Chapter 1 Public Health Nursing, Present, Past, Future

Question 1

3 major changes in healthcare in 21 century

Answer 1

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

Question 1

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

Question 2

who is the largest segment of healthcare

Answer 2

nurses

Question 3

social determinants defintion

Answer 3

social conditions where people work, live, play

Question 4

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

Answer 4

attain and maintain health

Question 5

health disparities defintion

Answer 5

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

Question 6

some groups have access to fewer recourses

Answer 6

health disparity

Question 7

when can social determinants can become health disparity

Answer 7

in comparison of other communities

Question 8

5 examples of social determinants of health

Answer 8

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

Question 9

3 core function of the government in healthcare

Answer 9

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

Question 10

uninsured Americans were primarily

Answer 10

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

Question 11

what is a common indicator for healthcare

Answer 11

infant mortality & longevity

Question 12

which type of government is responsible for health

Answer 12

state

Question 13

goals of patient protection and affordable act (6)

Answer 13

• 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

Question 14

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

Answer 14

affordable

Question 15

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

Answer 15

lower then

Question 16

goals of patient protection and affordable act
- improve access to

Answer 16

primary care

Question 17

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

Answer 17

yes

Question 18

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

Answer 18

yes

Question 19

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

Answer 19

yes

Question 20

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

Answer 20

young

Question 21

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

Answer 21

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

Question 22

patient client centered care categories (5)

Answer 22

• cultural traditions
• personal preferences
• values
• families
• lifestyle

Question 23

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

Answer 23

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

Question 24

healthcare has been evolving toward a multifaceted system that

Answer 24

empowers patients and clients

Question 25

clinical decisions are made collaboratively with

Answer 25

clients and professionals

Question 26

Health information technology (HIT) definition

Answer 26

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

Question 27

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

Answer 27

Office of the national coordinator for health information and technology

Question 28

Telehealth definition

Answer 28

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

Question 29

pros to telehealth

Answer 29

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

Question 30

cons to telehealth

Answer 30

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

Question 31

if people have vested interest in their health

Answer 31

they will do more to maintain it

Question 32

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

Answer 32

education and life style changes

Question 33

public health nursing definition

Answer 33

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

Question 34

public health nursing is what based practice

Answer 34

public

Question 35

public health nursing is the synthesis of

Answer 35

nursing and public health

Question 36

public health nurses prevent

Answer 36

disease and disability

Question 37

public health nurses promote and protect

Answer 37

health of entire community

Question 38

who is the client in public health nursing

Answer 38

population

Question 39

primary obligation of public health nursing

Answer 39

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

Question 40

public health nurses collaborate with the client as a

Answer 40

equal partner

Question 41

primary prevention is the priory in selecting

Answer 41

appropriate activities

Question 42

public health nursing focuses on strategies that create

Answer 42

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

Question 43

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

Answer 43

might benefit from a specific activity or service

Question 44

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

Answer 44

using available rescues and creation of new evidence based strategies

Question 45

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

Answer 45

other professions, organizations, and stakeholder groups

Question 46

who sets the scope and standard for all professional nursing practice

Answer 46

American nurses association

Question 47

what is required to meet each standard of practice

Answer 47

competencies

Question 48

how many tiers of competencies

Answer 48

3

Question 49

tier one competency

Answer 49

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

Question 50

tier 2 competency

Answer 50

applied to individuals with management/supervisory responsibilities considered specialists or mid level practioners

Question 51

tier 3 competecny

Answer 51

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

Question 52

these competencies underlie

Answer 52

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

Question 53

public health intervention wheel has how many interventions

Answer 53

17

Question 54

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

Answer 54

individuals, families, communities, and systems

Question 55

the black plauge killed how many people

Answer 55

1/4 of population in Europe

Question 56

English poor law marked the beginning of

Answer 56

state provided relief for the poor

Question 57

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

Answer 57

district

Question 58

public health in early America was strongly influences by

Answer 58

brisitsh traditions

Question 59

evidence based nursing defintion

Answer 59

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

Question 60

evidence based public health defition

Answer 60

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

Question 61

epidemiology defintion

Answer 61

science of prevention

Question 62

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

Answer 62

- 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

Question 63

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

Answer 63

EBP

Question 64

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

Answer 64

health disparities

Question 65

challenges for public health nursing in 21st century - demonstrating

Answer 65

cultural competence

Question 66

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

Answer 66

community

Question 67

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

Answer 67

enviornment

Question 68

populations are not homogenous so we must

Answer 68

address the needs of social subpopulations

Question 69

high risk and vulnerable subpopulations must be identified when

Answer 69

early in the care delivery cycle

Question 70

nonusers of service often become

Answer 70

high cost users

Question 71

quality and cost of all health care services are

Answer 71

linked together across the health care continuum