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concept 4 > community > Flashcards

community Flashcards

1
Q

what temp should hot water be set at to prevent burns

A

120 degrees or lower

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2
Q

psychiatric condition manifesting as a physical complaint

A

somatization disorder

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3
Q

antibiotic prescribed for a wide range of serious skin infections and is also effective against inhalation anthrax

A

ciprofloxacin

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4
Q

can u take cipro with antacids?

A

no

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5
Q

why cant you take cipro with antacids

A

impairs absorption

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6
Q

who should u plan to inoculate with small pox vaccine

A

pts who have had a direct exposure

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7
Q

why is the smallpox vaccine only given to pts who have been directly exposed

A

smallpox has increased risk of complications

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8
Q

what should an ED charge nurse do first when there is a multiple-casualty?

A

clear department of nonurgent pts and move admissions to holding area

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9
Q

primary action for pt who reveals suicidal intent

A

transport to treatment facility

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10
Q

what type of health care is most likely absent in a rural setting

A

tertiary care

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11
Q

what to have incase of nuclear disaster

A

potassium iodide

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12
Q

care that focuses on preventing illness rather than after illness occurs is called

A

upstream thinking

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13
Q

nursing theory that looks at pts environment & health and emphasizes preventative care

A

nightingales environmental theory

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14
Q

the health of houses, ventilation and warming, light and noise and personal cleanliness is an example of what nursing theory

A

nightingales environmental theory

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15
Q

nursing theory that pt health behaviors are based on their beliefs.

A

health belief model

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16
Q

Individuals who do not think they will get the flu are less likely to get a yearly flu shot is an example of what nursing theory

A

health belief model

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17
Q

nursing theory that emphasizes change at community level

A

milos framework for prevention

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18
Q

nursing theory that examines factors that affect individual actions to promote & protect health

A

penders health promotion model

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19
Q

6 stages of transtheoretical change model

A

-pre-contemplation
-contemplation
-preparation
-action
-maintenance
-termination

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20
Q

ethical principle that maximizes possible benefits and minimize possible harms

A

beneficence

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21
Q

approach that seeks to improve quality and performance which meets or exceeds expectations

A

Total quality management

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22
Q

approach to quality management that emphasizes the organization and its processes and systems and uses objective data to analyze and improve processes.

A

Continuous quality improvement

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23
Q

disease surveillance is an example of what prevention

A

secondary

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24
Q

screenings are an example of what prevention

A

secondary

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25
Q

case management is an example of what prevention

A

tertiary

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26
Q

exercise for a pt with htn is an example of what prevention

A

tertiary

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27
Q

rehab is an example of what prevention

A

tertiary

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28
Q

addresses the needs of individual members of a community is called

A

community based nursing

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29
Q

focuses on health promotion and disease prevention in the community.

A

community-oriented nursing

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30
Q

wound care to an individual
in the home as an example of

A

community-based nursing

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31
Q

A public health nurse is reviewing the outcomes of an exercise program at various locations. Which of the following aspects of care does this finding evaluate?

A

Equity

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32
Q

Partnering with a laboratory company to provide free HIV screenings for the public is an example of?

A

public health assurance

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33
Q

ensuring the findings gathered through assessment and policy-related research are effectively implemented is an example of?

A

public health assurance

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34
Q

Assisting the client to modify cultural practices that are not beneficial to the client’s health

A

Cultural repatterning

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35
Q

Advocating, mediating, negotiating, and intervening between the client’s culture and health care culture on behalf of the client is called

A

Cultural brokering

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36
Q

focus on identifying
a cause for every effect on the body, that the body functions like a machine is called

A

biomedical beliefs

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37
Q

beliefs about illness relate the individual as a part of nature or creation is called

A

naturalistic beliefs

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38
Q

beliefs about illness link health to supernatural forces, or good and evil is called

A

magico-religious beliefs

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39
Q

first step of cultural assessment

A

collect data on pts ethnic background and beliefs

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40
Q

second step of cultural assessment

A

ask questions about pts perception of health needs

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41
Q

third (final) step of cultural assessment

A

identify how cultural factors affect effectiveness of nursing interventions

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42
Q

can interpreters be from the same community as the patient?

A

no

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43
Q

mnemonic for environmental exposure assessment

A

I PREPARE

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44
Q

I PREPARE questions for environmental exposure

A

-investigate (potential exposures)
-present work (any job exposures, if they use ppe, what household members do)
-residence (how up to date their house is)
-environmental concerns
-activities
-referrals/resources
-educate

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45
Q

health agency that manages poor women, infants and children up to age 5

A

WIC program

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46
Q

program for uninsured children whose families don’t qualify for medicaid

A

CHIP (children’s health insurance program)

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47
Q

hospital care is covered by which part of medicare?

A

Part A

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48
Q

hospice is covered by which part of medicare?

A

Part A

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49
Q

limited skill nursing care is covered by which part of medicare?

A

Part A

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50
Q

diagnostic services is covered by which part of medicare?

A

part b

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51
Q

health care provider services is covered by which part of medicare

A

part b

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52
Q

ambulance service is covered by which part of medicare

A

part b

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53
Q

medical equipment is covered by which part of medicare

A

part b

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54
Q

medicare advantage plan is also known as what part of medicare

A

part c

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55
Q

who provides medicare advantage plan?

A

private insurance companies

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56
Q

prescription medication is covered by which part of medicare

A

part D

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57
Q

pts 65+ yrs old and receiving social security qualify for?

A

medicare

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58
Q

pts who have been receiving disability benefits for 2 years qualify for?

A

medicare

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59
Q

pts who are on dialysis qualify for?

A

medicare

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60
Q

pts who had a kidney transplant qualify for

A

medicare

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61
Q

poor people and children qualify for?

A

medicaid

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62
Q

insurance that has a set of designated providers

A

HMO (health maintenance organizations)

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63
Q

insurance using untaxed money in an account for medical expenses is called

A

medical savings account

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64
Q

coordinating directives from the state is the responsibility of what department?

A

local health department

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65
Q

what department reports communicable diseases to the CDC

A

state departments of health

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66
Q

inconvenient hours is an example of what

A

barrier to health care access

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67
Q

branch of medicine that monitors disease trends

A

epidemiology

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68
Q

3 parts of epidemiological triangle

A

agent
host
environment

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69
Q

noise is an example of what kind of agent

A

physical

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70
Q

number of new cases in a population is called

A

incidence

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71
Q

number of existing cases in a population is called

A

prevalence

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72
Q

rate of disease exceeds usual lvl of condition is called

A

epidemic

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73
Q

epidemic occurring in multiple countries is called

A

pandemic

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74
Q

transmission of a disease from parent to offspring is called

A

vertical transmission

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75
Q

transmission through person to person is called

A

horizontal transmission

76
Q

isolation precautions for measles

A

airborne

77
Q

isolation precautions for chickenpox

A

airborne

78
Q

isolation precautions for tuberculosis

A

airborne

79
Q

isolation precautions for pertussis

A

droplet

80
Q

isolation precautions for influenza

A

droplet

81
Q

isolation precautions for SARS

A

droplet

82
Q

diseases transmitted through mosquitos or ticks are called

A

vector borne

83
Q

immunity from exposure to infectious agent

A

acquired immunity

84
Q

immunity from antibodies made by the body

A

Active

85
Q

immunity from transferred antibodies

A

passive

86
Q

is cholera a nationally notifiable disease

A

yes

87
Q

is tetanus a nationally notifiable disease?

A

yes

88
Q

is pertussis a nationally notifiable disease

A

yes

89
Q

how is influenza transmitted (diff from isolation precautions)

A

airborne

90
Q

data collection by driving through a community is called

A

windshield survey

91
Q

using existing data such as death, birth statistics etc. is called

A

secondary data

92
Q

learning through doing is called

A

tactile kinesthetic learning

93
Q

Use of reinforcement methods to change learners’ behaviors is which learning theory

A

behavioral theory

94
Q

Use of sensory input and repetition to change learners’ patterns of thought, thereby changing behaviors is which learning theory

A

cognitive theory

95
Q

Use of ongoing discussion and inquiry to increase learners’ depth of knowledge, thereby changing thinking and behaviors is which learning theory

A

critical theory

96
Q

Use of techniques specific to learners’ developmental stages to determine readiness to learn, and to impart knowledge is which learning theory

A

developmental theory

97
Q

Assists learners to grow by emphasizing emotions and relationships and believing that free choice will prompt actions that are in their own best interest is which learning theory

A

humanistic theory

98
Q

Links information to beliefs and values to change or shift the learners’ expectations is which learning theory

A

social learning theory

99
Q

pavlovs dog theory is an example of what learning theory

A

behavioral theory

100
Q

marxisim and feminism are examples of what learning theory

A

critical theory

101
Q

which learning domain of learning involves knowledge and intellectual skill development

A

cognitive domain

102
Q

which learning domain involves change in attitude and development of values

A

affective domain

103
Q

pt accepting having a colostomy and maintaining self esteem is an example of what learning domain

A

affective domain

104
Q

pt discussing how sodium intake will affect blood pressure is an example of what learning domain

A

cognitive domain

105
Q

learning domain that involves skill performance

A

psychomotor domain

106
Q

nurse teaching pt how to self administer insulin is an example of which learning domain

A

psychomotor domain

107
Q

what readability level should education materials be written at

A

6-8th grade (middle school) (write so simple a middle schooler can understand instructions)

108
Q

what to assess during windshield survey

A

-people
-place
-housing
-social systems

109
Q

A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first?

A

Compile collected data into a database.

110
Q

A nurse is conducting a community assessment. Which of the following data collection methods is the nurse using when having direct conversations with individual members of the community?

A

Key informant interviews

111
Q

direct conversations with individual community members for the
purpose of obtaining ideas and opinions are called

A

Informant interviews

112
Q

observing formal or informal community activities and does not involve direct conversations with individual community members

A

Participant observation

113
Q

directed talks with a representative sample of a community, and do not involve direct conversations with individual community members.

A

Focus groups

114
Q

specific questions asked in a written format and do not involve direct conversations with individual community members.

A

surveys

115
Q

model used by home health and hospice nurses

A

omaha system

116
Q

care that supports the pt and family through dying process is called

A

hospice care

117
Q

which care provides bereavement support after a pts death

A

hospice care

118
Q

nurse that works to promote healthy work environment to foster the health and safety of workers

A

occupational health nurse

119
Q

odor is what kind of environmental factor

A

physical

120
Q

overcrowding is what kind of environmental factor

A

social

121
Q

sanitation is what kind of environmental factor

A

social

122
Q

nurses that promote the health and wellness of populations of faith communities

A

parish nurses

123
Q

groups that have a common characteristic are called

A

aggregates

124
Q

perinatal conditions and congenital anomalities are a leading cause of death for which aggregate

A

children

125
Q

SIDS (sudden infant death syndrome) is a leading cause of death for which aggregate

A

children

126
Q

motor vehicle and unintentional injuries are a leading cause of death for which 2 aggregates

A

children and adolescents

127
Q

homicide is a leading cause of death for which aggregate

A

adolescents

128
Q

suicide is a leading cause of death for which aggregate

A

adolescents

129
Q

used to highlight relationships between a child, their family and their social network

A

ecomap

130
Q

what age group has the highest suicide rate

A

45-64 yr olds

131
Q

which gender is more likely to ATTEMPT suicide?

A

females

132
Q

which gender is more likely to COMPLETE suicide

A

males

133
Q

which ethnic group is more likely to commit suicide

A

caucasians

134
Q

which group is the fastest growing segment of the homeless population

A

families with children

135
Q

what are the 4 phases of emotional reaction during a disaster?

A

heroic
honeymoon
disillusionment
reconstruction

136
Q

Intense excitement and concern for survival. Often a rush of assistance from outside the area is present happened during what disaster emotional phase?

A

heroic phase

137
Q

Affected individuals begin to bond and relive their experiences during what disaster emotional phase?

A

honeymoon

138
Q

Responders can experience depression and exhaustion. Phase contains unexpected delays in receiving aid during what disaster emotional phase?

A

disillusionment

139
Q

Involves adjusting to a new reality
and continued rebuilding of the area. Counseling is sometimes needed. Those affected begin looking ahead during what disaster emotional phase?

A

reconstruction

140
Q

which category of bioterrorism agents is the highest priority?

A

category A

141
Q

what category of bioterrorism agents is smallpox?

A

category A

142
Q

what category of bioterrorism agents is botulism?

A

category A

143
Q

what category of bioterrorism agents is anthrax?

A

category A

144
Q

what category of bioterrorism agents is tularemia?

A

category A

145
Q

what category of bioterrorism agents is ebola?

A

category A

146
Q

viral hemorrhagic fevers are also known as

A

ebola

147
Q

what category of bioterrorism agents is plague?

A

category a

148
Q

biological agents which are easily transmitted and have high mortality rates are what category of bioterrorism agents?

A

category a

149
Q

which category of biological agents are the second highest priority

A

category b

150
Q

what category of bioterrorism agents is typhus fever?

A

category b

151
Q

what category of bioterrorism agents is ricin toxin?

A

category b

152
Q

what category of bioterrorism agents is E. Coli

A

category b

153
Q

what category of bioterrorism agents is west nile virus

A

category b

154
Q

biological agents with high morbidity rates, LOW mortality rate are what category of bioterrorism agents?

A

category b

155
Q

what is dissemination?

A

widely spreading something

156
Q

category of biological agents that have high morbidity, mortality rates and can be engineered for mass dissemination?

A

category c

157
Q

what category of bioterrorism agents is hantavirus?

A

category c

158
Q

what category of bioterrorism agents is influenza virus?

A

category c

159
Q

what category of bioterrorism agents is tuberculosis?

A

category c

160
Q

what category of bioterrorism agents is tuberculosis?

A

category c

161
Q

what category of bioterrorism agents is rabies virus?

A

category c

162
Q

what is given for prevention of anthrax following an exposure?

A

antibiotics

163
Q

which antibiotics are given for anthrax prevention after exposure?

A

ciprofloxacin and doxycycline

164
Q

what is given to pts at high risk for exposure to anthrax?

A

anthrax vaccine

165
Q

how are manifestations of anthrax treated?

A

antitoxin and IV antibiotics

166
Q

what are the manifestations of an anthrax infection?

A

headache
fever chills
muscle aches
chest discomfort
severe dyspnea
shock

167
Q

how is botulism treated?

A

antitoxin
airway management
elimination of toxin
supportive care

168
Q

how is botulism eliminated from the body?

A

voiting
enemas
surgical exision of wound tissue

169
Q

supportive care for botulism?

A

nutrition
fluids

170
Q

manifestations of botulism?

A

double/blurred vision
slurred speech
difficulty swallowing
progressive muscle weakness
diffciulty breathing

171
Q

what is botulism?

A

toxin that attacks the body’s nerves and causes weakness of the muscles that control the eyes, face, mouth, throat, breathing ,neck and extremities

172
Q

how do you get botulism?

A

from food, inhalation , wounds

173
Q

how to tell small pox from chickenpox

A

rash on face and tongue instead of primarily trunk

174
Q

supportive care for smallpox?

A

hydration
pain meds
antipyretics
antibiotics for secondary infections

175
Q

how is ebola transmitted?

A

contaminated body fluids

176
Q

ebola s/s?

A

fever
severe headache
joint/muscle ache
fatigue/weakness
hemorrhage
vomiting/diarrhea
shock

177
Q

ebola isolation precautions

A

droplet and contact

178
Q

ebola PPE?

A

gown
2 pairs of gloves
boot cover
apron
n95 mask

179
Q

what mask to wear for ebola pt

A

n95 mask

180
Q

what gloves for ebola

A

2 disposable gloves

181
Q

precautions for ebola pt after recovery

A

prevent semen contact for up to 3 months

182
Q

rapidly increasing disease in a normally healthy population is a sign of what

A

bioterrorism

183
Q

endemic occuring at an unusual time is a sign of what

A

bioterrorism event

184
Q

an influenza outbreak in SUMMER is a sign of what?

A

bioterrorism event

185
Q

an unusual number of dead or dying animals is a sign of what?

A

bioterrorism event

concept 4 (12 decks)

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