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NSG422 Community Health > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

what are the 6 obligations of PH?

A
  1. prevent epidemics + spread of disease
  2. prevent injuries
  3. protect against enviro hazards
  4. respond to disasters + assist with recovery
  5. promote healthy behaviors
  6. assure quality + accessibility of healthcare
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2
Q

what is the largest minority pop?

A

hispanics

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3
Q

re: local function of public health, who determines where the funds go within the county ?

A

county commissioners

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4
Q

core fxns of public health

A
  1. assessment
  2. policy development
  3. assurance
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5
Q

assessment, policy development or assurance:

Diagnose + investigate health problems/hazards

A

assessment

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6
Q

assessment, policy development or assurance:

Mobilize community partnerships to identify + solve health problems

A

assessment

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7
Q

assessment, policy development or assurance:

Link ppl to needed health services

A

assessment

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8
Q

assessment, policy development or assurance:

Use EBP for new insights + innovative solutions to health problems

A

assessment

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9
Q

assessment, policy development or assurance:

Inform, educate + empower communities about health issues

A

policy development

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10
Q

assessment, policy development or assurance:

Develop policies + plans using EBP that support individual and community health efforts

A

policy development

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11
Q

assessment, policy development or assurance:

Monitor health status to identify community health problems

A

assurance

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12
Q

assessment, policy development or assurance:

Enforce laws + regulations that protect health and ensure safety

A

assurance

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13
Q

assessment, policy development or assurance:

Ensure provision of health care

A

assurance

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14
Q

assessment, policy development or assurance:

Ensure a competent public health + personal health care workforce

A

assurance

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15
Q

assessment, policy development or assurance:

Use EBP to evaluate effectiveness, accessibility + quality of services

A

assurance

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16
Q

the goal of ________ was this:

improve quality + lowering healthcare costs, access to healthcare, and new consumer protections

A

ACA

care, coverage, cost

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17
Q

spending more than any other country on healthcare but no improvements in health, indicate what?

A

WE. NEED. HEALTHCARE. REFORM.

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18
Q

this aimed to protect people with preexisting conditions and focused on preventative care

A

ACA

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19
Q

the intervention wheel shows which 3 things?

A
  1. 17 interventions
  2. population focused (on all levels)
  3. the 3 different levels of practice (individual, community, systems)
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20
Q

re: intervention wheel, case finding is only on what level?

A

individual

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21
Q

re: intervention wheel, what is the overall theme of red?

A

surveillance + investigation

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22
Q

re: intervention wheel, what is the overall theme of orange?

A

collective action - building + collaborating!

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23
Q

does building occur at an individual level?

A

NOPE

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24
Q

coalition building + collaboration often occurs at which level?

A

community + systems

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25
Q

re: intervention wheel, what is the overall theme of green?

A

case management + referral

“green means go… you’re all set up and good to go”

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26
Q

re: intervention wheel, what is the overall theme of blue?

A

counseling + consultation

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27
Q

re: intervention wheel, what is the overall theme of yellow?

A

advocacy + marketing

28
Q

what is this process referring to?

Identify needs → clarify problems → identify strengths → identify health resources

A

community assessment

29
Q

community assessment follows which process? what are the components?

A

ADPIE

assessment
diagnosis
planning
intervention
evaluation
30
Q

definition of ______:

A social network of interacting individuals, usually concentrated in a defined territory

A

community

31
Q

Assessing the health status of the populations that comprise the community

A

community assessment

32
Q

name some data collection methods

which is most expensive?

A 
key informants
surveys *most expensive according to book*
focus groups
interviews
windshield surveys
secondary analysis 
community forum
participant observation
33
Q

what kind of data collection method would this be an example of?

reviewing past documents of minutes (notes taken on a meeting)

A

secondary analysis

reviewing information/data already collected

34
Q

what happens first with community health program planning ?

A

define the client (community - place, ppl, fxn)

35
Q

re: community health program planning, what are the data collection steps?

A
  1. gather
  2. develop
  3. interpret
  4. analyze
36
Q

re: community health program planning, what phase of the nursing process is this:

define the problem

A

diagnosis

37
Q

re: community health program planning, what phase of the nursing process is this:

prioritize, establish goals + objectives, develop interventions

A

planning

38
Q

with community health program planning, why do we create objectives?

A

to evaluate effectiveness

did we tackle the problem?

39
Q

components of SMART (for objectives)

A 
S: specific
M: measurable
A: attainable
R: realistic
T: time frame
40
Q

before starting community health program planning, you should perform a ______ ________

A

needs assessment

(1st determine what the community needs)

Ex: rise in teen pregnancy → develop program to educate teens on safe sex practices, BC, etc

41
Q

before implementing a new program, you should assess what?

A

READINESS

is everyone on board? are they all invested? if so, success is much more likely!

42
Q

what is radon?

A

basement gas –> linkage to lung cancer

43
Q

what impact does mercury have on developing fetus and young child?

A

slows development of nervous system

44
Q

what are VOC? where are they usually found?

A

volatile organic chemicals (odorless chemicals that are an environmental hazard)

furniture, paint, wood flooring

45
Q

SE of VOC (3)

A
  1. CNS
  2. eye/nose/throat irritation
  3. kidney + liver damage
46
Q

re: enviro health assessment, what are the components of IPREPARE?

A 
Investigate potential exposures
Present work
Residence
Enviro concern 
Past work 
Activities 
Referrals + Resources
Educate
47
Q

why do we perform an enviro health assessment?

A

identify current + past exposure

48
Q

short term goal of enviro health assessment?

A

reduce or eliminate exposure

49
Q

long term goal of enviro health assessment?

A

reduce adverse effects

50
Q

what are the 3 essential case management skills?

A
  1. advocacy
  2. collaboration
  3. conflict management
51
Q

the idea that a given stressor may have a greater psychological impact on individuals with certain demographic characteristics

A

Differential vulnerability hypothesis

52
Q

PREVENTABLE circumstances r/t individuals’ health status based on social factors

A

health disparities

53
Q

type of poverty:

legal definition; used to develop eligibility criteria

A

administrative

54
Q

type of poverty:

sudden often due to a crisis (such as losing job or eviction from house)

A

acute/crisis

55
Q

type of poverty:

persists over years; individuals + families who remain poor for long periods of time → pass poverty on to their descendants

A

persistent/chronic/generational

56
Q

type of poverty:

lack of food, shelter + clothing

A

absolute

57
Q

type of poverty:

less than average resources; difficulty making ends meet

A

relative (near poor)

58
Q

type of poverty:

geographically defined areas of high poverty

A

neighborhood

59
Q

1 contribution to death and disability with houseless folks is what?

A

trauma (GSW, stabbing, other injuries, etc)

60
Q

health risks of Native americans (Cherokee) - (3)

A
  1. SUD
  2. domestic violence
  3. T2DM
61
Q

health risks of migrant farm workers (2)

A
  1. pesticides

2. infectious disease

62
Q

health risks of ranchers/farmers (2)

A
  1. enviro hazards

2. pesticides

63
Q

health risks of black population (3)

A
  1. HTN
  2. DM
  3. infectious disease
64
Q

health risks of native alaskans (3)

A
  1. dental caries
  2. depression
  3. infectious disease
65
Q

health risks of coal miners

A
  1. depression
  2. SUD
  3. trauma/injury
66
Q

list some barriers to healthcare in rural populations (4)

A
  1. lack of providers (HPSA)
  2. transportation
  3. limited internet access or service
  4. limited technological skills

NSG422 Community Health (3 decks)

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