Comm Test 2: Public Health Nursing

Question 0

• individuals in the community, focused on illness, phn manage acute and chronic conditions, individual visits home visits= 1:1 interaction , focus on secondary and tertiary, disease management

Answer 0

community-focused nursing (CFN)

Question 1

• aggregates and the population goal is prevention, at risk clients, can talk about own concerns, the way think about treating a group instead of individual, primary

Answer 1

community-oriented nursing (CON)

Question 2

• program planning like edu, looking at dev policies, research, using to assess the behavior and health of person in the community, more of an administrative funding= state funding, Johnson county public health= johnson county funds
• gov money more of a set agenda that you have to deal with Ex: scoliosis screenings in school but not required only 2-3 have is it cost worthy was cut

Answer 2

public health nursing

Question 3

• boundaries are fluid, funding is usually by the entity no tax money, same types of things but your agenda with input from community

Answer 3

Community health

Question 4

• way we think and have thought of public health in the past, and how we think now *thinking up stream late 80-90s
• why wait till they are sick then edu on how to not come back
• put more edu primary some secondary interventions 1st to see if that makes a difference on how sick they get
• keep them form getting as sick as they possibly can

Answer 4

River of Disease

Question 5

- how all other components affect 
A. “The Wheel”
B. Levels of prevention
C. Public health nursing competencies- core values of phn 
D. Early intervention
E. Use of health belief model
F. Use of health promotion models and theories- Nola Pender
G. Risk management principles

Answer 5

Thinking Upstream

Question 6

-assessment looking holistically, long term affects

Answer 6

The Wheel”

Question 7

more of a situation where you build it they will come, give info to be healthier hopefully they will use it

Answer 7

Use of health belief model-

Question 8

• who’s at risk, if identify self or us identify give info to address the risk Ex: drinking is health detriment if used in excess will see in the hospital , now we see it as how do we keep them out of the hospital =should be primary care providers, clinics

Answer 8

Risk management principles

Question 9

1. HP 2020 & LHIS
2. Intervention- formulate to prevent
3. Essential Services
4. core functions of phn
5. public health defined

Answer 9

Process of Public Health Nursing- process

Question 10

core functions of public health nursing

Answer 10

assessment
policy development
assurance

Question 11

competent health care work
educate and empower people
mobilize community partnerships

Answer 11

assurance

Question 12

making sure that services are available Ex: when you move into this community another phn will come to visit you, forwarding records, giving report to new phn,

Answer 12

Assurance-

Question 13

to take proper care of someone with certain disease Ex: teach CNA on a communicable diseases

Answer 13

A. competent health care work-

Question 14

• identify other things that are coming up, assuring that it is there

Answer 14

C. mobilize community partnerships

Question 15

A. data collection Ex: breathing issues at senior center
B. monitoring health status
C. identifying problems
D. Inform community about data findings Ex: senior center in certain town
E. report data findings to that population
F. Evaluation- reassessment, quality, how well it worked, any aspect of public health services

Answer 15

assessment

Question 16

making an emergency preparedness plan, will enforce laws that are related to health and safety, research for new info and solutions, PHN have to have data and scientific knowledge to back it up
Ex: active tb and have small children they have to enforce that is endangerment to the child, they will go in and inform and tell them they must get treatment to stay in home

Answer 16

Policy Development-

Question 17

• Monitor health status to identify community health problems.
• Diagnose and investigate health problems and health hazards in the community.
• Inform, educate, and empower people about health issues.
• Mobilize community partnerships to identify and solve health problems
• Develop policies and plans that support individual and community health efforts.
• Enforce laws and regulations that protect health and ensure safety.
• Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
• Assure a competent public health and personal health care workforce.
• Evaluate effectiveness, accessibility, and quality of personal and population-based health problems.
• Research for new insights and innovative solutions to health problems.

Answer 17

Essential Public Health Services

Question 18

levels of prevention- interventions, what phn is doing

Answer 18

primary
secondary
tertiary

Question 19

Focused on health promotion and protection. This type of prevention/intervention occurs before one becomes ill or is aware of illness. People who are the recipients of are generally healthy individuals

Answer 19

Primary level of intervention

Question 20

Focused on identifying disease early and performing preventative interventions. This type of prevention/intervention occurs in at risk populations. People who are the recipients may not be ill at this point, but have potential to become ill due to gender, genetics, age, lifestyle, etc

Answer 20

Secondary-

Question 21

-Focused on rehabilitation and restoration. This type of prevention/intervention occurs after one has been diagnosed or treated for a particular disease or illness. People who are ill or in the recovery state of disease. Goal is to minimize recurrence of disease or illness and to limit severity of the disease

Answer 21

Tertiary

Question 22

Goals and objectives for the health of the US by decade

-where we want to be

Answer 22

Guiding Factors for Public Health

Healthy People 2020

Question 23

Infectious disease- cholera
Inadequate and/or unsafe hospitals
Little technology- penicillin made, syphilis study
Experienced-based education for health care professionals

Answer 23

Stage 1 1800-1900

economic influences on health care

Question 24

Acute infections- typhoid, influenza Trauma Specialty hospitals- marine hospital service Medical advances- family planning Social Security Shift to science-based education: center of disease control, world health organization

Answer 24

Stage 2 1900-1945 | economic influences on health care

Question 25

Increase in chronic disease- aids, legionnaire disease, Growing number of facilities- WIC Durable technology- small pox eradication, polio vaccine Specialties – MD, etc.. New types of health care professionals

Answer 25

Stage 3 1945- 1984 | economic influence on health care

Question 26

``` Emerging infections Old disease recurrence Computers- genome project Super drugs Primary care Multidisciplinary teams- healthy people 2000 Managed care ```

Answer 26

Stage 4 1984- Present | economic influence on health care

Question 27

Factors Affecting Resource Allocation in Health Care

Answer 27

uninsured poor access to care rationing

Question 28

1. insurance has to accept everyone no exclusions, no preexisting condition 2. physicians, clinics, and health care providers must have a set schedule of fees for reimbursement Ex: one doc charges more than another 3. No one makes a profit on routine care- annual checkups, required screenings 4. Everyone must take responsibility for modifiable factors of health

Answer 28

What are the critical factors that determine the success of Universal Health Care?

Question 29

1. Monitor health status to identify community health problems 2. Diagnose and investigate health problems and health hazards in the community 3. Evaluate effectiveness, accessibility, and quality of personal and population-based health services

Answer 29

Assessment phn

Question 30

1. Develop policies and plans that support individual and community health efforts 2. Enforce laws and regulations that protect health and ensure safety. 3. Research for new insights and innovative solutions to health problems

Answer 30

Policy Development phn

Question 31

1. Link people to needed personal health services and assure the provision of health care when otherwise unavailable ‰2. Assure a competent public health and personal health care workforce ‰3. Inform, educate, and empower people about health issues ‰4. Mobilize community partnerships to identify and solve health problems

Answer 31

Assurance phn

Question 32

member of the workforce or a dependent of this work, likely to be in low paying jobs, part-time or temporary, or jobs at a small business - They cannot afford to or employers do not offer, age and good health status may not perceive the need for the insurance

Answer 32

uninsured factor affecting resource allocation in health care

Question 33

``` not always uninsured, working class at low income jobs, income is below poverty level, and have a mortality rate nearly 3 times that of middle class - poor health= low edu levels, unemployment, or low occupational status, low wages, child or over 65, and being a member of a minority ```

Answer 33

poor factors affecting resource allocation in health care

Question 34

Medicaid does provide access but aren’t getting health services needed like private insurances - Inability to afford health care, insurer doesn’t not approve cover or pay for care, client has preexisting conditions, physicians refusing to accept insurance plan - lack of transportation, communication problems, childcare needs, lack of time or information, refusal of services by providers, lack of after hours of care, long office waits, and distance to care

Answer 34

access to care | factor affecting resource allocation in health care

Question 35

refusal to accept a certain insurance and potential decrease in the acceptable quality of services offered, we have changed from reaction type of care to prevention type of care Ex: if public health department has only a certain number of vaccine to give to the general public, when sparse will take the highest risk first High risk- immunocompromised, older adult, certain disease

Answer 35

Rationing | factors affecting resource allocation in health care

Question 36

Example: Education to prevent falling into the “River of Disease”. Example: Assessment for a disease or illness to determine risk. This is performed on persons in the general public.

Answer 36

primary prevention

Question 37

Example: Screenings, screenings, screenings. Example: Teaching how to screen self or others for a particular disease. Example: Prevent complications by administering medication or other treatments

Answer 37

secondary prevention

Question 38

Example: Referrals to support services such as PT, OT, etc………… Example: Provide education about disease management, means of preventing complications. Example: Teach one to identify signs/symptoms of exacerbation and remission of a diagnosed disease or illness.

Answer 38

tertiary prevention