final exam Flashcards

1
Q

what are some characteristics of vulnerable populations

A

higher risk of adverse effects
higher mortality rates
less access to healthcare
uninsured
diminished quality of life

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2
Q

what is differential vulnerability

A

the effect of stressful events on individuals
e.g. losing a loved one

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3
Q

examples of social capital

A

marital status
family structure
social networks
memberships

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4
Q

examples of human capital

A

education
job training
income
housing

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5
Q

isolation increases the risk for_____,______,&________

A

vulnerability
morbidity
mortality

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6
Q

root causes of vulnerable populations

A

socioeconomic status/poverty
insurance coverage?
race & ethnicity

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7
Q

how does lack of insurance contribute to health vulnerability

A

lack of preventative measures/screenings
delay in treatment
often not vaccinated

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8
Q

how does race/ethnicity contribute to health vulnerability

A

decreased access to housing, jobs, and resources
increased stressors
educational barriers

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9
Q

social determinants are conditions that affect the….

A

the health of individuals such as where they live, work, etc

it may affect the morbidity and mortality also

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10
Q

socioeconomic gradient refers to

A

the relationship between the social class/income and health

increased income=decreased morbidity and mortality

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11
Q

what are health disparities

A

unequal distribution of disease and health conditions

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12
Q

what are some causes of hearing loss

A

occupational noise exposure
attending loud events without ear protection
firearms
old age
vestibulocochlear nerve impairment at birth

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13
Q

what is the leading cause of disability

A

arthritis– it affects 25% if the people in the US

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13
Q

what are hearing loss nursing interventions

A

education is priority
screenings
provide resources
advocate for your patient

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14
Q

arthritis is most common in _____
arthritis increases your risk for_____

A

women
increases your risk for chronic health conditions

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15
Q

what impact does having arthritis have on a person’s life

A

-pain, disability, premature death
-have a higher risk of developing other chronic disease like heart disease or diabetes
-leading cause of work disability
-expensive treatment

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16
Q

how is arthritis pain managed

A

surgery
physical therapy
pain meds

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17
Q

what is the safest form of arthritis t/x

A

healthy people 2030’s goal is for people with arthritis to increase their physical activity

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18
Q

what are the effects of teen alcohol abuse

A

-poor/failing grades
-social issues like fights
-legal concerns like DUI or MIP
-health concerns like hangovers, alcohol poisoning, cancer, high BP, brain damage, liver disease

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19
Q

what are brief interventions

A

primary care physicians and/or
other trained health professionals have one or two behavioral therapy sessions with an adolescent who is using substances

-motivation
-education

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20
Q

why are brief interventions successful

A

they are successful because they can be implemented into schools, primary health clinics, ER, and outpatient behavioral health centers

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21
Q

what population is most affected by colorectal cancer

A

african americans

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22
Q

where does colorectal cancer grow

A

lower part of the digestive tracts

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23
Q

colorectal cancer barriers and challenges

A

limited access to healthcare
lack of education
feeling uncomfortable
fear of negative results

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24
Q

what are some barriers experienced by immigrant women

A

transportation
language
religion
lack of insurance
gender roles
culture
health issues
socioeconomic status

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25
Q

healthy people 2030 purpose

A

to promote, strengthen, and evaluate the Nation’s efforts to improve the health and well-being of all people

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26
Q

healthy people 2030 goals

A

-healthy lives free of disease and disability
-eliminate health disparities
-create environments to promote the full potential for health
-promote healthy habits
-leadership

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27
Q

public health nursing functions

A

-focus on the health of the general public and families
-Lillian Wald and Mary Brewster started the Henry Street Settlement
-NLN required public health content in BSN programs

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28
Q

who started the Henry Street Settlement

A

Lillian Wald and Mary Brewster

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29
Q

what is primary prevention

A

preventing it from happening
immunizations, education, counseling

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30
Q

what is secondary prevention

A

early detection
screenings

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31
Q

what is tertiary prevention

A

manage pain
treat symptoms

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32
Q

justice

A

fairness

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33
Q

malefinance

A

causing harm

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34
Q

nonmaleficence

A

do no harm

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35
Q

beneficence

A

doing good; benefiting

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36
Q

autonomy

A

when the nurse ensures the groups’ involvement in decision-making

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37
Q

veracity

A

truthful

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38
Q

fidelity

A

faithful

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39
Q

what is IRB

A

institutional review board

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40
Q

the IRB must have approval for what

A

anytime humans are used for research

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41
Q

what is culture

A

the beliefs, behavior, and values shared by members of society

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42
Q

what are the characteristics of culture

A

learned from others
similar traits and customs
shared
mostly tact
dynamic

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43
Q

epidemiology triad

A

host
agent
environment

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44
Q

in the triad who/what is the host

A

human or animal who harbors the disease causing agent

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45
Q

in the triad who/what is the agent

A

the factor that causes the disease

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46
Q

in the triad what is the environment

A

all external factors surrounding the host that may contribute to the host’s vulnerability

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47
Q

incidence

A

new cases of the specific disease during a period of time

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48
Q

prevalence

A

all active cases of a disease at a given time

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49
Q

active immunity

A

long term resistance
natural or artificial
vaccine or if you have had it before

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50
Q

passive immunity

A

short term resistance
naturally acquired
e.g. mother to unborn baby

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51
Q

herd immunity

A

level of immunity to a group of people

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52
Q

cross immunity

A

may be passive or active
exposure to one infection may increase immunity to another

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53
Q

shingles s/s

A

fever
h/a
chills
upset stomach
blisters (dissemination)

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54
Q

flu vaccine recommended for anyone ages____ and up

A

6 months and up

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55
Q

flu vaccine is especially needed for what groups of people

A

healthcare workers
children (esp younger than 2)
pregnant women
asthma or other chronic diseases

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56
Q

how is covid spread

A

droplet
airborne
contact

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57
Q

most common cause of pneumonia

A

streptococcus pneumonia

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58
Q

what are sicknesses that can lead to pneumonia

A

flu
RSV

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59
Q

pneumonia s/s

A

chills
fever
pleural pain
cough

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60
Q

how is hep A transmitted

A

fecal/oral

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61
Q

hep A s/s

A

jaundice
fever
malaise
nausea
abd pain

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62
Q

hep A can result in

A

chronic liver disease

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63
Q

is there a vaccine for hep A

A

yes

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64
Q

how is hep B transmitted

A

blood and body fluids
e.g. unprotected sex and sharing needles

65
Q

hep B can result in

A

liver cancer, failure, death

66
Q

is there a vaccine for hep B

A

yes

67
Q

how is hep C transmitted

A

blood or sex

68
Q

hep C can result in

A

liver infection and chronic disease

69
Q

is there a vaccine for hep C

A

no

70
Q

how is HIV/AIDS transmitted

A

blood and bodily fluids

71
Q

HIV/AIDS attacks what

A

the immune system

72
Q

TB is caused by

A

mycobacterium tuberculosis

73
Q

what are the two forms of TB

A

latent and active

74
Q

TB s/s

A

cough
fatigue
loss of appetite
weight loss
night sweats
bloody sputum
chest pain

75
Q

how is chlamydia transmitted

A

sex and mother to baby during birth

76
Q

who is more susceptible for getting chlamydia

A

women

77
Q

chlamydia s/s in women

A

could be asymptomatic
yellow discharge
odor
UTI
flank pain
bleeding between periods

78
Q

chlamydia s/s in men

A

could be asymptomatic
urethra inflammation
watery discharge
burning itchy urethra
flank and testicular pain

79
Q

gonorrhea s/s in women

A

could be asymptomatic
vaginal discharge followed by bleeding
lesions

80
Q

gonorrhea s/s in men

A

purulent drainage
painful urination
lesions

81
Q

gonorrhea t/x

A

antibiotics

82
Q

primary syphilis

A

chancre appears at entry site

83
Q

secondary syphilis

A

lesions appear on hands, feet, and trunk. Other symptoms
include rash, fever, sore throat, fatigue, lymphadenopathy

84
Q

tertiary syphilis

A

neurological effects including deafness, cranial nerve palsy,
meningitis or even death

85
Q

how is syphilis transmitted

A

contact with lesions
mother to baby

86
Q

syphilis t/x

A

penicillin

87
Q

genital herpes is caused by

A

herpes simplex type 1 & 2

88
Q

genital herpes s/s

A

fever
malaise
lesions
blisters

89
Q

genital herpes t/x

A

no cure but you can use antiviral meds to treat the outbreaks

90
Q

viral warts caused by

A

HPV

91
Q

viral warts transmitted how

A

direct contact or mother to baby

92
Q

viral warts incubation period

A

2-3 months

93
Q

viral warts may lead to

A

cancer of the anus, cervix, vulva, vagina, or penis

94
Q

can HPV be prevented

A

yes with vaccine

95
Q

what do viral warts look like

A

flat or raised bumps or like cauliflower

96
Q

direct transmission

A

immediate transfer of infectious agents from reservoir to new host

97
Q

indirect transmission

A

occurs when the infectious agent
is transported within contaminated inanimate materials such as air, water, or food (vehicle-borne transmission)

98
Q

examples of diseases transmitted through direct contact

A

HIV, Hepatitis, herpes zoster (shingles
not disseminated).

99
Q

examples of diseases transmitted through indirect contact

A

MRSA, VRE, ESBL, CRE

100
Q

enteric contact

A

spread via spores
e.g. C. diff

101
Q

contact PPE

A

gloves
gown

102
Q

droplet PPE

A

surgical mask

103
Q

airborne PPE

A

N-95
neg pressure room

104
Q

IPREPARE

A

Investigate potential exposures
Present work
Residence
Environmental concerns
Past work
Activities
Referrals and resources
Educate

105
Q

examples of therapeutic communication

A

empathy
focusing
clarifying
giving info
encouraging forming a plan

106
Q

what are the steps for the communication process

A
  1. message
  2. sender
  3. receiver
  4. encoding
  5. channel
  6. decode
  7. feedback loop
107
Q

windshield survey

A

things you see in the community like the buildings etc

108
Q

problem oriented assessment

A

focuses on the problem and fixing it

109
Q

leading cause of death in developed countries

A

ischemic heart disease

110
Q

leading cause of death in developing countries

A

lower respiratory infections

111
Q

green

A

minor injuries (walking around)

112
Q

yellow

A

delayed

113
Q

red

A

intermediate

114
Q

black

A

dead

115
Q

category A bioterrorism

A

highest priority
easily transmitted, highest mortality
e.g. smallpox, anthrax, botulism, and ebola

116
Q

category B bioterrorism

A

second highest priority
moderately easy to transmit
high morbidity, low mortality
e.g. ricin toxin, food/water borne

117
Q

category C bioterrorism

A

third highest priority
easy to produce; high morbidity/mortality rates
e.g. TB, influenza, rabes, SARS

118
Q

primary prevention role of CHN during disaster preparedness

A

risk assessment
planning
communication/transportation
drills
supplies
prevention

119
Q

breastfeeding recommendation

A

breastfeed exclusively for the first 6 months and then continued for at least a year

120
Q

risk factors for SIDS

A
  1. side/stomach sleeping
  2. exposure to cigarette smoke
  3. premature
  4. co-sleeping
  5. sibling who died of SIDS
  6. bedding in the crib
121
Q

measles tell tell symptom

A

koplik spots

122
Q

how is measles transmitted

A

airborne

123
Q

mumps tell tell symptom

A

severely swollen salivary glands (parotitis)

124
Q

how is mumps spread

A

mucus/saliva but there is a vaccine

125
Q

pertussis aka

A

whooping cough

126
Q

is there a vaccine for pertussis

A

yes you want to get the booster every 10 years

127
Q

how is pertussis spread

A

droplets

128
Q

asthma triggers

A

overcrowded conditions
air pollution
allergens
smoke
infections
stress
exercise
weather changes

129
Q

myth of senility

A

all old people forget

130
Q

myth of the rocking chair

A

old people don’t do anything

131
Q

myth of homogeneity

A

all old people are the same

132
Q

myth of inability

A

old people can’t learn new things

133
Q

rural barriers to healthcare

A

transportation
distance from the hospital
limited choices of providers
weather

134
Q

rural/migrant health concerns

accidents

A

Tractor Accidents/Rollovers
Machine & Equipment Accidents
Heat Stroke
Animal Injuries

135
Q

home health nursing challenges

A

infection control and medication safety—-polypharmacy

136
Q

hepB can be given to

A

newborns (the only vaccine newborns are given)

137
Q

what vaccines are given at 2 & 6 months

A

DTap
Hib
IPV
PCV13
Hep B
Rotavirus
If 6 mo they can get influenza

138
Q

what vaccines are given at 4 months

A

DTap
Hib
IPV
PCV13
Rotavirus

139
Q

what vaccines are given at 12-15 months

A

HepA
Hib
PCV13
Varicella
MMR
DTap

140
Q

what vaccines are given 4-6 years

A

IPV
DTap
MMR
Varicella

i did my vaccines

141
Q

what vaccines are given 11-12 years

A

TDap
HPV (x3)
Meningococcal

142
Q

what vaccines are given to adults

A

TDap (every 10 years)
Influenza annually

143
Q

what vaccines are given to 60-65 year olds

A

Herpes Zoster
Pneumococcal
Influenza annually

144
Q

Phizer
What kind of vaccine?

A

MRNA

145
Q

Phizer
how old do you have to be

A

5 and up

146
Q

Phizer
how many doses

A

2 doses in 21 days

147
Q

Phizer
after thawing it must be used within how many days

A

5 days

148
Q

Moderna
What kind of vaccine

A

MRNA

149
Q

Moderna
how old do you have to be

A

18 yrs

150
Q

Moderna
how many doses

A

2 doses in 28 days

151
Q

Moderna
stable in the fridge for how long

stable at room temp for low long

A

fridge-30 days

room temp-12 hrs

152
Q

Johnson & Johnson
What kind of vaccine?

A

Vector Virus Vaccine

153
Q

Johnson & Johnson
how old do you have to be

A

18 yrs

154
Q

Johnson & Johnson
how many doses

A

1 or mlti-dose vial

155
Q

s/s of physical child abuse

A

unexplained injuries
withdrawn behavior
depression
frequent absences from school
attempts to hide injuries
fear of coming home

156
Q

s/s of sexual child abuse

A

enuresis
nightmares
STI
genital trauma

157
Q

s/s neglect/emotional abuse

A

anxiety/depression
speech problems
way too obedient
dirty looking

158
Q

what is the cycle of violence

A

honeymoon phase–>tension building–>acute explosion

159
Q

t/x for opioids

A

narcan