Family-Centered Community-Based Care Flashcards
Community
a specific group of people, often living in a defined geographic area, who share common interests, interact with each other, and function collectively within a defined social structure to address common concerns
Community health nursing
focuses on preventing illness and improving the health of populations and communities
Community-based nursing
includes ambulatory care, home health care, occupational health, school health, and hospice settings. It may also include case management, research, quality improvement, and discharge planning.
cultural competence
the knowledge, willingness, and ability to adapt health care to enhance its acceptability to and effectiveness with clients from diverse cultures
population
a group of individuals who share personal or environmental characteristics
public health nursing
specialized area of community health nursing
primary prevention
involves preventing the disease or condition before it occurs through health promotion activities, environmental protection, and specific protection against disease or injury. Its focus is on health promotion to reduce the person’s vulnerability to any illness
secondary prevention & examples
early detection and treatment of adverse health conditions. Aimed at halting the disease. Examples: Pregnancy testing, blood pressure evaluations, cholesterol monitoring, fecal occult blood testing, breast examinations, mammography screening, hearing and vision examinations, and Papanicolaou (Pap) smears.
tertiary prevention
reduce or limit the progression of a permanent, irreversible disease or disability, supportive and restorative.
tertiary prevention
reduce or limit the progression of a permanent, irreversible disease or disability, supportive and restorative.
A community-based nurse is involved in secondary prevention activities. Which activities might be included? Select all that apply.
A. Fecal occult blood testing
B. Hearing screening
C. Smoking cessation program D. Cholesterol testing
E. Hygiene program
F. Pregnancy testing
The correct responses are A, B, D, and F. Secondary prevention includes early detection and treatment. Activities would include fecal occult blood testing, hearing screening, cholesterol testing, and pregnancy testing.
A community-based nurse is involved in secondary prevention activities. Which activities might be included? Select all that apply.
A. Fecal occult blood testing
B. Hearing screening
C. Smoking cessation program D. Cholesterol testing
E. Hygiene program
F. Pregnancy testing
The correct responses are A, B, D, and F. Secondary prevention includes early detection and treatment. Activities would include fecal occult blood testing, hearing screening, cholesterol testing, and pregnancy testing.
A woman is to undergo a colonoscopy at a freestanding outpatient surgery center. Which would the nurse identify as a major disadvantage associated with this community-based setting?
A. Increased risk for infection verses a hospital
B. Increased health care costs verses a hospital
C. Need to be transferred if complications arise
D. Increased disruption of family functioning
The correct response is C. Advantages to outpatient surgery centers include decreased risk for infection, decreased cost, decreased separation from family, and decreased disruption of family functioning
When developing a teaching plan for a pregnant client with preterm labor who is to be discharged, what would the nurse do first?
A. Decide which procedures and medications the client will need at home.
B. Determine the client’s learning needs and styles.
C. Ask the client if she has ever had preterm labor before.
D. Tell the client what the goals of the teaching session are.
The correct response is B. Always assess the client’s learning needs and preferred style of learning first.
Which action by a nurse would best demonstrate cultural competence?
A. Being well versed in the customs and beliefs of his or her own culture
B. Demonstrating an openness to the values and beliefs of other cultures
C. Applying knowledge about various cultures in the practice setting
D. Playing a role in establishing policies to address diverse cultures
The correct response is C. Having knowledge of the various cultural variations in health care practices helps the nurse to apply them in his or her everyday practice settings. This cultural sensitivity and application of it makes a culturally competent nurse. Knowing one’s own culture does not foster tolerance and acceptance of people from different ones.
