PRELIMS_Community Health Nursing Flashcards

1
Q

synthesis of nursing knowledge and practice and the science and practice of public health

A

COMMUNITY HEALTH NURSING

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2
Q

how is community health nursing implemented and what does it aim to promote and prevent?

A

implemented via a systematic use of nursing process (ADPIE) and other process to promote health and prevent illness in population groups

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3
Q

what is the 2 major setting ?

A
  1. Community or public

2. Hospital setting

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4
Q

differentiate 2 major setting

A

1.Community or public
➜theoretically different
➜community-wider scope
2.Hospital setting

	Community health nursing 
	➜deals with different population groups
	=individual
	=family
	=group
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5
Q

give 5 goals of COMMUNITY HEALTH NURSING

A
  1. Promotion of health and prevention of disease
  2. Comprehensive, general, continual and not episodic
  3. Individuals, families and population groups and practitioner
  4. Nurse and the client have greater control in making decisions
  5. The nurse recognizes the impact of different factors on health and has a greater awareness of his/her clients’ lives and situations
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6
Q
  • prevent community to be hospitalized

- health promotion and prevention

A

1.Promotion of health and prevention of disease

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7
Q

-for as long as you are assigned to a community care is continual

A

2.Comprehensive, general, continual and not episodic

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8
Q

even sick or well mayroong intervention

A

3.Individuals, families and population groups and practitioner

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9
Q
  • active partnership with the client
    • participatory
    • home visits
    • active interaction
    • collaboration
    • mutual understanding
A

4.Nurse and the client have greater control in making decisions

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10
Q

Nurses play a major role in decision making

true or false

A

true

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11
Q

Emphasize or help the px to see the problem or why there is a need

true or false?

A

true

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12
Q

know factors or determinants of health
-what are the causes of the problem?
-what problems are they experiencing that
limits their access to health

A

5.The nurse recognizes the impact of different factors on health and has a greater awareness of his/her clients’ lives and situations

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13
Q

give 6 client oriented roles

A
✅Caregiver
✅Educator  
✅Counselor  
✅Referral resource
✅Role model 
✅Case manager
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14
Q

give 3Delivery-Oriented Roles

A

✅Coordinator
✅Collaborator
✅Liaison

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15
Q

give 8 Population-Oriented Roles

A
✅Case finder
✅Leader
✅Change agent
✅Community mobilizer
✅Coalition builder
✅Policy advocate
✅Social marketer
✅Research
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16
Q

practice of community health nursing is based on the 4 ff:

A

➤ Clients
➤ Health
➤ Healthcare delivery system
➤ National health situation

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17
Q

give 4 clienteles

A

Individual
Families
Population groups
Community

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18
Q

point of entry of nursing care.

A

Individual

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19
Q

differentiate patient and client

A

o Patient –– people who are sick or unwell.

o Client –– people who are well or not sick.

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20
Q

basic unit of society; center of the delivery of care.

A

Families

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21
Q

collection of people that are integrated, interdependent, live in the same household

A

Families

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22
Q

share same experiences

A

Families

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23
Q

interacting on a daily basis

A

Families

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24
Q

action of one affects other members

A

Families

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25
Q

point of specific care

A

Population groups

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26
Q

these are individuals who share a common characteristics.

A

Population groups

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27
Q

common developmental state, disease or condition

A

Population groups

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28
Q

not related by blood or part of the family but share same characteristics

A

Population groups

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29
Q

give 5 examples of population groups

A
people living with HIV in a community
	      Senior citizens
	      School age
	      Disability
Hypertension
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30
Q

point of entire care.

A

Community

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31
Q

share common geographic boundaries, values and interests

A

Community

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32
Q

not same social status

A

Community

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33
Q

one vision for community and baranggay

A

Community

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34
Q

collection of population group, family, or individua

A

Community

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35
Q

what is health viewed as and what is its goal?

A

Viewed as a continuum, considered as a goal of public health and community health in particular

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36
Q

how did dunn decribe health?

A

emphasized high-level wellness which require that individual maintain a continuum of balance and purposeful direction within the environment where he is functioning

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37
Q

how did Florence Nightingaledecribe health?

A

looked into health and illness in relation to the environment.
o environment has a relationship with health and wellness

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38
Q

Societal services and activities designed to protect or restore the health of individuals, families, groups and communities

A

C.HEALTHCARE DELIVERY SYSTEM

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39
Q

standards of public health depends on the?

A

D.NATIONAL HEALTH SITUATION

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40
Q

practice of community health nursing is greatly affected by?

A

health situation

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41
Q

what are you going to take in national health situation

A

➤ Demographic profile

➤ Health Profile

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42
Q

➤ examples of Health Profile

A
✅ Births and deaths
✅ Morbidity and mortality
✅ Infants and children
✅ Maternal mortality
✅ Elderly
✅ Infectious and communicable diseases
✅ Mental illness
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43
Q

why is nx process more complex in CHN?

A
  • applied now to a group of people

- addresses it as a family or a community

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44
Q

dealing with entire family not only one fam member

A

Family nx process

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45
Q

process of collecting, organizing, and analyzing data/ information about the client

A

Assessment

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46
Q

identification of the clients wellness status or needs and problems based on an analysis of the data/information gathered

A
  1. Diagnosis
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47
Q

logical step-by-step process in designing a plan of action to accomplish specific goals and objectives

A

3.Planning of outcomes

48
Q

➤ Appropriate and responsive
➤ Evidence-based and reflective of nursing standards
➤ Culturally sensitive and appropriate tot he client’s personal circumstances

A

4.Nursing intervention

49
Q

➤ Enhance the capability and empowering potential of clients
➜nurse decides with px
➜doing intervention with px

A

4.Nursing intervention

50
Q

➤ Provision of nursing care, counseling, health education, capacity-building, coordinating and making referrals
➜goal is to make community self-reliant and independent
➜health education

A

4.Nursing intervention

51
Q

➤ Doing or carrying out the interventions specified in the care plan in partnership with client-partners and/or other members of the team

A

5.Implementation

52
Q

➤ Enhancing client-partners’ ability to unleash their
empowering potential for wellness prevention,
management or control of health problems

A

5.Implementation

53
Q

➤ Includes the use of participatory action methodology

A

5.Implementation

54
Q

Planned, ongoing, purposeful activity in which the nurse and the client-partner determine the client’s progress toward achievement of goals and outcomes.

A

6.Evaluation

55
Q

Include client assessment and health needs/problems identified, interventions carried out, client response to interventions, outcome of interventions and future plan of care

A

7.Documentation

56
Q

COMMUNITY HEALTH NURSING IN THE PHILIPPINES

give 3

A

A.Public Health Nursing
B.School Nursing
C.Occupational Health Nursing

57
Q

➜city health offices or baranggay health centers

A

1.Public Health Nursing

58
Q

➜Implementers of the local government unit’s mandate in promoting and protecting
the health of their constituents

A

1.Public Health Nursing

59
Q

➜Participates in planning, implementation, monitoring and evaluation of the LGU’s
health programs

A

1.Public Health Nursing

60
Q

company nurses

A

2.Occupational Health Nursing

61
Q

care for employees @ workplace

A

2.Occupational Health Nursing

62
Q

Aimed at assisting workers in all occupations to cope with actual and potential stresses in relation to their work and work environment

A

2.Occupational Health Nursing

63
Q

Helping workers attain and maintain optimum level of physical and psychological functioning

A

2.Occupational Health Nursing

64
Q

Aims to promote the health of school personnel and pupil/students (health nutrition & assessment)

A

3.School Nursing

65
Q

what does a school nurse do?

A

Health advocacy, health promotion, disease

prevention, early detection of disease

66
Q

what does occupational health nursing aim at?

A

assisting workers in all occupations to cope with actual and potential stresses in relation to their work and work environment

67
Q

what does a public health nurse impplement?

A

local government unit’s mandate in promoting and protecting

the health of their constituents

68
Q

where does public health nurse participate @?

A

planning, implementation, monitoring and evaluation of the LGU’s
health programs

69
Q

3 CORE PUBLIC HEALTH FUNCTIONS

A
  1. ASSESSMENT
  2. POLICY DEVELOPMENT
  3. ASSURANCE
70
Q

what is assessment?

A

Regular collection, analysis and information sharing about health conditions, risks and resources in a community.

71
Q

Regular collection, analysis and information sharing about health conditions, risks and resources in a community.

A

assessment

72
Q

how will you develop a policy?

A

Use of information gathered during assessment to develop local and state health policies and to direct resources toward those policies.

73
Q

Use of information gathered during assessment to develop local and state health policies and to direct resources toward those policies.

A

POLICY DEVELOPMENT

74
Q

Focuses on the availability of necessary health services throughout the community.

A

ASSURANCE

75
Q

it includes maintaining the ability of both public health agencies and private providers to manage day to day operations and the capacity to respond to critical situations and emergencies.

A

ASSURANCE

76
Q

give the first 7 STANDARDS OF CARE

A
ASSESSMENT
POPULATION DIAGNOSIS PRIORITIES
OUTCOMES IDENTIFICATION
PLANNING
 IMPLEMENTATION
EVALUATION
QUALITY OF PRACTICE
77
Q

The public health nurse collects comprehensive

data pertinent to the health status of the population.

A

Standard 1: ASSESSMENT

78
Q

The public health nurse analyses the assessment data to determine the population diagnosis and priorities

A

Standard 2: POPULATION DIAGNOSIS PRIORITIES

79
Q

The public health nurse identifies outcomes for a
plan that is based on population diagnosis and
priorities.

A

Standard 3: OUTCOMES IDENTIFICATION

80
Q

The public health nurse develops a plan that reflects best practices by identifying strategies, action plans and alternatives to attain expected outcomes

A

Standard 4: PLANNING

81
Q

The Public Health Nurse implements the identified plans by partnering with others.

A

Standard 5: IMPLEMENTATION

82
Q

Standard 5: IMPLEMENTATION

Coordinates programs, services
and other activities to implement the identified
plan.

A

Coordination

83
Q

Standard 5: IMPLEMENTATION

employs multiple strategies to promote health,
prevent disease and ensure a safe environment
for population

A

Health education and Health Promotion

84
Q

Standard 5: IMPLEMENTATION

Provides consultation to various
community groups and officials to facilitate the
implementation of programs and services.

A

Consultation

85
Q

Standard 5: IMPLEMENTATION

Identifies, interprets and implements public health laws, regulations and Policies

A

Regulatory Activities

86
Q

The Public Health Nurse evaluates the health status of the population.

A

Standard 6: EVALUATION

87
Q

systematically enhances the

quality and effectiveness of nursing practice.

A

Standard 7: QUALITY OF PRACTICE

88
Q

give the last 6 STANDARDS OF CARE

A
EDUCATION
PROFESSIONAL PRACTICE EVALUATION
COLEGIALITY AND PROFESSIONAL RELATIONSHIP
COLLABORATION
 ETHICS
RESEARCH
RESOURCE UTILIZATION 
POPULATION
 LEADERSHIP
89
Q

attains knowledge and
competency that reflects current nursing and public
health practice.

A

Standard 8: EDUCATION

90
Q

The Public Health Nurse evaluates one’s own
nursing practice in relation to professional practice
standards and guidelines, relevant statutes, rules
and regulations

A

Standard 9: PROFESSIONAL PRACTICE EVALUATION

91
Q

Public Health Nurse establishes collegial
partnership while interacting with representatives
of the population, organizations and health and
human services professionals and contributes to the professional development of peers, students,
colleagues and others.

A

Standard 10: COLEGIALITY AND PROFESSIONAL RELATIONSHIP

92
Q

The Public Health Nurse collaborates with the
representatives of the population, organization and
health and human service professionals in
providing for and promoting the health of the
population.

A

Standard 11: COLLABORATION

93
Q

INtegrates ethical

provisions in all areas of practice.

A

Standard 12: ETHICS

94
Q

The Public Health Nurse integrates research

findings in all areas of practice

A

Standard 13: RESEARCH

95
Q

The Public Health Nurse considers factors related to safety, effectiveness, cost and impact on practice and in the planning and delivery of nursing and public health programs, policies and services

A

Standard 14: RESOURCE UTILIZATION

POPULATION

96
Q

The Public Health Nurse provides leadership in

nursing and public health.

A

Standard 15: LEADERSHIP

97
Q

The Philippine Regulatory Board of
Nursing expects beginning professional
nurses to be able to perform three roles:

A

✅health care provider,
✅Manager leader
✅researcher.

98
Q

The use of the nursing process applied in the natural environment of the client pertains to this role.

A

1.HEALTHCARE PROVIDER

99
Q

Caring is the essence of nursing and has been widely expected in all setting

A

1.HEALTHCARE PROVIDER

100
Q

GIVE example of roles of HEALTHCARE PROVIDER

A

Taking the history of a pregnant woman in the village clinic (Barangay Health Center)

101
Q

Communicating information to help patients make an informed choice regarding their health is a
key activity in public health work

A

2.HEALTHCARE EDUCATOR

102
Q

hoped that awareness will impact people’s behavior to achieve health in their own hands.

A

2.HEALTHCARE EDUCATOR

103
Q

GIVE example of roles of HEALTHCARE EDUCATOR

A

Instructing patients how to take their prescribed medicine or sharing information about the benefits of healthy lifestyle.

104
Q

Nurses working under Local Government Units deliver healthcare to the grassroots. This also requires that programs initiated by the National Government thru the Department of Health are
executed at all levels.

A

3.PROGRAM IMPLEMENTER

105
Q

GIVE example of roles of 3.PROGRAM IMPLEMENTER

A

Implementation of the different health programs
(NIP, Maternal, FP, NCD, CD, Environmental Sanitation)

and submission of reports.

106
Q

what is best captured by 4.COMMUNITY ORGANIZER?

A

Working with people in communities and providing them ownership of their healthcare needs and to act collectively on their issues

107
Q

what is the form of community engagement that seeks to rally people to work together and act on issues owned, identified, and solved thru and by the people’s own efforts?

A

Community Organizing

108
Q

Educating the people and mobilizing all stakeholders to address problems.

A

4.COMMUNITY ORGANIZER

109
Q

Community and Public health work deals with competing claims specifically on utilization
of limited resources. Hence, the nurse employs principles of management to maximize resources effectively and efficiently

A

5.MANAGER/LEADER

110
Q

Budgeting, inventories, scheduling and conducting training sessions are likewise included in this role.

A

5.MANAGER/LEADER

111
Q

takes a proactive stance in ensuring that the right to health of the population he/she works with is realized and protected

A

7.CLIENT ADVOCATE

112
Q

also initiates organizing activities to form coalitions and linkages to foster awareness of people to various health related issues.

A

7.CLIENT ADVOCATE

113
Q

engages stakeholders in clamoring and lobbying for policies that impact health of communities

A

7.CLIENT ADVOCATE

114
Q

hey keep track of illnesses encountered in their areas of jurisdiction and submits reports to health authorities as required by the law.

A

6.RESEARCHER/EPIDEMIOLOGIST

115
Q

event of an outbreak, public health nurses work with other professionals and agencies in conducting investigation to identify etiology of the epidemic and ultimately identify potential solutions to halt the progress of the problem.

A

6.RESEARCHER/EPIDEMIOLOGIST

116
Q

part from collecting actual data for research, the nurse utilizes research findings to provide evidence to convince decision makers to enact policies for health

A

6.RESEARCHER/EPIDEMIOLOGIST

117
Q

7 ROLES AND RESPONSIBILITIES OF A

COMMUNITY HEALTH NURSE

A
  1. HEALTHCARE PROVIDER
  2. HEALTHCARE EDUCATOR
  3. PROGRAM IMPLEMENTER
  4. COMMUNITY ORGANIZER
  5. MANAGER/LEADER
  6. RESEARCHER/EPIDEMIOLOGIST
  7. CLIENT ADVOCATE