Exam 1 - Chapter 1 Flashcards
Primary reason Americans are so concerned with healthcare
National health care costs keep increasing
Why are nurses encouraged to get involved in discussions about health care system?
Nurses are largest group of healthcare providers
What conclusion can be drawn from examining where nurses are employed?
There is an increased emphasis on community-based health care.
Which ethical belief would be most helpful in the current health care crisis?
Emphasis should be on social justice and collective responsibility.
What is the primary problem seen in Healthy People 2020’s emphasis on choosing healthy lifestyle behaviors, such as daily exercise or healthy food choices?
Public policy emphasizes personal responsibility but ignores social and environmental changes needed for well-being.
What responsibility does the ANA Code of Ethics require of the nurse beyond giving excellent care to clients?
Support health legislation to improve accessibility and cost of health care.
What is the community health nursing definition of health?
Health is families and aggregates choosing actions to ensure safety and well-being.
How does community health nursing define community?
A group of persons who share a common identity and environment
Which variable has a major influence on a community’s health?
Behavior choices made by persons in the community
What change could most effectively lead to a longer life span in Americans?
The belief that smoking is shameful and disgusting, as well as expensive, becoming the social norm
What is the health issue causing the most concern in the United States today?
Obesity
What factors are most responsible for the increasing length of life of Americans over the past 100 years?
Better nutrition and family planning options
Why would a public health nurse want to know about morbidity and mortality statistics on the local, state, and national level?
To be able to observe the community’s statistics over time and compare the community with other communities
How do public health efforts differ from medical efforts in improving the health of our citizens?
Medical care providers focus on disease diagnosis and management, whereas public health care providers focus on health promotion and disease prevention.
Which primary prevention would the school nurse choose to address the school’s number of unwed pregnancies?
Convince the school board to allow sex education classes to include birth control measures
What would be the proper term for the action of the school health nurse arranging for all the students in the elementary school to receive H1N1 immunizations?
Specific prevention
Which action would probably result in the largest change in health care outcomes for Americans?
Redirect a large portion of federal funding from acute care to health promotion activities
Which task will be most helpful in meeting the public health agency’s goals?
Actively participate in community agencies’ collaborative action plan to meet the community’s health goals for the year
A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?
Reviewing the most recent hospital patient data collected by the local college of nursing
A nurse who works on the surgical unit at the local hospital was asked by the home health unit to make a home visit to a patient who had been discharged the previous day and to give follow-up care (for overload pay). What kind of nursing would this nurse be doing?
Community-based nursing
Which task is most crucial for the community health nurse to do very well?
Give testimony regarding proposed state health legislation
A new public health nurse carefully assessed all the local mortality and morbidity data in preparation for making appropriate planning suggestions at a meeting next week. What other action is crucial before the nurse can feel prepared?
Meet members of the community to determine their culture and values
Why are high-risk and vulnerable subpopulations identified by public health nurses before deciding on appropriate interventions?
Populations are not homogeneous, and resources are limited.
A nurse works very hard to develop alliances among various community organizations toward improving health in the community. What are actions such as this called?
Building coalitions
