Correctional Health Nursing Flashcards

1
Q

community nursing is knowing how to

A

communicate
pt. story/narrative
partnership - collaborating with patients
caring - compassion - competency - community

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2
Q

who is responsible for the change in the care model

A

baby-boomers - most informed

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3
Q

what are the new roles in the 21st century in community health nursing

A
prevention - teaching (pt education)
community outreach - screenings
active in politics - policy development
innovators
case mgmt
school nursing - testimony in court - disease entities
faith-based/parish nursing 
clinics - urgent cares
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4
Q

how long is avg hospital days

A

5 days - open heart

3 days - post craniotomy

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5
Q

the US has 4.5% of world population, but 25% of the worlds prisoners, T or F

A

True - 7% of are female

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6
Q

prisons are slated as the new “ghettos”, T or F

A

True

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7
Q

in America there are 2.3 million people incarcerated. T or F

A

True - 1 in 110

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8
Q

difference between jail and prison

A

jail - short term - county sheriff runs

prison - long term - state/fed govt runs

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9
Q

how much to run prisons per yr

A

80 billion

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10
Q

problems w/overuse of incarceration

A
cost
discrimination
unconstitutional conditions/confinement
overcrowding
aggravates crime problem
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11
Q

incarceration options (3)

A

mental health facilities
juvenile training schools
city/county jails (150.00/day) - 11 day avg stay

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12
Q

why do we need healthcare workers at county jails

A

HIV
injuries
Substance abuse issues (alcohol, drugs, smoking) w/d

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13
Q

what is probation

A

in lieu of incarceration, court administered program

behavioral contract, violation = jail time

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14
Q

5 types of probation/parole monitoring

A

regular, intensive, electronic, home detention, halfway house confinement

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15
Q

what is parole

A

post prison release
admin by executive branch
behavioral contract, violation = jail time

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16
Q

parole release decisions are based on

A
behavior while incarcerated
severity of crime
criminal history
length of incarceration 
mental health stability
victim input
re-integration fxrs (housing, family, employment)
17
Q

1 in 35 adults are under some form of correctional supervision. T or F

18
Q

***why should you give a hoot about healthcare of inmates

A

85-95% of inmates will be released back to society - make sure they’re healthy (communicable diseases)
Things brought into prisons can cause an epidemic (confined space)
When we leave at end of day bring it into community causing an epidemic

19
Q

number 1 way we avoid the spread of disease in/out of prisons

A

hygiene and hand-washing

20
Q

number 1 concern of students go to the prison system

A

safety and how is it r/t community nursing

21
Q

what does community health nursing have to do with nursing in prisons

A

microcosm - mirrored reflection of community outside the prison - the same illnesses and causes of death are the same in the prisons as the community - populations in prison grow old too

22
Q

a lack of access to medical services is a violation of

A

civil rights - AMA created standard of care for correctional health - prisoners are still human

23
Q

lowest level in community nursing (stigma)

A

nursing home

24
Q

what is the number 1 thing you need to develop with a pt

A

trusting relationship

25
in prisons, prisoners views the nurse relationship as
stalemate, mistrust vs mistrust - inmate=knows you can't be good - why would you ever chose this job - clearly your incompetent/nurse views pt as prisoner/liar
26
why don't we admit inmates on Fridays
lower staff ratio
27
why don't we pass out condoms in prison's
promotes sexual behavior - spread of infectious disease in prisons is prevalent
28
prisons protect the public by
assuring safety on outside by keeping criminals confined on the inside
29
a prison is a community providing services like these
schools, places of worship, healthcare clinics (copay), gym, recreation, work (.50-.75/hr), laundry svcs
30
**number 1 factor to reduce/prevent recidivism (relapse into criminal behavior) is
nursing care - keeping people healthy/educating
31
primary goals of correctional facilities
security and a safe/humane environment
32
nursing practice in correctional facilities is controlled by
fed/state laws
33
number 1 concern in a prison
safety - officer must clear environment before treatment
34
who most commonly brings in contraband to prisons
nursing
35
wherever we work what is key as nurses
assessments and clinical reasoning