Community Nursing Flashcards

1
Q

Which specific groups does the federal government cover you

A

FNIHB, Canadian forces, veterans, inmates, and refugees

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2
Q

principles of health act

A

Universality accessibility comprehensiveness of services portability public admiration

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3
Q

role of provinces regarding health care

A

legislate, organize and deliver services

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4
Q

benefit of Community health centres

A

improving access to health care

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5
Q

what is Canada known for

A

leader in health promotion movement

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6
Q

medical model definition of health

A

absence of disease

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7
Q

WHO definition of health

A

Holistic, physical, mental and social well-being

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8
Q

Ottawa charter definition of health

A

health is a resource aspiration, satisfy needs, coping

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9
Q

what are the 3 levels of prevention

A

1-education, prevent disease/injury2-check for problems (screening)3-tx

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10
Q

healthy public policy

A

intent of having a positive effect on or promoting health

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11
Q

protective factors

A

variable that assist in managing the stressors associated with being at risk

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12
Q

Lalonde report

A

health promotion”health field concept”individual blame on health

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13
Q

alma-ata declaration

A
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14
Q

what are the per-requisites for health (Ottawa charter)

A

basic needs/rightspeace, resourcessocial justice, equitystable ecosystem, income

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15
Q

what are the 3 strategies of Ottawa charter

A

advocate, enable and mediate

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16
Q

what are the 5 actions of Ottawa charter

A

healthy public policy supportive environment community action personal skills reorient health services

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17
Q

Epp Report and 3 focuses

A

“Health for all”-reduce differences btwn groups (income)-reduce risk for injury/disease-enhance coping

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18
Q

what are the 3 health promotion mechanisms of Epp report

A

self care mutual aid healthy environments

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19
Q

what are the 3 implementation strategies of Epp report

A

public participation community health services healthy public policy

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20
Q

what are the 3 health promotion approaches

A

biomedical behavioural socio-environmental

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21
Q

biomedical health promotion approach

A

3 levels of prevention biological and physical

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22
Q

behavioral health promotion approach (ex)

A

change risk behaviors to promote health-smoke pack graphics

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23
Q

population health promotion approach (6)

A

determinants of health evidence-based upstream investments collaborate public involvement accountability

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24
Q

what are the aspects of “strengthening community action” strategy from Ottawa Charter

A

community development capacity building community mobilization empowerment

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25
Q

main concern of health protection

A

maintenance of health- immediate health risks

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26
Q

Summative evaluations

A

assess program outcomes or follow-up on the results of the program activities

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27
Q

Community health index

A

summary of the health indicators of a community

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28
Q

Community forums (pro)

A

low cost and capturing the perspectives of a large number of people

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29
Q

Focus groups and key-informant methods (con)

A

limit the number of persons expressing their perspectives

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30
Q

Surveys (con)

A

expensive and technically demanding

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31
Q

Adequacy

A

the extent that the program addresses the entire health concern defined in the assessment

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32
Q

progress evaluation

A

monitor program activities

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33
Q

purpose of program planning

A

facilitates how resources are used so that they will have the most impact

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34
Q

Formative program evaluation (ex)

A

Quality assurance audits

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35
Q

The Program Logic Model

A

Utilizes a diagram, Involves stakeholders, Shows linear linkages towards outcomes (effective?)

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36
Q

The interactive stage

A

describes the health concern using past and present data to project future population needs

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37
Q

what is an important component of the initial planning phase

A

Relevance

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38
Q

Relevance

A

The program is suitable to meet the needs of the target group

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39
Q

what are major sources of information for program evaluation

A

program clientsprogram recordscommunity indicators

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40
Q

health program

A

activities to address health concerns and builds on patient strengths

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41
Q

what are the 4 steps of the health program management process

A

assessingplanningimplementationevaluation

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42
Q

what are the 2 types of program planning

A

strategic and operational

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43
Q

strategic program planning

A

matching patient health needs, strengths and resources

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44
Q

operational program planning

A

uses a specific objective related to plan (smaller scale and more detailed)

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45
Q

what are the 2 models of program planning

A

logic model and precede-proceed model

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46
Q

precede-proceed model

A

comprehensive but complex with 9 phases

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47
Q

what is included in the logic model

A

situation inputs (resources)outputs (program activities)outcomes

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48
Q

what are the 2 assumptions of the precede-proceed model

A

multiple factors affect healthcollaboration is needed for change

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49
Q

who is involved in the assessment step of program planning

A

key stakeholders

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50
Q

community health nursing

A

individual clients in the community (umbrella term)

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51
Q

population health

A

Health outcomes of a population(determinants and indicators)

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52
Q

what strategies do population health use

A

protection, prevention, and promotion

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53
Q

what is the role of the public health nurse

A

promotion, protection and prevention among populations

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54
Q

public health

A

health care of communities and populations (broad)- activities

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55
Q

what is the goal of public health

A

improve health of all people

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56
Q

primary health care

A

comprehensive social justice and equity, universally accessible to people in a community collaboration

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57
Q

social justice

A

ensuring fairness and equity in health services so that vulnerable individuals in society have easy access to health care

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58
Q

what has increased life expectancy

A

Improvement in control of infectious diseases through immunizations and sanitation

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59
Q

what are sub-populations called

A

aggregates

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60
Q

Canada’s health goals

A

(1) basic needs(2) belonging and engagement(3) healthy living(4) a system for health.

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61
Q

upstream thinking

A

macroscopic, big-picture population focus (determinants, factors)

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62
Q

downstream thinking

A

is a microscopic, individual curative focus

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63
Q

community

A

people and the relationships between people who commonly share agencies, institutions, and a physical environment

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64
Q

difference between equality and equity

A

equality- everyone gets the sameequity- eliminate disparities (fair)

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65
Q

what are the 5 principles of primary health care

A

accessibilityhealth promotionpublic participationintersectoral collaborationappropriate techonology

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66
Q

Current Priorities to Improve Integrated Health Care for Canadians

A

1) accessibility-rural/remote
2) supporting health workers
3) mental health and substance use
4) modernizing

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67
Q

determinants of health- modifiable (6)

A

social supports and coping skillseducation and literacyemployment/ working conditionsphysical environmentshealthy behaviourschildhood experiences

68
Q

Community Health Nursing Standards of Practice -client focused (5)

A

promotionpreventionmaintenance/restorationcapacity buildingaccess and equity

69
Q

Community Health Nursing Standards of Practice -nurse focused (3)

A

evidence informed responsibility/accountability professional relationships

70
Q

determinants of health- non modifiable (6)

A

biology and genetic endowmentrace/racismgendercultureaccess to health servicesincome and social status

71
Q

7 teachings

A

Respect-buffaloLove-eagleCourage-bearHonesty- sabe (Bigfoot)Wisdom-beaverHumility-wolfTruth-turtle

72
Q

how many reserves in MB (accessibility)

A

63 reserves in MB, 23 are not accessible by road

73
Q

which aboriginal people live in Manitoba

A

Ojibway, Cree, Oji-Cree Saulteaux and dene

74
Q

what is Bloodvein’s economy

A

fishing, trapping, wild rice harvesting, commercial businesses band office

75
Q

Drum

A

sign of healing (only hear mother’s heartbeat while in the womb)

76
Q

sweet grass

A

medicine, hair of earth mother, purification of mind/body/spirit, blesses us

77
Q

sage

A

women’s medicine purification of mind/body/spirit

78
Q

how does sage affect the body

A

mind- open to new learningeyes -see good in all peoplemouth -speak truthheart- love all peoplethink- goodness and wellness

79
Q

Cedar

A

male property invite the good spirits

80
Q

Tobacco

A

offerings ceremonies wellness grieving

81
Q

difference between the north and south

A

north- nursing station, isolatedsouth- health centre, run by bands, accessible

82
Q

band council resolution

A

laws

83
Q

ex of overcrowding

A

12-15 people living in an 800 square foot house

84
Q

who pays for medical travel

A

Non-insured Health Benefit Program of ISC

85
Q

transportation improvement

A

hover craft can travel at night unlike helicopters

86
Q

advanced scope of practice

A

draw blood, perform x-rays, suture wounds perform ECGs

87
Q

hospice care

A

respite and comfort at end of lifereduce pain and suffering

88
Q

who does case management deal with

A

individual clients

89
Q

purpose of case management

A

reduce health care spending maintain and improve the quality of client care

90
Q

Occupational health histories

A

current and past jobsexposures to specific agents (onsite and other environments)relationships between the symptoms and activities at workfactors that increase risk to agents

91
Q

what are the roles of the public health nurse

A

advocateleaders and consultants referral sourcedirect primary caregivers

92
Q

what roles facilitate the provision of continuity of care to clients

A

discharge planner and referral agent

93
Q

what are the 8 CHN functions

A
94
Q

what is included in care and counselling

A

risk assessment & responseoutreach (barriers and stakeholders)

95
Q

what is included in continuity of care

A

referrals discharge planning

96
Q

what is included in health education

A

literacy and health literacy assessment

97
Q

what are the 5 key components of case management

A

coordinating carecontinuity of care changes in patient conditionevaluate care deliveredfinancial implications of care plan

98
Q

credentials for community nurses (besides RN)

A

public health- bachelor degreeparish- RN with pastoral care and social sciencestelenurse- RN more knowledge and assessment skillsoutreach- RN with community experience

99
Q

what are the 3 types of thinking of PHN

A

upstream, midstream and downstream

100
Q

midstream thinking

A

change in the local/organizational levelmaterial world-improve housing

101
Q

downstream thinking

A

treatment focused on individual

102
Q

epidemiology

A

population health and factors and use this info to control health problems

103
Q

prevalence

A

existing cases/total population

104
Q

web of causality

A

interrelationship of multiple factors that interact to influence health.

105
Q

epidemiological triangle

A

categorizes factors as agent, host, or environment but not the interactions between them

106
Q

Levels of prevention

A

actions taken to improve health outcomes

107
Q

goal of clinical trial

A

evaluate the effectiveness of an intervention (causality)

108
Q

what type of action is best for a population related to improving health

A

one that addresses all 3 levels of prevention

109
Q

Sensitivity

A

the extent a test identifies those individuals who have the condition

110
Q

Positive predictive value

A

proportion with a positive test who have the disease (probability that an individual with a positive test has the disease)

111
Q

Validity

A

accuracy of a test or measurement or how closely it measures what it claims to measure (sensitivity and specificity)

112
Q

endemic

A

constant presence in the environment

113
Q

What is the importance of sensitivity

A

when early treatment is important when identification of every case is important

114
Q

what factor to look at with description of disease patterns

A

the size of the population at risk for the disease

115
Q

what are predictive values affected by

A

the level of disease in the screened population the sensitivity and specificity of the test

116
Q

incidence rate

A

new cases in a population at risk (those without the disease)

117
Q

difference between descriptive and analytical epidemiology

A

descriptive- person, place, timeanalytical- how and why

118
Q

epidemiological process

A

define-current statsdescribesearch- factorsdetermine/analytical

119
Q

history of epidemiology

A

hippocrates- influences on healthpasteur- pasteurization/germ theorylister- antiseptic surgerykoch- specific organisms (TB)

120
Q

who is the father of epidemiology

A

john snow (cholera and water pump)

121
Q

difference between morbidity and mortality

A

morbidity- sick mortality- death

122
Q

what are ratios used for

A

estimate risk

123
Q

agent, host, environment of epi triangle

A

agent- the thing that caused the diseasehost- living thing(s) that is infectedenvironment- where (social/physical factors)

124
Q

life course approach

A

early factors influence health later in life longitudinal studies (lifespan studies)

125
Q

natural history of disease

A

prepathogenesis- primary preventionpathogenesis- 2nd/3rd prevention

126
Q

screening can diagnose diseases (T/F)

A

F-not diagnostic- need referrals

127
Q

what are the main types of epi studies

A

descriptiveanalyticalecologicalexperimental intervention

128
Q

purpose of epi studies (descriptive, analytical, ecological, experimental)

A

Des- trends, who is at riskanal- hypothesiseco- group dataexper- prevention, policies

129
Q

how to measure the process dimension of community health

A

community awareness

130
Q

how to measure the structure dimension of community health

A

manpower, resources and facilities

131
Q

what is the emphasis of process dimension

A

health promotion, primary prevention

132
Q

Data generation

A

developing data that do not already exist from community members

133
Q

focus group

A

a group from the community to share their beliefs, opinions, and experiences about a selected topic

134
Q

factors of a community

A

people, place and time, and function

135
Q

what is the nurses role when the community is a client

A

provide prevention and early intervention programs for the total population

136
Q

what phase does evaluation begin in

A

during the planning phase

137
Q

data generation examples

A

community knowledge and beliefsvalues, goals and concerns

138
Q

what are the 3 dimensions of community health

A

status, structure, process

139
Q

what is the goal of community oriented practice

A

ongoing health promoting changes

140
Q

how to measure the status dimension of community health

A

vital statisticsprevalencelife expectancy

141
Q

what is a coalition

A

multiple groups that work together because they share a common concern

142
Q

what is the difference between capacity building and asset mapping

A

capacity- focus on strengths to improve communityasset mapping- identify assets (structures) of the community

143
Q

difference between sustainability and competence

A

sustainability- buy in competence- knowledge of resources

144
Q

secondary analysis

A

uses previously gathered data

145
Q

what are the 4 steps of the planning phase

A

analyzeprioritizegoals/objectivesinterventions

146
Q

what are the 4 steps of the community nursing process

A

assess, plan, implement, evaluate

147
Q

difference between the change agent and change partner

A

agent- gather and analyze facts, implement programspartner- teaching, advocate

148
Q

The reciprocity principle

A

society must support individualscommunities comply with public health interventions

149
Q

The harm principle

A

Restriction of freedom of some is justified in order to prevent harm to others

150
Q

The principle of least restrictive means

A

discuss before using full authority

151
Q

who is considered nursing’s first moral leader and community-oriented nurse

A

Florence nightingale

152
Q

What developed as a response to the technological advances in health care science?

A

Ethic of care (differentiate nursing from medical practice)

153
Q

what is the goal of virtue ethics

A

to enable persons to flourish as human beingscharacter development

154
Q

Consequentialism

A

results/purposesfocuses on the outcome

155
Q

Deontology

A
156
Q

Utilitarianism

A

greatest good, least harmfocus on the outcome

157
Q

Social justice

A

the fair distribution of everythingeliminate disparities between social groups

158
Q

Equity

A

the fulfillment of each individual’s needs as well as the individual’s opportunity to reach full potential as a human being

159
Q

A feminist ethic of care

A

strengthens relationships and solves problems addresses inequalities due to gender, race, and class.

160
Q

Ethics

A

knowledge of moral lifereflection on what one ought to do

161
Q

what are the ethical principles

A

beneficencenon-maleficenceautonomydistributive justice

162
Q

morals vs morality

A

morals- societal norms about what constitutes right or wrongmorality- obligations to self and others

163
Q

ethical distress

A

unable to do the right thing

164
Q
A
165
Q
A