NUR 1025 Chapter 3 Flashcards
Community based nursing practice
Focuses more on primary rather than institutional or acute care
What are some challenges in community based health care
Political
Health disparities
Economics
Social determinará of health
Which program establishes ongoing health care goals to improve overall health status of people living in this country
Health People Initiative (by USDHHS)
Which program have goals to increase life expectancy and quality of life and to eliminate health disparities through improve delivery of health cares services
Health People 2030
What are the 3 components to improve delivery of health care.
Assessment of health care needs of individuals, families and community
Development
Implementation of public health policies and improve access to care.
Gathering information on incident rates, determining adolescents pregnancy rate, reporting a increase of accident in adolescents is an example of:
Community assessment
Nurses were lobby for strict prescription monitoring program is an example of what component of improving health care
Policy
What are the 5 level of health services
1-tertiary health care 2-secondary health care 3-primary health care 4-clinical preventive services 5-population based health care services
Are biological, socioeconomic,psychosocial, behavioral or social factors that contribute to a person’s current state of health.
Social determinants of health
Community health nursing
Nursing practice in the community with the primary focus of health care of individuals, families and groups within the community.
Is a nursing specialty that requires understanding the needs of a population or a collection of individuals who have one or more personal or environmental characteristics in common.
Public health nursing
Nurse practitioner gives immunization to patient with the objective of managing communicable diseases within the community. Is an example of
Community health nursing
Which two terms falls under the same category I’m community-oriented nursing
1-community health nursing
2-public health nursing
Tend to provide illness care within the community setting, including acute and chronic care. Promote autonomy and provide direct access to nurses
community based nursing
Function as the 1 level of contact bw members of a community and the health care delivery system.
community based nursing centers
Looks the relationship of various components that make up the knowledge of a discipline
metatheory
Which are the 4 nursing metaparadigm
person
Health
Environmental/ situation
Nursing
Give an example of a community based program??
ambulatory care clinics
Hospices center
senior center
The public health nurse is working with the county health depart-
ment on a task force to fully integrate the goals of Healthy People
2020. Most of the immigrant population do not have a primary
care provider, nor do they participate in health promotion activi-
ties; the unemployment rate in the community is 25%. How does
the nurse determine which goals need to be included or updated?
(Select all that apply.)
- Assess the health care resources within the community.
- Assess the existing health care programs offered by the county
health department. - Compare existing resources and programs with Healthy People
2020 goals. - Initiate new programs to meet Healthy People 2020 goals.
- Implement educational sessions in the schools to focus on
nutritional needs of the children.
1
2
3
Which of the following concerns should the nurse prioritize, regarding their 47-year-old patient who had open heart surgery 24 hours ago?
a. Ensuring physical therapy begins working with the patient to prevent injury
b. Mottled and cool upper/lower extremities with a capillary refill of 4-5 seconds
c. The patients concern with how their sternal incision scar will look once it is healed
d. Completing teaching with the patient regarding sternal precautions to prevent complications
B
