CHN Flashcards

1
Q

How has the growing focus on determinants of health changed the role of a CHN?

A

The scope of community health nursing has expanded to include nontraditional specialties including nurse practitioners (NPs) and nurse entrepreneurs.

CHNs are also employed as community leaders in nongovernmental organizations such as community support organizations for disability, housing, and addictions services.

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2
Q

Reflect on your understanding of self-management in terms of older adults and how self-management may be of benefit to this population.

A

Self-management involves gaining confidence to deal with health services, changing roles, and emotional management

CHNs must employ clinical skills using the nursing process to incorporate health promotion as well as illness and injury prevention techniques that are patient centred, patient driven, culturally safe, and strengths based

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3
Q

What is risk communication?

A

Risk communication is a strategic health education intervention that involves exchanging information on the potential harm of health or environmental hazards to risk assessors and managers, the general public, news media, social media, and interest groups.

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4
Q

Why is it important for CHNs to understand steps of the referral process and discharge planning?

A
  • The choice of referral process depends on the patient’s needs, the availability and sustainability of local assets, and the capacity of the referring organization and the service to which the patient is being directed to at the time.
  • Discharge planning is a process that connects patients and services to ensure an appropriate flow or continuity of care after hospital and in the community
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5
Q

Community Health Nurses often find themselves in the role of health advocate. What does this involve?

A

As health advocates, CHNs collaborate and demonstrate commitment to equity, social justice, and policymaking activities. They take a leadership role or work to build the capacity of other leaders. They use advertising and media in skillful ways. Finally, they promote resource development that will lead to equal access to health and health-related services

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6
Q

Which type of CHN is increasing the most rapidly

A

Home health care is the most rapidly expanding health care field

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7
Q

Why is home health care is the most rapidly expanding health care field

A
  • Increased government or organizational demands for cost-effectiveness of services
  • Shorter hospital stays
  • Consumer preferences
  • Technological advances such as personal-digital-assistant software for monitoring changes in condition (i.e., blood glucose monitors)
  • Proven quality of service of home health care nurses
  • Aging Canadian population
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8
Q

Home Health Nurses (HHN) provide a variety of care in a variety of settings, however, what is the primary objective of a HHN?

A

Home health nursing includes an arrangement of disease prevention, health promotion, and episodic illness-related services provided to people in their places of residence.

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9
Q

Which level of prevention does a HHN work at?

A

Home health nursing also involves the secondary and tertiary prevention focuses of care of individuals in collaboration with the family and other caregivers.

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10
Q

Hospice

A

A hospice is a designated place where health care is provided to terminally ill persons.

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11
Q

Hospice care

A

Hospice care refers to the delivery of palliative care of the very ill and dying, offering both respite and comfort.

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12
Q

Palliative Care

A

Palliative care is holistic caring (i.e., physical, psychosocial, and spiritual support) that may include end-of-life care for those facing life-threatening illnesses and for the dying (and their families) so that they experience quality of life through symptom management and supportive care

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13
Q

difference between a Home Health Nurse and a Public Health Nurse (PHN).

A

PHN: PHNs provide services such as health promotion, health protection, disease and injury prevention, and surveillance
HHN: Home health nursing includes an arrangement of disease prevention, health promotion, and episodic illness-related services provided to people in their places of residence

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14
Q

Occupational Health Nurses (OHN)

A

Occupational health nursing focuses on workplace health and safety, specifically the delivery of integrated health and safety services and wellness programs to individual employees and employee groups

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15
Q

Research data indicates that there are health differences between urban and rural health. This is important, as ____% of Canada’s mass is considered rural.

A

Ninety-five percent of Canada’s land mass is considered rural

Generally, rural is defined either in terms of the geographical location and population density or the distance from or the time needed (e.g., 40 km or 30 minutes) to commute to an urban centre. Some consider rural to be a state of mind.

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16
Q

Consider why rural areas may have increased smoking, unhealthy eating or and sedentary lifestyles? Isn’t rural living supposed to be healthier?

A

For generations, a scarcity of health care providers, poverty, limited access to services, limited literacy, and physical isolation have plagued many rural communities and contributed to poor health

17
Q

Note the barriers to health care in rural areas

A
  • Need to travel great distances to obtain services
  • Lack of personal transportation
  • Limited public transportation
  • Lack of telephone services
  • Unavailable outreach services
  • Unpredictable weather and travel conditions
  • Lack of know-how to procure entitlements and services
  • Poor health care provider attitudes and understanding about rural populations
  • Language barriers (caregivers not linguistically competent)
  • Lack of culturally appropriate care and services
18
Q

Within what time-period are nurses new to a CHN position thought to be able to meet the requirements in knowledge, skills, and abilities outlined in the CHNC Standards?

A

2 Years

19
Q

CNA has offered certification for Canadian CHN since __ (year) ___. This certification is _____________and provides an opportunity for _____________ and _________________ in community health nursing.

A

Since 2006, CNA has offered certification for Canadian community health nurses. This certification is voluntary and provides an opportunity for further professional development and the demonstration of competency and currency in community health nursing.

20
Q

8 Standards of Community Healthy Nursing

A
  1. Health Promotion
  2. Prevention and Health Protection
  3. Health Maintenance, restoration and palliation
  4. Professional Relationships
  5. Capacity building
  6. Health Equity
  7. Evidence informed practice
  8. Professional responsibility and accountability