Exam 1 Module 1 Flashcards

1
Q

what 3 things did Florence Nightingale do to contribute to the nursing industry?

A
  1. major contributions to epidemiology
  2. public health nurse
  3. calling for care of sick to be done in home
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2
Q

what 4 things did Lillian Wald do to contribute to the nursing industry?

A
  1. founded henry street settlement (community center that provided services to families & children)
  2. coined term “public health nurse”
  3. began first nursing school program
  4. co-founded & first president of the national organization for public health nursing
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3
Q

how did Mary Brekinridge contribute to the nursing industry?

A

founded the Frontier Nursing Service

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4
Q

what 2 things did Margaret Sanger do to contribute to the nursing industry / believe in?

A
  1. founded planned parenthood
  2. wanted to prevent “back-alley” abortions
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5
Q

what 2 things did Florence Wald do to contribute to the nursing industry / believe in?

A
  1. founded Connecticut hospice (first hospice program in America)
  2. patients right to be free from pain & the right to make their own decisions
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6
Q

population

A

a targeted group of individuals living within a defined area at a given time

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7
Q

community

A

made up of ALL populations in the area; “a group or collection of individuals interacting in social units and sharing common interest, characteristics, values, and goals”

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8
Q

what is the concept of community?

A

evolving

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9
Q

population health

A

concerned w health outcomes, patterns of health determinants, and the intersecting and overlapping factors that influence health

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10
Q

public health

A

“the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals”

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11
Q

community health

A

primarily organized around a geographical area, shares the same goals with population and public health; major difference is how to achieve those goals

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12
Q

essential public health services (EPHS)

A

the framework for the practice of public health; to protect & promote the health of all people in all communities

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13
Q

how do we apply the nursing process to the community?

A

as nurses, we’re trained to causal think (every illness / disparity an be traced back to a cause)

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14
Q

community health assessment (CHA)

A

a systemic process of collecting, analyzing, and interpreting data to understand the health status, needs, and assets of a community
- serves as a foundation for developing strategies & interventions to improve community health

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15
Q

community description

A

overview of demographic (population size, age distribution, ethnicity, SES)

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16
Q

social determinants of health

A

analysis of social, economic, and environmental factors influencing health outcomes —> identifies education, income, housing, and employment

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17
Q

health status indicators

A

assessment of overall health status using mortality rates, morbidity rates, and prevalence of specific health conditions —> identify trends and patterns in health data over time

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18
Q

health behaviors

A

examine health-related behaviors within the community (smoking, physical activity, diet, and substance abuse), analyze preventative health practices and adherence to recommended screenings

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19
Q

healthcare access & utilization

A

evaluates access to healthcare services (availability of healthcare facilities, PCPs, and specialty services), assess healthcare utilization patterns within the community

20
Q

environmental health

A

examines environmental factors that impact health (air, water quality, sanitation, and exposure to pollutants), identify potential environmental health hazard

21
Q

community assets & resources

A

identify community strengths, assets, and resources that contribute to health and well-being —> assess social support networks, community organizations, and educational resources

22
Q

community engagement & input

A

includes perspectives from community members through surveys, focus groups, and community forums —> collaborates with community leaders, organizations, and stakeholders in the assessment process

23
Q

public health services & policies

A

review existing public health services and policies within the community —> assess the effectiveness of public health interventions and policies in addressing community health needs

24
Q

identification of health disparities

A

exploring disparities in health outcomes among different population groups within the community —> analyze factors contributing to health inequities

25
Q

data synthesis & interpretation

A

integrating data from various sources to form a comprehensive understanding of community health —> identifies priority health issues and needs based on the analysis

26
Q

report & documentation

A

compilation of assessment findings into a comprehensive report —> present data in a clear and accessible format for community stakeholders, policymakers, and healthcare providers

27
Q

what are 5 sources of data in a community health assessment?

A
  1. windshield survey
  2. census data
  3. vital stats
  4. local agencies (chamber of commerce, clinics, hospitals, school nurses, etc)
  5. primary sources are preferred (surveys, interviews, direct obs, focus groups, med records)
28
Q

community health improvement plan (CHIP)

A

details the proposed interventions for the community and the plans for implementation

29
Q

social determinants of health

A

conditions in the environments where people are born, live, work, play, worship, or congregate and age that affect a wide range of health and quality of life concerns

30
Q

leading health indicators (LHI’s)

A

a subset of healthy people 2030 objectives selected to communicate high-priority health issues and actions that can be taken to address them

31
Q

what are 4 leading health indicators that are not changing?

A
  1. new cases of diabetes
  2. sexually active females receiving reproductive health services
  3. obesity among children & adolescents
  4. binge drinking in adults
32
Q

what are 3 leading health indicators that are getting worse?

A
  1. oral health services utilization
  2. adolescents w a major depression disorder within the past 12 months
  3. suicide rates
33
Q

what does a community health nurse do?

A

aim to promote health & well-being within a community –> based on community’s needs, resources & demographics

34
Q

case management

A

term used to describe a wide variety of patient care coordination programs in acute care hospitals, long term facilities and other community settings

35
Q

what can case management also be referred to?

A

care management or care coordination

36
Q

*commission for case manager certification (CCMC)

A

a collaborative process that assess, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client’s health and human service needs

37
Q

*community mental health center act of 1963

A

made a deinstitutionalization of mentally ill individuals a priority

38
Q

care coordination

A

deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient’s care to achieve safer and more effective care

39
Q

what are examples of inpatient environments?

A

bedside shift report, grand rounds, and transition of care both inside and outside the hospital (going from inpatient facility to a skilled nursing facility)

40
Q

what are examples of ambulatory & primary care?

A

collaborating with pharmacy staff or med titration and management, connection to resources or referral to in-house behavioral health specialists

41
Q

what are benefits of care coordination?

A

reduces costs in the long run, improve patient quality of life, increases patient independence, better health outcomes

42
Q

what is the most important aspect of case management and one of the most important aspects of both ambulatory (community) & inpatient nursing?

A

care coordination

43
Q

what are the 5 core competencies for CMSA standards of case management practice?

A
  1. assess impacting factors
  2. coordinate services
  3. navigate financing
  4. knowledge of nursing concepts
  5. knowledge of community resources
44
Q

what are two options for case managers to become certified?

A
  1. case management society of America (CMSA)
  2. the American nurses credentialing center
45
Q
A