midterm Flashcards

1
Q

the pioneer CHNs focused on what 3 things?

A

midwifery
education
disease prevention

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2
Q

the term “PHN” was coined by who?

A

Lillian Wald

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3
Q

Who were the grey nuns?

A

Canada’s first CHN order (1700s)

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4
Q

When did the CHNAC form?

A

1987

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5
Q

What 3 areas did the first PHNs focus on?

A

TB control, hygiene, school inspection

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6
Q

Who helped form the Well Baby clinics?

A

Red Cross

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7
Q

When were mental patients deinstitutionalized?

A

1960s-1970s

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8
Q

Decreased government spending in 1980-1990 ultimately led to the increase of what?

A

Communicable diseases (TB, AIDS, H1N1, SARS)

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9
Q

What did the BNA of 1867 say?

A

Public health and healthcare is provincial responsibility

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10
Q

What 2 documents were very important in the development of PH?

A

Epp (health for all)

Ottawa Charter

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11
Q

What 3 sectors was PH born from?

A

charitable organization
civic health departments
vaccine campaigns

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12
Q

What is the name for a principle based comprehensive approach?

A

Primary Health Care

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13
Q

What meeting gave rise to Primary Healthcare?

A

Alma Ata 1978

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14
Q

What 5 components of Primary Healthcare?

A
APITH 
Accessibility 
Public Participation
Health Promotion
Technology (appropriate)
Intersectoral collaboration
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15
Q

Examples of primary prevention?

A

BF education, vaccines

risk of disease eliminated

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16
Q

secondary prevention examples and goals?

A

Paps, BPs, mammograms

disease is halted before symptoms occur

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17
Q

What are the two CORE and CENTRAL concepts of primary health care?

A

Social justice

Equity

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18
Q

What is the name of the point of entry into the HC system?

A

Primary Care

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19
Q

What is emancipatory knowing?

A

social, political, economical

ability to notice social injustices, investigate the causes of these injustices, and identify changes necessary to correct the structures of injustice and oppression.

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20
Q

What is sociopolitical knowing?

A

society’s knowledge of nursing, and nursing’s knowledge of SOCIETY and POLITICS
actively participating in health interest of public health nursing

enables us to understand the political, social and economical world and use it for change

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21
Q

What is social justice?

A

fair distribution of societies goods

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22
Q

what is political advocacy?

A

acting to influence decisions within political and social systems for change

23
Q

What is health equity?

A

all people are able to reach their full potential and are not disadvantaged in achieving it

24
Q

What are 2 main components of capacity building?

A

EMPOWERMENT & ADVOCACY

25
Q

What are the 4 utilitarian principles for PH interventions?

A

Least harm principle
least restrictive/coervice
Reciprocity
Transparency

26
Q

What is the harm principle?

A

power only exercised over a community to prevent harm

27
Q

what is “least restrictive/coercive” principle?

A

authority should not be used unless less-coervice methods are unavailable/failed
1st = education, negotiation, discussion

28
Q

what is the reciprocity principle?

A

PH must assist people in meeting their ethical responsibilities, compensation must be given (eg. lost work time and $ d/t being quarantined)

29
Q

what is the transparency principle?

A

all stakeholders should participate in decision making, free of coercion

30
Q

which broad theory believes that social/economic forces lead to power differentials?

A

Critical social theory

31
Q

Which broad theory believes that the role of sexism and oppression lead to power differentials?

A

feminist

32
Q

How are complex science and intersectionality theory similar?

A

they both believe there are multiple overlapping influences leading to situations

33
Q

What broad theory encompasses interconnectedness, non-linerity, self organization and coevolution?

A

Complex science

34
Q

which broad theory believes there are multiple parts interacting at all time giving rise to new situations?

A

complex science

35
Q

Intersectionality believes there are multiple oppressive forces at play. T/F?

A

T

36
Q

Which 2 broad theories have a focus on feminism/sexism?

A

Feminist and intersectionality

37
Q

Feminism, racism, classism, etc all compound to have an overlapping effect in which broad theory?

A

Intersectionality

38
Q

What 2 components in Postcolonial Theory are thought to lead to inequities?

A

Race and history

39
Q

What are the 3 middle range theories?

A

Critical Caring
Strengths Based
Relational Inquiry

40
Q

Which theory was developed specifically for CHN in Canada?

A

Critical Caring

41
Q

Which theory has a basis in social justice, building capacity, teaching/learning, and carative processes?

A

Critical Caring

42
Q

Which theory believes that the nurse should think positive, look for potential in their clients, focus on strengths yet also deal with the problems at hand?

A

Strengths Based

43
Q

Which 2 theories have capacity building as key components?

A

Critical caring & strengths based

44
Q

Which theory believes that contextual elements shape peoples’ experiences?

A

Relational inquiry

45
Q

What is surveillance?

A

constant watching/monitoring of diseases to assess patterns. What PH interventions are needed?

46
Q

What is causation?

A

When a relationship has been CONFIRMED WITHOUT DOUBT. Cause/effect relationship

47
Q

What is crude mortality?

A
# of deaths from a cause within the entire population. 
e.g.. MVAs/entire population
48
Q

What is specific mortality?

A
# deaths from cause in a particular subgroup, compared with the whole subgroup
eg. # MVAs of teen boys/# male teens driving
49
Q

What are proportional mortality rates?

A
# deaths from a cause in a population for a time period compared with the total # of deaths in the same population/time period 
eg. # teen boy deaths from MVAs in 2016/# teen boy deaths in 2016
50
Q

What is the target population?

A

the ENTIRE group of people to which researchers are studying. The population whom nursing intervention is intended

51
Q

What is prevalence? Period prevalence?

A
# total cases of disease at a given point in time
proportion of population that has condition at some time during specified time period
52
Q

What is relative risk?

A

Calculated by the odds ratio.
incidence in population exposed/incidence of problem in a population not exposed to same risk.

“are some people more at risk or vulnerable to a specific disease than others?”

53
Q

Interpret the following relative risk/odds ratio answers:
1.0
>1.0
<1.0

A
1 = both groups have same risk, risk factor doesn't make any difference
>1 = risk in exposed group is higher, risk factor is causative
<1 = risk factor is protective or is not significant to disease
54
Q

What was significant about the Ottawa Charter?

A

Identified prerequisites for health, strategies for promoting health
Marked a dramatic shift in healthcare
Identified the SDOH
Started PH movement and Canadian health reform