Fundamentals Chap 3 Community based Nursing

Question 1

Community based health care focuses on:

Answer 1

• health promotion
• disease prevention
• restorative care

Question 2

What are 2 examples of comprehensive community assessments?

Answer 2

• gathering information on incident rates for identifying and reporting new infections or diseases
• adolescent pregnancy rates
• MVAs by teenage drivers

Question 3

Describe the differences between public health nursing focus and community health nursing focus:

Answer 3

• focus requires understanding the needs of a population (ex. high risk infants, older adults, cultural groups)
• nursing practice in the community, with primary focus on the health care of individuals, families, and groups in the community

Question 4

Community based nursing care takes place in:

Answer 4

*in community settings such as the home or a clinic, where the focus is on the needs of the individual or family

Question 5

Vulnerable populations are those pts who:

Answer 5

• are more likely to develop health problems as a result of excess risks
• have limits in access to health care services
• are dependent on others for care

Question 6

What are the risk factors for the immigrant population?

Answer 6

*access to health care is limited because of lack of benefits, resources, language barriers, and transportion

Question 7

What are the risk factors for the poor and homeless person?

Answer 7

• live in hazardous environments
• work at high risk jobs
• eat less nutritious foods
• have multiple stressors

Question 8

What are the risk factors for the abused pts?

Answer 8

• mental health problems
• substance abuse
• socioeconomic stressors
• dysfunctional relationships

Question 9

What are the risk factors for the substance abuser?

Answer 9

• socioeconomic problems result from financial strain of the cost of drugs
• criminal convictions
• communicable diseases
• family breakdown

Question 10

What are the risk factors for the severely mentally ill?

Answer 10

• homeless or live in poverty
• lack the ability to maintain employment
• to care for themselves

Question 11

What are the risk factors for the older adults?

Answer 11

• suffer from chronic diseases

* have a greater demand for health care services

Question 12

What competencies does a caregiver need?

Answer 12

*together with the family, you develop a caring partnership to recognize actual and potential health care needs and identify community resources

Question 13

What competencies does a case manager need?

Answer 13

*the ability to establish an appropriate plan of care based on assessment of pts and families and to coordinate needed resources and services for the pt’s well being across a continuum of care

Question 14

What competencies does a change agent need?

Answer 14

*acts to empower individuals and their families to creatively solve problems or become instrumental in creating change within a health care agency

Question 15

What competencies does a pt advocate need?

Answer 15

*often is the one who presents the pt’s point of view to obtain appropriate resources

Question 16

What competencies does a collaborator need?

Answer 16

*mutual trust and respect for each professional’s abilities and contributions, clarifying roles, and developing a plan of care

Question 17

What competencies does a counselor need?

Answer 17

*assists pts in identifying and clarifying health problems and in choosing appropriate courses of action

Question 18

What competencies does a educator need?

Answer 18

*establishes relationships with community service organizations and assesses pts’ learning needs and readiness to learn within the context of the individual, they systems with which the individual interacts, and the resources available for support

Question 19

What competencies does a epidemiologist need?

Answer 19

*may be involved in case finding, health teaching, and tracking incident rates

Question 20

There are 3 components of a community that need to be assessed. Identify them and give an example of each.

Answer 20

• structure (geographical boundaries, emergency services, housing, economic status)
• population (age and sex distribution, growth trends, education level, ethnic and religious groups)
• social (education and communication systems, government, volunteer programs, welfare system)

Question 21

Which of the following is an example of an intrinsic risk factor for homelessness?

1. severe anxiety disorders
2. psychotic mental disorders
3. living below the poverty line
4. progressive chronic alcoholism

Answer 21

*3

They are usually jobless and do not have the advantage of shelter and cope with finding a place to sleep at night and finding food.

Question 22

When the community health nurse refers pts to appropriate resources and monitors and coordinates the extent and adequacy of services to meet family health care needs, the nurse is functioning in the role of :

1. advocate
2. counselor
3. collaborator
4. case manager

Answer 22

*4

The coordinating of activities of multiple providers and payers in different settings throughout a pt’s continuum of care

Question 23

The first step in community assessment is determining the community’s:

1. goals
2. set factors
3. boundaries
4. throughputs

Answer 23

*3

Observe the community’s design, location of services, and locations where the residents meet.