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Community > Chapter 13: community nursing process and assessments > Flashcards

Chapter 13: community nursing process and assessments Flashcards

1
Q

geopolitical boundaries

A

both physical environment and districts/legal jurisdictions

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2
Q

aggregate communities

A

groups of people with common interests

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3
Q

community functions that must be provided

A

infrastructure, employment/income, security, participation, linkages

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4
Q

community functions are supported by..

A

community dynamics

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5
Q

3 interactive community dynamics

A

communication, leadership, decision making

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6
Q

vertical communication

A

links communities to other larger communities

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7
Q

horizontal communication

A

connects community to work with its own members

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8
Q

diagonal communication

A

reinforces horizontal and vertical communication

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9
Q

formal leaders

A

elected official politicians

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10
Q

informal leaders

A

individuals with prominent positions within the community

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11
Q

formal leaders use what to make decisions for the community..

A

government policies

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12
Q

informal leaders use what to make decisions for the community…

A

status to influence groups and effect change

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13
Q

community as a partner model

A

2 main attributes are community and the nursing process; focuses on the people and stressors of community in order to implement efficient and purposeful interventions
- components of a community assessment
- lines of defence and resistance

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14
Q

epidemiologic framework

A

host-environment-agent; examines frequency and distribution of disease, health, and social conditions
- use of web of causation
- what, who, where, when, why, how

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15
Q

capacity building framework

A

allows community members to take responsibility for their own development; focus is on strengthening
- involves health promotion initiatives
- community asset mapping

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16
Q

community asset mapping

A

outlines assets and capacity of a community by identifying strengths and resources

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17
Q

community health promotional model

A

goal is to apply health promotion strategies to achieve collaboration and sustainable health outcomes
- planning, intervention, evaluation
- holistic approach to promote health and attain higher quality community life

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18
Q

social determinants of health

A

employment, housing, food, education, childhood years, workplace safety, social inclusion, access to health systems

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19
Q

environmental scan (type of community assessment)

A

windshield survey; driving around the neighbourhood using 5 senses in order to help connect people with resources in their environment
- best done at 2 different times of day and on different days of the week

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20
Q

needs assessment (type of community assessment)

A

based on appropriate and cost effective services that meet needs and deficits, not desires and wants
- includes investigation and determination of resources

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21
Q

problem investigation (type of community assessment)

A

conducted in response to concern
- investigate occurence and distribution, root causes, effects
- develop responsive plans

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22
Q

resource evaluation (type of community assessment)

A

includes assessment and evaluation of existing community services
- who, what, where, outcome; PISO
- PISO; population, intervention, setting, outcome

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23
Q

community history (component of community assessment)

A

understanding past allows understanding of root cause

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24
Q

population (component of community assessment)

A

composition, at risk, trends in growth or decline, density

25
Q

population definition

A

group of people or aggregates residing within boundaries of a community

26
Q

group definition

A

two or more people

27
Q

aggregate

A

group of people with common interests

28
Q

target population definiton

A

population of which a nursing intervention is intended for

29
Q

population at risk definition

A

group of individuals with a high risk of developing illness

30
Q

priority/vulnerable population definition

A

people who are disadvantaged or vulnerable to health inequity

31
Q

boundaries (component of community assessment)

A

where target population exists; healthy communities have permeable boundaries

32
Q

physical boundaries

A

include geographic boundaries

33
Q

artificial boundaries

A

include political boundaries and situational boundaries

34
Q

environments (component of community assessment)

A

contribute to quality of life through biological/chemical characteristics and physical characteristics

35
Q

socioeconomic environment (component of community assessment)

A

strong social network provides opportunities and helps to build relationships

36
Q

income and social status (component of community assessment)

A

most important determinant of health; contribute significantly to physical health

37
Q

employment and working conditions (component of community assessment)

A

people who are employed and work in safe environments live longer and are more stress free

38
Q

social supports and networks (component of community assessment)

A

positive relationships improve health status

39
Q

diversity and social inclusion (component of community assessment)

A

when people feel they belong they reach their full potential as contributing society members

40
Q

education (component of community assessment)

A

provides necessary life and technical skills leading to health and prosperity

41
Q

community surveys (method for community data collection)

A

capture broad range data in a short period of time by providing questions addressing issues and populations being studied
- provides snapshot

42
Q

community forums (method for community data collection)

A

public meetings where members discuss concerns and share experiences with decision makers
- inexpensive

43
Q

focus groups (method for community data collection)

A

useful for in depth information when surveys fail to serve their purpose
- participants are usually more homogenous

44
Q

risk definition

A

probability that a healthy person exposed to a specific factor will acquire a specific disease

45
Q

risk assessment

A

identify target peoples who are likely to contract a particular disease and assess attributes that affect their health

46
Q

community analysis relies on..

A

understanding of how social determinants interact and impact community health

47
Q

4 components of community nursing diagnosis

A
  • aggregate or target group
  • healthy or unhealthy responses
  • etiology
  • characteristics
48
Q

5 principles of primary healthcare

A

accessibility, health promotion, intersectoral cooperation, appropriate technology, public transportation

49
Q

population-focused health promotion strategies include..

A

advocacy for healthy public policy, community action strengthening, and creation of supportive environments

50
Q

community participatory approach for planning

A

collaboration between members and stakeholders helps to decide what needs to become a priority and actions to take

51
Q

community participatory tools help to do what..

A

quantify and qualify health issues, needs, or concerns

52
Q

community needs matrix tool

A

helps to identify what is perceived to be the most important health problem or most feasible interventions

53
Q

community governance

A

decision making process where management and leadership are taken by community stakeholders to meet needs and priorities

54
Q

3 community skills that must be encompassed by community governance

A

engaging citizens measuring results, getting things done

55
Q

community development

A

intended to strengthen community and begins with a need for change

56
Q

community development focuses on..

A

consensus building

57
Q

community mobilization

A

few individuals taking action to generate solutions and eventually involves larger community

58
Q

role of CHN’s

A

make ethical decisions while advocating for human equality
- goal is to achieve optimal health for all

Community (10 decks)

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