community health Flashcards

1
Q

Early Head Start program age range

A

birth to 3 yrs

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2
Q

groups who should get the meningococcal vaccine

A

new military recruits, client with SLE, dormitory setting

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3
Q

prevalence proportion

A

how many people are affected by something at a given time

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4
Q

crib slats

A

must be

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5
Q

pacifier during naps

A

attached to clothing, not hung around neck

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6
Q

roles with surveillance

A

occupational health nurse(not home health nurse)

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7
Q

most infectious period of pertussis

A

coughing stage

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8
Q

those exposed to pertussis

A

should be treated prophylactically with erythromycin for 7 days(family members, teachers);check immunization status of classmates

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9
Q

water heater setting

A

should be no higher than 120 degree

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10
Q

diet for lead exposure

A

extra iron &calcium(more milk &red meat)

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11
Q

cleaning wood floors in houses with lead

A

wet mop(vacuuming aerosolizes particles)

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12
Q

levels of prevention for client with flu

A

primary prevention: ed class about flu

secondary: notify contact of the client about their exposure, isolate client from pregnant women
tertiary: give antiviral to reduce complications

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13
Q

incidence rate

A

of newly diagnosed over a period of time

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14
Q

preventing transmission of intestinal parasites

A

wipe diaper changing stations with dilute bleach solution

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15
Q

non-potty trained toddlers&swimming

A

they should not swim in a wading pool

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16
Q

ethical tenet for policy development

A

serve citizens, not customers; meet the needs of the greatest# of citizens first

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17
Q

postpartum blues

A

common 1st week to 10 days postpartum

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18
Q

examples of assurance

A

collaborating with community agencies to improve services; ensuring competence of healthcare workforce

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19
Q

grade level of written material for health education

A

8th grade or lower

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20
Q

diabetic shoes

A

should extend 1/2 to 5/8 past longest toe

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21
Q

purpose of HIPPA enactment

A

to keep people from losing insurance when they changed jobs/lost jobs; can keep group insurance 16 afterwards

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22
Q

T3 levels

A

80-220 ng/mL

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23
Q

age-related health changes

A

decreased sensitivity to pain, decreased peristalsis/delayed gastric emptying

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24
Q

clinical manifestation of primary syphilis

A

chancre

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25
Q

signs of secondary syphilis

A

maculopapular rash lymphadenopathy, malaise

26
Q

establish the community as client

A

form partnerships with local agencies

27
Q

chance of prostate cancer death

A

twice as high for African American men than for white men

28
Q

3 methods of collecting data directly for a community

A

1-infromant interviews
2-participant observation
3-windshield survey

29
Q

methods of transmission of HPV

A

oral, sexual

30
Q

focus of community oriented nursing

A

health promotion and protection through education

31
Q

community based nursing

A

illness care where the patients live, work and attend school

32
Q

juice for preschoolers

A

4-6oz per day is OK

33
Q

deontology

A

ethical theory based on the idea that actions must be based on moral rules or duty regardless of the consequences

34
Q

principlism

A

dominant theory of ethical decision making; comprised of respect for autonomy, nonmaleficence, beneficence, distributive justice

35
Q

CIRCLE

A

CIRCLE model of spiritual care

36
Q

functions of parish nurse

A
holistic care of populations
personal health counseling
health ed
liason
facilitate support groups 
change train volunteers
id spiritual strengths of coping
37
Q

home health nurse functions

A

educator, coordinator of care provider of interventions

38
Q

occupational environmental factors

A

social(sanitation, housing conditions overcrowding, illiteracy);physical(heat, odor, ventilation, pollution); psychological(addictions, stress)

39
Q

occupational health control strategies

A
engineering
altering work practices
PPE, injury avoidance ed
workplace monitoring
health screening
EAP
job task analysis
design, risk mgmt., emergency preparedness
40
Q

school nurse roles

A
case manager
community outreach
consultant
counselor
direct caregiver
health educator
research
41
Q

hospice services

A

includes family members and bereavement services(up to 1yr after death)
for

42
Q

occupational health host factors

A

worker characteristics(experience levels, pregnancy, age, etc

43
Q

occupational health agent factors

A

biological, chemical(asbestos, smoke) mechanical(strains/sprains,/fractures, heavy workload, ergonomics) physical( temp extreme, vibration, noise, radiation, lighting) psychological (threats to psych wellbeing)

44
Q

primary prevention in school nursing

A

asses immunization status, maintain current records, health promotion for staff

45
Q

secondary prevention for school nursing

A

assess children for abuse, neglect, mental illness; provide emergency/acute care; ID children at risk

46
Q

tertiary prevention for school nursing

A

assess children with disabilities; assess children with long term health needs; help develop IEPS; provide care for children with chronic disease(written consent by parents is required)

47
Q

appropriate nurse; student ratio

A

1:750

48
Q

screenings at birth

A

hemoglobinapathy, phenylalanine levels, T4, TSH

49
Q

cholesterol screening ages

A

45-64

50
Q

age of fecal occult blood test/sigmoidoscopy

A

50+yrs

51
Q

ecomaps

A

ID family support network, social risk, interactions with other groups/org

52
Q

school med admin policy

A

required by state and federal laws

53
Q

homicide committed by stranger

A

often related to substance abuse network

54
Q

most homicides

A

committed by friend, acquaintance, family member during an argument; if fam, often preceded by abuse

55
Q

assault

A

males more likely to be assaulted; youths at much higher risk

56
Q

cardinal signs of addiction

A

tolerance & withdrawal; denial is a primary sign

57
Q

alcohol filtration rate by liver

A

1 oz per hour

58
Q

alcohol withdrawal begins..

A

6hrs after cessation of drinking

59
Q

alcohol withdrawal

A

increased BP& pulse; pulse is clearest indicator of possible DT’s or withdrawal delirium; prompt use of benzodiazepines at onset of symptoms can prevent DTs

60
Q

most preventable cause of death

A

smoking