Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Module 5 (Pediatrics) > Nursing in the Community/Poverty > Flashcards

Nursing in the Community/Poverty Flashcards

Public and Community Health Implicit Bias Poverty ACE's TED Talk

1
Q

In the TED TALK, poverty and childhood trauma can affect the health care of a patient in which ways?

A

low brain development
immune system
hormonal systems
DNA transcriptions
triple lifetime risk and lung cancer
20-year difference in life expectancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Adverse Childhood Experience

A

physical, mental, and sexual abuse
neglect
parental illness
substance dependence
incarceration
divorce
domestic violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What was discovered in the ACE study?

A

common
dose-response relationship which health outcomes (higher score = poor health outcomes)
- increases the rate of severe diseases to death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

“But it turns out even if you don’t engage in high-risk behavior, you are still more likely to develop heart disease or CA as a HIGH ACE score” Why?

A

Hypothalamic-pituitary-adrenal axis
stress reponse for fight or flight
- the system is constantly activated every day and goes from adaptive to health-damaging
children are sensitive to this because they are still developing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Center for Youth Wellness

A

prevent
screen
heal the impacts of ACE and toxic stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If you have an ACE score of 4+, then you are ______ as likely to develop hepatitis or COPD

A

2.5 TIMES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If you have an ACE score of 4+, then you are ______ as likely to develop depression

A

four times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If you have an ACE score of 4+, then you are ______ as likely to take your own life

A

12 times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the single greatest unaddressed public health threat facing our nation?

A

ACE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Public Health

A

protecting and promotion of healthy lifestyles, researching disease and injury prevention and detection and control of infectious diseases.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Public Health examples

A

Tries to find solutions for disease outbreaks such as COVID-19.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CDC Foundation

A

Overall, public health is concerned with protecting the health of entire populations. These populations can be as small as a local neighborhood, or as big as an entire country or region of the world

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does medicine do?

A

saves lives one at a time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does public health do?

A

Saves lives millions at a time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What health category works with improving lifespans?

A

Public, almost 80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Public Health try to impact people through

A

health promotion and disease prevention of the general public
-Research
-Advocacy
-Education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Settings as Public Health

A

Government agencies/organizations – country, state or federal
Health departments
Prisons
Worksites
Community clinics/health centers
Non-profit organizations
School systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

public health nurse’s roles

A

Managing grants
Conducting research related to disease outbreaks
Overseeing emergency preparedness programs
Developing immunization clinics in areas in need

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Case Management for Children and Pregnant Women (CPW) and Children with Special Health Care Needs (CSHCN):

A

Medicaid and CSHCN program that provides home-based case management for families to gain access to needed medical, social, educational and other services.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Immunizations

A

Strives to improve vaccine coverage levels for people of all ages to help reduce vaccine preventable diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Texas Department of State Health Services

A

Case Management for Children with Special Health Care Needs and Pregnant Women and Children on Medicaid with a Health Risk
Chronic Disease Prevention
Epidemiology (Infectious and Chronic Disease)
Health Emergency Preparedness and Response
HIV/STD/STI
Immunizations
Community Health Improvement
Oral Health Improvement Program
Public Health Sanitation & Retail Foods Safety
Spinal/Vision/Hearing Screening (SCHOOLS)
Texas Health Steps
Tobacco Prevention & Control
Tuberculosis Control (Rx regimen checks)
Zoonosis Control – caused by animals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Oral Health

A

Works with various partners across the state to identify the oral health needs of Texans and the resources to meet those needs. Provides preventive dental services to eligible low-income, underserved, pre-school, and school-aged children who are Texas residents.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Texas Health Steps

A

A special program for children from birth through 21 years of age who are enrolled in Medicaid. Provides regular medical and dental checkups for clients at no cost. Assists in overcoming barriers to clients in accessing health care services.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Community Health Improvement:

A

Certified inspection station for child passenger safety.
Conductand/or assist with activities for the prevention of child abuse, child injury and fatality, infant mortality, teen pregnancy, childhood obesity, and suicide in youth.
Conduct outreach and public awareness for Domestic Minor Sex Trafficking.
Participate in and support Child Fatality Review Teams.
Provider of continuing education for certified Community Health Workers.
Providers of suicide prevention programs: ASK (ask about suicide to save a life) and QPR (question persuade refer).
Health and safety programs for migrant and farmworker families in the South Plains and refugee families in the Panhandle.
Provide the Community Training for “Safe Sleep for Babies.”
Provide and support Healthy Texas Babies initiatives.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Programs specific to Pediatrics

A

Bullying
Suicide prevention
Domestic Minor Sex Trafficking
teach on trends

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Community Health Nursing

A

Focus is on the promotion and maintenance of health in individuals, families, and groups in the community through direct interaction with them
It is population focused (focuses on smaller communities that share location, demographic and socioeconomic traits)
Emphasizes personal responsibility for health and self care
Learn about healthy behaviors and manage chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Community

A

A group of people with shared characteristics / interests who interact with one another.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Populations

A

Groups of people in a community who have common characteristics (such as school-age children).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Target Populations

A

Groups that are more narrowly defined (for example, school age children who are obese).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

potential barriers to health & wellness

A

Income
Insurance coverage
Education
Culture (influences diet, activity level, and risk exposure)
Location (inter-city verses rural communities)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

A community health nurse’s scope of practice includes:

A

Illness
Disease prevention, including immunizations
Safe health practices
Nutrition
Wellness
Education - They design health education programs to encourage healthy behaviors, called Community Health Initiatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Community Health Initiative Examples

A

The Importance of Immunizing Your Child
Safety for Different Developmental Stages
Healthy Eating & the Importance of Exercise
Positive Ways to Deal with Stress & Anxiety
SIDS Prevention
Ways to Discipline Your Child
Stages of Growth & Development
Understanding Temperamental Styles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Community Health Nurses Work within the community

A

School districts
Community clinics/health centers
Health departments
Church organizations
Primary care offices
Home health
Government/health agencies
Shelters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Similarities between Public and Community health nurses

A

Both share the goal of improving people’s health
They often work together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Differences between Puclic and Community Nurses

A

Public Health nurses review historical records, scientific studies and population data
More research based
Community Health nurses focus more on the resources that community members have access to that support health and well-being
Resource focused

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Public Health is more based on

A

research and data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Community Health is more based on

A

Resources

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

211Texas.org

A

financial resources in the community

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Implicit Bias remember

A

we all have “Implicit Bias”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Implicit Bias is

A

reflective of our attitudes (positive and/or negative) or stereotypes towards people, things, or groups that can affect our understanding, actions, and decisions unconsciously and can affect patient relationships and care decisions.

41
Q

As a professional, we must respect of patients

A

choices, whether or not we understand or agree

42
Q

TRiggers to Implicit Bias

A

Substance Abuse/Addiction
Sexuality
Age
Race
Ethnicity
Culture
Weight
Gender
Religion
Mental Illness
Physical Disability
Lifestyle Choices

43
Q

Assumption of others based

A

appearance or personality

44
Q

Waterline of Visibility

A

What is visible to others? (the top of the iceburg)
What is invisible, but forms the foundation of who you are?

45
Q

Diversity Iceberg Model

A

90 percent of an iceberg is below the surface, 90 percent of who you are is below the surface

46
Q

What is Self-Awareness?

A

ability to recognize oneself as an individual separate from everything else
The ability to focus on our actions, thoughts, and emotions
The difference between how we see ourselves and how others see us

47
Q

Five Ways of Developing Self- Awareness

A

Observe yourself
Be open to change
Identify blind spots
Own bad habits
Aspire to know yourself

48
Q

In Nursing, allows nurses to explore clinical experiences AND thoughts and feelings associated with the experience, allowing for change in beliefs and assumptions which can change our clinical practice is what?

A

Reflection

49
Q

Self-reflection

A

Allows us to understand our belief systems, the assumptions that ground those beliefs, and how those assumptions and belief systems impact interactions with our patients/clients.

50
Q

What is poverty?

A

The extent to which an individual does without resources.
The purpose of knowing the resources of a person is to know which interventions will work and which ones will not.
Interventions will work only when the needed resources for that intervention are available.

51
Q

What should always be asked before sending the pt home?

A

Always ask the situation

52
Q

Generational Poverty

A

Has its own culture, hidden rules, and belief systems.
The culture tends to be self-reinforcing and includes a set of values transmitted from parent to child
The attitude is that “society owes me a living”

53
Q

In generational poverty, the child is encouraged not to

A

chnage
- no problem accepting resources and help

54
Q

Situational Poverty:

A

A lack of resources due to a particular event (i.e., a death, chronic illness, divorce, etc.).
Unlike generational poverty, it is focused largely on monetary resources and can be a temporary situation.
The attitude is often one of pride and a great reluctance to accept charity.

55
Q

In situational poverty, the individual does not want to

A

accept resources/charity

56
Q

Financial of Poverty

A

unable to purchase goods or services
sole contributor
- no insurance
met deductible

57
Q

In Nursing about Financials resources,

A

help with the cost of doctor/clinic
appointments, prescriptions, and medical equipment.

58
Q

Emotional resources

A

Being able to choose and control emotional responses, particularly to negative situations, without engaging in self-destructive behavior.
This is an internal resource and shows itself through stamina, perseverance and choices.
It is one of the most important.
Referred to as Cognitive Restructuring or Reframing

59
Q

In Nursing about Emotional resources,

A

Mindfulness, Meditation, and Relaxation
Techniques (for stress reduction).

60
Q

Mental/Cognitive Resources

A

Having the mental abilities and acquired skills (reading, writing, computer skills) to deal effectively with daily life.

61
Q

In Nursing about Mental/Cognitive resources,

A

GED Classes, Computer Classes, and ESL Classes.
written and read at 8th grade level on average

62
Q

Spiritual resources

A

Believing in divine purpose and guidance. Powerful

63
Q

In Nursing Spiritual resources,

A

Asking if they would like a chaplain to visit with them.
-AA

64
Q

In Nursing Physical resources,

A

Classes on healthy eating & exercise.
Free monitoring of blood pressure & blood glucose.

65
Q

Physical resources

A

Having physical health and mobility

66
Q

Support systems

A

Having friends, family, and backup resources available to access in time of need.
These are external resources.

67
Q

In Nursing support systems resources,

A

Referral to Summer Camps, Support Groups and
counseling resources.

68
Q

Relationships/Role Models resources

A

Having frequent access to individual(s) who are appropriate, who are nurturing, and who do not engage in self-destructive behavior.

69
Q

Self-destructive behaviors include things like

A

cutting, use of tobacco, alcohol, or drugs to cope with stress and anxiety

70
Q

In Nursing relations and role models resources,

A

Pediatric Community Health Nurses and School Nurses.

71
Q

Knowledge of Hidden Rules (mores) helps the nurse understand

A

pt’s perspectives
salient, unspoken understandings that cue the members of the group that an individual does not fit

72
Q

Hidden Rules of Money in different financial classes

A

Poverty: To be used, spent
Middle Class: To be managed
Wealth: To be conserved, invested

73
Q

Hidden Rules of food in different financial classes

A

Poverty: Key question is did you have enough? Quantity important.
Middle Class: Key question is did you like it? Quality important.
Wealth: Key question is was it presented well? Presentation important.

74
Q

Hidden Rules of clothing in different financial classes

A

Poverty: Valued for individual style and expression of personality
Middle Class: Valued for its quality and acceptance into norm of middle class; label important
Wealth: Valued for its artistic sense and expression; designer important

75
Q

Hidden Rules of driving forces in different financial classes

A

Poverty: Survival, relationships, entertainment
Middle Class: Work, achievement
Wealth: Financial, political, social connections

76
Q

formal languagein situations that are

A

serious and involve people we don’t know well

77
Q

informal languagein situations that are

A

more relaxed and involve people we know well.

78
Q

How does poverty affect children neurologically?

A

gray matter affect

79
Q

What experiences measured in the study of ACEs

A

Abuse (Physical, Emotional, Sexual)
Neglect (Physical, Emotional)
Household Dysfunctions (mental illness, incarcerated, mother treated violent, substance abuse, divorce)

80
Q

What are behaviors measured in the study of ACEs?

A

lack of physical activity
smoking
alcoholism
drug use
missed work

81
Q

What are mental and physical health issues measured in the study of ACEs?

A

severe obese
DM
Depression
suicide attempts
STD
heart disease
CA
stroke
COPD
broken bones

82
Q

The greater the ACEs have lasting effects

A

for risk of negative and wellbeing outcomes

83
Q

An ACE score is meant as

A

guidance

84
Q

ACE scores don’t take into account the positive experiences in early life that

A

help build resilience & help to protect a child from trauma

85
Q

What can be done about ACEs?

A

home visiting to pregnant women and families with newborns
parenting training programs
intimate partner violence prevention
social support for parents
parent support programs for teens and pregnancy prevention programs
mental illness and substance abuse tx
Quality child care
sufficient income support for lower-income families

86
Q

What did the ACEs test not take into account?

A

positive role models
EASE TOXIC STRESS
develop resilience is at least one stable and committed relationship with a supportive parent or grandparent, caregiver, or other adult or close friend

87
Q

helps buffer against the negative lifelong health effects caused by ACEs**

A

HOPE

88
Q

HOPE 4 building blocks

A

Relationships within family through interpersonal activity
Safe, equitable, stable environments
social and civic engagement
Emotional growth

89
Q

What are some things that might counteract the ACEs?

A

HOPE Building blocks

90
Q

What can be done about ACEs?

A

suggests “Trauma Informed Therapy” such as art, yoga or mindfulness training can also be helpful.

Trauma-Informed Cognitive Behavioral Therapy (TF-CBT)
Education about childhood trauma
Parenting skills
Relaxation skills
Coping – connecting thoughts, feelings, and behaviors
Trauma narrative

91
Q

The community nurse is teaching a group of parents about public health. What is the best way to define public health? Select all that apply.
A. It is population-based medicine
B. It has improved people’s lifespan
C. It provides standard programs and services
D. It is concerned with protecting health of entire populations

A

A. It is population-based medicine
B. It has improved people’s lifespan
C. It provides standard programs and services
D. It is concerned with protecting health of entire populations

92
Q

A school nurse is explaining Texas Health Steps to a group of elementary school parents. What aspects of the program will she want to include? Select all that apply.
A. It is a special program for children birth through 21 years of age
B. It is for children who are enrolled in Medicaid
C. It provides medical and dental checkups for clients at no cost
D. It assists in overcoming barriers in accessing healthcare

A

A. It is a special program for children birth through 21 years of age
B. It is for children who are enrolled in Medicaid
C. It provides medical and dental checkups for clients at no cost
D. It assists in overcoming barriers in accessing healthcare

93
Q

What are Community Health Initiatives that the Community Health Nurse could focus on when teaching a parenting class for parents with infants? Select all that apply.
A. The importance of immunizations
B. Bullying prevention
C. Toy safety
D. SIDS prevention
E. Healthy eating

A

A. The importance of immunizations
C. Toy safety
D. SIDS prevention

94
Q

The Community Health Nurse is recommending online resources that are available to parents with infants. Which would be appropriate for the nurse to include? Select all that apply.
A. Text for Baby
B. Safe to Sleep
C. Bright by Text
D. Consent
E. Parenting Advice

A

A. Text for Baby
B. Safe to Sleep
C. Bright by Text
E. Parenting Advice

95
Q

The Community Health Nurse is participating in a Community Health Initiative on Healthy Eating and Exercise with a poverty level population. What is important for the nurse to remember about families who live in poverty?
A. What resources they are lacking and what interventions are needed.
B. Where they fall according to the poverty income level to determine needs
C. What is their BMI to determine eating and exercise practices
D. Determining if they have hypertension or elevated serum glucose levels

A

A. What resources they are lacking and what interventions are needed.

96
Q

What are some examples of “hidden rules” that are often associated with various socio-economic levels? Select all that apply.
A. In the middle class, money is to be managed
B. In the middle class, food quantity is important
C. With the wealthy, financial, political and social connections are valued
D. In poverty, quality of food is important
E. In poverty, survival, relationships and entertainment are valued
F. With the wealthy, individual style of clothing is valued

A

A. In the middle class, money is to be managed
C. With the wealthy, financial, political and social connections are valued
E. In poverty, survival, relationships and entertainment are valued

97
Q

Which are examples of mental/cognitive resources? Select all that apply.
A. The ability to read
B. Being able to write
C. Utilizing relaxation techniques
D. Having computer skills
E. Family and friends
F. A school counselor

A

A. The ability to read
B. Being able to write
D. Having computer skills

98
Q

The nurse understands which categories comprise an ACE score? Select all that apply.
A. Different types of abuse
B. Different types of neglect
C. Positive experiences in early life
D. Household dysfunction

A

A. Different types of abuse
B. Different types of neglect
D. Household dysfunction

99
Q

What are examples of how ACEs may affect a person’s health? Select all that apply.
A. Significant weight loss
B. Cancer
C. Heart disease
D. COPD
G. Intellectual & developmental delays

A

B. Cancer
C. Heart disease
D. COPD

Module 5 (Pediatrics) (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions