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Community Health Nursing > Module 4 > Flashcards

Module 4 Flashcards

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1
Q

Is the practice of nursing directed towards maximizing the health and well-being of all individuals within a family system

A

Family Nursing

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2
Q

A logical, systematic or scientific problem solving activity utilized by nurses to deliver total quality health-care services to the patients.

A

Family Nursing Process

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3
Q

used as a framework or a tool; dynamic and cyclical in nature

A

Family Nursing PRocess

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4
Q

in this process, the community health nurses use the nursing

A

Family Nursing Process

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5
Q

is the process of establishing a trusting and productive relationship with the family.

A

Relating

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6
Q

the main essence of this word is that it establishes rapport with the family members with the use of good communication (concern and interest)

A

Relating

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7
Q

when you are relating with the patient/family, you are building what?

A

trust and confidence with each other, shesh

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8
Q

Relating maintains a what?

A

two-way communication between the parties involved

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9
Q

The first step in the nursing process where the nurse observes the client or the family objectively as well as subjectively

A

Family Health Assessment

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10
Q

This form serves as a guide in data collection of information about the family, environment or community as a whole.

A

Family Health Assessment Form

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11
Q

What are the 3 steps in family health assessment?

A
  1. Collection of data
  2. Analysis and interpretation of data
  3. Validation and statement of the problem
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12
Q

What are the two types of data?

A

Primary and Secondary Data

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13
Q

THis refers to the data which have not be collected before

A

Primary Data

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14
Q

What are the methods of collection in gathering primary data?

A
  1. Observation
    2, Interview
  2. Focus group discussion
  3. Physical Examination
  4. Surveys
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15
Q

Critical components of interview [under primary data/interview/methods of collection]

A
  1. Manners
  2. Therapeutic questions
  3. Therapeutic conversations
  4. Genogram and ecomap
  5. Commending family or individual strengths
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16
Q

data which have been collected and kept as records; records in registries, health facilities, health centers or other agencies who have worked with the family

A

Secondary data

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17
Q

a tool that helps the nurse outline the family structure.

A

Genogram

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18
Q

type of tool in family health assessment that affirms the belief that childhood and family background affect the planning for care of the parent and child

A

Genogram

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19
Q

This tool in family healht assessment intendeds to identify the intergenerational trends and patterns within the family and to find out about the family’s history, genetically, emotionally and psychologically.

A

Genogram

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20
Q

a tool which helps the nurse by providing a mechanism for recording the family medical and health histories.

A

Family Health tree

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21
Q

What does the family tree usually shows/displays. enumerate them all

A
  1. Causes of death, genetically linked diseases (lifestyle diseases)
  2. Environmental and occupational diseases
  3. Infectious diseases
  4. Familial risk factors for health problems
  5. Risk factors associated with family’s methods of illness prevention
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22
Q

a tool in family health assessment tha portrays an overview of the family in their situation.

A

Ecomap

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23
Q

a tool in family health assessment that shows the contacts that occur between the family and the suprasystems (everything outside the system)

A

Ecomap

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24
Q

This tool in doing family health assessment shows interaction of the family to other people or sectors in the community such as types of resources and relationships they have with other people.

A

Ecomap

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25
Q

What are the 4 types of family data?

A
  1. Family structure and characteristics (use of tools in FHA)
  2. Socioeconomic data
  3. Family environment
  4. Family health and health behavior
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26
Q

this step Utilize the Initial data base for Family Nursing Practice by categorizing the problems or needs identified.

A

Initial Assessment

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27
Q

in doing the initial assessment, what are the problems that are usually identified and categorized?

A
  1. Presence of a wellness condition (Potential or Readiness)
  2. Health threat
  3. Health deficit
  4. Foreseeable crisis
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28
Q

Typology of Nursing Problems in Family Nursing Practice

A

Second Level assessment

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29
Q

A clinical judgement about the family’s response to actual or potential health problems or life processes.

A

Family nursing diagnosis

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30
Q

which part of the family nursing process utilize the Typology of Nursing Problems in Family Health Care

A

Diagnosis

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31
Q

what are the 5 main nursing problems?

A
  1. Inability to recognize the presence of the condition/problem due to …
  2. Inability to make decisions with respect to taking appropriate health actions due to…
  3. Inability to provide nursing care to the sick, disabled, dependent or at-risk member of the family due to…
  4. Inability to provide a home environment which is conducive to health maintenance and personal development due to…
  5. Failure to utilize community resources for health care due to…
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32
Q

an alternative tool for formulating a nursing diagnosis.

A

family coping index

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33
Q

a tool based on the premise that a nursing action may help a family in providing for a health need or resolving a health problem by promoting the family’s coping capacity.

A

family coping index

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34
Q

this tool provide a basis for estimating the nursing needs of a particular family

A

family coping index

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35
Q

In using the Family Coping Index, a family health care need is present when:

A

The family has a health problem with which they are unable to cope.
There is a reasonable likelihood that nursing will make a difference in the family’s ability to cope.

36
Q

what are the 9 areas of assessment in the family coping index

A

Physical Independence
Therapeutic Competence
Knowledge of health condition
Application of principles of personal and general hygiene
Health care attitudes
Emotional competence
Family Living partners
Physical Environment
Use of community facilities

37
Q

Identify what Area of Assessment of the Family Coping Index

(performance of ADLs, mobility)

A

Physical Independence

38
Q

Identify what Area of Assessment of the Family Coping Index

(ability to comply with prescribed or recommended procedures and treatmens)

A

Therapeutic Competence

39
Q

Identify what Area of Assessment of the Family Coping Index

(interpersonal relationship with family members)

A

Family living patterns

39
Q

Identify what Area of Assessment of the Family Coping Index

(understanding the health conditions)

A

Knowledge of health condition

40
Q

Identify what Area of Assessment of the Family Coping Index

(family’s perception to health care)

A

Healthcare attitudes

41
Q

Identify what Area of Assessment of the Family Coping Index

(home, school, work and community)

A

Physical Environment

42
Q

Identify what Area of Assessment of the Family Coping Index

(family’s ability to seek and utilize health services)

A

Use of community facilities

43
Q

The process of setting the health-care goals and generating the plans for action to collect specific data or make decisions on the family care.

A

Planning

44
Q

in this stage of the family nursing process, helps in the setting of health goals and making health care plans

A

planning

45
Q

This part of the family nursing process involves priority setting, establishing goals and objectives and determining appropriate interventions to achieve goals and objectives

A

Planning

46
Q

in this part of the family nursing process, The family should benefit from the plan and the family has the right to self-determination and decision have to be respected

A

planning

47
Q

planning is also known as the stage of?

A

outcomes identification

48
Q

what are the factors to be considered in priority setting?

A
  1. family safety
  2. family perceptions
  3. practicality
  4. projected effects
49
Q

what factor is considered when life threatening situations are given top priority; cases of communicable diseases in priority setting

A

family safety

50
Q

what factor is considered when the need of the family recognizes as most urgent or important

A

Family perceptions

51
Q

what factor is considered when we give consideration to the existing resources and constraints of the family

A

practicality

52
Q

what factor are we considering if we should give family a sense of accomplishment and confidence

A

projected effects

53
Q

a desired observable family response to planned interventions in response to a mutually identified problem

A

Goals

54
Q

define the desired step-by step family responses as they work towards the goal; used to measure family achievement for monitoring and evaluation

A

Objectives

55
Q

these things should be and must be set jointly with the family

A

Establishing goals and objectives

56
Q

characteristic of a goal where the family will manifest a particular behavior

A

Specific

57
Q

characteristic of a goal pertaining to the quantifiable indications of the family achievement

A

Measurable

58
Q

characteristic of a goal in conformity with the family’s resources

A

attainable

59
Q

characteristic of a goal pertaining to realistic, appropriate to the family need or problem

A

relevant

60
Q

characteristic of a goal that has specified target time or date

A

Time bounded

61
Q

What are the 3 types of nursing intervention

A

Supplemental interventions
Facilitative interventions
Developmental interventions

62
Q

It is the process of carrying the health care plan as formulated through caring, curing and coordinating.

A

Implementation

63
Q

This is the step when the family and/or the nurse execute the plan of action.

A

Implementation

64
Q

The pattern of implementation is determined by the?

A

mutually agreed upon goals and objectives and selected course of action.

65
Q

what are the 3 necessary skills for community health nurses?

A

Human skills
Technical skills
Conceptual skills

66
Q

the ability to work with and for the people which include communicating and understanding others

A

Human skills

67
Q

the ability to use the tools, equipment, procedures and techniques of a specialized field

A

technical skills

68
Q

the ability to understand all the organization’s activities, parts and how it relates to others

A

conceptual skills

69
Q

Nursing activities that involves actions with Dependent, Independent, Interdependent, Supplemental collaboration

A

Utilize health action or measure according to the level of prevention and promotion of health

70
Q

what are the following approaches in line with the nursing care plan that we should apply in our nursing activities?

A

care, cure, coordination

71
Q

things to remember:

A

Teach non-sick member to perform home care in accordance with nursing care plan

72
Q

Things to remember:

A

Execute, administer and provide health care based on allowable nursing standards and procedures
anticipatory guidance and service
health education and maintenance
medical regimen or treatment
supervision of midwives and BHWs
recording and documentation
referral or coordination with other health and non-health services = total care

73
Q

Nurse should take into considerations the different barriers during the implementation phase.

A

Remember

74
Q

what barrier is being described:

apathy and indecision on the part of the family

A

family related barrier

75
Q

what barrier is being described:

imposing ideas

A

Nurse related

76
Q

neglecting culture and gender implications

A

Nurse related nbarried

77
Q

It is the process of determining the outcome or result of the action taken, whether it is successful or not in meeting the objectives of care.

A

Evaluation

78
Q

It is considered as the final step in the nursing process that helps the nurse decide whether to continue with the plan of care for the patient/client/family or not.

A

Evaluation

79
Q

It refers to the critical assessment of whether the patient’s/client’s goal has been achieved within the time frame and what changes are to be made in the client’s plan of care

A

Evaluatio n

80
Q

2 types of evaluation

A

formative and summative

81
Q

a judgement made about the effectiveness of nursing interventions as they are implemented.

A

Formative evaluation

82
Q

considered as ongoing ang continuing evaluation

A

Formative evaluation

83
Q

results of this evaluation guides the nurse and the family in updating plans as necessary

A

Formative evaluation

84
Q

evaluation that determines the ends results of the family nursing care and usually involves measuring outcomes or degree to which goals have been achieved.

A

summative evaluation

85
Q

what are the 4 aspects of evaluation?

A

Effectiveness
Appropriateness
Adequacy
Efficiency

86
Q

what are the nursing activities in the evaluation phase?

A

Evaluate outcome based on the objectives and criteria set

Determine if the interventions/plan of care/objectives/desired outcomes

Evaluate nursing interventions/activities based on the standards and protocols in all of the steps in the nursing process.

Evaluate the care provided by the nurse and non-sick family members against the standard of care

Continue the nursing process like a cycle until the optimum level of health functioning is achieved.

Community Health Nursing (4 decks)

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