community Flashcards
1
Q
what temp should hot water be set at to prevent burns
A
120 degrees or lower
2
Q
psychiatric condition manifesting as a physical complaint
A
somatization disorder
3
Q
antibiotic prescribed for a wide range of serious skin infections and is also effective against inhalation anthrax
A
ciprofloxacin
4
Q
can u take cipro with antacids?
A
no
5
Q
why cant you take cipro with antacids
A
impairs absorption
6
Q
who should u plan to inoculate with small pox vaccine
A
pts who have had a direct exposure
7
Q
why is the smallpox vaccine only given to pts who have been directly exposed
A
smallpox has increased risk of complications
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
9
Q
primary action for pt who reveals suicidal intent
A
transport to treatment facility
10
Q
what type of health care is most likely absent in a rural setting
A
tertiary care
11
Q
what to have incase of nuclear disaster
A
potassium iodide
12
Q
care that focuses on preventing illness rather than after illness occurs is called
A
upstream thinking
13
Q
nursing theory that looks at pts environment & health and emphasizes preventative care
A
nightingales environmental theory
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
15
Q
nursing theory that pt health behaviors are based on their beliefs.
A
health belief model
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
17
Q
nursing theory that emphasizes change at community level
A
milos framework for prevention
18
Q
nursing theory that examines factors that affect individual actions to promote & protect health
A
penders health promotion model
19
Q
6 stages of transtheoretical change model
A
-pre-contemplation
-contemplation
-preparation
-action
-maintenance
-termination
20
Q
ethical principle that maximizes possible benefits and minimize possible harms
A
beneficence
21
Q
approach that seeks to improve quality and performance which meets or exceeds expectations
A
Total quality management
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
23
Q
disease surveillance is an example of what prevention
A
secondary
24
Q
screenings are an example of what prevention
A
secondary
25
case management is an example of what prevention
tertiary
26
exercise for a pt with htn is an example of what prevention
tertiary
27
rehab is an example of what prevention
tertiary
28
addresses the needs of individual members of a community is called
community based nursing
29
focuses on health promotion and disease prevention in the community.
community-oriented nursing
30
wound care to an individual
in the home as an example of
community-based nursing
31
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?
Equity
32
Partnering with a laboratory company to provide free HIV screenings for the public is an example of?
public health assurance
33
ensuring the findings gathered through assessment and policy-related research are effectively implemented is an example of?
public health assurance
34
Assisting the client to modify cultural practices that are not beneficial to the client’s health
Cultural repatterning
35
Advocating, mediating, negotiating, and intervening between the client’s culture and health care culture on behalf of the client is called
Cultural brokering
36
focus on identifying
a cause for every effect on the body, that the body functions like a machine is called
biomedical beliefs
37
beliefs about illness relate the individual as a part of nature or creation is called
naturalistic beliefs
38
beliefs about illness link health to supernatural forces, or good and evil is called
magico-religious beliefs
39
first step of cultural assessment
collect data on pts ethnic background and beliefs
40
second step of cultural assessment
ask questions about pts perception of health needs
41
third (final) step of cultural assessment
identify how cultural factors affect effectiveness of nursing interventions
42
can interpreters be from the same community as the patient?
no
43
mnemonic for environmental exposure assessment
I PREPARE
44
I PREPARE questions for environmental exposure
-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
45
health agency that manages poor women, infants and children up to age 5
WIC program
46
program for uninsured children whose families don't qualify for medicaid
CHIP (children's health insurance program)
47
hospital care is covered by which part of medicare?
Part A
48
hospice is covered by which part of medicare?
Part A
49
limited skill nursing care is covered by which part of medicare?
Part A
50
diagnostic services is covered by which part of medicare?
part b
51
health care provider services is covered by which part of medicare
part b
52
ambulance service is covered by which part of medicare
part b
53
medical equipment is covered by which part of medicare
part b
54
medicare advantage plan is also known as what part of medicare
part c
55
who provides medicare advantage plan?
private insurance companies
56
prescription medication is covered by which part of medicare
part D
57
pts 65+ yrs old and receiving social security qualify for?
medicare
58
pts who have been receiving disability benefits for 2 years qualify for?
medicare
59
pts who are on dialysis qualify for?
medicare
60
pts who had a kidney transplant qualify for
medicare
61
poor people and children qualify for?
medicaid
62
insurance that has a set of designated providers
HMO (health maintenance organizations)
63
insurance using untaxed money in an account for medical expenses is called
medical savings account
64
coordinating directives from the state is the responsibility of what department?
local health department
65
what department reports communicable diseases to the CDC
state departments of health
66
inconvenient hours is an example of what
barrier to health care access
67
branch of medicine that monitors disease trends
epidemiology
68
3 parts of epidemiological triangle
agent
host
environment
69
noise is an example of what kind of agent
physical
70
number of new cases in a population is called
incidence
71
number of existing cases in a population is called
prevalence
72
rate of disease exceeds usual lvl of condition is called
epidemic
73
epidemic occurring in multiple countries is called
pandemic
74
transmission of a disease from parent to offspring is called
vertical transmission
75
transmission through person to person is called
horizontal transmission
76
isolation precautions for measles
airborne
77
isolation precautions for chickenpox
airborne
78
isolation precautions for tuberculosis
airborne
79
isolation precautions for pertussis
droplet
80
isolation precautions for influenza
droplet
81
isolation precautions for SARS
droplet
82
diseases transmitted through mosquitos or ticks are called
vector borne
83
immunity from exposure to infectious agent
acquired immunity
84
immunity from antibodies made by the body
Active
85
immunity from transferred antibodies
passive
86
is cholera a nationally notifiable disease
yes
87
is tetanus a nationally notifiable disease?
yes
88
is pertussis a nationally notifiable disease
yes
89
how is influenza transmitted (diff from isolation precautions)
airborne
90
data collection by driving through a community is called
windshield survey
91
using existing data such as death, birth statistics etc. is called
secondary data
92
learning through doing is called
tactile kinesthetic learning
93
Use of reinforcement methods to change learners’ behaviors is which learning theory
behavioral theory
94
Use of sensory input and repetition to change learners’ patterns of thought, thereby changing behaviors is which learning theory
cognitive theory
95
Use of ongoing discussion and inquiry to increase learners’ depth of knowledge, thereby changing thinking and behaviors is which learning theory
critical theory
96
Use of techniques specific to learners’ developmental stages to determine readiness to learn, and to impart knowledge is which learning theory
developmental theory
97
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
humanistic theory
98
Links information to beliefs and values to change or shift the learners’ expectations is which learning theory
social learning theory
99
pavlovs dog theory is an example of what learning theory
behavioral theory
100
marxisim and feminism are examples of what learning theory
critical theory
101
which learning domain of learning involves knowledge and intellectual skill development
cognitive domain
102
which learning domain involves change in attitude and development of values
affective domain
103
pt accepting having a colostomy and maintaining self esteem is an example of what learning domain
affective domain
104
pt discussing how sodium intake will affect blood pressure is an example of what learning domain
cognitive domain
105
learning domain that involves skill performance
psychomotor domain
106
nurse teaching pt how to self administer insulin is an example of which learning domain
psychomotor domain
107
what readability level should education materials be written at
6-8th grade (middle school) (write so simple a middle schooler can understand instructions)
108
what to assess during windshield survey
-people
-place
-housing
-social systems
109
A nurse is completing a needs assessment and beginning analysis of data. Which of the following actions should the nurse take first?
Compile collected data into a database.
110
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?
Key informant interviews
111
direct conversations with individual community members for the
purpose of obtaining ideas and opinions are called
Informant interviews
112
observing formal or informal community activities and does not involve direct conversations with individual community members
Participant observation
113
directed talks with a representative sample of a community, and do not involve direct conversations with individual community members.
Focus groups
114
specific questions asked in a written format and do not involve direct conversations with individual community members.
surveys
115
model used by home health and hospice nurses
omaha system
116
care that supports the pt and family through dying process is called
hospice care
117
which care provides bereavement support after a pts death
hospice care
118
nurse that works to promote healthy work environment to foster the health and safety of workers
occupational health nurse
119
odor is what kind of environmental factor
physical
120
overcrowding is what kind of environmental factor
social
121
sanitation is what kind of environmental factor
social
122
nurses that promote the health and wellness of populations of faith communities
parish nurses
123
groups that have a common characteristic are called
aggregates
124
perinatal conditions and congenital anomalities are a leading cause of death for which aggregate
children
125
SIDS (sudden infant death syndrome) is a leading cause of death for which aggregate
children
126
motor vehicle and unintentional injuries are a leading cause of death for which 2 aggregates
children and adolescents
127
homicide is a leading cause of death for which aggregate
adolescents
128
suicide is a leading cause of death for which aggregate
adolescents
129
used to highlight relationships between a child, their family and their social network
ecomap
130
what age group has the highest suicide rate
45-64 yr olds
131
which gender is more likely to ATTEMPT suicide?
females
132
which gender is more likely to COMPLETE suicide
males
133
which ethnic group is more likely to commit suicide
caucasians
134
which group is the fastest growing segment of the homeless population
families with children
135
what are the 4 phases of emotional reaction during a disaster?
heroic
honeymoon
disillusionment
reconstruction
136
Intense excitement and concern for survival. Often a rush of assistance from outside the area is present happened during what disaster emotional phase?
heroic phase
137
Affected individuals begin to bond and relive their experiences during what disaster emotional phase?
honeymoon
138
Responders can experience depression and exhaustion. Phase contains unexpected delays in receiving aid during what disaster emotional phase?
disillusionment
139
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?
reconstruction
140
which category of bioterrorism agents is the highest priority?
category A
141
what category of bioterrorism agents is smallpox?
category A
142
what category of bioterrorism agents is botulism?
category A
143
what category of bioterrorism agents is anthrax?
category A
144
what category of bioterrorism agents is tularemia?
category A
145
what category of bioterrorism agents is ebola?
category A
146
viral hemorrhagic fevers are also known as
ebola
147
what category of bioterrorism agents is plague?
category a
148
biological agents which are easily transmitted and have high mortality rates are what category of bioterrorism agents?
category a
149
which category of biological agents are the second highest priority
category b
150
what category of bioterrorism agents is typhus fever?
category b
151
what category of bioterrorism agents is ricin toxin?
category b
152
what category of bioterrorism agents is E. Coli
category b
153
what category of bioterrorism agents is west nile virus
category b
154
biological agents with high morbidity rates, LOW mortality rate are what category of bioterrorism agents?
category b
155
what is dissemination?
widely spreading something
156
category of biological agents that have high morbidity, mortality rates and can be engineered for mass dissemination?
category c
157
what category of bioterrorism agents is hantavirus?
category c
158
what category of bioterrorism agents is influenza virus?
category c
159
what category of bioterrorism agents is tuberculosis?
category c
160
what category of bioterrorism agents is tuberculosis?
category c
161
what category of bioterrorism agents is rabies virus?
category c
162
what is given for prevention of anthrax following an exposure?
antibiotics
163
which antibiotics are given for anthrax prevention after exposure?
ciprofloxacin and doxycycline
164
what is given to pts at high risk for exposure to anthrax?
anthrax vaccine
165
how are manifestations of anthrax treated?
antitoxin and IV antibiotics
166
what are the manifestations of an anthrax infection?
headache
fever chills
muscle aches
chest discomfort
severe dyspnea
shock
167
how is botulism treated?
antitoxin
airway management
elimination of toxin
supportive care
168
how is botulism eliminated from the body?
voiting
enemas
surgical exision of wound tissue
169
supportive care for botulism?
nutrition
fluids
170
manifestations of botulism?
double/blurred vision
slurred speech
difficulty swallowing
progressive muscle weakness
diffciulty breathing
171
what is botulism?
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
how do you get botulism?
from food, inhalation , wounds
173
how to tell small pox from chickenpox
rash on face and tongue instead of primarily trunk
174
supportive care for smallpox?
hydration
pain meds
antipyretics
antibiotics for secondary infections
175
how is ebola transmitted?
contaminated body fluids
176
ebola s/s?
fever
severe headache
joint/muscle ache
fatigue/weakness
hemorrhage
vomiting/diarrhea
shock
177
ebola isolation precautions
droplet and contact
178
ebola PPE?
gown
2 pairs of gloves
boot cover
apron
n95 mask
179
what mask to wear for ebola pt
n95 mask
180
what gloves for ebola
2 disposable gloves
181
precautions for ebola pt after recovery
prevent semen contact for up to 3 months
182
rapidly increasing disease in a normally healthy population is a sign of what
bioterrorism
183
endemic occuring at an unusual time is a sign of what
bioterrorism event
184
an influenza outbreak in SUMMER is a sign of what?
bioterrorism event
185
an unusual number of dead or dying animals is a sign of what?
bioterrorism event
