CHN Lesson 1 - 9/2/24

Question 1

CHN Concepts: HFGCC ADPIE

Answer 1

1. The primary focus is on health promotion.
2. It is extended to benefit not only the individual but the whole family and community.
3. Community Health Nurses are generalists in terms of practice.
4. Contact with the client and or families may continue over a long period of time which includes all ages and all types of health care.
5. Current knowledge derived from biological and social sciences, ecology, clinical nursing and community health organizations be utilized.
6. The dynamic process of assessing, planning, implementing provides periodic measurements of progress evaluation and a continuum of the cycle until the termination of nursing is implicit in the practice of community health nursing.

Question 2

CHN Concept:
The primary focus is on ____________.

Answer 2

Health Promotion

Question 3

_________________- Whose theory focuses on the interaction between individuals and families and environmental factors and one’s health?

Answer 3

Nola Pender

Question 4

Identify the concept:

It is the main focus to prevent disease and promote well-being.

Health promotion - Process of improving and protecting the health of the public and the community.

Encompass family, community, and individual

Answer 4

The primary focus is on health promotion

Question 5

Community Health Nurses are generalists in terms of practice.
“2 types of nursing”

Answer 5

Functional & Primary

Question 6

Identify the concept:

Nurses are well-rounded or all-rounded. ex. RHU, midwife, dentist.

For the clinical area, there is specificity.

Answer 6

Community Health Nurses are generalists in terms of practice.

Question 7

3 types of nurses under functional nursing

Answer 7

charge, treatment, medication

Question 8

(functional nursing) - follows the doctor’s order

Answer 8

charge nurse

Question 9

(functional nursing) - does the treatment for the patient

Answer 9

treatment nurse

Question 10

(functional nursing) - responsible for medication adminstration

Answer 10

medication nurse

Question 11

handles at least 4-5 patients; the only responsible nurse for px; responsible for all the orders and treatments.
Given a number of patients

Answer 11

primary nursing

Question 12

Identify the concept:

Other aspects should be considered to use knowledge. Holistic approach in dealing with community clients, whether sick or not sick.

Answer 12

Current knowledge derived from biological and social sciences, ecology, clinical nursing and community health organizations be utilized.

Question 13

Identify the concept:

There should be continuous evaluation for all the community plans.

Answer 13

The dynamic process of assessing, planning, implementing provides periodic measurements of progress evaluation and a continuum of the cycle until the termination of nursing is implicit in the practice of community health nursing.

Question 14

Principles of CHN (SUCCESS)

Answer 14

1. Should work with the people (work with them not for them).
2. Unit of service is always the FAMILY.
3. Collaboration with GOs and NGOs.
4. Changes in the CHN practice, it changes every now and then.
5. Educate - health teaching is the primary responsibility of the community.
6. Supervise as a member of a team.
7. Social mobilization. to mobilize the people that they are involved in the planning.

Question 15

Identify the Principle:

Collaboration and involvement of px.
Example: No nebulizer, opt for steam inhalation.
Their care plan - according to px capabilities. (work with clients)

Answer 15

Should work with the people (work with them not for them).

Question 16

Identify the Principle:

The CHN nurse must consider the health needs of the members of the family in providing nursing services.

Answer 16

Unit of service is always the FAMILY.

Question 17

Why do we need to include the family? -

Answer 17

Because they can be affected if there is one member of the family who is sick. They should be involved in taking care of the sick member.

Question 18

Identify the Principle:

Working with certain groups for the purpose providing funds and resources.

e.g. There are scarce resources in RHU (medical supplies and vaccines can be supplied)

Answer 18

Collaboration with GOs and NGOs

Question 19

Identify the Principle:

We need to be updated with the latest things for adaptability.

Answer 19

Changes in the CHN practice, it changes every now and then.

Question 20

Identify the Principle:

Health teaching is the primary responsibility of the community.

Health Education should be evidence-based and make sure they understand at their level.

Answer 20

Educate

Question 21

Identify the Principle:

Delegate tasks to your team. Never solo.

Answer 21

Social mobilization. to mobilize the people that they are involved in the planning.

Question 22

Enumerate all the Roles of the Nurse
1. CECARC
2. CCLCCC
3. CPSRRSE

Answer 22

Caregiver, Educator, Counselor, Advocate, Role Model, Case Manager

Collaborator, Coordinator, Liaison, Case Finder, Change Agent, Community Mobilizer

Coalition Builder, Policy Advocate, Social Marketer, Researcher, Recorder, Statistician, Epidemiologist

Question 23

Identify the Role:

Applying principles in the nursing process in the care of the client in any level. (ADPIE)
- Assess client status
- Make nursing diagnoses
- Plan nursing intervention (specific to px; to the whole family)
- Evaluate care

Performs delegated medical treatment and the provision of nursing care.

Provision of primary care to individuals and families.
Few are RHU nurses.

Answer 23

Caregiver

Question 24

Identify the Role:

Facilitating learning that leads to positive health behavior.

Answer 24

Educator

Question 25

Identify the Role:

Provides information and insights that allows the client to make informed decisions on health matters.

Assess client needs for health education.

Develop health education plan

Implement health education plan

Evaluate outcome of health education

Answer 25

Educator

Question 26

Identify the Role:

________________ is the process of helping the client to choose viable solutions to health problems.
- Identify problems
- Help clients identify alternative solutions.
- Assist clients in implementing solutions and evaluating care.
- Nurses give options that are presented to the client.
***DON’T DECIDE FOR THEM.

Answer 26

Counselor

Question 27

Identify the Role:

To act or speak for the person who cannot do or speak for themselves.

E.g. deaf and mute, no families. Address clients as Ma’am and Sir.

***Every client has the right to a just and humane treatment.

Answer 27

Advocate

Question 28

Identify the Role:

Demonstrates behavior that can influence others to behave in the same manner.

Answer 28

Role Model

Question 29

Identify the Role:

Coordinates and directs the selection and use of health care services to meet client needs.

Admin work.

Answer 29

Case Manager

Question 30

Identify the Role:

Engage in joint decision making regarding action to be taken to resolve client health problems.

Mutual respect.

Nurses must work with other healthcare providers and be a good communicator.

Answer 30

Collaborator

Question 31

Identify the Role:

Management function and see to it that or overlaps efforts top provide services are consistent and carried out without gaps.

Answer 31

Coordinator

Question 32

Identify the Role:

Provide connection, relationship or inter communication

The initial point of contact between client and agency

Facilitate communication between client and agency

Answer 32

Liaison

Question 33

Identify the Role:

Identifying cases of specific diseases or health conditions requiring health care services

E.g If there is a high number of dengue, as a case finder, investigate or identified those who are diagnosed.

Answer 33

Case finder

Question 34

Identify the Role:

Initiates and bring about change

Answer 34

Change agent

Question 35

Identify the Role:

Assisting community to identify health issues mobilizing them to take action.

Making use of people

Answer 35

Community Mobilizer

Question 36

Identify the Role:

Identify members where you can build alliance to achieve a specific purpose.

Group of people with the specific same goal.

Answer 36

Coalition Builder

Question 37

Identify the Role:

Argues on behalf of policy formation or changes in policy that influence the health of the population groups.

CH nurses are expected to follow rules of the government and speak for policies not being followed.

Answer 37

Policy Advocate

Question 38

Identify the Role:

Applies social marketing technologies to the analysis, planning execution and evaluation of programs to improve personal welfare of the society.

Use of technologies

Answer 38

Social Marketer

Question 39

Identify the Role:

Engage in systematic investigation of phenomena in the community, analysis of data in solving problems and enhancing community practice.

Answer 39

Researcher

Question 40

Identify the Role:

Documentation of the care.

Important role of the nurse, everything done to the px must be documented.

Answer 40

Recorder

Question 41

Identify the Role:

Assesses the community in terms of morbidity and mortality, does computation, evaluate the health status of the community for future planning.

Answer 41

Statistician

Question 42

Identify the Role:

Determines reason for the outbreak, verify the diagnosis, causes and determinants of illness

Plan for control of the outbreak

Education, information dissemination, lecture, seminar, workshop, and immunization are some plans to control the outbreak of a certain illness.

Answer 42

Epidemiologist