparities in underserved populations
  • demonstrating cultural competence
  • planning for community change
  • contributing to a safe and healthy enviornment
63
Q

challenges for public health nursing in 21st century
- engaging in

A

EBP

64
Q

challenges for public health nursing in 21st century
- helping eliminate what from underserved populations

A

health disparities

65
Q

challenges for public health nursing in 21st century
- demonstrating

A

cultural competence

66
Q

challenges for public health nursing in 21st century
- planning for _________ change

A

community

67
Q

challenges for public health nursing in 21st century
- contributing to a safe and healthy

A

enviornment

68
Q

populations are not homogenous so we must

A

address the needs of social subpopulations

69
Q

high risk and vulnerable subpopulations must be identified when

A

early in the care delivery cycle

70
Q

nonusers of service often become

A

high cost users

71
Q

quality and cost of all health care services are

A

linked together across the health care continuum

72
Q
A

Community Health Nursing (34 decks)

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