Community Health Exam 2 Flashcards
When the team convenes for planning a meeting a next week what is most important?
Clear goals and objectives to identify where established
After walking through a community, a nurse decided an action plan was needed.
Community mapping
So based on the report documented by the nurse, what assessment was completed? About heart failure
Population Focuses
Factors in environment that influence teens risky behavior.
Problem or health issue
Nurse examines impact of a new mass transit policy
Health impact assessment
A nurse leads a community assessment team is dividing the task upon team member, what tasks is priority
Conducting a windshield survey
The nurse plans to speak with community leader about factors that affect the health of their community. What must be included in plan for Community competence?
Commitment to the community
High risk for pedestrian injury form MVA, what is highest risk for injury?
Sidewalks are lacking in that part of the community
Community assessment and group evaluation model 🡪 interviewed community, census was reviewed, team was divvied into two group, complete assessment results in community needs R/T older adults, teen pregnancy, kid play space. How did team use secondary data?
Census
The preceptor has instructor the ne PHN the process of CH assessment. What action by the nurse lead that further training is needed?
The nurse completed the assessment and moved right into the planning phase
While driving thru a town and conducting a windshield during, nurse observes children playing thru the streets. What additional assessment is needed? SATA
a Presence of Green Space
b Number of Parks
The nursing team works in the assessment phase of community planning, what is important in the assessment phase?
Strengths and Weaknesses
In community program planning the nurse develops intervention the needs for developing a community park, what nursing action is appropriate in this phase? SATA
Establishing clear goals
Reliable funding
Personal needs
While addressing the evaluation phase of community program planning, what statement of a member leads the team leader that the evaluation phase of the program needs to be reevaluated?
“I think it is important to complete a community needs assessment.”
The nurse uses the logic model to inform community program planning process that discuses teen pregnancy after discussing problems…what action should be addressed next?
Stating the expected short term time frame for changes to occur
When planning a health program in the community that focuses on health care access, what does the nurse include so that social justice is a factor?
A clinic with health care cost that is based on client’s affordability
The nurse completed the community assessment and developed the following community diagnosis: lack of afterschool school activities resulting in risky behaviors by teenagers in the oak apartments. What components are missing?
What the problems is related to
How the problem is demonstrated
Indicator of the problem
After completing the community assessment and reviewing the data, what is an important factor is needed for community program to be implicated in the community?
Determination of available
The nurse plans to use mobilization of action MAP model in community assessment and palling process in what phase of the model does the team expect to identify problems and determine objectives in determining issues?
Phase vi
To ensure the greatest likelihood of success in community planning program. What level if best to start planning? SATA
Community
Local
22An after-school program is being consider in Jade County, what information might they get in logan middle school to help inform implementation in J county project. “Activity have been consistent with goals and objectives…”
Understanding the specific way the program identified the parent
School lunch program: Cost effectiveness is being questioned by the board. What shows that it is cost effective?
More student received lunch
In planning healthy people goals, how should the nurse with the guide? First step of MAPIT
Organize community remember that are invested in the community
Evaluation of a program that addressed neighbor crime, showed that is was not effective because of stakeholders and improper written goals. When the mapit guide…what steps of the MapIt could be of been used to prevent this? SATA
Plan
Mobilizing
When the PH nurse manager learns that a new nurse has significant experience in fixing complex problems.
Researching solution for health problems
Monitoring community health and solving problems
Then nurse that works in local health department. risky behaviors. Community member Respond “ I don’t understand what PH nurses do, do you work in a hospital”
We prevent diseases and promote Populations
Nurse was asked to present about certain health indicators in the community national data. What info lets the leaders know that the nurse included national data?
How the people is meeting the healthy people goals
The public health nurse working in health clinic what, has a pt that tests positive for gonorrhea and admits to being promiscuous. What data must be document for public health department? SATA
Is the client a part of any other risky behaviors?
Sexual partners
A PH department must respond to needs of community…what assessment of the public health department is important to meet community needs?
Currency Information systems and data
Appearance of Infostructure
Characteristics of current staff
Nurses in local PH department have presented a community nurse to law makers…what additional data is important to be present to increase likelihood that a policy will be developed?
Perspective of community on the issue
Major explosion at a local school, the PH nurses were asked to assess kids, what question by nurse is appropriate?
We know that responding to disaster is a part of the role
The CH nurse manager received a report that the new CH nurse is not adhering protocol, what is assessment is consistent with the report.
The nurse instruct client to call pharmacy to teach them about their medications
The nurse working in the client health clinic, held a session about teen pregnancy, only 2 showed up. What can help to increase rate?
Transportation ( bus line is not accessible)
A major snowstorm…When planning to develop policy, what is important to to get to start developing a plan.
Including local businesses and member in planning
The nurse in the diabetes clinic: 40-year old client with no health insurance is struggling to meet finainal need. What response by nurse will help the cline the most?
Give client info about Medicaid
The nurse educator and PHD teachers’ orientation classes to new employee, the educator talks about is about state vs national health policies, which statement shows understanding?
“ it is good to know that my state decides eligibility for funding”
Local health department is looking for funding, what must be included in planning or funding? SATA
Seeking sources for grant funding
Money from local Taxes
Nurses’ leaders of a new PHD are reviewing services and programs being offered, what actions must to taken to ensure compliance of affordable health act?
Works with businesses in the area to implement wellness programs
A new policy to increase nutrition among children in local school is is planned, what policies should that effectiveness might not be achieved?
58 minute
The State program in regulation for nursing homes, what must be included in policy?
Relay on federal Federal Grants and state policy
Resident of rural…many residents have left without being seen, what supports this finding?
Inadequate number of health care providers at the clinic
When planning to teach a class about health policies what must be included to show how health policies play a role n society?
Decreased rate of TB
A nurse in a clinic assists a clinic.. in a state that is not in the affordable care act. What is most important for the nurse to gather? For Medicaid
Whether the clients Income is at poverty level
What points shows that the nurse is knowledgeable?
Are the goals relative to what the program will cost
The nurse at the CH fair speaks with attendee walks over to booth, what assessment requires the nurse to use upstream thinking in the conversation? There is one like this but hypertension is not the answer its something about lead paint.
Reports of having a brother and sister with hypertension
Outbreak of TB in community, CHN works with epidemiologist. What action of the team is important?
Using surveillance to determine point of origin of TB
A policy for two new community services is being implement in local HD. What action by nurse manager is priority?
Train employees
Local BP screening at local mall. How does nurse interperperate client statement?
Barrier no health insurance ( around 1:08)
The team ahs conducted surveillance because of local outbreak, what policy would be put in place to stop future outbreaks? This one is a picture, just click on the one of head lice.
Head lice
During assessment phase the nurse complies data and draws conclusions about community strengths and concerns (1:09.54)
Qualitative data: generate non statistical data values need and perceived needs
A nurse is working for a OPHD and a community educator. What is a potential barrier the nurse might experience?
Lacking knowledge about how to gain participation
A nurse is looking to gain polices to lower e-cig use in yout. What about be the best
Adolescence
When evaluating policy protocols. Governments must consider how the public will accept policy proposal?
Social acceptability
It is important that nurses are important in health policy because?
Government and policy have a large impact on PH
A nurse is teaching a class on basic principles of health insurance, student as about the affordable health act. What is apprioprate response? This one is switched to only one answer. It asks for the wrong answer instead of these 3 correct ones.
Expansion to over those up to age of 26
Expansion of Medicaid to cover more people
Expansion of access and
Long standing problem of equipment at surgical center. Where do you report?
OSHA
An occupational nurse, has a nurse complaining of flu like symptoms. CDC pout out info. How does nurse precede with the info?
Notify HD and screening of coworkers
A nurse working in Primary care, has a client with new diagnosis of Syphilis. Client wants to know if she has to notify anyone?
Contact local HD and they will contact prior sexual partner
A PHD has set a goal to expand the role by included direct indiv. patient care. PHD has little to now funding? Fund privions of direct care.
Federally health centers (1:19.19)
PH has taken job in rural Wyoming, what difference in infostructure is the nurse expected to see?
Limited resources and isolation
A nurse wishes to involve local health department in planning a community wide intervention. Nurse calls LHD how to best involve them, and learned they are run by local gov. … what is structure of LHD?
Decentralized (local)
What are the 4 parts of community diagnosis? This is one of the SATAs
Problem
Population
Characteristics of the Problem
Demonstrators or indicators of the problem
A group of PH nurse are reviewing outcome at the end of a program about water safety for children under 10 years old, 2 days after they were able to share that it reached 89% of goal. What type of evaluation is this?
summative
A nurse is planning for community acceptance of a program. The nurse is currently working on estimating resources and mechanism of activities. What phase of nursing planning is the nurse involved in?
Program implementation
A team of nurses and physician are concerned about the lack of vaccination in young children seen in ED. ED physicians have Seen that there is a rise of measles in other cities. What key component in health program planning might have been missed in the program?
Active involvement of community as a partner
A nurse wants to use EBP about social isolation in older adults. What is 1st step in developing EBP?
Consult the literature to create rational for intervention
Nurse researchers are concerned about homelessness…outreach program…Logic model
Help stakeholders visualize how the program goals will relate to objectives
A community team made of administrators, parents, and teachers about obesity…possible models for programs. Nurse recommends precede/proceed model? PHN explains this begins with?
Comprehensive community assessment
A PHN is using the map model and it has reached phase 3. After preforming the 4 assessments, which has an impact on community health? (1:30)
Forces of change assessment
A PHN is volunteering to help develop program for older adults. Found that older adults were underrepresented. Qualitative dated retrieved
Use of focused groups
A community assessment team found that problem with survery of older adults found that their was not enough information for quality of live foe those over 65 not living in faculty. What survey is best to assess population?
Personal interview
To develop maintenance and survival…useful places, person, systems
Asset mapping
A team has decided to complete an assessment about demographic data about ppl living in community, assets in communities such as LOH problem an issues in community about disparities. What assessment with the completed?
Comprehensive community assessment
Nurse uses 🡪 what assessment of community members that agreed to participate is important?
Shared vision and community assessments
